Tag: sinus treatment

Why Do I Have So Much Sinus Pressure & Post-Nasal Drainage?

A woman in an olive green shirt holding her throat in pain while looking at a female doctor with blonde hair in a lab coat.

Do You Have Sinus Pressure & Post-Nasal Drainage?

We all know the dreaded feeling. When you sense unwanted mucus building up in your throat, causing odd tickling sensations, frequent swallowing, and coughing. These symptoms are tell-tale signs of post-nasal drip, which can quickly become frustrating and bothersome. Often, people that experience post-nasal drip have a hard time putting their finger on the cause of this pesky ailment.

Luckily, the team at Excel ENT is experienced in treating cases of post-nasal drip, along with conditions that cause it, such as sinusitis. If you’re wondering why you can’t get rid of the thick mucus in the back of your throat, search no more! We’re breaking down all you need to know about post-nasal drip and how to find relief.

What Is a Post-Nasal Drip?

In your nose and sinuses, mucus filters out harmful particles that you breathe, like dust or allergens. In addition to being the first line of defense, it also keeps tissues moist and protects the linings of important passageways. While mucus production is normal, you shouldn’t be noticing it. But sometimes, an abnormal production of mucus can end up in your throat. If you’re experiencing a build-up of mucus in the back of your throat, you may have post-nasal drip.

Beyond mucus build-up, there are a few more symptoms of this cumbersome ailment. These symptoms include:

  • Frequent swallowing
  • Gurgling or hoarseness
  • Bad breath
  • Cough
  • Sore throat
  • Unpleasant sensations in your throat, like tickling or like something is stuck

What Causes Post-Nasal Drip?

While every case of post-nasal drainage is a little different, there are some frequent causes. The common culprits we see at Excel ENT include:

  • Sinus infections (Sinusitis)
  • Cold
  • Flu
  • Allergies
  • Certain medications
  • Environmental irritants, such as smoke or chemicals
  • Gastroesophageal reflux disease (GERD)

Perhaps the most common cause of post-nasal drip is a sinus infection. During a sinus infection, the sinus cavities become swollen. Since the mucus can’t drain properly, mucus and pressure build-up. With nowhere to go, the mucus becomes stagnant, and bacteria quickly infects the sinuses and surrounding areas. The disruption of the mucus drainage can sometimes cause post-nasal drip or be an uninvited companion of it.

What Are Treatment Options for Post-Nasal Drip & Sinusitis?

If your symptoms of post-nasal drip or sinusitis have lasted longer than 10 days, or you’re running a fever, we recommend you seek medical care. It can be tempting to continue taking over-the-counter medication or just hope it goes away, but you can significantly improve your quality of life with treatment. If your sinus symptoms have lasted longer than 3 months, you may have chronic sinusitis and should speak with a sinus specialist sooner rather than later.

Various treatment options include prescribed medications, irrigation, and nasal sprays. Every case is different, and you may be recommended other remedies, like surgery, if you’re not responding to other treatments.

Find the Relief You Deserve

At Excel ENT, we’re the nose and throat experts you need. With years of experience, we treat cases of post-nasal drip and chronic sinusitis frequently and can help you find the relief you deserve. We offer innovative treatments to relieve sinus pressure, including balloon sinuplasty and other sinus surgeries. Or, if you’re suffering from post-nasal drainage alone, our team of experts can help you find a remedy with our in-depth evaluations, diagnostics, and treatment options. Don’t wait to get back to 100%! Contact the Excel ENT team today!

Excel ENT: Your Trusted Sinus & Throat Experts in Birmingham, AL

Proudly serving the Birmingham metro area, our team can evaluate, diagnose, and treat a variety of ear, nose, and throat ailments. Call us at 205-386-6453 or contact us online to live a happier, healthier life!


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Does an ENT Specialist Treat That? All About Sinuses

ENT specialist Dr. Davis diagnosing sinus problem.

ENT Specialists


When was the last time that you had a cold? You probably battled nasal congestion, but luckily, your stuffy nose cleared up with the virus, right? If not, then you may be one of the many people who suffer from persistent nasal congestion or irritation. Breathing is an essential feature of life, but one that many of us take for granted. Whether you’re suffering from a sinus infection or are thinking about sinus surgery, it’s time to find an ENT specialist who can help you breathe easy.

In this article, we’re sharing some of the sinus therapies and surgeries that we offer at Excel ENT. We assist our patients in everything from at-home nasal rinses to surgeries and innovative, non-invasive procedures to improve their breathing.

What is sinusitis?

Sinusitis is inflammation and swelling of the sinuses, which are a connected system of small, hollow cavities in your head. Everyone experiences sinusitis throughout their lives. For most people, the sinusitis is acute, or short-lived. Usually, it accompanies a cold, and the inflammation goes away when you recover.

Symptoms of acute sinusitis are:

  • Facial pain or pressure
  • A “stuffy” or runny nose
  • Reduced sense of smell
  • Cough and congestion

Chronic sinusitis is persistent swelling from conditions such as a sinus infection, allergies, nasal polyps, or a deviated septum. When the sinuses are chronically inflamed, they trap mucus, which makes them more susceptible to bacteria growth and infection.

Symptoms of chronic sinusitis are:

  • Congestion or “fullness” in the face
  • Blockage in one or both nasal passages
  • Fever
  • Runny nose
  • Discolored postnasal drainage (drainage at the back of your throat)
  • Pus in the nasal cavity
  • Headaches and fatigue

Treating chronic sinusitis can be challenging. Often, it takes a combination of several methods, including nasal irrigation, decongestants, or antibiotics. Patients who do not find relief from those methods may require treatments such as endoscopic sinus surgery or balloon sinuplasty.

The benefits of nasal irrigation

Your nose is like a filter that uses layers of mucus to trap particles so that they don’t get to your lungs. Unfortunately, dryness and inflammation make it harder for the sinuses to drain properly. Using nasal irrigation, also called a nasal rinse, can help thin the mucus so that it flows out of the nose, rinsing bacteria and irritating particulates away with it.

Using a saline rinse is simple, especially if you use a premixed solution like NeilMed. You should mix distilled water and a NeilMed sterile packet to create a saline (saltwater) solution. Lean your head over the sink and flush the saline into one nostril. The water will flow through your sinuses and out the other nostril, taking allergens and bacteria with it.

You can perform nasal irrigation daily, as your cold, allergy, or chronic sinusitis symptoms warrant it.

What is a deviated septum?

Your septum is the wall between your nostrils that separates the nasal passages. When a septum is deviated, it is bent or crooked, which causes blockage in one of the nasal passages. Some people are born with a deviated septum, and others sustain an injury that damages it.

The surgery to repair and straighten the septum is called septoplasty. It’s an option for patients who have not had success with non-invasive treatments. Results vary from person to person, but many people experience an improvement in their breathing after the procedure.

Vivaer® nasal airway remodeling

People who suffer from chronic nasal obstruction may benefit from a new, in-office procedure called Vivaer®. The treatment uses low-temperature radiofrequency energy to gently and permanently reshape the nasal valve. It can be an excellent procedure for patients who have narrow nasal valves and who either aren’t interested in or wouldn’t benefit from a septoplasty.

After the Vivaer® procedure, patients immediately begin to experience improved breathing. If you’re tired of nasal strips and nasal sprays then you may be interested in speaking with Dr. Davis about whether you’re a candidate for Vivaer®.

Balloon sinuplasty promotes sinus drainage: a minimally invasive technique

Dr. Davis is excited to offer patients a revolutionary office treatment for mild to moderate chronic and recurrent sinusitis called balloon sinuplasty. During the procedure, Dr. Davis threads a small catheter through the sinus opening and inflates a balloon with water. The balloon dilates the sinus opening and widens the outflow tract, which encourages it to drain.

The procedure is a quick, non-invasive way to improve drainage, reduce the potential for bacterial infections, and improve breathing. Numerous studies have shown that 90-95% of balloon sinuplasty patients benefit from the procedure for at least two years.

Is it time to consider functional endoscopic sinus surgery?

Functional endoscopic sinus surgery is a procedure that your ENT surgeon can use to treat moderate to severe sinus surgery. If you’re no longer responding to treatments like nasal irrigation, antibiotics, and decongestants, then you may be a candidate for sinus surgery.

During the procedure, Dr. Davis uses an endoscope to locate and remove bone and tissue in the sinuses that are preventing drainage. Sinus surgery creates larger drainage pathways to reduce the chances of mucus buildup after recovery. In addition, medicated sinus rinses can better penetrate the opened sinuses to help reduce inflammation. Patients will need to undergo general anesthesia for the procedure, which usually takes between one and three hours. However, recovery is typically quick, with very little pain.

SINUVA: An innovative treatment for nasal polyps

Nasal polyps are soft, painless, benign growths in the nasal passages. Prolonged inflammation and swelling of the sinuses from infection and allergies may increase a person’s likelihood of developing polyps. For many people, nasal polyps are a chronic problem that persists throughout their lives.

Common nasal polyps symptoms are:

  • Runny nose
  • Persistent congestion and sinus pressure
  • Postnasal drip
  • Reduced senses of smell and taste
  • Pain in the upper teeth and face
  • Snoring
  • Nosebleeds
  • Headaches

Common treatments include anti-inflammatory, steroid nasal sprays, nasal irrigation, and surgery to remove the polyps. Unfortunately, surgical removal of polyps isn’t always permanent, and the polyps may grow back.

SINUVA is an innovative, non-invasive nasal implant that delivers an anti-inflammatory corticosteroid (mometasone furoate) directly to the polyps. An ENT doctor can place the SINUVA implant in the office if the patient has had previous endoscopic sinus surgery. The implant stays in place for approximately 90 days, after which the doctor will remove it. SINUVA successfully reduces polyp inflammation without surgical intervention.

We’re passionate about sinuses!

The team at Excel ENT of Alabama is passionate about sinus health and helping patients breathe better. Whether you’re having a bout of acute sinusitis or suffering from persistent nasal blockage, get in touch with Dr. Davis. He’ll get you feeling better in no time!

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Am I a Good Candidate for Sinus Surgery?

Doctor Explaining ENT

Do I need Sinus Surgery?


Headache, runny nose, nasal congestion, oh my!

According to the Centers for Disease Control and Prevention, more than 26 million Americans are diagnosed with sinusitis. Are you one of them?

What Is Sinusitis?

Sinusitis, also known as a sinus infection, occurs when the nasal passages become inflamed. There are two main types of sinusitis—acute sinusitis and chronic sinusitis.

Symptoms of sinusitis include:

  • Bad breath
  • Cough
  • Fatigue
  • Fever
  • Loss of smell
  • Nasal congestion
  • Runny nose
  • Teeth pain

Depending on the type of sinusitis, treatment options vary.

For acute sinusitis, treatment includes saline nasal washes, over-the-counter medications (like a decongestant), and a possible antibiotic. However, if despite treatment, your symptoms continue for 12 weeks or more, chronic sinusitis is most likely the culprit.

In this case, sinus surgery might be the best answer for relief.

Will Sinus Surgery Help?

In most cases, physicians will give patients time for other treatment methods to work to improve your sinus infection symptoms.

However, if after three months, pain and other symptoms continue, chances are great that there is an obstruction of the sinuses. Therefore, sinus surgery might be recommended.

“If other medications for sinusitis leave the patient without relief, surgery is the next best option,” says J. Christopher Davis, MD, FACS, an otolaryngology (ear, nose & throat) specialist at Excel ENT of Alabama. “Sinus surgery, including balloon sinuplasty, can help patients find relief from their condition, as well as lower their risks of suffering from sinus infections in the future.”

Good candidates for sinus surgery include patients who have:

  • Chronic sinusitis
  • Deviated septum
  • Nasal or sinus polyps
  • Sinus disease due to a fungal infection

When Sinus Surgery Is an Option

Fortunately, if your condition calls for a medical procedure, there are a number of sinus surgery options available. Balloon sinuplasty is one option.

“During a balloon sinuplasty, a catheter with an inflatable balloon attached to it is inserted into the patient’s sinuses and a balloon is inflated to widen the sinus outflow tracts,” Dr. Davis explains. “Since balloon sinuplasty is a less invasive treatment option than the traditional endoscopic sinus surgery, it is beginning to be the method of choice in mild to moderate cases of chronic sinusitis.”

Another sinus surgery option includes a functional endoscopic surgery. It’s important to talk to an ENT to decide which option is best for you and your medical condition.


Are you tired of suffering from chronic sinus infections? Contact the team at Excel ENT of Alabama today to schedule an appointment to discuss your treatment options, including sinus surgery.