1

votes

Please Fix My Unbearable Post Nasal Drip

Asked on June 09, 2018
Created May 11, 2012 at 6:41 PM

When going Paleo many years ago, nearly everything got better, except one thing which I have nearly given up on trying to figure out.

Post nasal drip is a huge issue for me and happens on a daily basis. It is worst in the morning after waking up and sometimes after I get the crap out of my throat in the morning, I'm good for the rest of the day. Other times, it comes back later.

There is definitely something there as when I clear my throat and manage to get it out, it's a nasty sticky ball of mucus. Sometime's it is so sticky I can't get it out of my throat.

If you can figure out what is wrong with me, you'll get a prize because this is really a huge issue for me that I need gone.

Here's what I've tried:

Diet: - Strict paleo with no dairy at all (not even ghee) - No nightshades, eggs, nuts, seeds, or white potatoes (auto-immune protocol) - Lean pork, skinless chicken breast, wild fish, or 100% grass-fed beef only (good omega 3-6 balance) - Cooking only with 100% grassfed beef tallow - No fruit except for small amounts of berries (fructose control) - Low carb or high carb has no difference

Environment: - Dustmite covers on boxspring, mattress, and pillow. Allergy duvet cover on hypoallergenic comforter. Sheets and duvet washed on average every week.

During times, when I've had the carpets washed, everything dusted down, fresh sheets and comforter, there has been some relief but really only for a day max. There has to be something that is making me hypersensitive to the allergies. Could there still be a food allergy even with strict auto-immune paleo for over 30 days?

When I feel like I'm overall inflamed (day of bad sleep, too much stress, etc), it is worse, so I figure there is something inflammation going on.

Any ideas?

Thanks everyone!

Medium avatar

(-8)

on September 14, 2017
at 10:56 PM

 I would do colloidal silver put it into a nasal spray bottle you can buy on Amazon .  Sniff regularly.

 It's a natural antibiotic that's a broad spectrum and it is very effective .  If that's what the problem is. 

I would also  take probiotics acidophilus or even make your own Keffir from preferably raw milk and that will give you good probiotics.

 Help with your allergies contact me if you want here or on Facebook . :)))

2f8dd25ac810cc3109ce1f6d7fd394fc

(0)

on September 28, 2016
at 01:23 PM

 GIL- Have you tried anything suggested in the answers provided? Have you found anything to work for you? My boyfriend has a very similar issue... He wakes up and coughs up a lot of this thick mucus and his throat is always bothering him. Please let me know.

Thanks.

03b67d2b8e9e878147cb3f225c864207

(761)

on May 17, 2012
at 05:59 PM

I already take 5,000IU per day. Is that not enough?

03b67d2b8e9e878147cb3f225c864207

(761)

on May 17, 2012
at 05:58 PM

Dr. Harris, Thanks so much for your ideas. I sent a message to my PCP asking if I can get these tests done...will have to see if insurance will cover it. As far as fermented foods go, do probitic supplements work just as well? I'm trying to avoid nightshades right now and can only palate so much sauerkraut and raw vinegars. I occasionally take Saccharomyces boulardii and Jarro-Dophilus Allergen-Free, but could up the dosage if that would be the same as eating more fermented foods.

870fdea50f2a9f1cd2890c8e22549300

(2056)

on May 17, 2012
at 04:16 PM

Yeah, carpets are a huge problem if this is allergy-related.

87f26cf235a0e2420e28779113b0257b

on May 17, 2012
at 12:50 AM

PS. NAET is quackery. Avoid it.

5ea35ee49aa8bfe20f964da1c7278dd2

(10)

on May 16, 2012
at 07:13 PM

also, forgot to respond to the neti pot thing - i hate neti pots. any time i use it, even if i don't add salt, the burning in my nose is so bad i cannot continue. i hate them and they do not work for me. i don't like tea either. last time i did a super strict whole30, around day 12 i noticed the post nasal drip was really minimal compared to the average. (then i fell off the wagon, and now it's back.) ps, i'm not a doctor, i don't know too much about herbs, but read about the above and then a few i mentioned seemed to help me.

03b67d2b8e9e878147cb3f225c864207

(761)

on May 12, 2012
at 06:07 PM

Yikes - every night? I'm going to have to invest in more pillowcases. I'm in a rental house - not possible to remove carpets. Maybe I'll try to find hardwood for my next house (I'm a college student so frequently moving)

03b67d2b8e9e878147cb3f225c864207

(761)

on May 12, 2012
at 06:05 PM

@MathGirl72....my room doesn't have a heater vent or air conditioner. Has anyone tried anything like this? http://www.amazon.com/Honeywell-HHT-011-Compact-Purifier-Permanent/dp/B000N9CPQK/ref=sr_1_1?ie=UTF8&qid=1330153919&sr=8-1 I'll ask my doctor office about blood test and prick test to see if my insurance will cover it. Good suggestion. Is the term "full blood panel" a universal name for a blood test that includes everything? Or are there several smaller tests I need to get? Fungal Sinusitis is interesting...I'll look into that more

1a98a40ba8ffdc5aa28d1324d01c6c9f

(20378)

on May 12, 2012
at 05:19 AM

Mahybe it is dust mites. Or something. Also change you pillow case every night.

9d43f6873107e17ca4d1a5055aa7a2ad

on May 12, 2012
at 02:58 AM

yes, kombucha might be something to try

9d43f6873107e17ca4d1a5055aa7a2ad

on May 12, 2012
at 02:58 AM

the prick test will help rule out other issues and give you something to track. I had a really terrible prick test in college and over the years I guess I fixed something because I had a COMPLETELY negative prick test last year.

61844af1187e745e09bb394cbd28cf23

(11048)

on May 12, 2012
at 12:45 AM

How frequently do you change the air filter for your air conditioner/heater? I have to purchase the allergen trapping filters.

E5d4889d675291f020c72e958de1f77b

(646)

on May 11, 2012
at 09:14 PM

Ginger tea isn't real tea: it's just an infusion of ginger into hot water. It's more like gingery water.

E36cb992cf0a5eba8b97a359c15f38b3

(4347)

on May 11, 2012
at 09:01 PM

I agree with Melissa and MIWF--Check bloodwork for any inflammation. I have had to do that in the past, and it helped my primary care doc point me in the right direction. Be careful with allergists--take the time to find a good one if you go. I've had good and TERRIBLE experiences with them because I have some irregular symptoms.

03b67d2b8e9e878147cb3f225c864207

(761)

on May 11, 2012
at 09:00 PM

Never had a cup of coffee in my life. I hate tea. It is totally disgusting to me :-\ Hoping there is a tealess solution! I have played around with neti pots but I always feel like I'm waterboarding myself. Need to practice

03b67d2b8e9e878147cb3f225c864207

(761)

on May 11, 2012
at 07:54 PM

Even if the prick test tells me I'm allergic to some form of environmental feature...then what? Unless I get a gas mask in a sense it feels almost like irrelevant information right?. I don't have a grassy field in my bedroom, so what could be changed? Do those room airfilters help for this type of thing?

C79a5b43dfc5749200bd9dcaa6bb0858

on May 11, 2012
at 07:50 PM

@Gillius, it's the blood allergy tests that aren't reliable when testing for air borne allergins. Skin prick is the way to go from what I've heard. I don't think there is a really super reliable way to test for food sensitivity. Sorry. Have you seen an allergist? Hopefully one that is well regarded? I always turn to Angie's list and/or Yelp when looking for a good doc.

9d43f6873107e17ca4d1a5055aa7a2ad

on May 11, 2012
at 07:30 PM

I'd also look into Fungal Sinusitis

9d43f6873107e17ca4d1a5055aa7a2ad

on May 11, 2012
at 07:30 PM

the skin-prick test for environmental allergens is pretty reliable. C-reactive protein is a good test to get, though I'd get a full blood panel to see if there isn't something there like elevated WBC.

03b67d2b8e9e878147cb3f225c864207

(761)

on May 11, 2012
at 07:21 PM

I supplement 5,000IU Vitamin D daily (rarely sun around here) and occasionally take Saccharomyces boulardii and Jarro-Dophilus Allergen-Free. No skin-prick test any time recently...I thought they weren't considered reliable. No test on inflammatory markers..what would that entail?

9d43f6873107e17ca4d1a5055aa7a2ad

on May 11, 2012
at 07:04 PM

have you had any tests on inflammatory markers? Have you had a skin-prick allergy test recently? Any supplements?

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15 Answers

3
Da20058e445fa4c5ce328132379521b3

on May 12, 2012
at 02:55 AM

I stopped having post nasal drip (which was leading to me getting sore throats waay too often) when I included fermented food into my daily diet. It's potentially connected to acid reflux, as that went away at the same time.

9d43f6873107e17ca4d1a5055aa7a2ad

on May 12, 2012
at 02:58 AM

yes, kombucha might be something to try

2
87f26cf235a0e2420e28779113b0257b

on May 17, 2012
at 12:49 AM

You almost certainly have chronic rhinosinusitis and IMO at this point it is not likely to respond to diet. The recommendation for fermented foods is worth trying, but if no response to that, then:

1) Get Immunocap quantitative allergen IgE blood panel appropriate to your area and/or get skin prick test panel by an allergist. BOTH of these tests are reliable with good sensitivity and specificity. These will tell if you have allergies accounting for the PND which is very common. Dust Mites are often the culprit.

2)If #1 is positive, then have SCIT - subcutaneous immunotherapy - this is highly efficacious and actually cures some inhalant allergies over time. It can be highly effective and can prevent new sensitizations as well as progression to asthma. CRS and asthma are actually the same disease, differing only which part of the airway is affected.

3) Whether you have allergies or not, a trial of nasal steroids is warranted for symptom relief. Antibiotics usually have no role.

4) All of this can be handled by your allergist, but an ENT consult might be warranted to see if you have nasal polyps causing obstruction. The initial treatment should be the same, however.

87f26cf235a0e2420e28779113b0257b

on May 17, 2012
at 12:50 AM

PS. NAET is quackery. Avoid it.

03b67d2b8e9e878147cb3f225c864207

(761)

on May 17, 2012
at 05:58 PM

Dr. Harris, Thanks so much for your ideas. I sent a message to my PCP asking if I can get these tests done...will have to see if insurance will cover it. As far as fermented foods go, do probitic supplements work just as well? I'm trying to avoid nightshades right now and can only palate so much sauerkraut and raw vinegars. I occasionally take Saccharomyces boulardii and Jarro-Dophilus Allergen-Free, but could up the dosage if that would be the same as eating more fermented foods.

2
E36cb992cf0a5eba8b97a359c15f38b3

on May 11, 2012
at 08:59 PM

Quick questions for you:

1) Do you drink coffee? Some people with gluten/casein issues cross-react with coffee. I find I have to lay off it a while when I get inflamed or overly stressed because I start getting sinus problems, even with decaf.

2) Have you tried things like ginger tea? I am able to reduce some inflammation with that and similar infusions.

Best of luck! My husband has had off and on post-nasal drip issues for years. Still haven't figured out why.

Also, like Nourished Girl said--Neti pots are amazing. Not a permanent solution, but they'll certainly bring relief.

E5d4889d675291f020c72e958de1f77b

(646)

on May 11, 2012
at 09:14 PM

Ginger tea isn't real tea: it's just an infusion of ginger into hot water. It's more like gingery water.

03b67d2b8e9e878147cb3f225c864207

(761)

on May 11, 2012
at 09:00 PM

Never had a cup of coffee in my life. I hate tea. It is totally disgusting to me :-\ Hoping there is a tealess solution! I have played around with neti pots but I always feel like I'm waterboarding myself. Need to practice

1
Ebad80624ec3b5b43ba1635055bf7070

on July 27, 2013
at 08:41 AM

Hi I have had it for years most at night as soon as I lie down my nose blocks and post nasal drip starts . Can I ask one thing do any one els have ibs or up set tummy ie bloated crampy and just general problems with bowels ?

1
Ed4b1d1f6a22f40d1cac48523b1cfbc9

(124)

on May 17, 2012
at 01:11 PM

I'm not sensitive to gluten or dairy, I'm just allergic to living in Alabama. Days I am outside without planning leaves me miserable for a week. I'm talking about red watery eyes, rhinitis, swollen sometimes midline tonsils, headache, cough especially at night, sore throat, the whole nine yards. Interestingly, my dad and my toddler have the same issues. I tried natural routines like local honey and Neti Pots, but without medicine it didn't kick it. The only thing to make life bearable for me is: Zyrtec 10mg, Vit C, Vit D, and for when I'm sick, basically COPD medicines, I have a albuterol and bronchodilator inhaler and nasal steroid. Edit: studies have shown most antibiotics do not penetrate the sinuses. However my doctor will prescribe cipro for long-term sinus infections.

1
B9b739e406d30e2b168aed8e9c93add5

on May 17, 2012
at 03:23 AM

Have you tried keeping a food journal? I've had severe allergies for a very long time (even succumbing to allergy shots for over an entire year). But when I went Paleo, most of my allergies went away, but not quite. I would notice that every once in a while, I would get severe nasal congestion/post-nasal drip.

One day, I noticed that I was completely clear, ate a meal and then had an orange for desert. Ten minutes later, I was stuffy/sneezy. It lasted for a short while, and then cleared up while I was at work. Later for dinner, I had a meal and then another orange for dessert. Again, I was stuffy/sneezy ten minutes later .Since it was a totally different environment than my home, I know it was the citrus. So I cut out citrus, and my allergies are fine! I don't even get allergy shots anymore...and am completely clear and can breathe free!

Just wanted to give you an example that you can have the perfect diet on paper, but you still may be consuming something that's not right for you. Try keeping a food journal to determine any patterns.

I would recommend consuming lots of gelatinous bone-broth and probiotic-rich foods (because I believe allergies are ultimately a sign of leaky-gut). Hope this helps! I definitely realize the misery of year-round allergies....

1
707342e3cb97e0fc088917919a154b8a

on May 12, 2012
at 03:00 AM

It's likely not a complete solution, but, if you can, consider removing the carpet in your home-- especially since you mentioned that having the carpets cleaned seemed to help abate your symptoms, perhaps removing them entirely will help. Best of luck!

03b67d2b8e9e878147cb3f225c864207

(761)

on May 12, 2012
at 06:07 PM

Yikes - every night? I'm going to have to invest in more pillowcases. I'm in a rental house - not possible to remove carpets. Maybe I'll try to find hardwood for my next house (I'm a college student so frequently moving)

1a98a40ba8ffdc5aa28d1324d01c6c9f

(20378)

on May 12, 2012
at 05:19 AM

Mahybe it is dust mites. Or something. Also change you pillow case every night.

870fdea50f2a9f1cd2890c8e22549300

(2056)

on May 17, 2012
at 04:16 PM

Yeah, carpets are a huge problem if this is allergy-related.

1
5e5ff249c9161b8cd96d7eff6043bc3a

(4713)

on May 11, 2012
at 10:17 PM

Acupuncture helps my allergies quite a bit.

1
3654b5b893e312b69f8db05e4e5175b5

on May 11, 2012
at 07:34 PM

Hi Gill, I have year round allergies and PND. I have noticed it's not AS bad without dairy. I don't have any dietary recommendations, but wanted to suggest Ayurvedic medicine which helped me greatly. There are two things that really helped me (didn't clear up my PND but helps it "move")

  • Nasya Oil - An oil blend that you drip in your nostrils, with your head tilted back, 1/2 tsp for both nostrils. It helps "move" the gunk out. I do it before I go to bed, and in the morning. I get my Nasya Oil from Banyan Botanicals, here. If you don't want to spring for Nasya oil you can also try good sesame oil. I like Eden's Sesame Oil. I tried Flora Sesame oil in my nose and it just BURNED - not good. It shouldn't burn, it actually doesn't feel like anything.

  • Neti pot/Saline rinse/nasal irrigation - This also really helps me help move things out. I like Neilmed's Saline Rinse bottle. Definitely make sure the salinity is correct or else it'll burn.

I don't want to recommend herbs (which also really helped me. I stopped taking the nasal sprays that my regular MD prsecribed to me) since I'm not an Ayurvedic doctor but the oil really helped me. If possible I would start seeing an Ayurvedic doctor (I see mine twice a year), only because they can really fine tune the regimen for you and just to be sure you're taking the right things :)

If you want you can also look up your dosha, I think you might be kapha.

Hope this helps!

0
C703ecbb09b001431745823b5702f2fc

on April 14, 2018
at 01:40 PM

Same problem here- but also get neck pain, jaw stiffness and pain, whic hhas spread to the rest of my muscles and joints( Stiffness) swollen lymph noes

Ive tried almost Everything!!

looking for solution

0
93c1c89179f655ea67f7132b7aa1370a

on June 08, 2013
at 04:10 PM

I Think you are having LPR and Sinus together.

0
28f280f8d64c7207fd94d158fbe6e070

(218)

on May 17, 2012
at 07:38 AM

Take enough vitamin D3 to test in the 60s or 70s in your blood. Where is my prize? This is going to work.

03b67d2b8e9e878147cb3f225c864207

(761)

on May 17, 2012
at 05:59 PM

I already take 5,000IU per day. Is that not enough?

0
5ea35ee49aa8bfe20f964da1c7278dd2

(10)

on May 16, 2012
at 07:07 PM

I've had the gross post nasal drip issue for years. Allergy tests didn't show anything, so the doc started me on some steroid to treat a possible sinus infection. It didn't work, just made me sick and I couldn't keep any food down after a week of the med.

Anyway, i searched for a ton of things before, and what I've found helps has been: -garlic supplement -oil of oregano, in the oil form - you put 1-2 drops under your tongue. and then you breathe oregano for hours, kind of gross, but it definitely cleared mine up for the entire day last time i took it. -echinacea supp

someone suggested slippery elm lozenges, apparently vocalists take them before singing...i haven't found them particularly helpful, but who knows, they might be

i've also read about the below, bought them, but haven't taken them, oops: -hyssop -fenugreek/thyme supp -Quercetin With Bromelain -Eyebright -Nac (N-Acetyl-L-Cysteine) -Propolis Extract Ultimate Strength

5ea35ee49aa8bfe20f964da1c7278dd2

(10)

on May 16, 2012
at 07:13 PM

also, forgot to respond to the neti pot thing - i hate neti pots. any time i use it, even if i don't add salt, the burning in my nose is so bad i cannot continue. i hate them and they do not work for me. i don't like tea either. last time i did a super strict whole30, around day 12 i noticed the post nasal drip was really minimal compared to the average. (then i fell off the wagon, and now it's back.) ps, i'm not a doctor, i don't know too much about herbs, but read about the above and then a few i mentioned seemed to help me.

0
D8c04730b5d016a839b3c5b932bf59dd

on May 12, 2012
at 06:52 AM

I like to recommend NAET (www.naet.org) (Nambudripad Allergy Elimination Technique), very non-invasive. It can be very good if it is, in fact, environmental allergy.

I love my neti pot; I put two drops of GSE in it, and a little ascorbic acid (vitamin C). I just mix salt with the water, I've not had any trouble with salinity (my nose must not be fussy). It was disgusting and difficult for me in the beginning. Practice is good. I have days when it starts to gag me, I just stop and dump it out. I get too dry using it daily, but when I get sick, i LOVE it.

0
7f8bc7ce5c34aae50408d31812c839b0

(2698)

on May 11, 2012
at 10:28 PM

My Dad had this type of, what he thought, was post nasal drip for years. Finally one day he goes to a new doctor and the doctor says its caused by acid reflux. My Dad takes some medication for acid reflux and viola, problem gone.

Maybe check that out.

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