re: OT doctors, please for the love of God help me

I have chronic post nasal drip from allergies and being in the worst place for them. Best thing I’ve found is netti pot once or twice a day and Flonase everyday. You can’t skip days with Flonase because it’s a steroid that builds up

Get a steroid shot. /thread.

Definitely try NeilMed sinus rinse and NeilMed Nasa must. Would do rinse twice per day or more.
Maybe, dietary changes like low sodium, mainly vegetarian if you eat a lot of processed food or meat.

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I have had the exact condition you are talking about. I’ve tried every medicine you mentioned plus Singular, D-Hist, Xyzal and Chlortabs. My doctor even changed my Lisinopril BP medicine because it can cause sinus drainage but that didn’t phase the drainage. The first several months it was not like classic post nasal drip or drainage, it felt more like having a lump the size of an M & M stuck deep in the back of my throat that constantly made me need to clear my throat. It gets considerably worse after drinking or eating anything warm or hot, also when I eat anything spicy or saucy. But in the last 5-6 days, it has become a combination of real nasal drainage caused by weed pollen and a small lump, with some ability now to hock it up which sometimes causes your throat to feel like you ripped the skin off and left it raw. Diphenhydramine (Benadryl) helps more than anything but it has to be taken every 3-4 hours and too much of it affects my heart rate and blood pressure. I plan to talk to my general practitioner at my fall wellness visit in a couple of weeks. In the meantime I have to just keep irritating the hell out of anyone I’m around by constantly having to clear my throat.

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I would bet my left nut that this is a food allergy issue. I would start a food journal to figure out what triggers you have. Discuss with your doctor and maybe try a consult with an allergist.

For OP: if you have been using afrin or other decongestant nasal sprays every day you need to stop. They cause refractory rhinitis (rhinitis medicamentosa) if taken for more than a few days.

If you have bad allergies do what others have said and use a neti pot, followed by azelastine (Rx) and a nasal steroid (OTC). Blow your nose after using the neti pot. If you’re not sold on the neti pot at least try a saline nasal spray.

But the TL;DR is that you should talk to your doctor.

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followed by azelastine (Rx)

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Astepro is available over the counter, but is still cheaper with a prescription and an internet coupon

Take a teaspoon of local honey a day.

I used to use azelastine when it was a prescription for post nasal drip along Flonase (maybe nasalnex or nasalcort at times) as needed. I might have used Flonase a little more proactively when I could feel and taste the pollen or when back in Baton Rouge area, but the azelastine was just used at first signs or post nasal drip or runny nose.

The AstePro is at least marketed as being prescription strength. I had been using Zyrtec more as that’s just want we had for our kid but got AstePro at a Walgreens a month ago. It has helped so far when needed for post nasal drip and use over the counter Flonase for other sinus symptoms.

Dr Richard Hung, Houston ENT. You can get an appointment within days, worth the time & effort

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I’m not using Afrin. I’m familiar what it does to the nasal mucosa with prolonged use.

I think I’m going to try saline and Azelastine. After a couple days, if still not working, I’m going to the doctor.

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One thing that other posters have mentioned already is to consider acid reflux if azelastine doesn’t help.

If it’s the constant clearing of throat or feeling like something there but no other sinus issues and multiple allergy meds not helping it may be acid reflux.

That happen with my wife. It was surprising as from seeing her symptoms and what she thought was happening it seemed like post nasal drip. There is a particular type that doesn’t always have heartburn as a symptom.

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Extraesophageal symptoms result from exposure of the upper aerodigestive tract to gastric contents. This causes a variety of symptoms, including hoarseness, postnasal drip, sore throat, difficulty swallowing, indigestion, wheezing, globus pharyngeus, and chronic throat-clearing. Some people with LPR have heartburn, while others have little to no heartburn as refluxed stomach contents do not remain in the esophagus long enough to irritate the surrounding tissue. Individuals with more severe forms of LPR may experience abrasion of tooth enamel due to intermittent presence of gastric contents in the oral cavity.

LPR is often regarded as a subtype of GERD that occurs when stomach contents flow upward through the esophagus and reach the level of the larynx and pharynx. However, LPR is associated with a distinct presentation of symptoms. LPR and GERD frequently differ in the relative prevalence of heartburn and throat clearing. While heartburn is present in over 80% of GERD cases, it occurs in only 20% of LPR cases. Throat clearing shows the opposite prevalence pattern, occurring in approximately 87% of LPR cases and in fewer than 5% of GERD cases.

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Areas exposed to gastric contents with a subtype of GERD - Laryngopharyngeal reflux


https://en.wikipedia.org/wiki/Laryngopharyngeal_reflux?wprov=sfti1