Doctors' Answers to "Frequently Asked Questions" - Post-Nasal Drip


These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.

Post-nasal drip
Question: Is there any permanent treatment for post-nasal drip? I believe my post-nasal drip causes me to get the 'common cold' more often than I should and it makes them stay longer because my throat is constantly irritated. I also have sore throats often when I do not have a cold. At one point a doctor prescribed an antihistamine for the post-nasal drip which I took and it caused me to sleep for 16 hours straight! This of course was an unacceptable solution. I am a smoker and I realize that smoking is not good for the condition.

Answer: Post nasal drip is very common and also very irritating. Smoking and environmental exposure are a common cause. So are dry rooms. The most easily correctable cause is to humidify your house and place of business. Many antihistamines are sedating. Some of the newer ones like Claritin and Allegra are much less so. Also, if there is any allergic component, a nasal steroid may be helpful. Some medicines like clonidine and occasionally beta-blockers can cause a stuffy nose. Finally, your smoking is probably the biggest contributor.

"Clogged Throat"
Question: This problem wakes me at night as my throat becomes clogged with "phlegm" and at times have coughing bouts to clear it. Any suggestions as to what drug to take. I was diagnosed with "slight" hiatus hernia but this problem doesn't seem to interfere with quality of life.

Answer: I suspect that you are really having significant reflux causing your problem. Elevate the head of your bed four inches, avoid eating 2-3 hours before bedtime, minimize caffeine and nicotine. Also, over the counter medications like Zantac, Tagamet, Pepcid taken at bedtime will help. If you can lose weight it is probably the biggest help in improving reflux. If you continue to have reflux see your physician for additional medications.
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Last modified November 5, 1997