I have the same exact mucous “scab” problem too. It slides down and sticks to the back of my throat from my nose every day/every couple days. This has been happening for around 2+ years. It worsened after my turbinate reduction surgery. I have also previously had surgery to correct deviated septum. My ENT doctor has scoped my nose several times since my turbinate reduction surgery. He’s confirmed that the crust/mucous is forming on my adenoids. He doesn’t think it’s infected though, as the tissue underneath the mucuos doesn’t look particularly inflamed.

However, he did have me apply mupirocin ointment to the inside of my nostrils (3 times a day for 7 days to get rid of potential staph)... and the mucuos and scabbing went away temporarily... Over the past 2 years, I’ve done the course of mupirocin ointment three times. Each time, by the end of the 7 days, the mucuos eases up and I have no scabbing. This lasts for a week or two (and it’s glorious!)... but then it comes back. The same thing happened when I took antibiotics (Keflex) for a UTI— it went away during the antibiotic treatment then came back a week or two later.

Still, after all of that, my doctor does not think my adenoids are infected. I believe him, because he’s a nose expert, after all. Last thing he told me is that he doesn’t think it’s anything scary, but for him to try to better understand what it is (he’s never seen this problem before), he would have to remove the adenoids and biopsy them. It’s something I’m considering but, dang it, I don’t really want to have another surgery! I also get tonsil stones, so was thinking I could get those out at the same time if I decide to go through with it.

Also... what’s weird is that both of my brothers experience the same thing too. Such a mystery.

@beebuzz If you don’t mind explaining more, what exactly did your doctor say about the mono?

Stay strong, nose buddies.