Allergy, Nose & Sinus

Mucous in your throat or back of your nose? You may have postnasal drip!

February 10, 2020
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Postnasal drip (PND) refers to the feeling of mucous (secretions) from the nose dripping from the back of the nose or accumulating in the throat. Many people are unaware that our nose and sinuses produces about 1-2 litres of mucous every day! Majority of the mucous flows down our throat seamlessly and we swallow most of it without being aware of its presence. However, when there is an overproduction of mucous or when the consistency of the mucous becomes thick, a person may then suffer from PND.

 

 

 

 

 

 

What causes Postnasal Drip?

 

 

Amongst the common causes of PND include:

 

 

1. Sensitive nose (Medically known as Rhinitis which can be Allergic or Non Allergic)

 

 

 

2. Sinusitis (infection of the sinuses)

 

 

3. Laryyngopharngeal reflux  (Acid reflux from the stomach to your voicebox – this does not technically cause PND but can result in a similar feeling of something stuck in the throat, commonly mistaken as a “PND”)

 

 

 

4. Dehydration

 

 

 

5. Medications (e.g blood pressure and birth control medications)

 

 

 

Why bother about PND?

 

It is an irritating symptom that can cause irritation and inflammation of the voicebox.  The voicebox is a very sensitive organ and once inflamed, it is prone to cause other symptoms like a feeling of something stuck in the throat (globus sensation), cough, sorethroat, frequent throat clearing and in some cases, hoarse voice.

 

As the nose and sinuses are the gateways to the lungs, constant dripping of unhealthy mucous from the nose can also cause inflammation of the lungs. Conditions such as sinusitis and Allergic Rhinitis have been shown to worsen Asthma and Chronic Obstructive Pulmonary Disorder (COPD).

 

 

 

How do we treat PND?

 

The treatment of PND depends on the underlying cause. For more information on the treatment of specific causes, click on the following link:

 

 

  1. Sensitive nose – https://www.drganent.com/blog/sensitive-nose-rhinitis/
  2. Sinusitis – https://www.drganent.com/blog/sinus-and-sinusitis-what-is-the-difference/
  3. Laryngopharyngeal reflux – https://doctorxdentist.com/really-causes-sore-throat-eat-much-heaty-food/

 

 

Some other general measures that can be taken to reduce or eliminate PND include:

 

1. Ensure adequate hydration – Drink enough water throughout the day (recommendation is at least 8 glasses/day, however this is not evidence based)

 

 

 

2. Stop smoking and avoid second hand smoking

 

 

 

3. Use a nasal douche (this involves washing your nose with salt solutions to help clear the thick mucous and to promote self-cleansing function of the nose and sinuses)

 

 

 

4. Use a mucous thinner (e.g. guaifenesin)

 

If you are unsure, do visit a GP or an ENT Specialist for further assessment!

 

When Should You See An ENT Specialist In Singapore?

  • Any Ear, Nose or Throat symptoms that you are troubled with or concerned of
  • Persistent blocked nose with mouth breathing or snoring

Dr Gan Eng Cern

Dr Gan Eng Cern is a fellowship trained Consultant Ear, Nose & Throat (ENT) Surgeon. He completed his ENT training in Singapore and obtained his subspecialty training in Rhinology and Endoscopic Skull Base Surgery at the world renowned St Paul’s Sinus Centre, University of British Columbia, Vancouver, Canada. He was also a Senior Clinical Lecturer at Yong Loo Lin School of Medicine at the National University of Singapore. Dr Gan was an avid researcher with numerous publications in reputable international ENT journals. He was also an invited speaker and surgical dissection teacher in many ENT conferences and courses.

Awards

  • 2020 – Reader’s Choice Gold Award for Best ENT Specialist
    (Expat Living Singapore)
  • 2016 – Best Educator Award (Eastern Health Alliance)
  • 2016 – “Wow” Award (Patient Compliment)
  • 2014 – Eastern Health Alliance Caring Award – Silver
  • 2014 – 19th Yahya Cohen Memorial Lectureship (awarded by the College
    of Surgeons, Academy of Medicine Singapore for best scientific surgical
    paper)
  • 2012 – Human Manpower Development Award (Ministry of Health,
    Singapore)
  • 2007 – Singhealth Best Doctor Award

Qualifications

  • MBBS - Bachelor of Science, Bachelor of Medicine, Bachelor of Surgery (University of New South Wales, Sydney, Australia)
  • MRCS (Edin) - Member of the Royal College of Surgeons Edinburgh, United Kingdom
  • MMed (ORL) - Master of Medicine in ENT (National University of Singapore)
  • FAMS - Fellow of the Academy of Medicine Singapore

Why Choose Dr Gan Eng Cern

1

Reliable & Reputable ENT Expert

Experienced and patient ENT Specialist who has your best interests at heart. We aim to provide you with accessible and specialized care for any ENT condition in a comfortable setting.

2

Friendly & Helpful Clinic Staff

Our friendly staff will assist you to the best of our ability and we are happy to accept most insurance providers and assist with E-filing with relevant insurance providers or Medisave.

3

Advanced ENT Equipment & Fully Equipped Facility

Our ENT Specialist, Dr Gan Eng Cern, will be able to diagnose and offer personalised treatments for your specific ENT condition. You can expect a high level of ENT care in a spacious setting with in-house minor surgical, endoscopy, allergy testing and microscopy services.

4

Financial Options

There are various financial options available for you to ensure that you are able to receive the most optimal treatment and care. Our ENT clinic staff will be able to assist you with your medical insurance claims and work with your chosen healthcare organization to minimize the hassle and paperwork required. In some cases, you may be able to utilise the funds in your Medisave account to defray part of the costs of your treatment. As our clinic is accredited by the Medisave board, we are able to process your claims from your Medisave for certain clinic procedures.

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