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[Sticky] Post Nasal Drip


Michael Gray MD JD
Posts: 108
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Yes — post-nasal drip is commonly evaluated and treated through telemedicine in many cases.

👍 Telemedicine is usually appropriate when symptoms are mild–moderate

A virtual clinician can typically help when symptoms include:

  • Throat clearing or cough from drainage

  • Sensation of mucus in the back of the throat

  • Hoarse or scratchy throat

  • Congestion or sinus pressure

  • Bad taste or frequent swallowing

During a telehealth visit, the provider can:

  • Review timing, triggers, and associated symptoms

  • Help distinguish causes such as:

    • Allergies

    • Viral upper-respiratory infection

    • Non-allergic rhinitis / irritants

    • Reflux-related drainage

  • Recommend lifestyle measures

  • Prescribe treatment when appropriate

Common treatments that can be started or managed via telemedicine:

  • Antihistamines (loratadine, cetirizine, fexofenadine)

  • Nasal steroid sprays (fluticasone, mometasone, budesonide)

  • Antihistamine nasal sprays (azelastine)

  • Saline rinses or irrigations

  • Short-term decongestants (if safe)

  • Reflux-related therapy when symptoms suggest GERD


🟡 Telemedicine may be appropriate but could need follow-up if you have:

  • Symptoms lasting >3–4 weeks

  • Thick yellow/green drainage

  • Significant facial pressure or headache

  • Chronic sinus or allergy history

  • Wheezing or asthma symptoms

The clinician may recommend:

  • In-person sinus or throat exam

  • Possible imaging or ENT / allergy referral


🔴 Seek in-person or urgent care urgently if you notice:

  • High fever or severe facial/tooth pain

  • Shortness of breath or wheezing

  • Blood in mucus that persists

  • Swelling around an eye or vision changes

  • Severe sore throat with drooling or difficulty swallowing

These are not typical of simple post-nasal drip.


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