Chronic nasal discharge for three years

Patient

Q: I've had clear drainage. For 3 ye cpnsatantly blowing my nose every day now when asleep it builds up thick I'm my throught to where I wake up and start coughing til I start puking up stomach acid what can I do

Doctor

A:   Your symptoms suggest of a chronic sinusitis problem. This may be due to a bacterial infection or non-infectious causes such as allergy, gastroesophageal reflux and cystic fibrosis. Medical treatment is directed towards the causative factor, treating infections, reducing the inflammation and facilitating drainage from the sinuses.
Treatment for chronic sinusitis involves a 3-4 week course of antibiotics, intranasal steroids, saline irrigation of the nose and decongestants. Avoiding smoking will also help relieve your symptoms. If your symptoms are not improved by these measures, I would advise you to consult an ENT specialist. Functional Endoscopic Sinus Surgery (FESS) is often advised in treating recurrent sinusitis.

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