Saline nasal irrigations alleviate thickened secretions. Mucous-thinning agents such as guaifenesin (Mucinex®, Robitussin®) make secretions thinner. Drinking more water, eliminating caffeine, and if possible avoiding diuretics (medications that remove fluid from the body by increasing urination) will help. Many people, especially older persons, need more fluids to thin out secretions.
If the reflux does not get better, you should see your primary care provider, or an ENT (ear, nose, and throat) specialist, or otolaryngologist. Antacids such as TUMS®, Mylanta®, and Gaviscon®, or acid blockers such as Zantac® or Pepcid® also provide benefit. Gastroesophageal reflux treatment includes elevating the head of the bed six to eight inches, avoiding food and beverages for at least three hours before bedtime, weight loss, and eliminating alcohol and caffeine from the diet.
Talk to your doctor before starting any of these medications. Immunotherapy (desensitization) using allergy shots or drops under the tongue may help. Some older, sedating antihistamines may dry and thicken post-nasal secretions more newer non-drowsy antihistamines do not have this effect. Antihistamines, decongestants, cromolyn and steroid nasal sprays, or oral steroids may offer relief. Allergies are best managed by avoiding the causes.For chronic sinusitis, surgery to open the blocked sinuses may be required. Bacterial infections are usually treated with antibiotics, nasal spray, decongestants, and nasal saline irrigations.Post-nasal drip can be difficult to cure, and treatment varies according to the cause: Diagnosing post-nasal drip may include a detailed ear, nose, and throat exam, endoscopy (using a camera to look inside the nose and throat), or X-rays.
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