DEAR DR. GOTT: I am 86 and have arthritis and spinal stenosis. The only medicine I take is Tylenol or Advil.
About six months or more ago I started with post nasal drip — that’s what they say it is. I had my sinuses sprayed and it was fine but now I feel like I have to clear my throat all the time. When I wake up my mouth has a terrible taste and I keep spitting out whatever is in there. I don’t know if I am allergic to something or if I am eating the wrong thing. I am puzzled and would appreciate your help. Thank you very much.
DEAR READER: Post nasal drip occurs when mucus runs down the back of the nose to the throat. It is generally the result of sinusitis (inflammation of the sinuses), sinus infection, cold or flu, high blood pressure, specific foods such as those that are spicy or milk products that can trigger the flow of mucus, cold temperatures, or specific medications such as those prescribed for high blood pressure. You may have a swallowing problem, blockage, or GERD (esophageal reflux disease). The drip likely demands you clear your throat constantly and it likely causes you to cough as well, especially at night.
Treatment depends on the cause. Should you have a bacterial infection, antibiotics might be in order. Keep in mind that green or yellow mucus may not necessarily be proof of an infection. A person may simply have a cold. Sinusitis or a viral infection should respond to a decongestant or antihistamine. Should the cause be allergies, steroid medication or nasal sprays should do the trick. You can purchase several newer over-the-counter antihistamines such as Allegra or Clarinex that won’t cause drowsiness; however all medications run the potential for side effects so be sure to speak with your primary care physician or an ENT specialist before making a choice of what to purchase.
If you are surrounded by known irritants such as second-hand cigarette smoke, perfumes, smoke from a fireplace, chemicals, or dust, take whatever steps are necessary to remove them from your environment. For example, anyone who smokes in your household might only be allowed to do so outside. Should you have problems when trying to sleep or upon arising, you might consider using an additional pillow under your head at night to prevent the mucus from draining. Apply a warm, wet wash cloth to your face (over your nose and cheeks) to loosen the drainage. Drink excess fluids. Consider a humidifier for your bedroom. You might need to play detective initially to determine what has caused your long-standing problem. Then begin with a few simple trials at home; however, should the drainage have a bad odor or if you develop a fever, be sure to make an appointment to see your physician for his or her advice.
Readers who would like related information can order my Health Report “Allergies” by sending a self-addressed, stamped number 10 envelope and a $2 US check or money order to my attention at PO Box 433, Lakeville, CT 06039-0433. Be sure to mention the title when writing or print out an order form from my website www.AskDrGottMD.com.