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Post-nasal drip (PND), also known as upper airway cough syndrome (UACS), occurs when excessive mucus is produced by the nasal mucosa. The excess mucus accumulates in the back of the nose , and eventually in the throat once it drips down the back of the throat.
Sensation of swelling in the area of the larynx (discomfort in the front of the neck) Globus pharyngeus (feeling like there is a lump in the throat) Cold or flu-like symptoms (which, like a cough, may also be a causal factor for laryngitis) Swollen lymph nodes in the throat, chest, or face; Fever; General muscle pain
If the mucus backs up through the Eustachian tube, it may result in ear pain or an ear infection. Excess mucus accumulating in the throat or back of the nose may cause a post-nasal drip, resulting in a sore throat or coughing. [6] Additional symptoms include sneezing, nosebleeds, and nasal discharge. [7]
Laryngopharyngeal reflux (LPR) or laryngopharyngeal reflux disease (LPRD) is the retrograde flow of gastric contents into the larynx, oropharynx and/or the nasopharynx. [4] [5] LPR causes respiratory symptoms such as cough and wheezing [6] and is often associated with head and neck complaints such as dysphonia, globus pharyngis, and dysphagia. [7]
Ethmoidal – may cause pain or pressure pain between or behind the eyes, along the sides of the upper nose (medial canthi), and headaches. [27] Sphenoidal – may cause pain or pressure behind the eyes, though it is often felt at top of the head, over the mastoid processes, or the back of the head. [27]
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Coughing may be present, [11] and stridor, an abnormal, high-pitched breath sound indicating obstruction of the upper airway can also occur. [12] Damage to the airways can cause subcutaneous emphysema (air trapped in the subcutaneous tissue of the skin) in the abdomen, chest, neck, and head. [2]
Initial treatment is similar to atrophic rhinitis, namely keeping the nasal mucosa moist with saline or oil-based lubricants and treating pain and infection as they arise; adding menthol to lubricants may be helpful in ENS, as may be use of a cool mist humidifier at home but has limited success and many ENT patients seek treatment from the few ...
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