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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Release Of Mucus Through My Nose And Throat During Cold?

Hi My name is Emran, I am 27 years old. 6 months ago I had cold and fever and I was releasing lot of mucus through my nose and throat , next morning I woke up with thick yellow mucus in my nose and throat , I managed to clear my nose but not the throat . Since then I feel like my throat and food pipe is blocked . I feel like if I could cough it up I would feel better but I don t cough at all. I am having swallowing problem and digestion problem. What should I do ? Thanks
Tue, 13 Oct 2015
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ENT Specialist 's  Response
Hello dear,

After going through your history, I believe you have some genuine concern and I will try to help you out of this situation.

Our nose is surrounded by sinuses. Sinuses are empty cave like spaces in the facial bones with their mouth opening into the nose. These opening are very small and lined by epithelium same as that of nose. In a normal situation when we breathe, air enters the sinuses and ventilate them. Also there is constant production of fluids inside the sinuses, which drain out through the small opening to the nose.

When nose is affected with some infection, even common cold, the epithelium swells and so the epithelium around the mouth of the sinuses. Now the sinuses can not be ventilated nor can be drained. This leads to deposition of fluid inside the sinuses and SINUSITIS. Any anatomical defect like DNS (Deviated nasal septum). Hypertrophied turbinates and other abnormalities only add to the risk of development of sinusitis. The infected fluid for the sinus then flows downwards to the throat and leads to Pharyngitis which feels like blockage of throat, food pipe and wind pipe. In your case the swelling inside your throat is leading to a lump like sensation in throat.

In your situation, I believe there is some anatomic abnormality in right side (The 2 most common cause i have already mentioned) which is leading to your suffering.

In my clinic in cases like you , I do a proper nasal endoscopy to find out any anatomical abnormality. If it is normal, I prescribe Antibiotics, steroid, nasal drops for some time and if it does not subside, then I advise them to go for a CT scan PNS ( Para nasal sinuses) to see any hidden pathology and manage according to the report.


I hope I could solve your query. Please do not hesitate to clarify more doubts for the same situation.

Thank you for the way you are in my life.

Dr Ipsit Panda
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What Causes Release Of Mucus Through My Nose And Throat During Cold?

Hello dear, After going through your history, I believe you have some genuine concern and I will try to help you out of this situation. Our nose is surrounded by sinuses. Sinuses are empty cave like spaces in the facial bones with their mouth opening into the nose. These opening are very small and lined by epithelium same as that of nose. In a normal situation when we breathe, air enters the sinuses and ventilate them. Also there is constant production of fluids inside the sinuses, which drain out through the small opening to the nose. When nose is affected with some infection, even common cold, the epithelium swells and so the epithelium around the mouth of the sinuses. Now the sinuses can not be ventilated nor can be drained. This leads to deposition of fluid inside the sinuses and SINUSITIS. Any anatomical defect like DNS (Deviated nasal septum). Hypertrophied turbinates and other abnormalities only add to the risk of development of sinusitis. The infected fluid for the sinus then flows downwards to the throat and leads to Pharyngitis which feels like blockage of throat, food pipe and wind pipe. In your case the swelling inside your throat is leading to a lump like sensation in throat. In your situation, I believe there is some anatomic abnormality in right side (The 2 most common cause i have already mentioned) which is leading to your suffering. In my clinic in cases like you , I do a proper nasal endoscopy to find out any anatomical abnormality. If it is normal, I prescribe Antibiotics, steroid, nasal drops for some time and if it does not subside, then I advise them to go for a CT scan PNS ( Para nasal sinuses) to see any hidden pathology and manage according to the report. I hope I could solve your query. Please do not hesitate to clarify more doubts for the same situation. Thank you for the way you are in my life. Dr Ipsit Panda