[29F] With constant throat clearing and sensation of drainage

What might be happening

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

• Postnasal Drip: This occurs when excess mucus from the nasal passages drips down the back of the throat, leading to constant throat clearing and a sensation of drainage. Common causes include allergies, sinus infections, or irritants.

  • Typical treatments include antihistamines, nasal corticosteroids, and staying hydrated. Sometimes, saline nasal sprays can help clear out the nasal passages.

• Laryngopharyngeal Reflux (LPR): This is a condition where stomach acid travels up to the throat, causing irritation and a sensation of a lump in the throat (globus sensation). It can occur without the typical heartburn associated with gastroesophageal reflux disease (GERD).

  • Treatment often involves dietary changes, avoiding trigger foods, and medications like proton pump inhibitors (PPIs) or H2 blockers.

• Chronic Rhinitis: Inflammation of the nasal passages that can be allergic or non-allergic in nature. This can lead to symptoms like postnasal drip and throat clearing.

  • Management includes avoiding allergens, using antihistamines, and nasal corticosteroids.

• Asthma: Given your history of asthma, it is possible that your throat clearing is related to airway irritation or mucus production associated with asthma.

  • Treatment involves managing asthma with inhalers and other prescribed medications.

What you can do

While you should definitely consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Stay Hydrated: Drink plenty of water to help thin mucus and keep your throat moist.
2. Use a Humidifier: Adding moisture to the air can help alleviate throat irritation.
3. Avoid Irritants: Try to avoid smoking, strong odors, and other irritants that can exacerbate your symptoms.
4. Over-the-Counter Medications: Consider using antihistamines or nasal saline sprays to help manage postnasal drip or allergies.
5. Elevate Your Head While Sleeping: This can help reduce the sensation of drainage and may alleviate symptoms if LPR is a contributing factor.

What you should look out for

Seek medical attention if you experience any of the following:

• Worsening Symptoms: If your symptoms become more severe or do not improve with over-the-counter treatments.
• Difficulty Breathing: Any new or worsening difficulty breathing should be evaluated promptly.
• Unexplained Weight Loss: This could be a sign of a more serious underlying condition.
• Persistent or Severe Pain: Any persistent or severe pain in your throat or chest should be evaluated by a healthcare professional.

Remember, while these suggestions can help manage your symptoms, it's important to consult with a healthcare provider to get a formal diagnosis and appropriate treatment.