Conversation: The conversation between human and AI assistant.
[|Human|] I am a 58 year old female and weigh 130 pounds and I am 5 3 and pretty good health. I always seem to have a mucus buildup in my throat and have a hard time getting it out. Lately I have also had a burning pain in my upper right chest area which seems connected. I take an allergy pill and use a nose spray at night. There have been some times lately that I have acid reflux also. What can I do to alleviate the chest pain and get rid of the mucus. I also use a neti pot every other day.
[|AI|]  Hello Colleen, It is likely that you are suffering from chronic rhinosinusitis with post nasal Chat Doctor. e., the mucus buildup in your throat) that causes cough at most times and a continuous sensation of needing to clear the throat. Allergy testing must be done to exclude aeroallergen sensitivity such as house dust mite, mold allergens, animal dander etc. by skin prick or specific IGE blood test. Gastroesophageal reflux disease does not help with the allergies, causing more throat problems and heart burn. You definitely need an upper GI endoscopy if this is going on for some time. Please STOP smoking if you do. Chest X-Ray, paranasal sinus CT will be helpful in knowing the extent of disease. Long acting antihistamines and nasal sprays are required for long duration than only a few weeks. If the allergens are found and the rest of the investigations are normal, oral or s/c immunotherapy will help and that is the long term solution. Thanks.