Successful treatment of the post-nasal drip will usually clear up these throat symptoms. A correct diagnosis requires a detailed ear, nose, and throat exam and possible laboratory, endoscopic, and x-ray studies. These drugs may provide only temporary relief. In cases of chronic sinusitis, surgery to open the blocked sinuses may be required. Allergy is managed by avoiding the cause if possible.
Decongestants can aggravate high blood pressure, heart, and thyroid disease.
Steroid sprays generally may be used safely under medical supervision. Oral and injectable steroids rarely produce serious complications in short-term use. Because significant side-effects can occur, steroids must be monitored carefully when used for more than one week. Gastroesophageal reflux is treated by elevating the head of the bed six to eight inches, avoiding foods and beverages for two to three hours before bedtime, and eliminating alcohol and caffeine from the daily diet. A trial treatment may be suggested before x-rays and other diagnostic studies are performed.