Post Nasal Drip Presented by : Jerold Rathod Internal Disease 2 Submitted to : Dr . Qetevan Tsanava
What is Post Nasal Drip? Post-nasal drip ( PND ) occurs when excessive mucus is produced by the nasal mucosa . The excess mucus accumulates in the back of the nose , and eventually in the throat once it drips down the back of the throat.
Causes of Post Nasal Drip Rhinitis
Sinusitis
Acute sinusitis is inflammation of the sinuses (cavities within the facial bones that surround your nose) usually due to a viral or bacterial infection. Chronic rhinosinusitis is when there is ongoing inflammation of the lining of the nose and sinuses, with symptoms lasting longer than 12 weeks. Some people with chronic rhinosinusitis develop nasal polyps – benign (non-cancerous) growths that grow from the lining of the nose or sinuses.
GERD
Symptoms Postnasal drip makes you feel like you constantly want to clear your throat. It also can trigger a cough , which often gets worse at night. In fact, postnasal drip is one of the most common causes of a cough that just won’t go away. Too much mucus may also make you feel hoarse and give you a sore, scratchy throat.
Symptoms If the mucus plugs up your Eustachian tube , which connects your throat to your middle ear , you could get a painful ear infection . You could also get a sinus infection if those passages are clogged.
Diagnosis A llergy testing if hay fever is considered to be causing your symptoms and you do not know what you are allergic to. This may involve skin prick tests or allergy blood tests. Other tests that may be suggested include a chest X-ray, lung function tests and blood tests such a full blood count . A CT scan of the nose and sinuses is occasionally recommended to confirm a diagnosis of sinusitis.
Treatments N on-drowsy antihistamines like loratadine-pseudoephedrine ( Claritin ) can work to get rid of postnasal drip. However, these are more effective after you take them for several days. Saline nasal sprays can help moisten your nasal passages and reduce symptoms of postnasal drip. If you have continual problems with postnasal drip, your doctor may prescribe a cortisone steroid nasal spray. Sinus irrigation tools like neti pots or sinus rinses like those from NeilMed can also flush out excess mucus