The nose runs down the back wall. Mucus on the back of the throat: causes and treatment

The mucous membrane of the nasopharynx constantly produces a mucous secret that moisturizes it and protects it from external negative influences. A healthy person does not notice this: the resulting mucus does not bother him at all. At the slightest inflammation, for example, a common cold, there is a lot of secretion, snot flows down the back of the throat, causing discomfort in a person. These phenomena are usually accompanied by constant nasal congestion, coughing at night, discomfort in the throat.

The cause of inflammation of the respiratory system are various infectious diseases. The mucous secret is a favorable environment for the growth and development of pathogenic microbes. Especially dangerous is the accumulation of mucus for newborns and infants. So that they do not suffocate and do not choke, it is urgent to take action and call a pediatrician.

Specialists after carrying out diagnostic measures, including examination, examination and a number of tests, identify lesions of the nasopharynx, tonsils, lymphopharyngeal ring and make a diagnosis of nasopharyngitis. Symptomatic treatment brings only short-term relief. After a while, the snot in the throat will appear again. To permanently get rid of such a problem, it is necessary to carry out etiotropic therapy that eliminates the cause of the pathology.

Etiology

The nose is covered from the inside with a mucous membrane, which, when inflamed, swells, swells and becomes loose. Such processes are clinically manifested by nasal congestion and impaired nasal breathing. In the nasopharynx, exudate, which is a mucous secret, begins to be actively produced. Part of it comes out in the form of snot. This is a natural process of cleansing the respiratory tract. The other part of the secret flows down the back of the throat and accumulates in the throat. The patient is forced to constantly expectorate and spit it out. This is how rhinopharyngitis develops.

The process of mucus formation protects the body from penetration into the deeper layers of microbes that have entered the body from the outside. This viscous substance prevents the development of infectious pathology of the bronchi and lungs. The mucous membrane of the nasopharynx produces a lot of secretion when the room is too hot. So it is protected from dryness.

Rhinopharyngitis in itself is not a dangerous disease. It does not cause serious harm to health. But in the absence of timely treatment, a chronic process is inevitable. A chronic focus of infection in the body is a factor that suppresses the immune system and provokes the development of complications. Bacteria with blood flow are carried throughout the body, penetrate to various organs, including the membranes of the brain.

Mucus flows along the back wall of the nasopharynx with ENT diseases - as well as with damage to the bronchopulmonary apparatus.

The reason for the abundant secretion production is also:

1. Children's diseases -, and,
2. Congenital anomalies of the nasopharynx, for example,
3. Neoplasms in the nasal cavity - tumors, cysts, polyps,
4. laryngopharyngeal reflux,
5. Diverticulum of the esophagus.

Factors contributing to the development of pathology:

• Pathogenic biological agents - bacteria, viruses, fungi, mycoplasmas, chlamydia,
• Local and systemic hypothermia,
• foreign bodies,
• Long-term use of certain antibiotics
• Traumatic injury to the nose
• Allergy,
• Immunodeficiency,
• hypovitaminosis,
• Nervous strain, bursts of emotions,
• Hormonal imbalance in the body
• Spasm of capillaries in the nose with VVD,
• tobacco smoking,
• dehydration of the body,
• Pregnancy,
• alcohol abuse,
• Frequent use of decongestants.

The external environment often has a negative impact on the human body, which often leads to excessive formation of mucus in the nasopharynx. Negative exogenous factors include:

1. unfavorable ecological situation,
2. Poor social and living conditions,
3. Exposure to chemicals and toxic substances at work,
4. Dust and gas content in the air.

Regardless of the reason that caused the abundant formation of mucus, it is necessary to visit a doctor and undergo a course of prescribed therapy. Only a qualified specialist can identify the etiological factor of the problem and eliminate it after examining and examining the patient. This should be done as soon as possible to prevent the development of a chronic disease in the body.

Symptoms

Diseases, manifested by the flow of mucus from the nose into the throat, have a number of accompanying symptoms. Usually these are clinical signs of catarrhal syndrome.

The first complaint of patients is constant discomfort in the nasopharynx. They have itches and scratches in the throat, burns, scratches and tickles the back of the throat, the nose is blocked, the voice is hoarse. Frequent coughing gradually turns into a painful paroxysmal cough with some mucous sputum, which occurs mainly at night and in the morning. Some patients at the doctor's office claim that they have a lump in their throat. With the progression of the pathology, the throat begins to hurt, which significantly disrupts the processes of eating and communicating. When a secondary infection joins, the sputum becomes purulent, and the patient's mouth smells bad. Nasal congestion due to swelling of the mucous membrane makes it difficult to breathe at night, snoring occurs. Patients are forced to breathe through the mouth.

Clinical manifestations become more intense when the person lies down. This usually happens at night and in the morning, immediately after waking up. Mucus in a dream flows from the nose into the throat and partially enters the larynx, where it irritates the receptors and causes a coughing fit. During the day, when a person is awake, he simply does not notice the flow of mucus. It gets into the throat and is swallowed. This process is usually not accompanied by a cough.

If the symptoms listed above do not go away within a few days and get worse, you should consult a doctor.

Signs of catarrhal syndrome are often accompanied by manifestations of intoxication and general asthenia. This occurs when a bacterial infection is layered, when the patient constantly breathes through his mouth.

Symptoms of intoxication syndrome:

• High body temperature,
• Chills,
• myalgia, arthralgia,
• Bad feeling,
• Headache,
• dyspepsia,
• Lack of appetite,
• Trembling of hands and feet
• seizures,
• Hyporeflexia.

Symptoms of asthenic syndrome:

1. Weakness, lethargy,
2. Prostration,
3. progressive apathy,
4. Loss of interest in hobbies or work
5. Sleep disturbance,
6. Decreased performance,
7. inexplicable irritability,
8. Failure of the digestive tract.

If treatment is not started on time, the infection will spread further, which will lead to the development, and then. That is why it is very important not to ignore such a seemingly harmless symptom as the flow of mucus along the back of the nasopharynx.

Diagnostics

An ENT doctor is engaged in the diagnosis of diseases manifested by the formation of mucus in the nasopharynx. He examines the patient, conducts rhinoscopy, pharyngoscopy and endoscopic examinations of these organs, if necessary. To make a diagnosis, you need the results of laboratory tests - blood, sputum, nasopharyngeal discharge, throat swab.

The snot themselves will tell you about the presence of certain diseases. By their appearance and consistency, one can assume the type of ailment.

• Watery clear mucus is a sign of an allergy, viral infection, or nasopharyngeal dysbiosis.
• Thick yellow or greenish snot indicate bacterial inflammation.
• A white nasal secret is formed with adenoids and nasal polyps.
• Brown or yellow nasal discharge occurs in smokers.

Rhinoscopy allows you to detect hyperemia and swelling of the nasal mucosa, as well as mucus flowing down the back wall of the nasopharynx. During pharyngoscopy, the doctor reveals a red back wall of the throat, a loose and edematous mucous membrane with lumps of mucus on the surface. Endoscopy allows using a thin tube with a video camera at the end to display signs of damage on the monitor. Endoscopy is the most commonly used. It is the most informative, reliable and painless. Computed tomography and radiography of the nasopharynx are performed according to indications.

Laboratory diagnostics starts with a complete blood count. With bacterial inflammation in the blood, the number of leukocytes increases, the formula shifts to the left, and the ESR increases. Allergies show eosinophilia. Signs of a viral infection - lymphocytosis, leukopenia, monocytosis, neutropenia.

When doctors suspect a bacterial lesion of the respiratory system, the patient is sent to a microbiological laboratory to be tested for the microflora of the nasopharynx. For this, biomaterial is used: nasal discharge, sputum, throat swab. Sowing is carried out on selective and differential diagnostic media. Cups and test tubes are placed in a thermostat for incubation. Then they study the nature of growth, microscopically grow colonies, and isolate a pure culture. After complete identification of the microorganism, its sensitivity to antibacterial drugs and bacteriophages, if possible, is determined. Based on the results of the antibiogram, a drug is selected for etiotropic antimicrobial therapy.

Sometimes specialists require immunogram data and allergological tests to make a diagnosis and prescribe treatment. The results of these analyzes are of secondary importance.

General principles of treatment

Treatment of rhinopharyngitis is complex, including local agents and systemic therapy. The treatment regimen is selected by the ENT doctor after determining the cause of the pathology. More often it is necessary to treat viral infections, less often - bacterial and fungal inflammation, as well as allergies.

Patients are prescribed the following groups of drugs:

1. Antibiotics for acute bacterial inflammation of the nasopharynx - nasal drops "Framycetin", "Neomycin", sprays "Isofra", "Polydex"; oral administration and intramuscular administration of antibiotics is indicated in advanced cases - Azithromycin, Amoxiclav, Ceftazidime;
2. Local antiviral agents - spray "IRS-19", drops "Grippferon" and "Interferon", ointment "Oxolinic", tablets "Anaferon", "Citovir", "Ingavirin";
3. Vasoconstrictor nose drops with different active ingredients - "Rinonorm", "Tizin", "Nazivin", "Naftizin";
4. Moisturizing drops and sprays are used for therapeutic and prophylactic purposes for washing the nasal cavity - Aqualor, Aquamaris, Dolphin;
5. Drops with an antihistamine component - Vibrocil, Rinofluimucil, systemic desensitizing drugs - Suprastin, Cetrin, Tavegil;
6. Hormonal preparations - "Flixonase", "Tafen", "Nasonex";
7. Anti-inflammatory drops - "Protargol", "Sialor", "Kollargol";
8. Sprays for the throat - "Ingalipt", "Kameton", "Geksoral";
9. Antipyretics are indicated for fever - Ibuprofen, Nurofen, Paracetamol;
10. Moisturizing oil drops - "Pinosol";
11. Mucolytics for better expectoration of mucus - "Ambrobene", "Flyuditek", "Lazolvan";
12. Immunomodulatory drugs - "Bronchomunal", "Likopid", "Ismigen";
13. Homeopathic remedy for the treatment of any type of rhinitis - Euphorbium compositum spray;
14. Multivitamin complexes.

Inhalations- the main physiotherapeutic method of treatment, which contributes to a better discharge of sputum and helps to cure viscous snot. Patients are prescribed inhalations with saline, baking soda, essential oils, infusions and decoctions of medicinal herbs, mucolytics "Lazolvan", "Rinofluimucil", antibiotics.

Other physiotherapeutic methods used to treat an inflamed nasopharynx include: electrophoresis, UHF, laser exposure, UV radiation, paraffin applications on the nose, ultrasound.

If the cause of mucus flowing down the back of the pharynx is neoplasms, adenoid vegetations, or a curvature of the nasal septum, surgery is necessary to correct such defects.

Folk remedies used to treat snot:

1. The room in which the patient is located should be clean and ventilated, and the air in it should be humidified.
2. The optimum air temperature in the room is not higher than 22-23°C.
3. A sufficient amount of fluid to drink is 1.5-2 liters per day. It is recommended to drink water, fruit drinks, freshly squeezed juices, green tea, compotes.
4. A balanced diet with a sufficient amount of proteins, vitamins and microelements in the diet has a positive effect on the entire body, including the immune system, which will more actively fight infection.
5. A high pillow reduces the risk of suffocation during sleep.
6. In allergic rhinopharyngitis, contact of the patient with allergens should be excluded.

The mucus that has accumulated in the nasal cavity subsequently leaves it in two ways: it flows down the back of the pharynx or is brought out through the nasal passages. When a lot of mucous secretion is formed, it does not have time to be excreted, thickens and becomes infected, causing rhinopharyngitis, the symptoms of which cause a lot of problems for sick people. If you start the treatment of the disease in time, you can prevent the development of dangerous diseases.

Prevention

Precautions to avoid accumulation of mucus in the nasopharynx:

• Immunity strengthening - hardening, healthy lifestyle, physical activity,
• Proper nutrition, enriched with vitamins and minerals,
• Sanitation of foci of infection in the body,
• Temperature and humidity control in the room,
• Regular cleaning and periodic airing of the room,
• Timely treatment of SARS,
• Correction of defects in the nasal cavity,
• Exclusion of contact with allergens,
• smoking cessation,
• Protection of the body from drafts,
• Wearing clothes for the weather
• Compliance with the rules of personal hygiene.

Mucus flowing down the back of the pharynx is a common phenomenon that goes away on its own after the elimination of provoking factors. In advanced cases, serious complications can develop. To protect yourself from discomfort in the nasopharynx, you need to find out the cause of the pathology and follow all medical prescriptions.

Video: mucus flows along the back wall, how to treat and what to do?

After suffering viral infections, patients often complain that recovery does not occur in any way, and mucus constantly flows down the back of the throat. The residual effects of the disease sometimes last for a long time, delivering not only unpleasant symptoms, but also anxiety in patients.

There is a medical term - "postnasal syndrome", which implies the residual flow of mucus after suffering diseases of the nasopharynx. This syndrome causes a reflex cough. The patient constantly wants to cough up and spit out mucus. Cough is often obsessive or has a paroxysmal form (more often in the morning and at night).

During the day, the mucus is voluntarily swallowed, and at night the mucus accumulates and causes a violent cough, in some cases causing a gag reflex.

Causes of mucus dripping down the back of the throat

Usually, postnasal syndrome is associated with subacute or chronic forms of diseases: adenoiditis, nasal polyps, rhinitis, sinusitis, sinusitis, pharyngitis, and in some cases it occurs with diseases of the esophagus and stomach.

Of no small importance for the development of conditions for prolonged drainage of mucus are unfavorable working and living conditions:

• polluted environment,
• work at hazardous production facilities,
• smoking,
• dry indoor air
• insufficient drinking regime.

Hormonal imbalance in the body, drug abuse can also contribute to the long-term flow of mucus down the back of the throat.

Symptoms

At the doctor's appointment, patients complain of constant slipping of mucus in the throat, coughing, tickling, scratching. On self-examination of the throat, the patient sees white mucus flowing down the back of the throat. In the morning there is a large accumulation of mucus, a lump in the throat and discomfort. The patient expectorates large clots of mucus. On examination, inflammation of the throat is not detected.

Sometimes the patient has signs of nausea after spitting out the discharge. In children, this process often ends with vomiting. Difficulty breathing, bad breath, hoarseness, snoring, nasal congestion may develop.

Stagnation of mucus in the nasopharynx leads to chronic pharyngitis and tonsillitis. The flowing mucus constantly irritates the pharynx and creates a favorable environment for the vital activity of bacteria.

Related article - The largest list of cheap but effective drugs for dry and wet coughs.

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Treatment for flowing mucus in the throat

If mucus flows down the back of the throat, then, most likely, the treatment will be aimed not only at the local elimination of symptoms, but also at restoring the body's defenses.

In the allergic nature of the disease, antiallergic drugs are used. Inside use claritin, erius, tavegil and other drugs. Nasal glucocorticosteroids - avamis, nasonex, flixonase and anti-allergic drops - cromohexal are instilled into the nose.

How to use Erius to treat mucus in the throat - read here.

In some cases, the effect is achieved only with the use of drugs. On their withdrawal, the symptoms return. In such cases, a comprehensive examination, consultations of an allergist and an immunologist are necessary.

In case of chronic infection, confirmed by laboratory, courses of antibacterial and immunomodulating therapy are used. Antibiotics are selected by the ENT, given the sensitivity to drugs. For this, a bacteriological culture is first made from the nose and throat. To increase the body's defenses, imudon has proven itself well.

In some cases, they resort to surgical intervention in ENT practice. Correction of violations in the structure of the nasal septum, removal of polyps and other ENT defects, promotes proper ventilation of the nasal sinuses and elimination of postnasal edema.

It happens that mucus flows down the back of the throat, but there is no snot. In the absence of diseases of the ENT organs, you should be examined by a gastroenterologist. With a pathology such as reflux esophagitis, the patient may have similar symptoms.

If the mucus that accumulates in the throat has a green tint, then we recommend that you read the article.

Treatment of flowing mucus in the throat in children

For children, drugs are used that are approved for use in pediatric practice. The doctor prescribes a dose of medicine according to the age and weight of the child.

To get rid of mucus in the throat of a child, the following therapy is used:

• gargling with saline solutions (aquamaris), sea salt, you can also use infusions of chamomile, eucalyptus and calendula;
• rinsing with dolphin (a preparation based on licorice and rosehip extracts);
• antihistamines that will help remove swelling of the mucosa, these include drugs: loratadine, erius, claritin, tavegil and others;
• sprays based on glucocorticosteroids: flixonase, aldecine, amavis and nasonex;
• correction of immunity (interferon, imudon);

• air humidification;
• polydex (to reduce the mucous discharge from the nose);
• sinupret - thins mucus and relieves inflammation;
• antibacterial therapy (augmentin, amoxiclav, azithromycin, zinnat, flemoxin solutab and others);
• surgical treatment of ENT diseases that cause prolonged flow of mucus along the back of the pharynx.

If you are worried about white lumps in your throat, then this may be a symptom of tonsillitis - the causes and treatment of white lumps.

How to get rid of mucus in the throat at home?

In the home first aid kit you can always find chamomile, furatsilin, potassium permanganate. Any of these products are great for gargling, nasal washes, and for disinfecting any wound surfaces.

Potassium permanganate is diluted in water at room temperature to a pale pink color. Rinsing should be carried out 1-2 times a day, provided that there is no dryness in the throat.

Furacilin (tablet) is dissolved in a glass of warm water. Procedures are carried out three times a day. If gargling does not give the desired effect, try pouring the solution through the nose using a pipette or a disposable syringe. Inject 1-2 ml of the solution into each nostril.

Prepare an infusion from chamomile: pour 200 ml of boiling water over a dessert spoon of flowers, leave for 30 minutes. Gargle several times a day.

You can get rid of flowing mucus using this recipe: in warm water (200 ml), dissolve an incomplete teaspoon of salt and soda, mix. Add 3-4 drops of iodine to the mixture.

Rinse in the morning and evening. We described the exact proportions and other recipes for gargling in this article.

Drink warm milk with honey before bed. Put in it: butter (5 grams), a pinch of soda, a teaspoon of sage infusion. Continue this treatment for a week.

There are many other recipes using honey, which we described in this article.

Good results in the fight against flowing mucus are given by rinsing with 3% hydrogen peroxide. If there is no allergic reaction to peroxide, then the solution can not be diluted. It is also recommended to dilute the peroxide with plain water. For example, take 100 ml of water per tablespoon of peroxide.

Treatment at home will be effective if the patient follows the regimen of all procedures. Disposable and rare rinses will not bring any benefit. Careless attitude to one's health always leads to chronic processes and a long period of recovery after illnesses!

Mucus in the throat - what is the symptom

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A condition in which snot flows along the back of the pharynx is often noted in children after untreated viral infections. Full recovery does not occur for a long time, and the flowing mucus causes coughing and a feeling of discomfort.

Also, the draining of excess mucus along the trachea can be observed in acute or chronic bacterial lesions, in which case it has a green or yellow color. To save the baby from unpleasant symptoms, it is important to know how the snot is treated correctly in this case and what causes them.

Why does mucus flow down the throat?

With infection, injury, or irritation with allergens, excess mucus secretion occurs. Muconasal mucus (colloquially referred to as snot) accumulates in the back of the throat and drains into the esophagus, which provokes a cough reflex. Particularly disturbing is the obsessive, paroxysmal cough in the morning and at night, because in a horizontal position, excess mucus accumulates in the airways.

In medical terminology, this phenomenon is called "postnasal drip syndrome" or (Drip - syndrome, English postnasal drip). The likelihood of developing an unpleasant symptom increases with non-compliance with the drinking regime and low humidity in the room.

There are four main reasons for the development of pathology.

Otitis media

A narrow passage called the Eustachian tube connects the middle ear to the back of the throat and nose.

Its function is to control the air pressure inside the middle ear. The Eustachian tube can become inflamed on its own or blocked by swollen sinuses in the nose and throat (often due to a cold or flu).

A blocked tube narrows and loses its function. Negative pressure is created and fluid fills the middle ear space. Here it stagnates, which leads to the growth of the bacterial flora and the formation of even more mucus, the excess of which flows down the walls of the throat. Pathology is characterized by the complete absence of snot in the nose, but their abundance in the throat.

Allergy

Allergic rhinitis occurs when the immune system reacts to particles with a specific protein structure often found in pollen, mold, plants, animal hair, dust mites, insect venoms, foods, and chemicals.

During an allergic reaction, antibodies specifically attach to mast cells in the skin, lungs, and mucous membranes, causing the release of histamine. Histamine is a hormone that dilates blood vessels and causes the sinuses (sinuses) to swell.

The nasal passages in children are narrow by nature, but under the influence of histamine they become even narrower, and the secretion of mucus increases. Its excess, not finding a way out through the nose, begins to drain into the throat along the back wall.

Sinusitis

Inflammation of the paranasal sinuses (sinuses) occurs due to their bacterial infection. The result of this process is increased snot production and swollen lining of the sinus cavities.

Since children's sinuses are not fully developed until late adolescence, the pathology progresses easily and mucus completely blocks the nasal passages. Finding no other way out, thick snot begins to flow down the back wall of the nasopharynx, provoking a cough.

Neoplasms and foreign objects

A nasal polyp grows more often in one of the nostrils and is a common problem in children aged 6 months to 5 years.

Such a neoplasm is almost always benign and does not pose a direct threat to health, however, it leads to further complications, such as nasal congestion, mouth breathing, sleep apnea (stopping nose breathing for more than 10 seconds) during sleep.

The polyp narrows the nasal passage, and the mucus flows "in the opposite direction" along the back of the throat. Depending on the depth of the location, it can be removed in the ENT office or a surgeon will need to intervene.

A similar effect is brought by foreign objects stuck in the nose. These can be small parts of toys, grains, beads, food particles, and other household trifles. In most cases, removing the object relieves the symptoms for the child.

In addition, postnasal syndrome can be a symptom of subacute and chronic inflammatory processes in the nasopharynx, namely:

• pharyngitis;
• adenoiditis;
• sinusitis;
• back rhinitis.

According to medical statistics, it is posterior rhinitis and otitis media that are most often manifested by similar symptoms.

What is posterior rhinitis?

Posterior rhinitis (otherwise nasopharyngitis) is an inflammation of the mucous membrane of the nasal passages, the back wall of the throat and the pharyngeal ring. The main difference between rhinopharyngitis is that the mucus is so abundant that it does not come out of the nasal passages (as with rhinitis), but flows down the wall of the larynx, which makes it difficult for a child to blow his nose.

Rhinopharyngitis according to the type of pathogen is classified into:

• viral (causative agents - rhinoviruses, coronaviruses);
• bacterial (causative agents - staphylococci and streptococci);
• allergic (occurs in response to exposure to an allergen).

According to the nature of the course of the inflammatory process, posterior rhinitis can be acute (lasting up to 7 days) or chronic (more than a week).

The risk of developing the disease in a child increases with a weakened immune system, beriberi, physical and emotional overwork, hypothermia, and poor hygiene.

Characteristic symptoms

When the snot flows along the back wall of the larynx, irritation of the mucosal receptors of the upper respiratory tract occurs, which is manifested by perspiration, tickling, discomfort in the throat, a feeling of a lump, especially in the morning after waking up.

Additional symptoms of pathology also include:

• reflex cough - dry or with sputum discharge (occurs mainly at night, since mucus flows down the throat in the supine position);
• a feeling of nausea (in children often ends with vomiting);
• nasal congestion, difficulty breathing;
• mild or full of snot;
• hoarseness of voice;
• bad breath;
• snore.

In young children, nasopharyngitis is quite difficult to recognize - since mucus flows down the respiratory tract, inflammation is not accompanied by a runny nose.

The mucus accumulating in the nasopharynx and lower respiratory tract becomes a favorable environment for the development of bacterial pathogenic flora. The result may be the development of chronic inflammation of the throat (pharyngitis) and palatine tonsils (tonsillitis), acute inflammation of the middle ear (otitis media), bronchial tubes (bronchitis).

Diagnostics

Before treating snot flowing down the back of the throat, it is important to accurately determine the cause of the development of inflammation. The initial examination is carried out by an otorhinolaryngologist.

Next, it is necessary to conduct a differential (by exclusion) diagnosis among numerous diseases of the upper respiratory tract, to exclude the pathology of the tracheobronchial tree and the digestive tract. Only after finding out the cause, the doctor will prescribe an effective treatment.

The diagnosis is made according to the results of the following studies:

• visual examination of the child by an otorhinolaryngologist, analysis and evaluation of complaints of a small patient;
• rhinoscopy (examination and assessment of the condition of the mucous membrane of the nasal passages, nasal septum);
• in some cases, a picture (x-ray) of the paranasal sinuses may be required;
• endoscopy, computed tomography, laboratory diagnostic methods, including bacteriological studies and allergy tests.

In rare cases, the phenomenon of postnasal syndrome is in no way associated with inflammation of the nasopharynx, it develops against the background of diseases of the esophagus, lungs and stomach. If the otorhinolaryngologist does not reveal any problems in the child, it may be necessary to consult other specialists - a pulmonologist, a gastroenterologist, a maxillofacial surgeon.

Conservative treatment

Treatment of snot flowing down the back of the throat in children is aimed at both eliminating an unpleasant symptom and strengthening the body's immune system. When choosing the optimal therapeutic regimen, the cause of the development of the disorder must be taken into account.

Drug therapy includes the appointment of several groups of drugs:

• Salt solutions (Aquamaris, Marimer) in the form of nasal drops or spray. Clear the nasal passages of mucus and infectious microorganisms, facilitate breathing.
• Vasoconstrictor drops or sprays (Nazivin, Nazol, Tizin, Vibrocil). Suppress the production of snot, reduce swelling of the nasal passages, facilitate breathing.
• Nasal glucocorticosteroids (Nasonex, Flixonase). Reduce inflammation and swelling of the nasopharyngeal mucosa. They are prescribed for severe inflammation.
• Solutions for gargling (infusions of calendula, chamomile, eucalyptus, sea salt solution). They have an antiseptic effect, suppress the development of pathogenic flora.
• Immunostimulating drugs. Means are prescribed to strengthen local (Imudon, Broncho-munal) and general (interferon preparations) immunity.
• Antibiotics. They are prescribed for the bacterial nature of inflammation. Preparations are selected individually, taking into account the sensitivity of the pathogen identified by bacteriological analysis. If a laboratory study has not been conducted, antibiotics of the widest possible spectrum of action are prescribed (most often it is Amoxiclav, Augmentin, Sumamed, Zinnat, Flemoxin solutab, Azithromycin).
• Antihistamines (Claritin, Erius, Allerzil, Cetirizine). They are prescribed to reduce swelling of the nasopharyngeal mucosa for children in the form of drops or syrups, for adolescents - in tablets or capsules. If the inflammation is of an allergic nature, it is important for successful treatment to identify and exclude contact with the trigger.
• Mucolytics. Means contribute to the liquefaction and discharge of nasal mucus produced. Often in pediatric practice, the herbal preparation Sinupret, products based on ambroxol (Lazolvan), acetylcysteine ​​(ACC) are used.
• Anti-inflammatory antipyretic drugs (Panadol, Nurofen). Recommended only if the inflammation is accompanied by fever and body aches.

If the cause of the development of posterior rhinitis is enlarged adenoids or palatine tonsils, polyps in the nasal passages, curvature of the nasal septum, surgical intervention is performed.

ethnoscience

Traditional medicine also helps to get rid of mucus in the throat. But it is important to understand that treatment with folk remedies is only an auxiliary method that complements the main therapy.

Most often, for the treatment of snot in a child flowing down the wall of the pharynx, the nose is washed:

• saline solution (dissolve a teaspoon of salt in a glass of water);
• infusion of sage (pour a tablespoon of herbs with a glass of boiling water, leave for 2 hours, strain);
• infusion of chamomile (pour a tablespoon of herbs with a glass of boiling water, leave for half an hour, strain).

The throat is gargled several times a day:

• a weak solution of potassium permanganate;
• furatsilina solution (dissolve 1 tablet in a glass of warm water);
• saline solution with soda and iodine (in a glass of warm water, dissolve a teaspoon of soda and salt, add 2-3 drops of iodine).

It is also recommended to drink a glass of warm milk with honey, sage extract and butter (a teaspoon each), soda (a pinch per glass) before going to bed for a week. The tool helps to thin and expel accumulated mucus.

Preventive measures

To prevent the development of posterior rhinitis in a child, it is important:

• observe the temperature and humidity regime in the children's room, regularly ventilate the room, carry out wet cleaning;
• make sure that the child drinks enough fluids;
• avoid hypothermia of the child's body;
• provide the baby with a balanced diet;
• strengthen immunity (vitamin complexes, daily walks in the fresh air, sports, hardening procedures will help);
• timely treat other diseases of the ENT organs.

To cure snot flowing down the back of the throat, it is necessary to determine the exact cause of the problem. How to treat posterior rhinitis in a child should be determined by the doctor after making an accurate diagnosis.

The lack of timely and proper medical care can lead to the development of serious complications from the respiratory system, and the deterioration in the quality of sleep due to reflex night cough can cause a violation of the physical and mental development of the baby.

Mucus in the throat (postnasal drip syndrome)

Nov 21, 2017Yulia Astafieva

You can suspect a baby of postnasal syndrome if he does not sleep well at night, coughs hoarsely, his nose is clogged. The syndrome is not classified as an independent disease, it can develop in parallel with inflammatory diseases of the nasopharynx of an infectious or chronic nature. Postnasal drip syndrome affects children weakened by the disease. Diseases preceding the syndrome:

• vasomotor rhinitis;
• bacterial sinusitis;
• sinusitis caused by a fungal infection;
• various anomalies of the nasopharynx.

How do you know if your child has postnasal drip syndrome?

Postnasal syndrome is accompanied by a viscous secretion from the nasal cavity or from the nasopharynx. Muconasal mucus flows down the back of the throat. Getting on the mucous membrane of the throat, the secret provokes a cough. Moreover, cough in children is usually observed at night and in the morning immediately after sleep.

At night, when the child's body is in a horizontal position, nocturnal secretions accumulate in the area of ​​the vocal cords, irritate the reflexogenic zones, and cause coughing. During the day, being in an upright position, the child almost does not cough. He reflexively swallows a viscous mass, she does not have time to get to the area of ​​the vocal folds and cause irritation.

Postnasal drip syndrome is characterized by a dry nocturnal cough. Wheezing in children is not observed. In many patients, cough is the only symptom. Morning cough in children is often accompanied by vomiting due to coughing up a large amount of mucus. The color of the separated secret is yellow or yellow-brown.

Diagnostics

Postnasal drip syndrome is accompanied by signs similar to many other diseases:

• chronic bronchitis;
• bronchial asthma;
• SARS;
• gastroesophageal reflux;
• allergies;
• infectious diseases (tuberculosis, whooping cough);
• sinusitis.

A visual examination of the baby may not be enough to establish an accurate diagnosis. Complete data is collected through a detailed examination. Diagnostics may include:

• cough analysis (characteristics, duration);
• rhinoscopy;
• pharyngoscopy;
• laryngoscopy;
• blood analysis;
• swab for whooping cough;
• mucus research;
• allergy tests;
• respiratory endoscopy.

Accurate diagnosis can clarify the nature of the cough, clarify the symptoms and treatment of the patient. Proper therapy will help to quickly relieve unpleasant symptoms:

• bring down the temperature;
• relieve headaches;
• improve night sleep.

How to treat children

Postnasal drip in children usually occurs against the background of chronic diseases. The doctor determines the direction of therapy based on their nature, the goal is the treatment of snot along the back wall of the child. Treatment for babies should be gentle, as the tissues of the children's nasopharynx are tender and sensitive.

It is necessary to treat snot along the back wall in the most reliable way - by washing. Many children have allergies. To exclude allergic reactions in infants, doctors recommend using saline solutions for washing.

Saline solutions will not harm children, they are not toxic, they act as mild antiseptics. For washing the throat and nasopharynx, solutions of furacilin or potassium permanganate can be used. Cleanse the throat, relieve inflammation of herbal infusions of chamomile, sage. Pharmaceutical preparations containing sea salt in their composition help to cure snot in a child.

Mucolytics are prescribed to thin the mucus. They facilitate treatment, improve the discharge of nasal secretions. Children are usually prescribed the herbal preparation "Sinupret", "ACC", "Lazolvan". Antipyretic drugs are needed for inflammation of the nasopharynx, occurring with temperature. From heat and body aches, Nurofen or Panadol is prescribed.

Inhalation

Doctors recommend treating the syndrome with inhalation. When there is a small child in the house, it is worth buying a nebulizer - an inhaler. A nebulizer helps treat a runny nose. The solution (4 ml) is poured into a container, a mask is put on the patient, the device is turned on for 5 minutes. The baby breathes healing vapors. Doctors recommend solutions of the following drugs for inhalation from mucus drainage:

• Lazolvan;
• Ambrobene;
• Fluimucil;
• Bromhexine.

Before the procedure, the baby needs to take the temperature. Parents should not forget that inhalation is contraindicated at elevated temperatures.

How to cure baby snot

Constantly flowing snot along the back wall of a child is caused by inflammation of the nose. For the treatment of the syndrome is prescribed:

• course irrigation of the nose;
• antihistamines;
• anti-inflammatory drugs.

The nose is washed with the same solutions as for the larynx. Babies under 2 years old can be instilled with a pipette or syringe. For older children, green snot is washed out with a small rubber bulb. If the child has snot, appoint:

1. Pharmacy sprays ("Marimer", "Aquamaris").
2. Vasoconstrictor drops ("Nazivin", "Tizin").
3. Glucocorticosteroids (Flixonase, Nasonex).

Based on the tests, the doctor determines how to treat the baby if he has a runny nose. If necessary, treatment is carried out with the help of immunostimulating drugs. The Imudon remedy strengthens local immunity, interferon preparations are prescribed to increase general immunity.

Antibiotics may be needed when children's snot flows down the back of the throat and is green in color. If the patient did not give mucus for laboratory analysis, the doctor may prescribe a broad-spectrum antibiotic (Amoxiclav, Sumamed).

To relieve swelling, babies are prescribed antihistamines in drops or syrups, older children are prescribed medicines in the form of tablets or capsules. A standard set of drugs that relieve swelling:

• cetirizine;
• Erius;
• Claritin.

Comfortable conditions in the treatment of postnasal syndrome

A runny nose in a baby goes faster if parents surround him with love, care, create comfortable conditions for him. This does not require much effort. It is necessary to do wet cleaning in the children's room 1-2 times a day, ventilate it every 3-4 hours. Turn on the humidifier. Keep track of the amount of fluid you drink. Warm the drink to room temperature or slightly higher. Walk with the child, cook delicious food. Food should not be salty, spicy, hot.

Moderately moist air and warm drinks make it easier for the baby to breathe when his snot flows down the back of his throat.

Homemade recipes for snot on the back wall

An infusion of chamomile will help alleviate the condition of the baby if he has snot flowing along the back wall. From dry pharmacy chamomile, you need to prepare a rinse. The infusion is prepared for 25 minutes. Pour 3 tsp into a ceramic teapot. dried flowers, pour in the same 250 ml of boiling water. After half an hour, strain the infusion, gargle every 60 minutes.

Students can make their own rinse. They will need:

• salt;
• soda.

Pour a glass of warm boiled water, drop 3 drops of tincture of iodine, add and stir in a teaspoon of soda and salt. By rinsing, clear the mucosa from snot flowing down the back of the child's throat. Relief occurs if the baby spends at least 4 rinses per day.

Conclusion

It is necessary to fully cure the manifestations of the disease, to fulfill all the doctor's prescriptions. Incomplete treatment will cause a chronic syndrome. With a complete cure, postnasal drip does not bother in later life.

Runny nose in children treatment with folk remedies

Introduction. There is such a good expression - if a runny nose is not treated, then it will pass in a week, and if treated, then in seven days. This expression, in principle, is not devoid of common sense.

The reasons. The most common causes of a runny nose are SARS and allergies. A runny nose usually begins with a sensation of itching, burning on the nasal mucosa. In a baby, you can notice this when he rubs his nose, sneezes, snorts his nose.

On the second or third day, clear, abundant discharge from the nose appears, which disturbs both day and night. You can treat a runny nose with special drops and sprays, but not those that simply constrict blood vessels and remove only the symptom, but those that contain medicinal components.

How to treat a runny nose in a child? Usually, a runny nose responds well to treatment, the main thing is not to let it take its course, but to support the body and immunity. With improper treatment or a strong triggering of the disease, consequences such as loss of smell, sinusitis, otitis, and even hearing loss can develop.

For a child, use an aspirator to suck out snot, as well as aqua-maris or aqualor for washing. For the treatment of the common cold and SARS, it is good to use nebulizers or inhalers.

Treatment of a runny nose in infants up to a year and a month-old child.

Runny nose in children of this category occurs when the infection spreads from parents, with hypothermia, drafts. But there is also a pseudo-runny nose. Sounds in the nasopharynx (similar to wheezing) occur with the accumulation of mucus, saliva, milk residues. If during the feeding of the child these sounds disappear, then there is no runny nose. Milk particles after spitting up can dry out and provoke easy snoring. During teething, nasal discharge also occurs, as the trigeminal nerve is irritated.
If the child does not eat well due to a runny nose and it does not go away for a long time, you should immediately consult a doctor. To improve breathing, Vibrocil nose drops (vasoconstrictor) and Aqua-Maris (based on sea salt) are suitable.

Doctor Komarovsky's advice on the treatment of children's rhinitis.

Komarovsky - a well-known and experienced children's doctor gives his recommendations and advice on the treatment of rhinitis in children. The air in the baby's room should be humid (for this, humidifiers are used), the nose and throat should be moistened with the help of physical. solution. You can buy it at a pharmacy or cook it yourself: (0.5 teaspoon of sea salt is required for a glass of boiled water). Anti-inflammatory effect has "Ekteritsid". Vasoconstrictor drops such as Naphthyzin are contraindicated in a child. So that the mucous membrane does not dry out, you need to lubricate it with vitamin E, A, or simply moisten it with water.

Treatment of chronic rhinitis in children. Prolonged runny nose. What to do?

To avoid a long runny nose, you need to start treating it at the very beginning. Chronic rhinitis can be infectious and non-infectious. Non-infectious also occurs due to injuries, strongly smelling detergents, when a foreign body enters the nose.

Infectious rhinitis can lead to complications and affect hearing. That is why a runny nose should be treated immediately and until complete recovery. If a child often walks barefoot on a cold floor, then this may be the cause of a runny nose.

Proper treatment of chronic rhinitis is possible only if the cause of its occurrence and the type of rhinitis are identified. It happens: simple chronic, hypertrophic, atrophic simple, atrophic purulent, vasomotor rhinitis. Atrophic runny nose contributes to the thinning of the mucous membranes, and hypertrophic, on the contrary, thickens the mucous membrane.

Chronic runny nose can be cured with aloe juice or Kalanchoe. Fresh juice of the plant should be instilled into the nose, 1 drop (3 times a day) in each nostril. Children after three years can be instilled 2 drops with the same multiplicity.

Treatment of the common cold with a nebulizer and inhaler.

The simplest glass inhaler is designed in such a way that the liquid is irrigated evenly and, in addition, a light massage is performed at the moment the device vibrates. There is another representative of this series of devices - a nebulizer, which means fog in Latin. The device is ultrasonic, it can be used to irrigate deeper and inaccessible nasal passages. The ultrasonic vibration of the nebulizer helps mucus, phlegm and pus to liquefy faster. Nebulizer can treat sinusitis, tracheitis, bronchitis. For a common cold, a simple cheap inhaler is suitable. The difference between the two devices is the amount of liquid spray. In the inhaler, the drops are larger than in the nebulizer.

Treatment of allergic rhinitis in children.

In the treatment of allergic rhinitis, it is possible to use the same nasopharyngeal sprinklers, drops based on sea salt, cool moist air and drink plenty of water. To eliminate an allergy, you need to remove the allergen itself. Before getting a pet, you need the child to stay in a house where there are animals and see if he sneezes, if his eyes are watery, etc. If the cause of a runny nose is ragweed, then the only option is to vomit it or just not walk nearby. Unfortunately, allergic rhinitis cannot be completely cured, you can only remove the symptoms. The doctor prescribes antihistamines, antiallergic drugs, and even hormones if conventional medicines do not help.

Treatment of the common cold with homeopathy.

Acute rhinitis, chronic and allergic rhinitis are treated differently. The usual one is treated with homeopathic remedies: potassium bichromate, arsenic iodide, mercury compounds. Such drugs are prescribed in the smallest doses. Means have anti-inflammatory, immunostimulating, anti-edematous and antiviral effects.

Internal runny nose. Sometimes it happens…

Sometimes mucus flows down the wall of the nasopharynx from the back side and the person experiences nausea when swallowing the mucous secretions. This is the internal runny nose.

Bacterial runny nose.

Bacterial runny nose is caused by bacteria. The difference from another runny nose is simple - this is the color of the discharge. They are yellow-green in color. In the analysis of mucus, many leukocytes and bacteria are found. Most often, the doctor prescribes antibiotics as reinsurance. But this is not always necessary, only if the drugs do not work or a complication begins.

Bacterial rhinitis occurs at the reflex stage, catarrhal and final. The reflex stage is the beginning of the disease, which lasts up to three hours and is accompanied by sneezing. In the catarrhal stage, a person feels all the symptoms as with a common cold. There comes the "height" (peak) of the disease. The last stage is the healing process. Usually at this stage, if it continues for a long time, the doctor prescribes antibiotics.

Treatment of bacterial rhinitis: the use of saline solutions, antibiotics, oxolinic ointment or "Mupirocin", drinking plenty of water, bed rest, frequent change of towels, bed linen, handkerchiefs.

Getting rid of the common cold with honey, propolis.

Honey and propolis are often used in the treatment of rhinitis of any kind. To do this, dissolve a teaspoon of honey in a glass of warm boiled water, mix and instill during the day at regular intervals. If a person suffers from an allergic rhinitis, then honey may not suit him.

Relief from a runny nose.

To prevent mucus from flowing from the nose into the throat, the pillow should be high enough. Humidification of the air helps to moisturize the mucous membranes and a person breathes more freely. If a child older than three years old is sick, then you need to make sure that he blows his nose correctly: one nostril, and not two at once. This can provoke the development of acute otitis media. The habit of drawing the contents back (sniffing) is fraught with the development of infection in the ears and bronchi. Small children under three years of age need to remove mucus from the nose with an aspirator or syringe.

Treatment with folk remedies

• Runny nose. For children from 3 years old; mash 1 clove of garlic, pour 2 tbsp. l. warm boiled water, leave for 40 minutes. in a tightly closed jar, then strain and quickly instill into one and the other nostril.
• For prolonged colds: sew a narrow bag of linen fabric, put warm, steeply boiled millet porridge there and put the bag so that it gently hugs the maxillary sinuses. Keep as long as it stays warm. Warm salt can be used in the same way.
• Mustard. Take equally (about one tablespoon each) dry mustard, flour, sunflower oil and honey. Knead a cake from the prepared products and put it through several layers of gauze on the baby's breast, then immediately put the baby to bed and warm it. The duration of the procedure is up to 45 minutes. Repeat every evening until the signs of illness disappear.
• A seriously ill child with bronchitis open chest and cover with flannel. Pressing your lips tightly through the fabric to him, inhaling air through your nose - exhale through your mouth. Do from 15 minutes to 1.5-2 hours.
• Runny nose. Dissolve 1 tsp. honey in 2 tbsp. l. warm boiled water. Wrap a piece of cotton wool around a match, soak it with this composition and put it in your nose for 20 minutes. If the baby is restless, worried, then first work out one nostril for him, and then the second.
• For sinusitis and rhinitis, with allergic rhinitis, you can put a cotton swab moistened with an infusion of the following composition into the nose: take 1 tsp. St. John's wort flowers, eucalyptus leaf powder, sage and laurel cherry leaf powder, tricolor violet, licorice root, tripartite string and celandine juice. Pour 1 cup boiling water over 1 tbsp. l. mixture, insist overnight, strain, and then warm. Keep the cotton swab in the nose for 20 minutes. The duration of treatment is 20 days. At the same time, 3 times a day, drink 1/2 cup of infusion of herbs of succession, chicory flowers, St. John's wort and calendula (in equal proportions): chop the herbs, mix. Brew 1 cup boiling water 1 tbsp. l. mixture and leave overnight.
• Antipyretic. A decoction of pearl barley was recommended as an antipyretic for children and adults with colds. Pour 100 g of cereals with a liter of water and boil over low heat for 10-15 minutes. Let cool slightly and strain. Take the entire dose in one dose at night. To improve the taste, you can add Art. a spoonful of natural honey, preferably lime. For children, the dose is reduced depending on age.

Drainage of mucus on the back wall and shortness of breath hello! Help me please! In 2015, in March, I got very ill, they put an orvi, the runny nose was so strong that my handkerchiefs, which I took with me from home, were simply not enough ... it has been suffering from my childhood, hr. Tonsillitis ... I was discharged, but the runny nose did not go away, the snot poured with impossible force, I won’t say that it was clogged, there was just a “flood” from the nose ... In connection with which I was prescribed physical. Procedures, at the end I am at home I also washed my nose myself, and it seemed like with grief in half, all this was gone ... By April ... In July I went to fitness, and at night I began to wake up from lack of air ... Just in the middle of the night ... After 2 weeks, they began to drain snot on the back of the throat, I spit constantly, but they continued to flow and continued ... My throat was constricted, it was hard to breathe ... I turned to Laura, they prescribed me a sinupred. Nothing changed ... Some kind of fear began, panic, I was afraid to suffocate strongly. This feeling accompanied me throughout the day, and at night I could not fall asleep because of the snot flowing down the back wall, I put a basin near the bed and spit ... It happened that I could not fall asleep until 2 or 3 in the morning ... As if something in the throat does not allow me to breathe freely ... I also turned to the endocrinologist, they checked it, everything is fine. She turned to Dr. Laura, said that there was a suspicion of vasomotor rhinitis and prescribed Nasonex ... Nothing helped ... I went to another city to another lore, he gave me injections of diprospan in both nostrils, prescribed Loratodin for 1 ton a week, Miramistin in the nose for 2-4 weeks, 2 puffs each, gargled with some solution, rhinofluimicil, polydex, gentamicin ointment in the nose and 2 puffs at night Avamys ... It became easier ... It was treated for more than a month. But before going to bed, some kind of panic set in ... I was afraid to fall asleep, suffocate in my sleep ... During this treatment, it became easier, but the snot was spitting out. The diagnosis was made: subchron. Vasomotor nasopharyngitis. After 3 months, it became hard and difficult to breathe again ... I turned to another doctor, they said chronic. the time in the morning is normal for me, in the morning after washing I do avamis 2 puffs in each nostril in the nose and that's it. Then gradually a slight stiffness in the throat begins, trembling in the body, panic, I go into the fresh air right away, I spit, my throat is dry, it’s hard to breathe ... It seems that the snot gets stuck somewhere in the nasopharynx and because of this it’s hard for me to breathe . .. Tell me, please, which specialist should I contact for help? What is it with me? Is it possible to get rid of this disease forever?

Patients often turn to ENT doctors with complaints of constant nasal congestion, while they do not observe mucous secretions accompanying a common cold.

After examination and examination, the doctor diagnoses postnasal drip syndrome or rhinopharyngitis - an inflammatory disease that affects the nasopharynx, tonsils and lymphatic ring.

The difference between this form of the common cold and the usual one is that the disease can be disguised as a cold for a long time, while the snot flows down the back wall directly into the trachea, and the patient swallows them and does not notice signs of a protracted pathology. Why this type of runny nose develops and what are the principles of its treatment - today will be discussed in more detail.

The main reason for the development of rhinopharyngitis is the entry of viruses, bacteria and allergens onto the surface of the mucous membrane, while the inflammatory process covers the lymphatic ring and the nasopharyngeal cavity.

The pathology does not pose a great danger, since an adult can cough up and spit out the accumulated mucus, even if the snot flows down the back of the throat and ends up in the mouth.

However, the disease must be treated, since a constant focus of infection can cause various complications, up to meningitis (bacterial agents are spread through the general bloodstream, entering various organs and systems, including the serous membrane of the brain).

Factors provoking the development of rhinopharyngitis:

• constant exposure to the mucous tissue of the nasopharynx of irritating chemicals;
• frequent colds and hypothermia;
• ingress of foreign objects into the nasopharynx;
• side effect from taking medications;
• disturbances in the process of blood circulation through the tissues of the lymphopharyngeal ring and nose;
• injuries and mechanical damage to the bone septa and mucous epithelium;
• tendency to allergic reactions;
• chronic viral and bacterial infections.

If the patient's immunity is greatly reduced, a common cold can lead to the entire larynx being drawn into the inflammation process, this is also provoked by beriberi, non-compliance with the regimen, frequent stress and lack of proper rest.

The patient has discomfort in the throat (itching, the presence of a foreign body), sneezing, dryness and congestion in the nasal passages. The voice may change, breathing quickens.

Due to constant mouth breathing, posterior rhinitis can be complicated by a secondary layering of a bacterial infection, while the patient's temperature rises and the state of health deteriorates sharply.

Posterior nasopharyngitis is divided into acute and chronic (when it lasts longer than 2-3 weeks in a row).

The causes of chronic rhinopharyngitis can be hormonal disruptions, improper functioning of the capillaries in the nose (during pregnancy or vegetative-vascular dystonia). Then it is considered that the pathology proceeds in. With an allergic predisposition that causes nasopharyngitis, such a disease is treated according to the scheme

Depending on the clinical symptoms, nasopharyngitis can occur in, with thinning of the mucous epithelium and hypertrophic, when the tissue is significantly thickened.

General principles of treatment

In addition to the drug treatment of post-nasal drip syndrome, which the doctor will prescribe, after studying the type of pathogen and a detailed examination of the patient, he needs to organize comfortable conditions in which the treatment of the disease will be more effective.

The inflammatory process in the nasopharynx greatly dries out the mucous tissue, when snot flows along the back of the throat, it interferes with sleep, the person wakes up, coughs, feels the presence of a foreign body in the larynx. He may be bothered by a dry or wet cough.

To alleviate the patient's condition, during treatment it is necessary to create the following conditions:

• regularly ventilate the room where the patient is located, do wet cleaning, monitor the level of air humidity (the indicators should be about 50%);
• maintain temperature conditions - it is not recommended to overheat the air above 22-23 ° C;
• ensure a drinking regime - during the day you should drink at least 2 liters of liquid, including not only clean water, but also green tea, fruit drinks, compotes, juices from fresh fruits and berries;
• regularly remove mucus from the nasopharynx;
• organize a sleeping place so that the pillow is higher than usual - this will reduce the risk of choking on mucous secretions, because when snot flows down the throat in a dream, a person regularly wakes up from a feeling of suffocation.

During treatment, the patient is shown compliance with the diet and rest. The menu should be balanced, contain proteins, vitamins and useful trace elements to stimulate the immune system to fight infection.

With the allergic nature of rhinopharyngitis, it is necessary to monitor the limitation of the patient's contact with household irritants and food products that can provoke an exacerbation of the pathology.

The doctor selects the drug treatment regimen, taking into account the clinical symptoms, the form of the disease and the stage (an acute or chronic inflammatory process occurs). The main components of conservative therapy will be described below.

Antibacterial therapy

Preparations from the group of antibiotics are prescribed when the bacterial form of the process is confirmed by laboratory tests - when the snot flows down the back wall of the larynx, the swab is taken directly from the nasopharynx.

In the acute form of pathology, antibiotics in the form of drops can be used:

• Novoimanin is a drug based on the natural extract of St. John's wort, active against the gram-positive microbial group, including strains of staphylococcus aureus. Promotes the regeneration of the mucous membrane, reduces the level of inflammation in the nasopharynx. Before use, Novoimanin is diluted with sterile water or glucose solution.
• Framycetin - is used as part of the complex treatment of bacterial infections of the nose, including rhinopharyngitis. Instill the remedy 4 to 6 times a day, 2 drops in each nostril.
• Neomycin is a drug from the group of aminoglycosides. It acts only on bacterial pathogenic flora, it is not used for the treatment of viral and fungal forms of rhinopharyngitis. The agent irrigates the nasopharyngeal cavity, or it is injected into the nasal passages on turundas.

Since, with posterior rhinitis, snot flows down the throat, and does not accumulate in the nasal passages, doctors recommend a special technique for instilling drugs - the patient should lie on his back and throw his head back, and after introducing the drops, remain in this position for a few more minutes.

Sprays with antibacterial components in the treatment of rhinopharyngitis are considered less effective, since inflammation is localized in the lymphopharyngeal ring, and irrigation will not allow the drug to penetrate into all remote corners of the nasopharynx.

However, aerosols are prescribed in complex therapy, especially if the pathology is accompanied by severe congestion and thick, viscous mucous secretions, and snot in the throat is not expectorated.

Among these drugs, Isofra (a spray based on framycetin), Polydex (contains phenylephrine) and Bioparox (an aerosol active against gram-positive and gram-negative strains with a pronounced anti-inflammatory effect) can be noted.

Systemic antibiotics

In severe cases of the disease, oral administration of antibacterial drugs in the form of tablets, or intramuscular injections, is indicated.

• macrolides - Erythromycin, Midecamycin, Macropen, Clarithromycin;
• semi-synthetic penicillins - Ampicillin, Amoxicillin, Augmentin;
• cephalosporins - Ceftriaxone, Cefodox, Cefalexin, Cefazolin.

The choice of the group and form of the drug is carried out by the doctor, depending on the type of pathogen and its resistance to drugs.

During therapy, it is necessary to monitor the patient's condition and note all changes in order to avoid side effects and complications. If the antibiotic does not bring the desired effect after 3-4 days of use, it is replaced with another one.

Nasal drops

Moisturizers

A big plus of drops and sprays with a moisturizing effect is that they can be used without restrictions, they effectively wash away pathogenic microbes from the surface of the nasal passages and cleanse the nasal cavity of mucus accumulations.

They are prepared on the basis of sea water and include useful trace elements that restore the epithelium of the nose and normalize the work of the ciliary tissue.

The most popular preparations based on sea water:

• Aqualor;
• Aqua Maris;
• Marimer;
• Salin;
• Humer;
• Dolphin.

The use of isotonic solutions is justified when nasal congestion is not caused by swelling of the tissue, but by an abundant accumulation of mucus- in such a situation, instilling moisturizing preparations will be much more effective and safe than agents with a vasoconstrictor effect.

Antihistamines and decongestants

In order to increase the effect of the use of drops and sprays with a vasoconstrictive effect, manufacturers include antihistamine components in their composition, which makes the range of use of funds much wider.

Combined drops are prescribed for patients with signs of an allergic nature of rhinitis, but their use is also possible with a cold:

• Vibrocil - produced by a Swiss company in the form of a spray, drops and gel. It is not recommended to use it for more than 7 days in a row. Effectively eliminates nasal congestion and swelling of the mucous membrane;
• Sanorin-Analergin- it is recommended to bury this remedy at night, since it has a long-term effect;
• Rinofluimucil - facilitates breathing by thinning the viscous secretion in the nose and accelerating its removal to the outside, has a vasoconstrictive and antihistamine effect, can be used from 3-4 days after the onset of a cold.

In case of an overdose of the listed nasal remedies, drowsiness and a slowdown in mental reactions may develop, so they should be used with caution, observing the dosage and frequency prescribed by the attending physician.

Hormonal

This kind of drugs in the treatment of rhinitis is prescribed for a severe form of the disease, aggravated by obstruction of the nasal passages and excessive vasodilation. Also, hormonal sprays are indicated for patients with signs of allergic rhinitis.

Most often, doctors prescribe the following drugs:

• - a fast-acting spray, the effect of which can be felt already 12 hours after the first injection. Does not affect the body, since the active substance is absorbed into the mucosal tissue and acts systemically;
• Baconase is a spray that eliminates tissue swelling, reduces inflammation and relieves signs of an allergic rhinitis. Apply 3-4 times a day, 1 dose in each nostril;
• Nasobek is a hormonal agent that must be administered 2-4 times a day in each nasal passage, during therapy the dosage is gradually reduced.

With prolonged use of hormonal agents, the local immune response of the nasal mucosa decreases, so the duration of use is determined by the doctor, individually for each patient.

In addition to the listed groups of nasal drops, drugs are often prescribed Protargol and Kollargol- Colloidal silver is included in their composition.

When the active ingredient enters the surface of the inflamed mucous tissue, it has an astringent, anti-inflammatory and drying effect.

The use of these drops is justified even in the chronic form of rhinitis of various etiologies, including bacterial and hypertrophic.

Nasal lavage

To clean the nasopharyngeal cavity of mucus as much as possible, it is necessary not only to use sprays based on sea water, but also to carry out washing procedures.

Since, with posterior rhinitis, snot collects in the throat, flowing down the back wall and causing an inflammatory process there, it is also necessary to wash this area.

Procedure technique

Rhinopharyngitis, especially complicated by a bacterial infection, can only be cured in a complex way, with washing the entire nasopharyngeal cavity, it kills the pathogenic flora, removes bacterial and mucous plaque and allows you to remove snot from the throat.

• For washing, you need to prepare a saline solution by dissolving a third of a teaspoon of table salt in a glass of water.
• Then fill a soft syringe with the solution and stand over the sink, bending over in a position at a right angle. Mouth should be open, tongue sticking out.
• The tip of the syringe is inserted into the nostril, then the water is slowly squeezed out, passing through the cavity of the nasopharynx and pouring out of the mouth.

After the procedure, it is necessary to clean the nostril from the remnants of the solution and mucus, then repeat the same with the second nasal passage.

Solutions

A simple method of washing involves preparing a saline solution or a decoction of medicinal herbs and drawing in the liquid with both nostrils alternately. Part of the solution that has fallen into the mouth should be spit out, then gargle with boiled water.

This method, in the presence of snot in the throat, is considered less effective, since it does not allow washing the back of the nasopharynx, where the bulk of the bacterial infection accumulates.

How to wash your nose:

• herbal decoctions- calendula, chamomile, eucalyptus, succession, plantain, mint. The broth is prepared as follows: 1 tbsp. dry grass is poured with a glass of boiling water, then infused for 20-30 minutes, filtered through cheesecloth. You can prepare a decoction from one type of herb, or make an anti-inflammatory collection;
• pharmacy antiseptics- Furacilin, Miramistin, Chlorhexidine;
• saline or 0.9% sodium chloride- an inexpensive pharmacy remedy called saline gently cleanses the nasopharynx, thins thick mucus and promotes its removal.

It is not recommended to rinse the nose if, against the background of the postnasal drip syndrome, the patient has signs of otitis media (acute inflammation of the ears), a perforation of the membrane of the membrane has occurred, or tumor neoplasms are present on the mucous tissue.

Gargling

For gargling to bring maximum effect, you need to carry it out correctly. To do this, you need to tilt your head back, and stick your tongue forward, while rinsing, pronounce a long sound “Y”, and take liquid into your mouth in small portions.

After several stages, each for 30-60 seconds, you need to rinse your throat with boiled water and do not eat anything for at least 20 minutes.

How to gargle properly

Rinse aids:

• Furacilin. The tablet is ground into a fine powder and dissolved in water, you can boil it (the composition is prepared at the rate of 1 tablet per 100 ml of water).
• Soda-salt solution. In 1 liter of boiled warm water, a teaspoon of soda and table salt are added, the finished composition is rinsed at least 3-4 times during the day. Many patients add a few drops of iodine there for maximum disinfectant effect.
• Chlorhexidine. This pharmacy remedy is inexpensive and helps to effectively get rid of viral and bacterial agents in the nasopharyngeal cavity. Rinsing should be carried out carefully so as not to swallow the solution, carry out the procedure 3 times a day.
• Chlorophyllipt. This is an alcohol solution with eucalyptus extract, it has pronounced antimicrobial properties. It is necessary to dilute a small amount of the drug in a glass of water and gargle three times a day.
• Collection of chamomile and calendula. These herbs are known for their healing, anti-inflammatory and antimicrobial properties. Pre-infused and filtered broth should be heated to 30-32 ° C and rinsed with it as often as possible.

Many people use 3% hydrogen peroxide as a gargle, dissolving one scoop in 100 ml of water. However, this method is not always approved by doctors, since it is possible to accidentally swallow the solution.

Inhalation procedures

Inhalation allows you to achieve a double effect - to remove inflammation and kill microbes not only on the surface of the nasal mucosa, but also in the nasopharyngeal cavity. To do this, you need to breathe alternately either through your nose or through your mouth.

All types of inhalations and preparations for their implementation with rhinitis, and with coughing.

• Saline. The drug does not dry the mucous membrane, promotes thinning and removal of thick mucus, stimulates local immunity, increases the effectiveness of other means that will be further used to wash the nose and gargle.
• Baking soda . Inhalation of alkaline particles helps to soothe irritated mucous tissue, clear it of bacterial plaque and reduce inflammation. If steam inhalation is performed, you can add a few drops of iodine to the soda or crush a couple of cloves of garlic.
• Essential oils - facilitate breathing, restore tissues, kill microbes. You can do steam inhalations with ethers of tea tree, pine, mint, orange, arborvitae, chamomile, lavender, fir. It is strictly forbidden to add oil to the nebulizer, the result may be a breakdown of the device (ultrasonic), and for the patient - oil pneumonia.
• Decoctions of herbs. For steam inhalation, you can prepare a collection of chamomile, mint, calendula, plantain and sage. Herbs are taken in 1 teaspoon and poured with boiling water. As the water cools, the herbs will infuse, and the steam will acquire the desired temperature - 35-38 ° C.

It is possible to carry out inhalations not only with a steam method, but also using a nebulizer, but this device is more suitable for using medicines in it.

During the treatment of nasal mucus flowing down the throat, procedures are carried out with antibiotics, thinning and anti-inflammatory drugs - these are Lazolvan, Rinofluimucil, saline, alcohol tincture of propolis.

If the patient notes that he has constant problems with nasal breathing, which is not accompanied by copious secretion of mucus from the nasal passages, it is quite possible that these are symptoms of posterior rhinitis. Its danger lies in the constant ingress of mucous secretion into the throat, which causes diffuse inflammation of the entire nasopharyngeal cavity.

In contact with

Ekaterina Rakitina

Dr. Dietrich Bonhoeffer Klinikum, Germany

Reading time: 4 minutes

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Article last updated: 02/08/2019

It often happens that snot on the back wall indicates a violation of fluid output. Therefore, there is such an unpleasant feeling. But, in addition, it can be a serious disease. In this case, you need to consult a good ENT specialist. In any case, this phenomenon needs attention. And you need to know what to do with this disease and how to treat the baby.

The reasons

Any manifestation of a runny nose causes extreme anxiety and inconvenience to the child, especially up to a year. If ordinary snot can be pulled out at least partially with the help of a nozzle pump, then you have to try. After all, it is not so easy to extract them. What reasons lead to such an unpleasant phenomenon?

• Cold.
• Sinusitis.
• Pharyngitis.
• Chronic tonsillitis.
• Adenoids that are enlarged.
• Physiological features of the structure of the nasopharynx in infants.
• Overheat.
• Allergy.

Children up to a year are especially painful for running down the back wall. At this age, they are unable to tell what is bothering them. Therefore, frequent whims do not always mean an elementary manifestation of character. More often than not, the baby expresses dissatisfaction with something. And with the restless behavior of the little one, special attention should be paid to his well-being.

In addition to diseases, pay attention to the temperature in the room. If it is too hot there, the crumbs may actively secrete mucus. It has long been observed that overheating is more dangerous than hypothermia. It's all about moisture loss. For adults, such a feature of the body may not carry anything terrible. And in newborns, because of the already small weight, this is fraught with dehydration.

Physiological features

In a newly born child, the structure of the nasopharynx is not yet adapted to the external environmental conditions. It begins to function in full mode only after 10 weeks from the moment of birth. Mucus begins to form, which can flow both forward and backward.

Doctors say that if an adult has discovered such a phenomenon in a newborn, most likely there is no cause for concern. It is necessary to control other conditions that can join the nasopharyngeal snot. If they are not, most likely, the runny nose is physiological in nature. And since the child is almost all the time in a lying position, the snot does not flow forward, but backward. Here it is enough just to regularly clean the nose with cotton turundas.

Overheat

It is also a fairly common cause of a runny nose on the back wall. In such cases, other symptoms such as cough cannot be detected. But this cough and hoarseness is not due to a cold. This is due to stagnation of nozzles in the throat. Mostly, these symptoms appear in the morning. At night, the baby lies, so stagnation occurs, which does not flow further.

It is necessary to control the air temperature in the room where the baby is located. The best readings are 23 degrees. Ventilation and wet cleaning are required.

Cold

If the mucus drains inside and is green in color, it makes sense to talk about a bacterial infection. Most often, it appears from hypothermia, when the temperature favors the reproduction of pathogens. Or the cause may be a disease of a close relative with whom the baby spoke.

Unfortunately, in this case, a cold is often found after other symptoms have been added to the common cold. For example, fever or cough. Because the mucus flows back and is difficult to identify in the initial stages. By the way, coughing occurs due to the large amount of mucus that has accumulated in the nasopharynx. There are other reasons, of course. But most of the time it is. Therefore, it is necessary to treat the root cause - snot flowing inward.

If the baby became infected from someone close, it is necessary to limit his communication with them. When the carrier of the infection is a mother who is breastfeeding, it is not recommended to stop feeding. The only rule that must be observed when feeding the crumbs is to observe personal hygiene. And be sure to use a gauze bandage when in contact with the baby.

ENT diseases

Diseases such as rhinosinusitis, pharyngitis and others may be the result of untreated snot. In turn, this provokes the flow of mucus into the throat. There is a sensation of a coma, the same cough takes place.

Inflammation of the adenoids is characterized by nasal congestion. But the snot does not flow outward, but inward, flowing down the throat.

Allergy

Allergic rhinitis can also be a cause. In addition to the snot flowing, a cough is formed. And you can't do without antihistamines. More often this phenomenon is observed in the off-season. But domestic factors can also lead to this trouble:

• Dust.
• Fur of pets.
• Washing powder.
• Flower pollen.
• Strong smells of toiletries: soap, deodorants.

Try not to spray toilet water and other aromatic substances in the presence of crumbs. Wipe dust regularly. And if it turns out that you are allergic to pet hair, it is better to give them to friends or relatives for a while. Most often, this type of allergy is age-related. And if you don’t provoke the body’s reaction to wool for up to a year, then there is a chance that in a couple of years you will get a dog again.

If you run this disease, it will lead to extremely bad breath from the mouth of the newborn and other consequences.

baby feeling

What other troubles does this phenomenon bring?

1. Sensation of a lump in the throat.
2. The sound pronunciation of the crumbs worsens, so the vocal cords are strained due to discomfort in the throat and nose.
3. Bad breath.
4. Prolonged cough.
5. It is more difficult for the baby to eat because of the feeling of discomfort.

As you can see, there are many reasons to see a doctor for an accurate diagnosis. It is the pediatrician who can prescribe the correct treatment by establishing the true cause. In addition, all of them can be identifying signs of the disease.

Treatment

Only a doctor knows the measures and methods of treatment. As always, the reason that caused such an ailment is first clarified. If it is indeed a disease, medications are prescribed. For severe bacterial infections, a course of antibiotics is given. But, it should be remembered that such a measure, especially in babies under one year old, is the most extreme. Drugs are prescribed after the examination of the child. Blood and urine tests are required. But if an antibiotic is prescribed, then they drink it in full, and not until the moment when the first improvements began to appear.

In addition, there are antibacterial drugs. It all depends on the nature of the infectious disease. If an allergy is detected, antihistamines are required. But they are assigned strictly by age. Because the concentration of the active substance increases with age. The parent simply will not be able to find the right dosage and will do more harm than good.

Treatment of infants with traditional means should be extremely careful. Up to a year, the body is extremely vulnerable. Anything new, including medications, can have a negative reaction. In addition, the work of internal organs is not yet fully coordinated. Frequent intestinal colic, problems with stools are a serious obstacle to taking new medications. Therefore, only a competent specialist will choose suitable medicines after examining the patient.

Flushing as a treatment method

Doctors usually recommend saline solutions or saline, available at any pharmacy. Basically, it is recommended to keep children upright for up to a year and rinse. So, everything that is superfluous will be washed away, taking with it a number of bacteria.

There are also recommendations to put the child on the table. At the same time, he should lie on his side. You need to use 2 pears. We put it first on the right side, and wash the right nostril, after sucking out the mucus. Then, after washing, we also suck out the liquid that may linger in the nose.

This method is also considered a method of treatment. Because salt is considered one of the useful reagents that kill harmful bacteria. But only with concentration carefully. You can cause severe irritation of the entire mucosa of the baby. If you direct at home, count 1 teaspoon per liter of clean boiled water.

You can use a fresh solution of furacilin for these purposes. Each time point a new one and also rinse. But in no case do not put the child on his back, with this method of instillation. Be sure to consult your doctor about the washing technique. He will select the best for the crumbs.

It is recommended to treat by washing at the very first time, when snot flowing inside is noticed. Then their concentration in the throat will not have time to reach a maximum and this will protect the baby from the undesirable consequences of the development of diseases.

Gargling also helps a lot. But since the child is unable to perform such manipulations, some pediatricians recommend brewing ordinary chamomile and drinking a teaspoon several times a day. So it will be possible to disinfect the throat, where the snot has accumulated.