Phlegm in my throat and post nasal drip after Covid

Posted by danny2022 @danny2022, Dec 18, 2022

Ever since I had covid in January of 2022 I recovered from the virus but I was left with a constant phlegm in the back of my throat and post nasal drip that will not go away. The feeling of having mucus in the back of my throat actually gets worse when I try to get rid of it by coughing. I have been given steroid inhalers, albuterol, allergy medication, but none of these work. The mucus gets worse especially after I eat. I've never felt like this before and it all started after covid. Can anybody relate to what I am going through?

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Yes. I feel the same way. I have been to GI, ENT and Lung doctors. Actually, I got a call from Lung doctor today that there is mucus in my lungs and lungs are collapsing. It could be a lung infection but she does not know until results of sputum test comes back. Please have CT scan of chest. It has been over a year for me.

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@pacathy

One more thought…I had horrid coughing episodes for a couple years along with a little nagging cough. Azelastine was a big help for the horrid cough episodes, but didn’t stop it completely. It can be OTC or prescription strength.
I went to Mayo due to a lung issue and they started a compounded drug they mix for all the secretions. It has mometazine, Ipratropium and diphenhydramine. I use 2x daily and I have an Ipratropium spray to use for break thru since it last 6 hrs and other 2 are 12. I take a class 1 antihistamine at bedtime.
The little nagging cough was thought to be from asthma (new diagnosis), and the steroid spray stopped it. These work pretty well for me.
Here’s the Mayo description:
“Cough Clinic specialists have pioneered a triple combination nasal spray that uses antihistamine, anticholinergic and steroid medications. Mayo Clinic pharmacists dispense the spray as a compounded formulation.” A combination of sprays in these categories would work so your doc wouldn’t have to order Mayo’s, but is convenient as 1.

I hope you find a solution. That coughing is exhausting.

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Do you still take this drug? I got a prescription today for different formulation from Long Covid Clinic. They saw mucus in my lungs on CT scan. I am wondering you got cured or have to continue taking this drug?

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@lmr29

Been down the same route. Coughing up crap for 1 1/2 yrs. Now that it was only occurring after meals & had increase in burping , restarted the Prilosec my primary had me try earlier in the year. It didn't work then. Read about LPR, from Mayo, it's 'silent reflux' that produces the phelgm & effects the voice. This time it seems to be helping.
(FYI Larygno-pharynx reflux)

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Have seen Lung doctor yet? I was diagnosed with LPR by ENT. Nothing helped that prescribed by GI. I went to a Lung doctor. She saw mucus in lung and prescribed meds. I am coughing for over a year now.

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I have this as well. The same clear Neverending slimey mucus down the back of my throat it rarely turns into an infection its just there for months. It is worse sometimes than others. I'm having sinus surgery in January to help with it. None of the otcs i have tried really help Sudafed guifenisen nasal sprays. I also have a navage. I feel that it's related to the inflammatory response my body is having to the long covid.

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@palka9898

Have seen Lung doctor yet? I was diagnosed with LPR by ENT. Nothing helped that prescribed by GI. I went to a Lung doctor. She saw mucus in lung and prescribed meds. I am coughing for over a year now.

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Yes saw PA @ Mayo Pulmonary clinic , went thru Pulmonary test. Was even having symptoms the day of the test & results were better than when I had the test for asthma several yrs ago. She prescribed double acting inhaler. Now that I am treating myself for LP R, I am doing much better. There's hope!

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@wantmylifeback

I have this as well. The same clear Neverending slimey mucus down the back of my throat it rarely turns into an infection its just there for months. It is worse sometimes than others. I'm having sinus surgery in January to help with it. None of the otcs i have tried really help Sudafed guifenisen nasal sprays. I also have a navage. I feel that it's related to the inflammatory response my body is having to the long covid.

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I agree, I think it's about our immune/ response system out of whack from the virus. PA I saw @ Mayo Pulmonary told me that Long Covid is now considered an Autoimmune illness.

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@palka9898

Have seen Lung doctor yet? I was diagnosed with LPR by ENT. Nothing helped that prescribed by GI. I went to a Lung doctor. She saw mucus in lung and prescribed meds. I am coughing for over a year now.

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To share- initially saw Allergist, ENT, went thru Pulmonary clinic over the course of last year. Prescribed antiallergy/ asthma meds & inhaler , did nasal lavage 2 x a day for last yr & 1/2. Had tried most all OTC antihistamines/ decongestants. Time seemed to be the main component to decreasing cough episodes & intensity while trying all of those.
Bcuz the forced coughing to bring up & expel mucous MAY have irritated my airway & now my symptoms are consistent w LPR reflux, that is how I am treating myself. I found out that taking a probiotic along with generic Prilosec can enhance the effects to reduce acids which may be causing the post meal coughing & phlegm production. So far it seems to be working for me.

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@lmr29

To share- initially saw Allergist, ENT, went thru Pulmonary clinic over the course of last year. Prescribed antiallergy/ asthma meds & inhaler , did nasal lavage 2 x a day for last yr & 1/2. Had tried most all OTC antihistamines/ decongestants. Time seemed to be the main component to decreasing cough episodes & intensity while trying all of those.
Bcuz the forced coughing to bring up & expel mucous MAY have irritated my airway & now my symptoms are consistent w LPR reflux, that is how I am treating myself. I found out that taking a probiotic along with generic Prilosec can enhance the effects to reduce acids which may be causing the post meal coughing & phlegm production. So far it seems to be working for me.

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Glad things are working out for you. Which probiotic do you take? When do you take PPI and Probiotic? What else you take and do to reduce symptoms?

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@palka9898

Do you still take this drug? I got a prescription today for different formulation from Long Covid Clinic. They saw mucus in my lungs on CT scan. I am wondering you got cured or have to continue taking this drug?

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I take the Mayo version of the drug. I have a couple severe allergies and it’s the most helpful and I’ll be on it unless something better comes along. The other meds are similar, but Mayo’s is easier with it mixed together and doesn’t taste as bad.
I was at Mayo because I had developed a lot of nodules and mucus plugs in lungs and was diagnosed with bronchiectasis, which is chronic. I had it before Covid.
Do ask about how to get lungs cleared of mucus. I have a clearance routine that is probably over kill for you

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@pacathy

I take the Mayo version of the drug. I have a couple severe allergies and it’s the most helpful and I’ll be on it unless something better comes along. The other meds are similar, but Mayo’s is easier with it mixed together and doesn’t taste as bad.
I was at Mayo because I had developed a lot of nodules and mucus plugs in lungs and was diagnosed with bronchiectasis, which is chronic. I had it before Covid.
Do ask about how to get lungs cleared of mucus. I have a clearance routine that is probably over kill for you

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I have gone to Lung doctor after COVID and they did CT scan chest from 4/24. I went back to her as I was not getting better. She did CT scan again and compared to previous one and identified mucus. I am at Bringham Women's Long COVID clinic in Boston. She prescribed following:
1) Sputum for bacterial, fungal and mycobacterial culture
2) Initiation of airway clearance regimen: duonebs followed by 3% saline nebs followed by acapella use twice daily
3) If no improvement with this over the next 4 weeks, consider bronchoscopy.
4) Follow up with me in 4-8 weeks.
Would you mind giving me your routine and what else you do?

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