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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 33811
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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I have lots of phlegm in my throat. it is constant, and i have

Resolved Question:

I have lots of phlegm in my throat. it is constant, and i have it for four years.I have tried
lots of remedies including nasal spray but nothing seems to work. I have been to my doctor
several times but he keeps recommending over the solutions. Can you please help.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.

Hi. Can you tell me more about the phlegm? Is it clear or colored? Is this a constant--throughout the day--problem?

Customer: replied 2 years ago.

it is clear,it is constant during the day and night resulting in lack of sleep

Expert:  Dr. Chip replied 2 years ago.

OK Noel. What kind of nasal sprays have been tried?

Have you had a ct scan of your sinuses?

Any problems with indigestion or heartburn?

Customer: replied 2 years ago.

I do not know the names of the nasal sprays,they were on prescription from my doctor.

I do suffer from indigestion but not constantly.I have not had a ct scan

Expert:  Dr. Chip replied 2 years ago.

OK Noel. We can certainly continue beyond this if you'd like. There are two possibilities here:

A chronic sinus congestion/infection condition with postnasal drip

Gastric acid reflux that is inflaming your nasopharynx and causing the sinus inflammation

I would ct your sinuses to look for the first cause and I would have you try over the counter Prilosec or Pepcid AC for two weeks to see if that cleared your problem. If it did, I would still have you undergo upper endoscopy to look for esophageal damage from the reflux.

If it's a sinus problem I'd give you a two week round of antibiotics for that

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