Complications From Post Nasal Drip
A fluid called mucus is produced by the nose to help warm and clean the air that is inhaled. This fluid is then swallowed in order to clean and moisten the back of throat. If there is excessive mucus production, or the mucus becomes thicker than normal, the symptoms of post nasal drip may appear. For some this condition is mild, while for others there are complications from post nasal drip, that may require treatment.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Problems Swallowing
If mucus begins to accumulate in the throat, it can block the larynx or voice box, trachea and/or bronchi in the lungs. This can affect the voice and make it difficult to swallow, claims the American Academy of Otolaryngology 1. Trouble swallowing is often worse in the elderly whose swallowing muscles may not be as strong, at nighttime when the swallowing muscles are not as active and during periods of stress when the throat muscles may spasm. If the throat is swollen or there are abnormal growths in the throat, the symptoms of post nasal drip may become worse.
- If mucus begins to accumulate in the throat, it can block the larynx or voice box, trachea and/or bronchi in the lungs.
- If the throat is swollen or there are abnormal growths in the throat, the symptoms of post nasal drip may become worse.
Chronic Cough
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Whenever too much mucus accumulates in the throat, there may be an urge to cough to clear it out. If left untreated, post nasal drip can cause a cough that becomes chronic, warns the National Lung Health Education Program 3. Coughs can become severe to the point they interrupt sleep, affect the ability to work and can lead to chest pain and create difficulty eating. Post nasal drip that is accompanied by a sinus infection or allergy may produce mucus that is yellow or green. This signals an infection that requires medical attention. Treating the underlying problem often helps to alleviate the post nasal drip symptoms.
- Whenever too much mucus accumulates in the throat, there may be an urge to cough to clear it out.
- Post nasal drip that is accompanied by a sinus infection or allergy may produce mucus that is yellow or green.
Trouble Breathing
Severe cases of post nasal drip can cause problems with the vocal cords. The Cleveland Clinic states that excessive mucus production can cause the vocal cords to close rather than open, when trying to breathe 2. This can create symptoms such as trouble breathing, wheezing sounds when breathing, feeling as if there is something stuck in the throat, chocking and tightness in the throat and chest. A physician can run tests, to help determine if post nasal drip is the cause.
- Severe cases of post nasal drip can cause problems with the vocal cords.
Ear and Sinus Infections
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In most cases, post nasal drip does not cause serious complications. However, in some, it can block the Eustachian tube. The Eustachian tube travels from the ears to the nose and helps to maintain equal air pressure within the ears. If this tube becomes blocked it can lead to chronic ear infections. Excessive mucus can also block the sinus passageways and create a sinus infection. The National Institutes of Health, recommends seeking medical attention if symptoms last longer than three weeks in older children and adults, longer than ten days in children three years old and younger, there is a fever or the mucus is colored or foul smelling 3.
- In most cases, post nasal drip does not cause serious complications.
- Excessive mucus can also block the sinus passageways and create a sinus infection.
Related Articles
References
- American Academy of Otolaryngology: Post Nasal Drip
- Cleveland Clinic: Vocal Cord Dysfunction
- National Institutes of Health: Nasal Discharge
- U.S. National Library of Medicine. Medline Plus. Allergic Rhinitis. Updated 05/09/17.
- Yu JL, Becker SS. Postnasal drip and postnasal drip-related cough. Curr Opin Otolaryngol Head Neck Surg. 2016;24(1):15-19. doi:10.1097/MOO.0000000000000226
- Varshney J, Varshney H. Allergic Rhinitis: An Overview. Indian J Otolaryngol Head Neck Surg. 2015;67(2):143-149. doi:10.1007/s12070-015-0828-5
- Pinto JM, Jeswani S. Rhinitis in the geriatric population. Allergy Asthma Clin Immunol. 2010;6(1):10. doi:10.1186/1710-1492-6-10
- Bhargava D, Bhargava K, Al-Abri A, Al-Bassam W, Al-Abri R. Non Allergic Rhinitis: Prevalence, Clinical Profile and Knowledge Gaps in Literature. Oman Med J. 2011;26(6):416-420. doi:10.5001/omj.2011.106
- Kaliner MA. Classification of Nonallergic Rhinitis Syndromes With a Focus on Vasomotor Rhinitis, Proposed to be Known henceforth as Nonallergic Rhinopathy. World Allergy Organ J. 2009;2(6):98-101. doi:10.1097/WOX.0b013e3181a9d55b
- Scarupa MD, Kaliner MA. Nonallergic rhinitis, with a focus on vasomotor rhinitis: clinical importance, differential diagnosis, and effective treatment recommendations. World Allergy Organ J. 2009;2(3):20-25. doi:10.1097/WOX.0b013e3181990aac
- Morice AH. Post-nasal drip syndrome--a symptom to be sniffed at? Pulm Pharmacol Ther. 2004;17(6):343-345. doi:10.1016/j.pupt.2004.09.005
- Kariyawasam HH, Scadding GK. Chronic Rhinosinusitis: Therapeutic Efficacy of Anti-Inflammatory and Antibiotic Approaches. Allergy Asthma Immunol Res. 2011;3(4):226-235. doi:10.4168/aair.2011.3.4.226
- Vaezi MF, Hagaman DD, Slaughter JC, et al. Proton Pump Inhibitor Therapy Improves Symptoms in Postnasal Drainage. Gastroenterology. 2010;139(6):1887-1893.e1. doi:10.1053/j.gastro.2010.08.039
- Dzieciolowska-Baran E, Teul-Swiniarska I, Gawlikowska-Sroka A, Poziomkowska-Gesicka I, Zietek Z. Rhinitis as a Cause of Respiratory Disorders During Pregnancy. Adv Exp Med Biol. 2013;755:213-220. doi:10.1007/978-94-007-4546-9_27
- Sylvester DC, Karkos PD, Vaughan C, et al. Chronic Cough, Reflux, Postnasal Drip Syndrome, and the Otolaryngologist. Int J Otolaryngol. 2012;2012:564852. doi:10.1155/2012/564852
- Kasper, Dennis L.., Anthony S. Fauci, and Stephen L.. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw-Hill Education, 2015. Print.
- Kliegman, Robert M., Bonita Stanton, St Geme III Joseph W., Nina Felice. Schor, Richard E. Behrman, and Waldo E. Nelson. Nelson Textbook of Pediatrics. 20th Edition. Philadelphia, PA: Elsevier, 2015. Print.
- U.S. National Library of Medicine. Medline Plus. Allergic Rhinitis. Updated 05/09/17.
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I hold a Master's degree in exercise physiology/health promotion. I am a certified fitness specialist through the American College of Spots Medicine and an IYT certified yoga teacher. I have over 25 years experience teaching classes to both general public and those with chronic illness. The above allows me to write directly to the reader based on personal experiences.