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LPR/Post Nasal Drip/Globus Sensation

Hi there, so, I got a really bad cold virus end of January and I didn't take anything for it, was tested for the flu, negative, strep, negative. A few days went by and the cold symptoms went away, but I had a cough that seemed to last 2-3 weeks then trickled away....however, I continued to have this feeling of post nasal drip in my throat or like something was there, but it wasn't...it wasn't very bad, but noticeable...didn't make me lose sleep or anything at night.

I went to my primary care doctor about mid feb and she was like try taking Flonase and saline spray and see if that helps you...well nothing helped there it actually made my nose sting after about 3 weeks of using it. I went to my primary care doctor now mid March and again tested me for Flu & strep came back negative...shes like okay let me send you to the ENT and luckily was able to see one within 2 days.

She did the scope up the nose and down the throat and she's like well the good news is everything looks good....she said you have a thick white mucus stuck to your vocal chords which is probably what you are feeling there. I explained how I have tried Flonase, mucinex, saline spray, and she's like do you ever have heartburn? I am like eh maybe once every couple of months and I take a tum and it's fine. She said it sounds like you like have silent reflux and the acid from your stomach is going into your throat and that's what made the thick mucus stay on my vocal chords....I said ok so what can we do to fix this? She's like I am going to put you on omeprazole for two times a day (20 MG each time) for 2 months and she's like after a few weeks if you feel better just drop down to once a day.

Update as of 4/13 - Have been cut back to just taking the Omerprazole once per day, in the morning as of last Friday. Like I said before after about 3 days of taking the Omerprazole the "lump" in my throat seemed to go away. Today marks 1 month since I have been on the Omerprazole and I don't even know if it's really helping and I would prefer to stop it. I have 1 month left to take it before going back to my appointment with my ENT. I was looking at the results from my initial consult with her and it says..

Diagnoses
Post Nasal Drip
Globus Sensation
LPR

The only thing I occasionally feel now is that I have like post nasal drip going down...some days are better than others, but it is CONSTANTLY on my mind, every single day wake up to go to sleep. The thing is I get relief when I lay down and when I go to sleep it's amazing I sleep flat no issue and when I wake up I feel fine it's not till about 10/11am that it sometimes feels like I gotta clear my throat but I try not to think about it. I have changed my diet and have tried to eat a lot better this last month, but honestly, I have never had an issue with my eating....I am 6 feet tall, 200 lbs (could lose a few LB's), and my doctors say I am very healthy from all the blood tests and other tests I have done. Get my yearly physical and have a really great relationship with my primary care who I can see whenever.

The reason that I feel she told me I had LPR was this.....she looks with with scope says you have white mucus on your vocal chords and it's probably from the virus you had that never fully cleared up. She goes do you have heartburn at all? I said I maybe get it once per month or every other month and I take 1 tum and it goes away....she's like you well it sounds like you have LPR from what you tell me...but she said my throat looks great minus that white mucus.

Honestly, this is taking over my life and I am having my first baby in May so I am hoping that takes my mind off things....but of course, I google and read all these stories from you all and freak out all the time and really just look forward to going to bed so I don't think about it.

Could this be sinus related? She did say you have a post nasal drip and shes like I wonder if that's contributing to it....I wrote her an email about a week after my appointment and asked her if I could cut back on the meds because I felt like it was giving me abdominal pain and felt like sometimes I was having a heart attack (as soon as I dropped back to 1 day it's been way better). Here is her response back to me....

I would recommend continuing it twice daily for two weeks and then decrease to once daily. If you notice that symptoms return after decreasing dose, you can increase again to twice daily.

The prilosec helps to heal the vocal cords and this decreases the mucus that is present, so continuing the medication is the treatment.

Let me know if you have any other questions.


Any advice/help would be greatly appreciated! smile
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replied December 25th, 2018
Thank you for asking at Ehealth forum!

I read your question and i understand your concern. Recurrent post nasal drip is either a recurrent rhinitis or Acid reflux. Antihistamines and antacids with diet lifestyle modifications should help. Meanwhile ruling out correctable causes like deviated nasal septa etc should be done.

I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care
Khan
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