The Medical Consumer's Advocate


 

Yum! A mucus question.

Other people's mucus is my bread and butter. -Proverb from an old Chinese ENT.

Q: I have had some mucus cough in my throat for several months. I can't seem to get rid of the mucus. I also have a closing in my right ear, and it also feels like I have phlegm or mucus in my chest on the right side.

A: Mucus is produced throughout the sinus cavities, nasal cavity, throat, and trachea by microscopic mucus-secreting glands. If you have excessive mucus, it may be coming from your sinuses, nasal cavity, lower airway (trachea/lungs), or some combination of these. If you are a smoker, this tends to thicken the mucus from all sites.

We all produce, quite normally, one liter (four cups) of mucus per day, just from our sinuses and nasal cavities. Guess what happens to this stuff: we swallow it. (Hope you're not about to eat dinner.) Most folks don't notice it, because it's thin enough to "go right down" and does not cling to the throat. Anything that thickens the mucus tends to make it more noticeable. Here are some of the many problems which can lead to thicker mucus:

Asthma, chronic bronchitis, dehydration (in our society, this is due to excessive caffeine and alcohol intake), sinusitis, nasal allergies, bacterial rhinitis, viral infection (common cold), particular medications which tend to decrease saliva and mucus production.

If you are feeling mucus in your chest, asthma or bronchitis may be possible explanations. On the other hand, your comment about "closing in my right ear" suggests Eustachian tube dysfunction, which is often due to post-nasal drainage. Thus, the sinus and nasal diagnoses listed above may also be possible explanations.

Hope I have given you some food for thought. Since asthma and bronchitis are more serious illnesses than the others listed above, you should see an internist first to make sure your lungs are okay. An ENT would be my next stop after that. Good luck.

 

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