[61F] Experiencing moderate to severe phlegm and difficulty swallowing

What might be happening

Based on the information you have provided, possible diagnoses include:

• Chronic Rhinitis: This condition is characterized by inflammation of the nasal mucosa, leading to symptoms such as nasal congestion and dryness. The inflammation can also cause post-nasal drip, which may explain the phlegm in your throat and the need to clear your throat frequently.

  • Treatment typically involves nasal sprays, antihistamines, or decongestants. In some cases, corticosteroids may be prescribed.

• Gastroesophageal Reflux Disease (GERD): While you did not report heartburn, GERD can sometimes present with throat-related symptoms such as a sensation of a lump in the throat or difficulty swallowing. This is due to stomach acid refluxing up into the esophagus.

  • Treatment typically involves lifestyle modifications and medications to reduce stomach acid.

• Postnasal Drip: This is a condition where excess mucus from the nose goes down the back of the throat. This can cause a feeling of needing to clear the throat and difficulty swallowing.

  • Treatment typically involves addressing the cause of the excess mucus, which could include allergies, infections, or certain medications.

Please note that these are potential explanations based on the information you provided, but only a healthcare professional can provide a definitive diagnosis.

What you can do

1. Try over-the-counter remedies such as saline nasal sprays or decongestants to help with the nasal congestion and dryness.
2. Stay hydrated and use a humidifier in your home to help soothe your dry nose and throat.
3. Avoid irritants such as smoke and dust, which can worsen nasal and throat symptoms.
4. Seek medical attention for a formal assessment and potential testing. Your doctor may want to perform a nasal endoscopy or a laryngoscopy to better understand the cause of your symptoms.

What you should look out for

Reasons to seek urgent medical attention:

• If you experience difficulty breathing or shortness of breath
• If your symptoms significantly worsen or you develop new symptoms such as severe throat pain, high fever, or unexplained weight loss
• If you have difficulty swallowing to the point where you are unable to eat or drink

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.