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Does Dymista Cause Sore Throat And Rawness In Tongue?
Question: Hello. I had an upper respiratory infection in early January. A mix of oral steroids and an antibiotic took care of that; however, ever since that time sinuses have had mucous running. At first from my nose and now down the back of my throat. I have been to an ENT and have had a CAT scan. The CAT scan revealed no blockage and that my sinuses were normal. I do have enlarged turbinates. I do not have a deviated septum and my ENT says there is no bacterial or fungal infection. I have been through several drug regimens but nothing has improved my situation. Currently he has proscribed Dymista. After about 30 minutes after I have sprayed it up each nostril, a thin stream of mucous starts coming down the back of my throat. I spend the next four hours hacking to keep it from getting into my chest. The mucous makes my tongue feel raw and, of course, my throat is sore. Does Dymista typically work this way? Any other suggestions for relief?
Brief Answer:
As below:
Detailed Answer:
Hi,
Thank you for your query.
1. Uploading your CT Scan images will help understand your symptoms better.
2. Azelastine in the Dymista leads to a bitter taste in the mouth and hence may be the reason that your tongue feels raw, besides the constant clearing of the throat.
3. If the sinuses are clear, then the post nasal drip is not likely to be large. Its appearance after the spray may be due to irritation of the nose due to the contents of the spray, including preservatives, stabilizers, propellant and so on.
4. Hence you must request your physician to change the type of nasal spray, or even consider discontinuing it for some time. If your sinuses are clear then an anti-allergic - mucolytic medication and plain steam inhalation may help.
5. Have you ever had enough post nasal mucus drip to bring out and examine? A nasal endoscopy half an hour after the spray when the mucus drip is at it's peak may help check from which side it appears and it's characteristics.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
As below:
Detailed Answer:
Hi,
Thank you for your query.
1. Uploading your CT Scan images will help understand your symptoms better.
2. Azelastine in the Dymista leads to a bitter taste in the mouth and hence may be the reason that your tongue feels raw, besides the constant clearing of the throat.
3. If the sinuses are clear, then the post nasal drip is not likely to be large. Its appearance after the spray may be due to irritation of the nose due to the contents of the spray, including preservatives, stabilizers, propellant and so on.
4. Hence you must request your physician to change the type of nasal spray, or even consider discontinuing it for some time. If your sinuses are clear then an anti-allergic - mucolytic medication and plain steam inhalation may help.
5. Have you ever had enough post nasal mucus drip to bring out and examine? A nasal endoscopy half an hour after the spray when the mucus drip is at it's peak may help check from which side it appears and it's characteristics.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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