Sinus Related Issues?

Medical Q&A [Moderated]
1

Hey docs, I would love your input,and experience on possible causes of sinus related issues. I have been having problems with chronic headaches, and excess of mucus production. The mucus is clear, white,thick, frothy, and slow moving. This normally begins after I’ve eaten, and last for a few hours. There’s a constant need to clear my throat. This often leads to headaches in my frontal sinuses, and worsens as I bend over. As you can imagine, this is affecting the quality of my training especially deadlifts, and squats. I have been to the ENT, he performed a laryngoscopy**,**and everything looked normal. He did not do a CT scan, and wanted me to come in when the symptoms were quite severe.

I should mention I had a concussion back in August of 2014 ( I was kicked in the neck and knocked out ) though this doesn’t feel like the same type of headache. I also got 3 severe sinus infections in 2019.

I have been searching and have come across a condition called Catarrh, though I believe this is based out of the U.K… I don’t want to WebMD my self into a diagnosis, but this has been chronic for a few years now.

Have any of you experienced any cases like this before, or have any advice on what it could be?

Thanks so much for your input.

2

Hi Lut,

We can certainly make suggestions for symptomatic control here, but I think if there is going to be an identifiable / directly treatable cause here, it would likely require evaluation by an allergist. Do you have access to this specialty where you are?

3

Hi, Dr. Baraki, thanks for the response. Yes there are specialist in my area I can go see for an evaluation. Can you recommend something to treat the symptoms in the meantime?

4

The first-line therapy for this would involve any variety of intranasal corticosteroid (e.g., fluticasone / mometasone). If severe symptoms are persistent, you can add an antihistamine nasal spray (e.g., azelastine / olopatadine) or an oral antihistamine (e.g., cetirizine / loratadine)