Throat Issues: Causes and Solutions for Persistent Symptoms - Otolaryngology

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Hello! Thank you for your question regarding your throat issues. Based on your description, it sounds like you are experiencing a combination of symptoms that may be related to your previous nasal surgery and ongoing nasal and throat health.

First, let's address the symptoms you mentioned: the unpleasant odor in your mouth, the small white particles coming from your throat, and the recurrent throat inflammation with weather changes. These symptoms can be indicative of several underlying issues.

1. Post-Nasal Drip: After nasal surgery, some individuals may experience post-nasal drip, where mucus accumulates in the back of the throat. This can lead to a foul taste or odor, especially if the mucus becomes thick or stagnant. The white particles you are noticing could be mucus that has dried out or accumulated, often referred to as "tonsil stones" if they are located near the tonsils.

2. Chronic Sinusitis: Given your history of nasal surgery, it is possible that you may be experiencing chronic sinusitis, which can cause persistent nasal congestion, post-nasal drip, and throat irritation. Changes in weather can exacerbate these symptoms due to fluctuations in humidity and temperature, which can affect mucus production and drainage.

3. Allergies: Allergies can also play a significant role in throat and nasal symptoms. Allergens can cause inflammation and increased mucus production, leading to post-nasal drip and throat irritation. If you notice that your symptoms worsen during certain seasons or in specific environments, allergies may be a contributing factor.

4. Infections: Recurrent throat inflammation could also be a sign of infections, whether viral or bacterial. If you are experiencing significant pain, fever, or swollen lymph nodes, it may be worth consulting a healthcare professional for further evaluation.


Recommendations for Management:
1. Nasal Irrigation: While you mentioned that saline nasal rinses have not been very effective, it may be worth trying a different technique or device, such as a neti pot or a saline spray, to help clear mucus and allergens from your nasal passages. Ensure that you are using sterile or distilled water for safety.

2. Hydration: Staying well-hydrated can help thin mucus, making it easier to clear from your throat and nasal passages. Aim to drink plenty of fluids throughout the day.

3. Humidifier: Using a humidifier in your home, especially during dry seasons, can help keep your nasal passages moist and reduce irritation.

4. Avoid Irritants: Try to avoid smoke, strong odors, and other irritants that can exacerbate your symptoms. This includes avoiding allergens if you have known sensitivities.

5. Consult a Specialist: If your symptoms persist or worsen, it may be beneficial to consult an ear, nose, and throat (ENT) specialist. They can perform a thorough examination and may recommend imaging studies or allergy testing to determine the underlying cause of your symptoms.

6. Medications: Depending on the diagnosis, your doctor may recommend antihistamines for allergies, nasal corticosteroids for inflammation, or antibiotics if a bacterial infection is suspected.

In conclusion, while your symptoms may be related to your previous surgery, they could also be influenced by other factors such as allergies or chronic sinusitis. It is essential to monitor your symptoms and seek professional advice if they do not improve with home management strategies. Your health and comfort are important, and addressing these issues early can help prevent further complications. Thank you for reaching out, and I hope you find relief soon!