Of course the locals complained that they were freezing with the A/C on! The monsoons and daily rain and thunderstorms caused my sinuses to feel like they were going to explode. A change in barometric pressure was enough to start my sinuses draining with a constant flow of mucus down the back of my throat, causing me to clear my throat every few seconds. According to my ENT specialist the constant post nasal drip triggered a coughing reflex and also caused asthma like symptoms.
Post-nasal drainage can often lead to cough, sore throat, frequent throat clearing, and the feeling of a lump in the throat. I did feel better after moving, but only for a short time. I was still bothered by temperature changes, but this time it is a small change from an air conditioned room to a non-air conditioned room.
The acid is targeting the larynx, rather than the esophagus, making the diagnosis more difficult because the symptoms present as a cough. Postnasal drip – This is a sensation of mucus trickling from the back of your nose down into your throat. It may be due to hay fever, allergies or irritants.
If these problems have been ruled out, you may have sensorineuropathic cough, which results from abnormal throat and voice box sensations from malfunctioning nerves. Symptoms include chronic cough and chronic throat clearing and can affect the voice.
Medications that can be prescribed include antacids, ulcer medications, proton pump inhibitors, and foam barrier medications. To be effective, these medications are usually prescribed for at least one month, and may be tapered off later after symptoms are controlled. For some patients, it can take two to three months of taking medication(s) to see effects.
Symptoms in Adults
I ask them if they have heartburn, indigestion, or regurgitation. In the meantime, I’m listening to these people, and what you often hear is that these patients are coughing repetitively or speaking in a gravelly voice, or the tenor of their speech may be more rapid, or the pitch of their speech may be a little squeaky. Ask the patient what their day-to-day job is. Many
of these patients spend a lot of time on the telephone or are singers. I had 2 patients who were school teachers and had ongoing voice overutilization. The underlying presenting symptoms of heartburn, regurgitation, and indigestion may be the only predictors we have in patients who present with laryngopharyngeal reflux disease-associated symptoms. So, I consider these symptoms when I take a GERD history.
Popular in: Ear, Nose and Throat
This is what is known as postnasal drip. Postnasal drip is when the sensation of mucus buildup at the back of the throat causes discomfort. Every day, glands in the linings of your nose, throat, airways, stomach, and intestinal tract produce mucus. Your nose alone makes about a quart of it each day. Mucus is a thick, wet substance that moistens these areas and helps trap and destroy foreign invaders like bacteria and viruses before they cause infection.
admin March 26, 2010