instruction: for about a year now I have experienced a lot of thick white mucous in the back of my throat this inhibits swallowing forcing me to hack it up and spit it out I think this can make my voice scratchy but other than that I am not experiencing any other symptoms I have gone to an ent previously and I believe I tried a proton pump inhibitor but it did not have an effect
output: hello good to hear from you I understand your situation there are two reasons for your complaint mostly one as the doctor who has seen you previously suggest must be because of a reflux from your stomach second might be because of something called as a post nasal drip for dealing with the reflux just a pi would not help you should make certain life style changes such as avoid spicy food eat on time your stomach should not be empty for than hours do not sleep soon after you eat give atleast 3 hours of time between your meal and sleep try to keep your head end elevated by a couple of inches while sleeping now regarding your post nasal drip do have frequent episodes of cold nasal discharge if yes take the necessary medications for it so I would suggest you with the following medication continue your pi like pantaprazole 40 my once daily before breakfast if you have a cold take an antibiotic like amoxicillin 500mg twice daily for days an anti histamine like levicetrizine 5mg once daily before sleep a nasal decongestant like oxymethazoline thrice daily in both nostrils reflux ray pins direct laryngoscope acute rhino sinusitis herd medical life style changes follow up in one week after the life style changes medication suggested