Post-Nasal Drip

Anyone with long-lasting or recurring sinus drainage discomfort should speak with a doctor about potential causes. Medical treatments can often resolve symptoms more effectively than home remedies. A sinus infection, allergy, or injury can cause symptoms that last much longer.

If medication is not helpful, allergy desensitization shots can be administered. These shots are given regularly over a period of several years in order to build up a tolerance to the antigen and essentially cure or eliminate the allergic condition. For example, if GERD causes hoarseness, narrowing of the airway, swallowing difficulties, throat pain and sinus infections, those are the areas treated specifically by an ENT physician who specializes in treating diseases of the head and neck. But in many cases, your symptoms can be treated through home remedies, OTC medications, and a treatment plan developed with your doctor to address its specific causes. Sinusitis is considered chronic after symptoms last for more than 12 weeks.

So, I consider these symptoms when I take a GERD history. The idea of “silent GERD” causing these symptoms as a “tip of the iceberg” phenomenon is not likely in most patients. Dr. Naomi Gregory is a highly trained, board certified otolaryngologist who specializes in the diagnosis and treatment of diseases of the ear, nose, and throat. Dr. Gregory completed medical school at the Philadelphia College of Osteopathic Medicine in Philadelphia PA. For tips on identifying and treating sinusitis, head to the American Academy of Asthma Allergy and Immunology.

Tell me about medical treatment.

The classic symptom of GERD is heartburn. Many people have LPR without any associated heartburn and instead they experience chest pain, hoarseness, difficulty swallowing, excessive mucous, throat clearing, a sensation of a lump in the throat, sore throat, choking spells, wheezing, post-nasal drip, dry cough, or bad breath.

What makes silent reflux different than heartburn is that the silent reflux sufferer may be unaware of having it, and his or her doctor may not suspect the diagnosis. A lot of reflux is needed to damage the esophagus, but very little reflux can severely damage the more sensitive throat, sinuses and lungs. Many people with silent reflux have never even once experienced classic heartburn. My job as a doctor is to get to the root of what’s harming my patients. If that’s an allergy or a sinus condition, we have treatments available to address those problems.

Try the tips below based upon the cause of your symptoms. It is the sensation of having a “drip” in the back of the throat, which can also be accompanied by feeling the need to clear your throat. You likely will also suffer from a chronic cough. Nineteen (63%) of 30 patients demonstrated esophageal reflux, which is well above the expected prevalence of GER in the healthy general population.

  • Probes remained in position approximately 24 hours.
  • I put it down my sinuses as I have a lot of post nasal drip and sinus pain and suffer frequently with sinus infections.
  • A variety of findings in the larynx can be nonspecific, such as erythema, edema, swelling, and cobblestoning.

acid reflux and chronic sinus infections

Silent Reflux Screening Tool

If home treatments do not work, see a doctor, even if symptoms are minor. When sinus drainage becomes uncomfortable, and this lasts longer than a week, a person may have an infection or another issue that requires medical treatment. Sinus drainage is a natural process, so a person cannot prevent it.

Don’t hesitate to call your doctor if you have any questions or concerns. For more than 38 years, BergerHenry ENT Specialty Group has provided a wide array of advanced treatments for conditions of the ear, nose and throat to patients in metro Philadelphia.

These medicines usually include strong antibiotics, anti-swelling medicines such steroids, and sinus saline rinses. A sinus CT scan after 2-3 weeks of a regimen like this may show the sinuses to be clear, making the need for surgery less likely. However, if the CT scan shows trapped secretions within the sinuses even after these ‘optimal’ conditions, surgery to help open up the drainage pathways and wash out the sinuses may be indicated. LPR, or Silent Reflux, occurs when food or stomach acids flow back up into the voice box, throat, or even the sinuses.

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