Pharyngitis. Continue treatment

Dear Patient, Your symptoms are more suggestive of post-nasal drip/allergic throat irritation than a lung problem, especially with normal X-ray and PFT. An ENT examination is reasonable if symptoms persist. Hydration, saline gargles, and avoiding dust/cold exposure may help. If symptoms continue, a detailed online consultation can help review allergy, reflux, and treatment response properly. Dr. Utkarsh Shrivastava Internal Medicine Specialist

Consult with your ent doctor.you need physical examination.

Your symptoms could be due to post nasal drip.Take a combination of first generation antihistamine and pseudoepedhrine ,duonase nasal spray,a short term prednisolone tablet, continue with seritide

This can happen due to post-nasal drip or throat allergy causing mucus irritation and cough urge. Steam inhalation, warm fluids, and avoiding dust/cold drinks may help. If symptoms persist, an ENT check may be useful. Please consult me for proper evaluation and treatment.

Do consult

Based on your symptoms and the normal chest X-ray and Pulmonary Function Test, the problem is unlikely to be from the lungs. The pattern you described strongly suggests irritation from the upper airway rather than a pulmonary disease. The most common causes for these symptoms are Postnasal Drip Syndrome and Allergic Rhinitis. In postnasal drip, mucus from the nose and sinuses slowly drips toward the throat causing throat irritation, a constant urge to cough, and the sensation of something stuck in the throat. The small bumps you see at the back of the throat are often due to lymphoid tissue enlargement from chronic irritation, medically called cobblestoning. The fact that cough is mostly during the day and minimal at night also supports an upper airway cause rather than asthma or lung disease.

Could be a post nasal drip. Get complete blood count done and share results. Tab augmentin 625mg one morning and one evening for 5days. Tab combiflam one every 8hours for 3 to 4 days, after meals. Continue KLM for, Tab tusq lozenges, 2 to 3 times daily. Instead of Seretide accurate, try doing steam inhalation with karvol capsule,  3 times daily, that will clear blocked nose.

Most likely diagnosis: Post-nasal drip due to allergic rhinitis / allergic pharyngitis. Throat irritation, mucus in throat, daytime cough, normal chest X-ray and PFT suggest upper airway cough syndrome rather than lung disease. Advice (short): Continue antihistamine Saline nasal spray/steam inhalation Avoid dust, cold drinks, allergens ENT consultation may help; nasal endoscopy only if symptoms persist.

Its due to post nasal drip, examination will suffice

Your symptoms strongly suggest Upper Airway Cough Syndrome (post-nasal drip) or allergic pharyngitis rather than a lung disease. This is supported by your above mentioned findings.

Need a few more details please consult for further evaluation and treatment

Your symptoms are most suggestive of post-nasal drip / allergic pharyngitis, especially since your chest X-ray and pulmonary function test are normal.The feeling of mucus in throat, throat irritation, small bumps at the back of throat (lymphoid follicles), and daytime cough with minimal night symptoms commonly occur with upper airway allergy or post-nasal drip.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Yes consult ENT surgeon for physical examination