Researchers Probe Link Between Acid Reflux and Sinusitis

Seasonal allergies caused by plants releasing their pollen may cause trigger postnasal drip, as the body produces extra mucus to try and eliminate the pollen spores. The nose, throat, and sinuses are all constantly producing mucus.

To avoid a dangerous medication interaction, do not take any additional medications, even over-the-counter or herbal medications, for post-nasal drip without clearing them with your doctor and/or pharmacist. Humidifiers, saline mist, and neti pots can be used. Avoid dairy if mucus is thick, and avoid spicy foods if mucus is thin.

As discussed above, reflux associated cough can be a laryngopharyngeal or distal esophageal phenomena. LPR has distinct features, as first identified by Koufman and colleagues. In a combined reported series of 899 patients, throat clearing was a complaint of 87% of LPR patients versus 3% of those with GERD, while only 20% of LPR patients complained of heartburn versus 83% in the GERD group [5].

Your primary care provider or pediatrician will often refer you to an ENT (ear, nose, and throat) specialist, or otolaryngologist, for evaluation, diagnosis, and treatment if you are having related symptoms. While GERD and LPR can occur together, people sometimes have symptoms from GERD or LPR alone.

Diagnosis of GERD is frequently based on the clinical responses of cough to antireflux therapy rather than on objective assessments of GERD per se. Furthermore, an increased understanding of the pathophysiology of GERD and in particular the specific phenomenon of laryngopharyngeal reflux (LPR), has highlighted the complexity of this condition, with the need for individual patients assessment and tailoring of therapy becoming apparent.

Mucus is a thick and slippery substance that helps to keep the airways from drying out throughout the day. There are many home remedies to treat postnasal drip, though sometimes a visit to the doctor is necessary. While it won’t cure you, hot soup, or any hot liquid might give you some temporary relief and comfort.

Tell me about medical treatment.

This means you should concentrate on pushing out the stomach with each breath instead of expanding the chest. Avoid slumping when sitting down. Avoid bending or stooping as much as you can. As mentioned above, body weight is a significant factor in promoting reflux of stomach acid, and weight reduction is helpful.

Other Throat Conditions

Post nasal drip means mucus dripping from the back of your nose down into your throat. This can happen if you have a cold, an allergy or because you smoke. It makes you cough and can give you a hoarse voice. Acid reflux can masquerade as everything from a cold to poor dental hygiene.

Doctors may order additional tests to check for other causes such as stomach acid reflux. They may also prescribe a steroid nasal spray for people who suffer from persistent allergies. A person with discolored mucus that does not clear up should see a doctor, as this can be a sign of a bacterial or viral infection. A person with a postnasal drip caused by a bacterial infection may require antibiotics.

Complications of LPR

This led the authors to conclude that the use of PPI had “some effect in some adults.” More recently, a Cochrane Database Systematic review by Chang and colleagues [2] including 9 randomised controlled trials of PPIs for adults with chronic cough found that using intention-to-treat, pooled data from studies resulted in no significant difference between treatment and placebo in total resolution of cough (OR 0.46; 95% CI 0.19 to 1.15 no overall significant improvement in cough outcomes (end of trial or change in cough scores). There was, however, a significant improvement in cough scores at end of intervention (two to three months) in those receiving PPI (standardised mean difference −0.41; 95% CI −0.75 to −0.07) using generic inverse variance analysis on cross-over trials. The authors were unable to conclude definitely that GERD treatment with PPIs is universally beneficial for cough associated with GERD. Despite the current lack of evidence for definite treatment of empiric treatment, published guidelines from the ACCP [21] and BTS [25] suggest that PPI therapy should be commenced, for example, omeprazole 20-40 mg twice daily or equivalent taken before meals for at least 8 weeks [25].

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