[23M] Experiencing mucus in throat and difficulty breathing

Patient Description

A 23-year-old male reports a clear and thin mucus in his throat persisting for two weeks, which worsens when walking around and at night. The patient finds relief with warm drinks. Additionally, he has had a runny nose for one week. The patient describes a difficulty in breathing rated at a severity of 5 out of 10, which has been ongoing for two weeks, with no prior history of such symptoms. There is no wheezing, but a feeling of pressure in the throat is present. The patient has no history of heartburn, acid reflux, difficulty swallowing, unintentional weight loss, chest pain, or wheezing. No known allergies or adverse reactions to medications have been reported. Current medications include Latuda and propranolol, with no other medications being taken. There is no significant past medical history, including no chronic illnesses or pre-existing conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible conditions include:

  • Postnasal Drip: This is a common condition where the body produces excess mucus, which accumulates in the back of the nose and throat. This can cause a feeling of mucus in the throat, difficulty breathing, and chest discomfort.

    • Treatment typically involves addressing the underlying cause, which can include allergies, sinus infections, or colds. Over-the-counter decongestants and antihistamines may also be helpful.
  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that occurs when acidic stomach juices, or food and fluids back up from the stomach into the esophagus. GERD can cause a variety of symptoms including chest pain, difficulty swallowing, and a sensation of a lump in the throat.

    • Treatment typically involves lifestyle changes, such as avoiding certain foods and drinks, and medication to reduce stomach acid.
  • Anxiety: Anxiety can cause a variety of physical symptoms, including difficulty breathing, a feeling of tightness in the throat, and chest pain.

    • Treatment typically involves psychological therapy, medication, and lifestyle changes.

Please note that these are potential explanations for your symptoms, but other conditions could also be possible.

What you can do

  1. Try over-the-counter remedies: Decongestants can help with mucus production and antihistamines can help if allergies are causing your symptoms.
  2. Lifestyle changes: If GERD is suspected, try avoiding foods that trigger heartburn, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
  3. Seek professional help: If your symptoms persist or worsen, make sure to seek medical attention.

What you should look out for

  • If you experience severe difficulty breathing or chest pain, seek emergency medical attention immediately.
  • If your symptoms persist or worsen despite trying over-the-counter remedies and lifestyle changes, make sure to seek medical attention.

Remember, while this advice can provide guidance, it's important to consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

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People Also Ask


What is postnasal drip and how can it be treated?

Postnasal drip occurs when excess mucus accumulates in the back of the nose and throat, often due to allergies, colds, or sinus infections. Treatment may include over-the-counter decongestants, antihistamines, and addressing the underlying cause.


Could anxiety be causing my breathing difficulties and throat pressure?

Yes, anxiety can cause physical symptoms such as difficulty breathing and throat tightness. Treatment may involve therapy, medication, and lifestyle changes to manage anxiety.


What lifestyle changes can help manage symptoms of GERD?

To manage GERD symptoms, avoid foods and drinks that trigger heartburn, such as fatty foods, alcohol, caffeine, and spicy foods. Eating smaller meals and not lying down immediately after eating can also help.


When should I seek medical attention for my symptoms?

Seek medical attention if you experience severe difficulty breathing or chest pain. If symptoms persist or worsen despite trying over-the-counter remedies and lifestyle changes, consult a healthcare professional.


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