[24M] With severe congestion and post-nasal drip

Patient Description

A 24-year-old male has been experiencing severe congestion for a few months, making it difficult to breathe. The patient also reports post nasal drip. No specific triggers or environmental factors have been identified that worsen the symptoms. The patient has not found any relief from the congestion.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Chronic Sinusitis: This condition involves inflammation of the sinuses that lasts for more than 12 weeks despite treatment attempts. Symptoms often include nasal congestion, post-nasal drip, and difficulty breathing.

    • Treatment: Chronic sinusitis is typically treated with nasal corticosteroids, saline nasal irrigation, and sometimes antibiotics if a bacterial infection is suspected. In some cases, a doctor may recommend surgery to improve sinus drainage.
  • Allergic Rhinitis: Also known as hay fever, this condition is caused by an allergic response to airborne substances such as pollen, dust mites, or pet dander. Symptoms include nasal congestion, post-nasal drip, and difficulty breathing.

    • Treatment: Treatment often involves avoiding known allergens, using antihistamines, nasal corticosteroids, and decongestants. Allergy shots (immunotherapy) may also be recommended.
  • Nasal Polyps: These are noncancerous growths on the lining of your nasal passages or sinuses that can cause chronic congestion and post-nasal drip.

    • Treatment: Nasal polyps are often treated with nasal corticosteroids, oral corticosteroids, or surgery to remove the polyps.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

  1. Stay Hydrated: Drink plenty of fluids to help thin mucus and promote drainage.
  2. Use a Humidifier: Adding moisture to the air can help reduce congestion and soothe irritated nasal passages.
  3. Saline Nasal Rinse: Using a saline solution to rinse your nasal passages can help clear out mucus and allergens.
  4. Over-the-Counter Medications: Consider using over-the-counter antihistamines or decongestants to help relieve your symptoms. Be sure to follow the instructions and consult a pharmacist if you have any questions.
  5. Elevate Your Head: When sleeping, try elevating your head with an extra pillow to help reduce congestion.
  6. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and get insights. This information can be very helpful for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Worsening Symptoms: If your symptoms become more severe or do not improve with over-the-counter treatments.
  • High Fever: A fever over 100.4°F that does not go away.
  • Facial Pain or Swelling: Persistent pain or swelling around your eyes, forehead, or cheeks.
  • Difficulty Breathing: If your difficulty breathing becomes more pronounced or you experience shortness of breath.

Remember, while these tips can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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11 mo ago

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People Also Ask


What are the common causes of chronic nasal congestion and post-nasal drip?

Common causes of chronic nasal congestion and post-nasal drip include chronic sinusitis, allergic rhinitis, and nasal polyps. These conditions can lead to persistent inflammation and blockage in the nasal passages.


How can chronic sinusitis be effectively treated?

Chronic sinusitis can be treated with nasal corticosteroids, saline nasal irrigation, and sometimes antibiotics if a bacterial infection is suspected. In severe cases, surgery may be recommended to improve sinus drainage.


What are nasal polyps and how do they affect breathing?

Nasal polyps are noncancerous growths on the lining of the nasal passages or sinuses. They can cause chronic congestion and post-nasal drip by blocking airflow and sinus drainage, leading to difficulty breathing.


When should I seek medical attention for nasal congestion?

You should seek medical attention if your symptoms become severe or do not improve with over-the-counter treatments, if you have a high fever, experience facial pain or swelling, or if your difficulty breathing becomes more pronounced.


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