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This test can help diagnose nasal polyps and other problems in the nose and throat. The specialist may recommend nasal endoscopy, where a special instrument with a camera is used to examine the inside of the nose and throat. If you have persistent or difficult-to-treat symptoms, your doctor may refer you to an ear, nose and throat (ENT) specialist for further assessment and treatment. A CT scan of the nose and sinuses is occasionally recommended to confirm a diagnosis of sinusitis.
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Other tests that may be suggested include a chest X-ray, lung function tests and blood tests such a full blood count.
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This may involve skin prick tests or allergy blood tests. Your doctor may recommend allergy testing if hay fever is considered to be causing your symptoms and you do not know what you are allergic to. Post-nasal drip is often diagnosed based on your symptoms (after other possible diagnoses have been ruled out). Your doctor will ask about your symptoms and examine your nose and throat.
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Cold weather can sometimes increase mucus production, and heating in winter can result in thickened mucus. Post-nasal drip also can be caused by changes in temperature and humidity, which can affect the amount or thickness of mucus in the nose and throat. Allergies and inhaled irritants can trigger upper airway cough syndrome. In some people with this condition, extra-sensitive nerves in the back of the throat may cause a feeling of increased mucus in the throat when there is, in fact, no increase in mucus.
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People with upper airway cough syndrome have post-nasal drip, abnormal sensations in the throat plus a chronic (ongoing) cough. Some people with chronic rhinosinusitis develop nasal polyps – benign (non-cancerous) growths that grow from the lining of the nose or sinuses. Chronic rhinosinusitis is when there is ongoing inflammation of the lining of the nose and sinuses, with symptoms lasting longer than 12 weeks. Acute sinusitis is inflammation of the sinuses (cavities within the facial bones that surround your nose) usually due to a viral or bacterial infection. Sinusitis also commonly causes post-nasal drip and/or a runny nose (or blocked nose), as well as facial pain/pressure, cough and a loss of smell. Rhinitis is often due to allergies ( allergic rhinitis, also called hay fever) but can be caused by other things such as the common cold, hormonal changes and certain medicines. Rhinitis (inflammation of lining of the inside of your nose) is one of the most common causes of post-nasal drip. There are several conditions that can cause post-nasal drip. abnormal, unpleasant sensations in the throat (such as the feeling of something being stuck in the throat, something tickling or irritating the throat, or of mucus in the throat).
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