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Cure for constant Post Nasal Drip and throat clearing

I have the constant Post Nasal Drip and throat clearing as a result of it.  This has bothered me for about eighteen years and just keeps getting worse.  Being a stand up comedian, this really hampers my profession.

On December 8,2005 I was doing a show in Virgina and saw a local doctor there.  She gave me Tussionex and within the hour of the first dosage the drainage stopped.  The next week was wonderful as I was even able to cough up stuff for the first time in a long time.

I have tried the 8 mg dosage of Chlorpheniramine but it doesn't work. I have taken hydrocodone before with dental problems and I know that after taking it I get the itch in the nose for about five minutes.

I am convinced that this is a cure and that the Chlorpheniramine somehow bonds to the hydrocodone to be most affective.  Problem is ofcourse that it is a narcotic and no doctor will give that on a daily bases for the rest of my life.

Are there any other drugs that could possibly bond with the Chlorpheniramine and take it right to the nasal area?

I have done all the alergy testing three times.  Head xray, Barium swallow, and all the prescription sprays, decongestants and antihistamines.  Nothing has ever worked but this.

Steve
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251132 tn?1198078822
MEDICAL PROFESSIONAL
I know of no evidence that chlorpheniramine bonds with hydrocodone.  I do not know of any way to explain the drainage stopping within an hour of when you took the first dose of Tussionex
Helpful - 5
Avatar universal
You did not say what the head x-ray revealed, however, if you have chronic sinusitis, you ought to try and find the cause.
My son had chronic sinusitis and our regular doctors kept treating him with antibiotics.  About the time they referred him to a specialist, I had tracked down a doctor Norton Fishman (M.D.)who practices complimentary medicine, now located in Bethesda, Maryland.
Although the ear, nose, throat specialist's (Dr. Lisk) skin pricks for allergies were negative, the other doctor did a blood test and stool test which revealed six food allergies and an intestinal yeast overgrowth.  Five of the food allergies were protein, including antibodies to egg whites.  The non-protein allergy was chocolate.
He was also very low on several minerals. Some were two deviations below normal, including zinc which is very important for the immune system and needs to be balanced with copper.
He was missing two necessary bacterial flora, with something else on a pathogenic level.
This type of yeast overgrowth is related to sinus infections.
For the yeast overgrowth, Dr. Fishman treated him with a prescriptive drug, an over the counter remedy (as recommended by the lab) and many nutritional supplements, not an antibiotic.
Dr. Lisk had a cat scan done, which showed all of my son's sinus cavity was infected.  Dr. Lisk did do surgery for him.
He got well!
Helpful - 3
Avatar universal
hi i went through a similar process. doctors always prescribed antihistamine and steroid spray which didn't really help. allergist diagnosed pollen allergy from a skin ***** test. I knew I had seasonal hayfever already. I eventually narrowed the cause down to corn products. With strict avoidance I am practically as good as new. Corn is also used in gypsum board as a drying agent when it's manufactured, which is why I had problems when we renovated out house. I'm not saying you have a corn allergy, but there are so many potential allergens that test would not have been exhaustive. Skin ***** tests are not very reliable for corn at least - false negatives are common even though a blood test is positive. I'd try a strict food elimination process - may find something or help at least rule out food problems. good luck finding your cause, keep trying with an open mind.
Helpful - 1
Avatar universal
How do you know for a fact that you are having Post Nasal Drip.  Can you actually feel the mucous trickle down the back of your throat?  Is your nose stuffed up?  I've been told I have Postnasal Drip but my only symptoms are the throat clearing, chest tightness and cough, which commonly leads to bronchial infections a few times every winter.  I've been taking Mucinex to help with the excess mucous, and it helps a ton, but I still want to know which way the mucous coming from.  Couldn't the lungs also be producing clear mucous, and causing the throat clearing, and lung infections?

If anyone has any ideas please let me know.
Helpful - 2
Avatar universal
Wrecker,

It is an obvious Post Nasal Drip.  I feel it dripping out of the back of my nose and it makes me gag, puke, or choke if I don't clear my nasal passages.  It is quite gross but it is kinda like goes like this:

1. I have to suck in hard through my nose
2. And kinda snort back to get it into my mouth.
3. Then I expell it.

Like I said it is quite gross and not many people want to be around it after a while.  It is quite embarrassing but most of all uncomfortable.  I usually have a sore throat at some point in the day and usually it goes away and may reappear.  The worst thing though is the forever feeling of a scratchy throat.

Doctors don't want to listen to you though.  They just want to push the steriod nasal sprays and prescription antihistamines on you.  Tussionex is the only thing that has worked for me.

Helpful - 1
Avatar universal
Sounds like exactly (Or at the least, drastically similar to) what I have going on.  Chronic post-nasal drip, nearly constant.  It started getting pretty regular about four or five years ago, and has been getting a touch worse with every subsequent bout with sinusitis since.

Same thing; Steroids have been completely ineffective.

Side Quirk; It gets noticibly worse when I'm under stress.  (Actually, it's become one of my tell-tale signs that I'm -getting- stressed -- I have a tendency to ignore/suppress emotional stress.)  -That- quirk combined with the PND to effectively end my music career.  Having to hawk and spit every verse or so does not do wonders for one's stage presence.  I can force myself to ignore it for a bit, but holding back like that causes it to get worse to the point of hacking, gagging, and full-on puking.  (Fun.  'Hey, let's go see the local band.  I've got front row tickets, bring a tarp!')

Now -- I had a goodly portion of respiratory problems when I was younger, mostly secondary to an immunodeficiency.  Also had problems with asthma and multiple allergies (I still remember the weekly-to-monthly allergy shot, gamma globulin shot, blood test trips).  

However, for a good ten to fifteen years, there, I didn't have many to any problems.  The thin/clear discharge and perceived mucosal irritation -implies- to me "allergen", but I'm not sure about sudden onset or relapse allergies.

On the down side, I'm currently a starving college student again (Ironically, in Respiratory Therapy) and I'm lacking in insurance so I can't afford to get myself bounced from specialist to specialist as tends to be the norm in my experience.

So for now, it's a "Huh.  So what the (insert random no-no word of your choice) do I do now?"  Not only is the not being able to perform vocally thing a major quality of life hit, but "Hey, what have you been *HAAAAAAWWWRRRRRK* up to... *HAAAWWRRRK* lately?" does not do wonders for my social life (As my ex would certainly attest *smirk*).
Helpful - 1
Avatar universal
The only thread of a possible solution I found in another comment, which I am definitely going to try.  This person was given Levaquin, 500 mg, for 30 days & has had good success with it.  The reason why I think this might be a very good answer to this horrid phlegm problem that we are all writing about & almost willing to sell our soul for a resolution is this:  I used to have this excess phlegn problem following a 10 day regimen of antibiotics for a sinus infection, however, after a couple of weeks it would go away, until about 5 yrs ago, when, it decided to call my body home.  I think for some of us, a regular 10 day regimen of antibiotics cures the primary problem, but does not completely get rid of all of it, thus, we are left with this lovely coughing till we puke to try to get out the nasty phlegm to no avail.  I would give my I teeth, not to have to go through this constant hacking up stuff that looks like an alien life form.
I have an appt with an allergist that my husband has seen and I'm going to prompt him for the levaquin.  He currently has my husband on it just in order to clear out his sinuses enough so that the ENT can go in & do surgery for his chronic sinusitus.
I hope this info can help any of you out there going through this unwelcome guest in our lifes.
Helpful - 0
Avatar universal
Since a trip to Southeast Asia April 05, I have been coughing up a white/sometimes yellow glob of mucous on a daily basis...usually in the morning.  My voice goes hoarse without warning as I hack this stuff up...then goes back to normal.  I've seen my doctor 3 times and have recieved Cipro 500 mg, Levaquin 250 mg, and a new antibiotic I can't recall. He has cultured my sputum, ordered chest x-rays, blood tests but nothing shows up?!!!   I do occasionally have a sore throat that lasts 4-5 days then disappears????   Also, I now suffer from post-nasal drip and sneezing attacks although that may just be an allergy.

The mucous is very dry, stringy and clumps together...amount is usually 1/4 teaspoon. I dont have any chest pain or tigtening, but feel less energetic.  I'm 53, great shape, 178 lbs, take no medications, dont smoke/drink.  At wits end as I know something isnt right....could this be fungal????
Helpful - 1
Avatar universal
Since Christmas I have been bothered by post nasal drip, heavy mucus and symptoms of GERD as well.  I've been on Nexium and had 12 days of biaxin to try and get rid of whatever bacterial infection might be going on.  Nothing was working.  I went into a health food store to see what else I could try and it was suggested I start using oil of oregano.  Within 3 days my right nostril was clear and my left one is starting to open up.  I am amazed at this stuff.  For those of you suffering from these same kind of symptoms, it might be worth a try.  It a a heavy duty natural antibiotic as well as a fungal killer.  It's potent stuff so you only use 2-3 drops diluted in a bit of juice and drink it but by 3 days you should be noticing a difference.   There are a lot of articles on the internet about oil of oregano and sinus/post nasal drip/clogged nose problems so hope this helps some of you.
Helpful - 2
Avatar universal
Antibiotics work poorly on Snot Demons, due to low blood circ to the sinuses.  The Mayo Clinic found the real problem (Google: mayo clinic snot). Once you get an infection, all the bacteria,viruses,allergens,and toxins take on a life of their own.  The cure is to get rid of the pustulence, with surgery--no way!--or advanced saline sinus flush. I got a Snot Demon for 7 yrs, teaching grade school/germ factory.  A cold in the fall, then sinusitis, lost smell then taste, Cipro, hawk spit cough, sore throat, partial recovery in summer.  Then I heard about a saline flush, like the one mentioned above.  Better yet, I used to be a swimmer, so I know how to get massive amounts of salt water in and out of my sinuses.  Miracle!  My nose got so clear it woke me up at night.  My advanced technique is easy now, but it requires a short book to safely explain, and agents won't look at it cuz i'm no doctor, or snot books lack glamour. Soon I'll find a publisher with chronic sinusitis.  Meanwhile, try one of the saline (61/2 teaspoons salt to 1 gallon distilled water) flushes from this website (the Grossan tip has possibilities) and if you get results, keep doing it for 3 days after your sinuses clear. And lay off phlegm-making dairy products and white flour til you do. I caught 2 colds again this year, with no congestion, just a raggedy throat and cough for 2 days, and no hawk spit Snot Demon.
Helpful - 1
Avatar universal
It was interesting to read everyone's comments.  I have had a chronic cough for about six or seven years.  I remember all too well the Easter season when my allergist finally prescribed Tussionex Pennikinetic (5 ml AM/PM - 1 tsp.)and just like our writer - rflchamps - in less than fifteen minutes I had a clear head, clear throat and could take a breath without "guarding" against a cough.  

Since then (2004) we have burned out all the specialists (ENT, Gasto, Pulmonary, Immunology & Respiratory) in our area and are now working our way (I say our as my family, friends and coworkers "live" with my cough too) through all the wonderful doctors at Lahey in Boston area.

I have a new name now; "Walker the anomaly" because after trying EVERY p-n-d remedy, every asthma and cough remedy and going on/off/on/off lisinopril, nexium, advair, astelin, nasocort, singulair, albuterol, fexonfenadine (allegra generic) and others there is no abatement or solution except Tussionex.  I even go "off" it every thirty days and go through the "jags" a little and then back on the doses so I don't get "hooked" (I remember the sixties).

There is still no solution after ph testing, xrays, ct scans, methacholine challenges and every other poke, prod and ***** they can come up with for testing (yes I am allergic to everything but, I always was and the cough just started as I said earlier, six or seven years ago).  Thank heavens for health insurance.

Anyway, now I am back on Advair/500, Singulair, Albuterol, Nexium, Fexofenadine, Baby aspirin, Tussionex and vitamins daily; so keep up the spirits and will keep you all posted.

Helpful - 0
Avatar universal
I can totally sympathize with all of you going through this most annoying problem(s) of throat clearing, cough, post nasal drip sensation, thick mucous coming out of nose, and I have the feeling of a lump (globus) on one side of my throat... etc. etc.
I have been to every specialist in my local area- have been to Dr. Koufman at Wake Forest 2 day work up 24hr pH- esaphagoscopy, etc.- she diagnosed me with LPRD I did the meds. ... no change. Then onto Dr. Irwin's cough clinic at the U. of Mass.- barium swallow, X-Rays, Methocline Challenge, bronchoscopy - dx= chronic post nasal drip.
Just came back from the Mayo Clinic in Rochester, MN- I was sure they would figure me out.... after 4 days of Ct scans and exams with their ENT dept. and Pulmonary, I was sent home with nasal wash and Rx for Atrovent nasal spray and Nexium.
Prior to visiting these docs. I had seen 2 ENT's locally, one GI specialist for upper endoscopy, 1 endocrinologist, 1 endocrine surgeon, my primary care physician, 2 local pulmonary specialists, an ENT at Johns Hopkins (he totally blew me off- 5 min exam. and told me to come back in 8 weeks)a local immunologist ... and a Pulmonary specialist at the University of Penn. for my second set of CT sinus scans and second bronchoscopy.
I just spent an arm and a leg on my trip to Mayo, and basically they told me we can't figure out why I wheeze and clear my throat ALL the time one one side. Hopefully some of the meds. they prescibed will help.
Another strange thing about my entire situation is that this started about 3 years ago, and all the sensations of mucous, wheezing and clearing are ONLY on One side of my throat and chest- that has puzzled every doc. I have met with.
The Mayo Clinic was a great place, but even they can't figure everyone out-
Anyone else experiencing symptoms on one side only??
thanks for reading-
(If you have never been to Mayo, and can afford the trip- it is a most unique medical practice I have ever witnessed. They really do care about the patient and they are very efficient and organized and take the time to listen and address all of your concerns)
snicss
Helpful - 1
Avatar universal
I can relate to all the people having post-nasal drip blockage especially in the back of the throat when sleeping.
I tried all the sprays and went to a variety of specialists that offered less help than my mates on board ship. I figured out one of the causes, pollution. Either factories are pumping the stuff out of their stacks or our houses are built on a land fill.
On the lakes we didn't have doctors on ship so we would try everything from hot-rum totties or we would go in the galley and boil saltwater in an iron pot. After we inhaled the steaming water it seemed to clear the passages and the Hot-tottie killed any germs or pains.
It seemed clear to us that being in fresh air on the sea offered more benefits than the polluted ports we tied up in. Another point that is not helping anyone is that we don't walk nor exercise as we did before. The television couch potato life is not helping any of us on land nor sea.
Helpful - 0
Avatar universal
SNICSS,

I have the exact same symptoms as you.  All on the right side.
I havent been thru the xtensive testing that you have.  Im just thinking it will go away.  I use nasal irrigation, tea, and drink lots of water and it makes things tolerable.  While tolerable, the feeling on the right side of my throat/chest never goes away.  It has been about 5 months now since this started.  It started right after a bad cold.  Sometimes it goes away for a few days only to return.  It appears my sinuses are more allergic now even to the slightest things.  But my nose is clear though....very wierd and really annoying.
Helpful - 0
Avatar universal
I made a new discovery this weekend after discussing my sinus problems and post nasal drip with a chemist. He told me that the main cause of post nasal drip is based on milk protein. This item is found in all milk products from vitamin D milk to skim milk. Yogurts and all powdered milk have that same protein. Two days ago I quit my intake of all milk products. It was difficult walking away from a beautiful gallon of Breyer's ice cream but I felt my health is more important than the wonderful taste of ice cream.
I slept fine without any post nasal drip. No medication was used and I found water had that great taste once again.
When you think of it the fats we take in
slow us down.
Hopefully this discovery will help you have a better day.
Helpful - 1
Avatar universal
I too have been suffering chronic cough for 6 years and starts as soon as I get out of bed, but doesn't bother me when I am laying flat. My breathing tests showed I was only at 54% of lung capacity, and the bronchodilators do help me take deeper breaths but no other medications (prescription or OTC) have helped. Steroids cause yeast infections in my throat and severe skin rashes over my whole body. I do not eat dairy, so that is not causing it. Changing the environment doesn't seem improve it either. I continually have my water bottle with me as when the coughing starts I almost choke.
Helpful - 0
Avatar universal
Hi there, i'm 23, f, and I suffer from very unpleasant case of permanent post nasal drip, have had it for over 6 months now. I am quite positive that it developed due to my former excessive use of cocaine as I often had sinusitis and similar minor problems. Obviously due to this condition I ceased using the drug and also had to cut down on my smoking, which are probably the only good things that came out of it.
I have tried several standard procedures, e.G. Nasal sprays, nasal wash, anti-histamines, steroid sprays, inhaling but nothing has really made any difference.
It feels all the time there is something in my throat so I have to cough all the time as if to clear my throat, when I cough it's a kind of dry cough that nearly makes it feel like there is actually something in there, my tonsils feel weird most of the time (tho not inflamed or particularly sore, just... Weird) and I can actually feel the mucus accumulating there at the back and it's really thick and hard to swallow. When I breathe deeply I can hear weird wheezy noises coming from my throat (not chest), from around the area where the cough comes from. These noises are really the most disturbing part of it, it's a little worse when I lie down like to go to sleep and lie on my back,it feels like if something was partially in the way of breathing and because I hear this strange noise I often can't go to sleep for hours.
I was just wondering if anyone on here knows anything about this or knows of similar experience and could therefore advice or at least offer some peace of mind that this is normal for this condition.
Is there any connection with pnd and later developing throat cancer?
Haven't seen ENT specialist yet as I live in the UK and must wait about 4 months for an appointment (...).
Those of you who have similar condition only will understand how annoying and exhausting this can be and how much it impairs one's life. I'm really desperate and I would give anything to have it back to normal. I have done a little internet research and am going to try this Sinus irrigation device called Hydropulse.
If that doesn't work, there is little hope anything else will.
But hey if it works for me I will let you know.
Take care,
Avine
Helpful - 0
Avatar universal
i kind of have the same problem, please keep me updated
Helpful - 0
Avatar universal
Hey, well I have purchased this product Hydropulse and I have been using it for over a week now, and I have noticed a reasonable improvement, such as I can now go to sleep at night without staying awake for too long coughing and being disturbed by the weird wheezy noises, also the sensation of having to swallow thick mucus has mostly subsided. However the sensation of something stuck in my throat and the cough sounding and feeling unnatural is still there, so are the strange noises which only appear when I exhale deeply. This has made me think that there might be a different cause to this, either some slight case of asthma or impaired chest cilia, which of course I will not know until my far-future ENT appointment. But I'm gonna get spirometry test done see if I have any signs of asthma. Cos I can't quite work out whether the noises come from my chest or throat, it seems more like throat, like there is something there obstructing my air flow, but then I would not probably know the difference if it the cause was in the chest.
So still trying to work it all out. Hope this was of any help.
Best of luck,
Avine
Helpful - 0
Avatar universal
Very interesting to find this site.  Good to know I'm not alone.  I have a few weeks off from work coming up and I am dedicated to finding a solution (cure).  I suffer from having to constantly clear my throat.  I am a professional sales executive selling to high level execs in the Fortune 500 and my throat problems are making my life very miserable.  My phlegm increases whenevr I am in stressful situations such as public speaking or making a presentation of any kind.  It has been extremely challenging and has been going on for probably 3 years now.  I have found that Traditional Medicinals Throat Coat tea does a great job of clearing my throat for short periods of time (while I'm drinking it). I go through two large thermoses of the stuff per day when I am working form my home office.  I have even resorted to stopping in Starbucks and getting plain hot water, throwing in a couple of tea bags and taking it into meetings with me.  I also suck on Slippery Elm Bark lozenges but they don't really seem to do much.  I think I'll try that Oil of Oregano.

I've tried Nexium, Astelin, and Singulair and nothing seems to work.  It definitely gets worse when I drink coffee (I typically drink two cups per day but I'm going to try to quit to see what happens).  I went to two different ENTs and next I'm going to go to an ENT who specialies in LPR to see what he can do.

I always ask the question, "What if Matt Lauer or another highly paid professional communicator had this problem?  What could be done?"

I will not stop until I find an answer.  Please keep sharing your discoveris and I'll do the same.
Helpful - 0
Avatar universal
Very interesting to find this site.  Good to know I'm not alone.  I have a few weeks off from work coming up and I am dedicated to finding a solution (cure).  I suffer from having to constantly clear my throat.  I am a professional sales executive selling to high level execs in the Fortune 500 and my throat problems are making my life very miserable.  My phlegm increases whenevr I am in stressful situations such as public speaking or making a presentation of any kind.  It has been extremely challenging and has been going on for probably 3 years now.  I have found that Traditional Medicinals Throat Coat tea does a great job of clearing my throat for short periods of time (while I'm drinking it). I go through two large thermoses of the stuff per day when I am working form my home office.  I have even resorted to stopping in Starbucks and getting plain hot water, throwing in a couple of tea bags and taking it into meetings with me.  I also suck on Slippery Elm Bark lozenges but they don't really seem to do much.  I think I'll try that Oil of Oregano.

I've tried Nexium, Astelin, and Singulair and nothing seems to work.  It definitely gets worse when I drink coffee (I typically drink two cups per day but I'm going to try to quit to see what happens).  I went to two different ENTs and next I'm going to go to an ENT who specialies in LPR to see what he can do.

I always ask the question, "What if Matt Lauer or another highly paid professional communicator had this problem?  What could be done?"

I will not stop until I find an answer.  Please keep sharing your discoveris and I'll do the same.
Helpful - 0
Avatar universal
I know exactly what your all going through. I'm 22 and have had this post nasal drip for around a year and a half.

Whats most annoying thing for me personally is the effect it has on my speech, probably from the thick mucous.

Anyway just a few things I thought I'd share with you.

I seen an ENT specialist around 4 months ago who diagnosed something called LPRD, which is very similar to acid reflux, but worth reading up on. I was prescribed PPI's which does help to control the globus sensation and a secondary problem (a burning sensation in the throat - lprd). I recently ran out of PPI's and I feel 10 times worse than being on them, so I'll be getting some more when I get chance.

Short term improvements:

tilting my head back. Now I don't mean dramatically tilting my head, I just mean if I'm watching tv or relaxing, I'll just tilt my head back very slightly and I can feel everything improve, almost as if I have a sinus problem and everything is draining away.

Sleeping well. I don't know about the rest of you, but if I don't get a good long sleep, the problems are worse. This is always the case for me. This could have something to do with being flat and everything have more chance to drain away properly. (like above when tilting head back)

Drinking. I drink a lot of blackcurrent, because I noticed it clears my throat up really well. Try it. Love the drink too, which helps :) Being from the UK, I drink quite a lot of tea. This seems to temporarily help, I guess most hot drinks will help. I have heard caffeine can worsen LPRD symptoms, but the actual post nasal drip is more annoying, so any short term relief is my priority.

Alcohol. I go out every saturday and drink like there is no tomorrow, lol. I know I shouldn't, but that's the way it is. Come sunday morning I have the usual hangover, but for the next day or 2, I am still feeling the effect of drinking alcohol on my post nasal drip. This definitely worsens it. What I have discovered though, is beer worsens it more than vodka. I have no idea why, but I'll be sticking to vodka and coke and drinking less beer.

Eating. For some reason, if I eat something I feel great for a short period. The food clears all the horrid mucous out of my throat I guess. Just wondering if others notice this?

Dairy products. I tried cutting all that stuff out, but if I'm completely honest, I didn't really notice much improvement.

Exercise. Something else I noticed lately. If I go on the treadmill, it feels like my head is going to explode, lol. It's as if my entire ears nose and throat area is full of mucous and as i'm running along I'm in effect shaking it about. Not sure how else to put that. It was more evident when I had a go on my little cousins trampoline, every time I jumped my head really hurt! Like a banging headache. Makes me think that if I persisted with it, it may help release all these **** out of my head.

I'll end it here I think. We all need to get to the bottom of this, things seem to be getting progressively worse. I'm having a camera down my throat in a few weeks so I'll come back often to update and see if any replies have been made to my post (now in favorites).

Gareth
Helpful - 2
Avatar universal
I've had this problem for 4 years, it came on quite quickly after a really bad attack of laryngitis.   After several months on steroids sprays I had sinus surgery but it had no effect on the PND. Since then I've tried every nasal spray known to man, various antihistamines, seen two more ENT surgeons & had 2 CT scans, both clear; but if anything it's got worse.

About 18 months after it started, the throat lump (which most people refer to) got so bad that my throat is effectively paralysed on one side - it feels like a kind of muscle spasm.  This has persisted, (though it comes and goes) and is really scary.  I also get the other symptoms people describe, esp. pressure in the nose & ears, a feeling of drainage from one ear to the other, globs of furry stuff that stick in my mouth & throat, etc.

I also find that black/redcurrant juice helps a bit (maybe the acide reacts with the mucous ?), and that some alcolohic drinks definitely don't - spirits are OK but wine is bad!  I use nasal irrigation sometimes but the relief is short-lived and it's excruciatingly painful.  When I'm absolutely desperate I use a proprietary nasal spray but try to keep off them.

One thing I notice from reading the above is that several contributors use their voices in their jobs - I'm a university lecturer.  The last ENT surgeon sent me to a speech therapist, but she didn't know what to do with me !   But when I'm talking (or eating or drinking, or running around), the PND is actually better or less noticeable; when I'm sitting still it's worse.

It makes my life a misery about 60% of the time, so I would sell my soul for a cure, and I can't believe that the medics can't even identify the CAUSE.
Helpful - 0
Avatar universal
This same type of problem is killing me too.  There are times when I am fine and then the next minute I can't even talk because of the lump in my throat.  It is killing my career too.  I'm in meetings and go to talk and have to cough really hard to even be able to get the words out.  I'm 33 and have been dealing with this for at least the last 10 years.  I have been to ENT's and Gastro docs and had Endoscopy performed and all they keep telling me is that I have GERD.  I have been taking Nexium but don't notice a difference.  It is almost on a time schedule.  In the morning it may or may not bother me.  It is horrible before lunch time.  It usually a little better right after lunch and then gets bad around 2pm and by 5 pm it has cleared up.  Then it may flare up after eating dinner.  I have cut out caffeine and soda all together and really limit my beer intake.  I've been drinking lots of water too.  I know that it is post nasal drip because once it clears up it is completely clear.  I have really bad allergies and that is enough to deal with.  I'm trying to move up in my company but feel that I'm a liability.  I want to move into sales but how can I put on presentations when I'm coughing and constantly clearning my throat.  Can anyone offer any suggestions?  
Helpful - 0

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