[42F] Experiencing throat irritation and post-nasal drip

Patient Description

A 42-year-old female is experiencing throat irritation and post-nasal drip that has been persistent for a day, with a history of intermittent runny nose managed with loratadine. The patient reports a sensation of mucus caught in the back of the throat, frequent throat clearing due to a tickle, and a 'glob' sensation that started this morning, causing discomfort and slight retching. The patient also experiences heartburn or acid reflux and has slight difficulty swallowing due to the throat irritation. The symptoms worsen when lying down, especially at night. The patient's medical history includes an air allergy and no chronic illnesses. Current medications include loratadine, escitalopram, Adderall, and losartan.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • 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 lead to a feeling of mucus stuck in the throat or a constant need to clear the throat. It can be caused by various conditions such as allergies, sinus infections, or colds.

    • Over-the-counter decongestants and antihistamines can help to reduce the production of mucus. Drinking plenty of fluids and using a humidifier can also help to thin the mucus and make it easier to clear.
  • 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 irritate the throat and cause symptoms such as throat clearing, difficulty swallowing, and heartburn.

    • Over-the-counter medications such as antacids, H2 blockers, and proton pump inhibitors can help to reduce the production of stomach acid. Lifestyle changes such as avoiding certain foods, not eating before bedtime, and elevating the head of the bed can also help to manage symptoms.
  • Chronic Rhinitis: This is a long-term inflammation of the inner lining of the nose, which can cause symptoms such as a runny nose, post-nasal drip, and throat clearing. It can be caused by allergies or non-allergic triggers such as irritants in the air.

    • Treatment typically involves avoiding triggers, using over-the-counter or prescription nasal sprays, and taking antihistamines.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Continue taking your loratadine as directed by your doctor. This can help to reduce symptoms of post-nasal drip and rhinitis.
  2. Try over-the-counter remedies such as decongestants, antacids, or nasal sprays to help manage your symptoms.
  3. Stay hydrated and use a humidifier to help thin the mucus and make it easier to clear.
  4. Avoid triggers that worsen your symptoms, such as certain foods or irritants in the air.
  5. If your symptoms persist or worsen, consult with a healthcare provider for further evaluation and treatment.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Severe difficulty swallowing or pain when swallowing
  • Unintentional weight loss
  • Persistent or worsening symptoms despite treatment

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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11 mo ago

People Also Ask


What causes post-nasal drip and how can it be treated?

Post-nasal drip is caused by excess mucus production that accumulates in the back of the nose and throat. It can be triggered by allergies, sinus infections, or colds. Treatment includes using decongestants, antihistamines, staying hydrated, and using a humidifier to thin the mucus.


How does GERD contribute to throat irritation and what are some management strategies?

GERD, or gastroesophageal reflux disease, occurs when stomach acid flows back into the esophagus, causing irritation. This can lead to throat clearing, difficulty swallowing, and heartburn. Management includes using antacids, H2 blockers, proton pump inhibitors, and making lifestyle changes such as avoiding certain foods and elevating the head of the bed.


What are the symptoms of chronic rhinitis and how can it be managed?

Chronic rhinitis is characterized by long-term inflammation of the nasal lining, leading to symptoms like a runny nose, post-nasal drip, and throat clearing. Management involves avoiding triggers, using nasal sprays, and taking antihistamines.


When should I seek medical attention for throat irritation and difficulty swallowing?

Seek medical attention if you experience difficulty breathing, severe difficulty swallowing, pain when swallowing, unintentional weight loss, or if symptoms persist or worsen despite treatment.


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