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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@mimioto

To recap for you:
What it boils down to in my years of visits with multiple doctors/specialist is an inflammatory response from overactive mast cells. This is directly from Allergy/ Immunology (A/I) and ENT but applies to my respiratory and GI issues as well) Like they went into high gear when confronted by the virus but they didn’t stop. This was only after doctors treated me as some kind of crazy freak and denied a Covid connection.

My best treatments:
*Cromolyn Sodium liquid/ H2 blockers-Famotodine - (I had a dozen ulcers in stomach and esophagus/ these worked) from Allergy/Immunology (GI rx’d PPIs
* Albuterol (fr. Pulmonary: I have normal PFTs but due to symptoms they diagnosed Covid induced asthma) and Montelukast (first from Pulmonary/ again from A/I but I have multiple drug allergies/sensitivities, Montelukast is one/cant do it regularly but I’ve gone back and forth and know it helps)
*Azithromycin - from ENT; I discussed above low dose/long term. (Short durations of amoxicillin and Amoxi-Clav worked only while on them)

Good luck with your Pulmonary visit. Have you seen Allergy/Immunology?

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Super helpful treatment protocol. I'm also convinced that this is a mast cell over activation problem.

Interestingly, years ago I developed anaphylaxis after running in very cold weather, it's mast cell mediated. I wonder if we have pre-existing risk factors for mast cells overactivation that COVID then set off.

I will try your protocol and get back to you. Thank you for sharing.

Peter

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@peternyc

Super helpful treatment protocol. I'm also convinced that this is a mast cell over activation problem.

Interestingly, years ago I developed anaphylaxis after running in very cold weather, it's mast cell mediated. I wonder if we have pre-existing risk factors for mast cells overactivation that COVID then set off.

I will try your protocol and get back to you. Thank you for sharing.

Peter

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Peter, you’re the same one I am certain that got me going on the cromolyn sodium a couple years ago! That led me to Allergy/ Immunology where I discovered the liquid that I paired with Famotidine to clear up my gastric/ esophageal ulcers (PPI allergy, as rx’d by GI, I’m certain either caused or prolonged the mess).
After that I self referred back to a different ENT which is where I got started on the current long-term low-dose Azithromycin therapy. Just completed wk#4.

As for your thoughts and theory I think you’re right. I have 4 daughters and 1 sister all with auto immune disorders. Immediately after Covid I did test ANA + but the FU 5-6 moths later was neg so I was dismissed.

After having been away from this group for quite some time I’ve seen that a number of us keep some kind of an eye on it which keeps us from feeling all alone! Although also tells that we continue to struggle with it. I am much improved compared to then.

Good luck…and hope we can leave the forum permanently at some point!

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For all of us that suffer from mucus build up, chocking etc is there a group or trial that we may join. All these are suggestions but not a cure, I am so confused and discouraged that there is not a medical group trying to help.

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