Cough due to Post Nasal Drip (PND) and its Homeopathic Remedies

Post nasal drip (PND) refers to dripping of mucus from the back of the nose into the throat. It can lead to multiple symptoms. One amongst these symptoms can be chronic cough. PND is one of the most common causes among various reasons for chronic cough means cough that lasts for more than eight weeks. The particles present in the mucus can trigger cough as a defence mechanism to protect airways. Those suffering from PND may feel like hawking to clearing the throat frequently. They may also get a sore throat, tickling/ irritating feeling in the throat, sensation of mucus in the throat, feeling of something being stuck in the throat, hoarse voice and bad breath. Generally, small amount of mucus is continuously produced by our nose and throat which is being swallowed. It functions to maintain moisture of the nasal membrane, filter infection-causing agents like bacteria and virus, and fight infection. If due to any reason,  there is over-secretion of mucus, it starts collecting in the back of the throat. It can also be felt as dripping down from the back of the nose into the throat.

The reasons for increased mucus production here could be multiple. It firstly includes viral infection of the nose and throat – a cold or flu. Second reason is nasal allergy/allergic rhinitis which indicates overreaction of the nasal mucosa to allergens like dust mites, pollen leading to symptoms including sneezing, runny nose, stuffed nose, itchy watery eyes, and sometimes attending PND. Third cause is sinus inflammation (sinusitis) which refers to inflammation of air-filled spaces within the skull called paranasal sinuses. It results in PND along with other symptoms like nasal discharge, nasal blockage, headache, pain/tenderness around the nose, forehead, eyes, cheeks, sore throat and cough. Rest of the reasons include deviated nasal septum (DNS – in which the wall dividing nasal cavity into two parts gets displaced to one side hindering mucus drainage causing PND); use of certain medicines to treat medical conditions like high blood pressure; acid reflux where stomach acid back flows into the food pipe; cold weather or dry air.

Homeopathic Management

Homeopathic medicines can prove highly effective in cases of cough due to PND. Sourced from natural substances, they relieve cough by controlling mucus dripping in the throat from the back of the nose in the most harmless way with zero side effects. These can also relieve any attending symptoms like hawking (throat clearing efforts), sore throat, hoarse voice, bad breath along with cough. These medicines target the root cause behind PND that is trigerring cough to give long term relief. In homeopathy, the medicine most suitable is selected after detailed case analysis based on individual characteristic symptoms. So, it is advised to take any homeopathic medicine after getting your case evaluated by a homeopathic physician.

Homeopathic Medicines For Cough Due To PND

1. Corallium Rubrum – Leading Medicine

Corallium Rubrum is the most commonly recommended homeopathic medicine to manage cases of cough due to PND. In cases needing it, there is excessive nasal secretion of mucus dripping down the throat. It is accompanied with continuous coughing, mostly the entire day. There occur long episodes of cough at very frequent intervals. It gets worse after eating. It is followed by vomiting of thick sticky mucus. Weakness also occurs after coughing. There is also continual hawking due to the accumulation of mucus in the back of the throat.

2. Kali Bichrome – With Thick, Sticky, Ropy Mucus

This medicine is highly effective when there is thick, sticky, ropy mucus secretions moving down the throat from the back of the nose. The mucus sticks in the throat. Mucus going down the throat excites cough. Cough is attended with thick, yellow sticky mucus expectoration that usually comes out in form of long threads. There is tickling sensation in the throat that results in coughing. There is dry, short, continuous cough. Cough gets worse in the morning with thick mucus expectoration. It also gets worse after eating. This medicine acts best on inflamed nasal membrane and sinus inflammation (sinusitis) with excessive PND and resultant associated cough.

3. Hydrastis – For Cough With Thick White / Yellow Mucus

Hydrastis is a natural medicine to relieve cough associated with thick white / yellow mucus falling in the throat from back of nose. It is also sticky and ropy like that in case of above medicine. It is indicated for both dry and loose cough. Dry cough occurs from an irritation in the larynx (voice box).  During loose cough there occur expectoration of thick yellow colored mucus. There is dryness and soreness in the throat along with a smarting pain.

4. Hepar Sulph – When Cough Worsens From Exposure To Cold Air

This medicine is of great help when there is worsening of cough due to exposure to cold air. The mucus trickling down causes lose cough. Besides, there is hawking of thick, yellow mucus. Cough gets worse from taking cold drinks or cold food. Additionally, stitching pain in the throat and a feeling of a plug or a splinter (a small sharp piece of wood or glass broken off from larger piece) in the throat are other problems the person may complain of. This medicine is prominently indicated when chronic cold or sinus inflammation are present with PND as one of the complaints.

5. Rumex – For Dry Cough Disturbing Sleep

Rumex is an effective medicine when there is dry cough at night that disturbs sleep. Cough happens from irritation in the throat. Itching occurs in the nose that extends down to the throat. In cases needing it, cough gets worse from inhaling cold air. Talking also increases coughing. Besides, Rumex is a suitable medicine when cough occurs from change in weather from cold to warm or vice versa. A lump sensation is felt in the throat which does not get relieved by hawking. One feels relief on swallowing food. A scraping sensation in the throat may be felt along with the above symptoms.

6. Causticum – For Cough Worse In Evening

Causticum is the next well-indicated medicine when cough gets worse mostly in the evening. There is cough along with the collection of excessive mucus in the throat. The cough may continue till midnight. Cough is dry. Burning sensation is felt in the throat. There is a constant urge to clear the throat. The mucus cannot be expectorated by hawking and needs to be swallowed. The voice may get hoarse.

7. Coccus Cacti –  When Cough Occurs From Hawking Mucus

Coccus cacti is beneficial when there is excessive sticky mucus in the throat and hawking (clearing throat) causes cough. Along with cough, vomiting can occur. Throat feels constricted. It feels as if some plug has stuck in the throat. Cough is worse in the morning on waking up. Thick mucus gets detached from the throat while coughing.

8. Sticta – For Dry Cough At Night And Loose Cough In Morning

Sticta is helpful when cough is dry at night and loose in the morning. Dry cough prevents sleep at night. There is tickling sensation in the throat that sets off a cough episode. The mucus drips from the back of the nose into the throat. Nose feels blocked along with dryness and pain.