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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The bacteria could be in your sinuses. Have you had a CAT scan?

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Does anyone feel from the left side of the throat.

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@danny2022 were you ever able to find anything that helped?

It is apparent that many of us suffer from similar issues, I know that some probably do have different reasons for it - LPR, reflux, motility issues, allergies, but many of us are probably having long covid reactions involving mast cell/immune system activation or virus reservoirs driving these persistent symptoms, etc.

Just wanted to check in and see if OP ever made any progress in the intervening years…

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Profile picture for coachmary @coachmary

Sorry if my other post posted. I messed up 🤦🏼‍♀️
But no. I don’t have asthma. I have no issues breathing unless I’m stopped up. Then I use the awful netti.
My daughter has asthma and eczema. Her whole life almost. But even as a smoker (on a small degree) I take a breathing test every year and I pass with flying colors. I do better than my doctor does. She doesn’t smoke. My lungs are good too.
I thought I may of gotten that smoking thing. COPD? But nope. 🙏🏻. I can’t take antihistamines either. I have RLS. It irritates it. So I have to use a nasal spray. Even Allegra bothers me.
I’ve had a deviated septum repaired and 2 of the balloon surgeries done before Covid. I had horrible sinus infection. But never this bad of post nasal drip.
I have no idea if I’m a candidate for the surgery someone mentioned earlier about freezing the nerves.
But would that help with acid reflux? If that is one cause? So many variables!

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@coachmary you know all of my PFTs were normal too. Gosh I think this discussion was quite awhile back. Anyway a year or more after Covid I was tested for allergies and discovered I developed a slew of them, both food and environmental that I’d never had before. Weird but not uncommon I’m told. I always react with upper respiratory phlegm and use the inhaler occasionally to clear it. I was also extremely dry and excessively thirsty. The interesting diagnosis I ended up with is Sjogren’s.

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Profile picture for mimioto @mimioto

@coachmary you know all of my PFTs were normal too. Gosh I think this discussion was quite awhile back. Anyway a year or more after Covid I was tested for allergies and discovered I developed a slew of them, both food and environmental that I’d never had before. Weird but not uncommon I’m told. I always react with upper respiratory phlegm and use the inhaler occasionally to clear it. I was also extremely dry and excessively thirsty. The interesting diagnosis I ended up with is Sjogren’s.

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@mimioto I have noticed that the Siogren’s symptoms greatly overlap…

How are they treating this for you? Are you seeing any improvement?

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With regard to front-line therapies, trials/research:

Reddit has flooded with people getting access to monoclonal antibodies, other drugs, etc.

Is there anyone here who has been in trials or treated with Pemgarda, Sipavibart or the Remeron cocktail of casirivimab/imdevimab?

They have had some successes in clinical trials, but we all have combinations of disparate symptoms - I just wonder if anyone has gotten relief/recovered from the awful mucus/phlegm-related symptoms that long-covid can bring…

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Profile picture for oly78 @oly78

@mimioto I have noticed that the Siogren’s symptoms greatly overlap…

How are they treating this for you? Are you seeing any improvement?

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@oly78 the only med I’ve had specifically for Sjogren’s from rheumatology is pilocarpine for dry mouth and it helps somewhat for dry eyes, nose and sinuses too. I don’t have systemic inflammatory markers so I don’t take meds for that. Otherwise, I see other specialists for secondary problems like neurology for trigeminal neuralgia, secondary to Sjogren’s and, in the past, prior to diagnosis, GI, Pulmonary and Allergy/Immunology.

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Profile picture for mimioto @mimioto

@oly78 the only med I’ve had specifically for Sjogren’s from rheumatology is pilocarpine for dry mouth and it helps somewhat for dry eyes, nose and sinuses too. I don’t have systemic inflammatory markers so I don’t take meds for that. Otherwise, I see other specialists for secondary problems like neurology for trigeminal neuralgia, secondary to Sjogren’s and, in the past, prior to diagnosis, GI, Pulmonary and Allergy/Immunology.

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@mimioto and these existed before covid, or no?

In the face of covid infections and lingering symptoms, I always find a diagnosis of Sjogren’s to be interesting. There is no way to distinguish between the two…

At any rate, thank you for the information.

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I have been following this thread for a couple of months. I have had these same symptoms since at least early in 2023. I have been to all the doctors and had the same tests, but never heard of long covid until now in August 2026. Don't these doctors keep up to date? I am discouraged/angry, They keep giving my meds for depression. I keep telling them that my problem is physical, not medical. NOBODY listens. I can't stand up for more than a minute. I am nauseated. Food tastes different, I just started to smell things, If you all knew this in 2022 and 2023 why don't my doctors know about it? My PCP said it was very rare.

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Profile picture for oly78 @oly78

@mimioto and these existed before covid, or no?

In the face of covid infections and lingering symptoms, I always find a diagnosis of Sjogren’s to be interesting. There is no way to distinguish between the two…

At any rate, thank you for the information.

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@oly78 no it all hit like a storm immediately following Covid in 2022. Even bloodwork was showing markers just a week after Covid. ( I had labs ordered for another reason and bam there was all kinds of problems.) It was chaos.

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