Continued Post-Nasal Drip and Constant Mucus in Throat

Posted by adominic @adominic, Mar 22, 2022

I was sick the last week or January/first week of February. Home Test-negative, rapid PCR-negative. All COVID symptoms and known prolonged exposure to infected individuals make me believe it was COVID. Since then, I have had a tremendously hard time dealing with post-nasal drip and mucus collecting in my throat. It is clear, sticky and almost impossible to remove from throat by coughing or clearing my throat. Flonase does nothing, allergy pills do nothing. Had anyone else had an issue like this post COVID? How long did it last? What did you do to cope? Small problem in comparison to others that post here, I realize.

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@saucy

The Kenalog shot helped my husband. Now he takes Musinex before bed, he is constantly trying to clear his throat and coughs up crap every morning. We had Covid a year ago but I think he had this problem before that! He has had nasal surgery which helped for a couple of years in the past but don't know what constantly creates this mucous !

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Right?! I agree. Yes the musinex at night does help. We had Omicron in Jan 2022, got the monoclonal antibodies. I too had the cough prior but not as bad as post infection. So annoying.

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I tested positive on June 29 of this year. I had the same symptoms after I had COVID. The symptoms lasted for about a week after I finally tested negative. Now, after about three weeks post COVID I began having pain in my upper back and sides when inhaling. I had to go to an urgent care clinic. The doctor believes it is due to inflammation caused by COVID. The chest X-ray was normal. I was prescribed Naproxen and Prednisone. I've been on the medications for two days and I'm still having pain upon inhaling, although it's a little better.

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Ive had both vaccines (February 2021) then i was exposed and had my 1st positive test for Corona that was April 2021 since then 3 exposures, that i am aware from my granddaughters (I will share in another post of how I know that I was exposed). One symptom of a multitude of long symptoms is the excess phlegm (mucus is thinner and phlegm is thicker) I've been on 1200mg generic brand name since April 2021. I take my medications in the a.m. it helps but it still doesn't last all day, it starts back up, in the morning when I wake and in the evenings. I do look at the phlegm and it's always clear and sticky. I don't smoke and I am not around smokers. This is VERY frustrating especially when people don't believe you even a professional. Just remember you are NOT crazy some of these things (symptoms) are REAL and we HAVE to support each other as we adjust to whatever this is that we've be exposed to.

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* The medicine that I take* by no means am suggesting others to use this brand.

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I believe Mucinex is taken every 12 hrs, not once per day. Please check instructions on the box

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Thank you @lenchiksf
My main point is that I had never taken anything (medicine) for phlegm until the exposure because I've never had excess phlegm. Are you going or have gone through this experience? If so do tell how you are adjusting.

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@releaf421

Thank you @lenchiksf
My main point is that I had never taken anything (medicine) for phlegm until the exposure because I've never had excess phlegm. Are you going or have gone through this experience? If so do tell how you are adjusting.

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I am sorry you are going through this. Adjusting is hard and will take time. Exposures can be precursor to what you are experiencing now. Have you seen allergy md or ent ? Sorry, i didnt read all the postings. I saw few people mentioned netty pot. I use it when i need to control phlegm. My doctor also rx- ed budesonide, i add to the rinse. I am attaching .pdf from Stanford ent as an example.
Did your allergy md do allergy skin tests to id if there are any specific offending agents in the environment?
There are multiple meds other than mucinex. Sudafed, flonase, azelastine, singulair, allergy shots :). Sorry its not easy and can be frustrating. Its hard to accept, but managing symptoms is what can help to improve quality of life.

Shared files

Stanford-Pulmicort (1) (1) (Stanford-Pulmicort-1-1-1.pdf)

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@lenchiksf

I am sorry you are going through this. Adjusting is hard and will take time. Exposures can be precursor to what you are experiencing now. Have you seen allergy md or ent ? Sorry, i didnt read all the postings. I saw few people mentioned netty pot. I use it when i need to control phlegm. My doctor also rx- ed budesonide, i add to the rinse. I am attaching .pdf from Stanford ent as an example.
Did your allergy md do allergy skin tests to id if there are any specific offending agents in the environment?
There are multiple meds other than mucinex. Sudafed, flonase, azelastine, singulair, allergy shots :). Sorry its not easy and can be frustrating. Its hard to accept, but managing symptoms is what can help to improve quality of life.

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I went back to messages with my allergy md :
Your postnasal drip and phlegm (which can also contribute to cough) can also be from another condition called vasomotor or nonallergic rhinitis. This condition presents clinically like allergies, but is due to a different mechanism and is more difficult to treat. Please see below for more detailed and helpful information.

There may be triggers in the environment that may cause your symptoms to worsen from time to time. One can be sensitive to factors other than to mites, animals, molds and pollens.

Non-Allergic Factors and Irritants:

Avoid strong odors and other irritants such as:
Tobacco smoke - do not allow smoking in the house or the car
Wood smoke - includes fireplace, structure fires, brush fires
Strong perfumes, talcum powder, hair sprays, cleaning products, new carpets, cooking odors
Paint fumes
Dusts - sawdust, chalk dust, house dust which can contain dirt, hair, pet dander, etc
Sprays - air freshener, insect sprays
Hay
Avoid strong smelling plants and trees indoors.

Changes in temperature or humidity can provoke symptoms. For example, cold temperatures sometimes aggravate nose and chest symptoms.

Air pollution and smog:
Stay inside with the windows closed.
In the car, keep the windows up and use air conditioning

Physical factors
Exercise
Eating (Gustatory)
Cold exposure

Colds & Infections
Avoid Contact with people who have colds or respiratory infections
Wash hands after you are exposed to people who are sick
Yearly flu shots are recommended
Consider the pneumovax vaccination (especially for people who are over 50 years old

VASOMOTOR RHINITIS

If it isn't an allergy, what is it?

Nasal congestion, runny nose, postnasal drip, and sinus headache are signs of a sensitive and inflamed nose (rhinitis). These symptoms can indicate two common conditions, allergic rhinits or vasomotor rhinitis. The symptoms for both conditions are very similar. However, the substances that cause them, and the way we test for and treat them, are very different.

When an immune reaction in the nose is causing the symptoms, the condition is called allergic rhinitis, and the offending substance is called an allergen. Common allergens include pollen, animal dander, and dust mites. Itching is usually one of the most bothersome symptom of allergic rhinits.

When a nerve ending reaction in the nose is causing the symptoms, the condition is called vasomotor rhinits. In this case, the offending substance is called an irritant. Common irritants include smoke, perfumes, weather changes, and any strong chemical fumes or odors. (Even the aroma from certain flowers and trees can act as irritants.) Nasal congestion, sinus headache, and postnasal drip are usually the most bothersome symptoms of vasomotor rhinitis.

Why don't the tests show reactions?

Allergy tests only detect immune reactions (by skin test or blood test). Because there is no immune reaction involved in vasomotor rhinitis, tests can't identify the troublesome irritants. People usually know the obvious irritants well from personal experience!

How does a person develop this condition?

We don't know. Allergic rhinitis tends to run in families and typically starts in childhood or adolescence. Vasomotor rhinitis doesn't usually run in families and can start at any age. Often, there was a 'cold that never went away' or the condition developed after an intense exposure to a strong irritant. But most of the time, symptoms developed 'out of the blue'.

How long will it last?

Vasomotor rhinitis does not follow a regular pattern. It may go away quickly, or it can last for months or years.

What can be done for vasomotor rhinitis?

There are several ways to help control vasomotor rhinits.

First, avoid obvious irritants when possible. Cigarette smoke, perfumes, strong detergents, and other chemical fumes can often be avoided especially in the home. Other irritants (such as smog, car fumes, and weather changes) are nearly impossible to avoid.

Secondly, irrigate your nose and sinuses with salt water on a regular basis. Add a quarter teaspoon of salt and a quarter teaspoon of baking soda to 8 ounces of lukewarm water. Flush this solution in the nose with a bulb syringe or nasal rinse bottle 2-3 times a day. (Making a harsh "K" sound at the same time will prevent water from draining down the back of the throat.) Many people find this method an effective way to control symptoms.

Finally, most people with vasomotor rhinits need to take medicines regularly. The most effective medicine for most people is a nasal corticosteroid such as fluticasone (flonase) or flunisolide (nasarel). Using this type of medication daily can greatly reduce sinus sensitivity, and decrease sinus congestion and postnasal drip. Decongestant pills such as Sudafed have the advantage that they can work on an as needed basis. If post-nasal drip or runny nose are troublesome, other nasal sprays called azelastine or ipratropium, can be added.

What about allergy shots or other treatments?

Allergy shots work by changing the immune reaction which is the basis of an allergy. Because the irritants that cause vasomotor rhinitis do not trigger immune reactions, allergy shots won't help.

Here is some information about rhinitis from the Academy of Allergy, Asthma and Immunology:
http://aaaai.execinc.com/videos/conditions-and-treatments/allergy-videos/what-is-rhinitis.asp

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has anyone of us with post nasal drip, turbinates hypertrophy?

I was reading that turbinates hypertrophy may cause post nasal drip.
My ent told me I have a light turbinates hypertrophy, but he says this has nothing to do with pnd.
and you?

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I was hospitalized (Covid caused) for 3 days in Nov. with acute respiratory failure. I’ve since been in pulmonary rehabilitation and having great success but still struggling with occasional broncospasms and almost constant mucus as described in these posts.
My congestion seems to affect my voice, leaving it raspy and sometimes barely able to reach an audible volume. It is not caused by, but definitely worsened by exercise. The pulmonologist does not have a specific cause or remedy for this.
Does anyone have this problem and/or ideas on a solution?

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