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Thick yellow post nasal drip, why?

Ear, Nose & Throat (ENT) | Last Active: Sep 12 12:35pm | Replies (35)

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@nrd1

@303wendy-

That is interesting additional info.

People w/ allergies naturally have a weakened epithelium barrier. Doesn’t mean there is anything wrong, just means more sensitive.

Your allergist sounds like they are well equipped to help you in that area of the mold issues if that has been playing a factor.

So many people have mold sensitivities. Was anyone else around you affected?

Either way I’m so sorry you are dealing with this.
I do believe that our nasal/sinus lining is so delicate, even more so in an allergic type person.

One ENT explained it to me like this. Someone with low level but stable Rhinosinusitis has sinus epithelium that has developed a “callus” of defense so to speak. With sinus surgery this callus is removed and new epithelium has to form as brand new and get used to a brand new way to defend. This is why allergic patients just don’t do as well with sinus surgery because the new epithelium sometimes just doesn’t have the capacity to fend off all the new things coming its way.

I know you are tired of explaining “symptoms” but what are the worst symptoms that you are still dealing with today?

Oral prednisone has also done nothing for me either.

Are your nasal passages clear now?

Something else to add in-once you are a post op patient and you mention the word “pain” to a surgeon they assume it’s all neurological. Verbiage becomes very important.

I have learned that they will listen the word “pressure” more seriously than they will the word pain. If you can point to specific areas etc they “sometimes” are more receptive.

Post surgery things become very subjective vs. objective which can be very frustrating.

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Replies to "@303wendy- That is interesting additional info. People w/ allergies naturally have a weakened epithelium barrier. Doesn’t..."

Honestly, I feel like you've understood what I'm going through better than any doctor I've seen. You're right, the word "pain" leads you straight to a neurology consult. One doc tried to tell me I had trigeminal neuralgia, even though my pain was nowhere near my trigeminal nerve.

I feel my nasal passages are clear now. I can always feel if air is getting up higher than my maxillary sinuses (not sure if I can get as specific as ethmoid or frontal).

Thanks for the description of the allergic person's epithelium. That actually makes a lot of sense to me.

The worst symptoms are the "sick" feeling (wondering if that stems from fevers?), pressure, anosmia, phantom smells, throbbing, laryngitis, and occasional excruciating shooting pains on the top of my head. The other symptoms are less annoying.

Did your symptoms resolve ever?