instruction: hello doctor I have had post nasal drip since last three months it causes me to cough up mucus from my throat it is very thick sometimes bloody or sometimes cloudy I am also having bloody crusty issues in my nose with sneezing I am not sick no fever no aches do not feel bad I just want to stop the mucus it sometimes chokes me and want to stop the bloody crusty nose with sneezing I tried zyeartec that did not help I also tried flonase no help I am afraid to take benadryl because of other medicines I take for sleep and anxiety what other suggestions do you have
output: hello are the pictures you shared nasal snort or phlegm from throat attachment removed to protect patient identity do you have any difficulty in swallowing or breathing is there any cough any chest pain do you have wheezing is there any recurrent bleeding in your nasal cavities do you smoke or drink our approach would differ if the bleeding is from upper airways and if it is from the lower in the first scenario we shall give you some nasal lubricant creams with the sprays and see if the bleeding stops in the second we will have to rule out cough and chest problems in either case a nasal endoscopy with a laryngoscope is essential do you have such blood stained mucus from nose throat every single day do revert back to us with all details so that we can help you