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Post natal drip cough
My mom is 56 years.. She is having white mucus coming in her throat due to which she has to cough and spit.. She has taken antibiotics twice.. But the cough does not stop.. She gets cough when walking fast or doing some activity. And also sometimes while sleeping at night...This is happening since three months.. What should she do?
Answers (13)
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Three months of white mucus in the throat with cough on exertion and at night is not an infection any more - two courses of antibiotics have already proved that. This pattern is usually post-nasal drip from allergic rhinitis or sinusitis, and often there is a cough-variant asthma or acid reflux component on top. What helps: a daily steroid nasal spray (fluticasone/mometasone, two sprays each nostril, used for at least 4-6 weeks), saline nasal wash twice a day, montelukast with levocetirizine at night, and avoiding late heavy dinners. Because she gets cough specifically on walking fast, she needs a chest X-ray and spirometry (PFT) to rule out asthma or COPD rather than more antibiotics.
Next Steps
Stop further antibiotics, start the nasal spray plus saline washes, and get a chest X-ray with spirometry done. Bring the reports to a Practo consult with me or to Synergy Multispeciality Hospital, Miraj; if she coughs blood, loses weight or gets breathless at rest, she needs to be seen the same day.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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White mucus dripping into the throat with a cough that worsens during activity and doesn't respond to antibiotics sounds like post-nasal drip. This is often allergic or sinus-related rather than infectious.
Next Steps
She should see an ENT specialist. They can check for sinusitis or an allergic cause and treat accordingly.
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