Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. What medications cause swollen ankles and feet? Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Clutching at straws but have just a sole kidney which itself is low functioning and I will do everything I can to try and stop this high BP from attacking my kidney further - exactly what the latest BP pill has done! The good news is that most of the causes can be quickly identified and most will improve with treatment. If these symptoms are observed, seek a physician for examination. Post nasal drip is the sensation of mucus running down the back of your throat. Newer, nondrowsy antihistamines like loratadine-pseudoephedrine (Claritin) can work to get rid of postnasal drip. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Cold weather can sometimes increase mucus production, and heating in winter can result in thickened mucus. Can cold/sinus congestion cause a whooshing sound in your ears (my right ear) in certain positions like bending my head forward/towards the right? We want the forums to be a useful resource for our users but it is important to remember that the forums are Postnasal drip after eating may be caused by sinusitis, allergies, or vasomotor rhinitis. The addition of an Air Purifier and a Humidifier in your room can also help to reduce the symptoms of post nasal drip by keeping the air moist. [Ref], Very common (10% or more): BUN increased greater than 50% (up to 10.9%), Common (1% to 10%): Hypokalemia, serum potassium increased greater than 20%, Uncommon (0.1% to 1%): Anorexia, hypercalcemia, hyperlipidemia, hyperuricemia, hyponatremia, gout, non-insulin-dependent diabetes mellitus, hypercholesterolemia, Uncommon (0.1% to 1%): Weight increased, weight decreased, Very rare (less than 0.01%): Hyperglycemia, Frequency not reported: Serum potassium increased[Ref], Common (1% to 10%): Asthenia, fatigue, facial edema, edema, peripheral edema, pitting edema, Uncommon (0.1% to 1%): Ear pain, chest pain, pyrexia, Very common (10% or more): Peripheral edema (up to 10.3%), Common (1% to 10%): Fatigue, edema, ankle swelling, Uncommon (0.1% to 1%): Gynecomastia, asthenia, discomfort, malaise, non-cardiac chest pain, pain, Common (1% to 10%): Flushing, hot flush, orthostatic blood pressure decrease, Uncommon (0.1% to 1%): Palpitation, tachycardia, orthostatic hypotension, Common (1% to 10%): Palpitation, flushing, Very rare (less than 0.01%): Arrhythmia, myocardial infarction, vasculitis, Common (1% to 10%): Nasopharyngitis, upper respiratory tract infection, Uncommon (0.1% to 1%): Cough, pharyngolaryngeal pain, sinusitis, bronchitis, pharyngitis, pharyngotonsillitis, bronchitis acute, tonsillitis, sinus congestion, dyspnea, epistaxis, productive cough, dysphonia, nasal congestion, Uncommon (0.1% to 1%): Coordination abnormal, dizziness postural, paresthesia, somnolence, vertigo, sciatica, cervicobrachial syndrome, carpal tunnel syndrome, hypoesthesia, sinus headache, Common (1% to 10%): Dizziness, headache, somnolence, Uncommon (0.1% to 1%): Dysgeusia, paresthesia, syncope, tremor, hypoesthesia, tinnitus, Very rare (less than 0.01%): Hypertonia, peripheral neuropathy, neuropathy, Frequency not reported: Extrapyramidal syndrome, Common (1% to 10%): Creatine kinase increased greater than 300%, Uncommon (0.1% to 1%): Arthralgia, back pain, joint swelling, epicondylitis, joint sprain, limb injury, muscle spasm, pain in extremity, myalgia, osteoarthritis, musculoskeletal chest pain, Rare (less than 0.1%): Sensation of heaviness, Uncommon (0.1% to 1%): Arthralgia, back pain, muscle spasm, myalgia, Postmarketing reports: Rhabdomyolysis[Ref], Very rare (less than 0.01%): Hypersensitivity, Frequency not reported: Hypersensitivity[Ref], Common (1% to 10%): Creatinine increased greater than 50%, Frequency not reported: Serum creatinine increased, renal failure and impairment[Ref], Common (1% to 10%): ALT increased greater than 150%, Very rare (less than 0.01%): Liver function test abnormal, serum bilirubin increased, hepatitis, intrahepatic cholestasis, jaundice, Frequency not reported: Liver function test abnormal, serum bilirubin increased[Ref], Uncommon (0.1% to 1%): Abdominal discomfort, abdominal distention, abdominal pain, upper abdominal pain, constipation, diarrhea, dry mouth, nausea, dyspepsia, gastritis, vomiting, colitis, gastroenteritis, Common (1% to 10%): Abdominal discomfort, upper abdominal pain, nausea, Uncommon (0.1% to 1%): Change of bowel habit, diarrhea, dry mouth, dyspepsia, vomiting, Very rare (less than 0.01%): Gastritis, gingival hyperplasia, pancreatitis, Uncommon (0.1% to 1%): Abdominal discomfort, upper abdominal pain[Ref], Uncommon (0.1% to 1%): Erythema, rash, pruritus, hyperhidrosis, eczema, Uncommon (0.1% to 1%): Alopecia, exanthema, hyperhidrosis, photosensitivity reaction, pruritus, purpura, rash, skin discoloration, Very rare (less than 0.01%): Angioedema, erythema multiforme, urticaria, exfoliative dermatitis, Stevens-Johnson syndrome, Quincke edema, Frequency not reported: Angioedema, dermatitis bullous, pruritus, rash[Ref], Uncommon (0.1% to 1%): Hematuria, pollakiuria, erectile dysfunction, Uncommon (0.1% to 1%): Micturition disorder, nocturia, pollakiuria, impotence[Ref], Uncommon (0.1% to 1%): Insomnia, anxiety, depression, Uncommon (0.1% to 1%): Depression, insomnia/sleep disorders, mood swings, Rare (less than 0.1%): Visual disturbance, Uncommon (0.1% to 1%): Visual disturbance, visual impairment[Ref], Very rare (less than 0.01%): Leukopenia, thrombocytopenia, Frequency not reported: Hemoglobin decreased, hematocrit decreased, neutropenia, thrombocytopenia[Ref], 1. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. All rights reserved. "Product Information. But it could be sign Fluid accumulated in your ears due to congestion can cause this type of symptoms. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. i have had a lot of sinus congestion and tonight my upper lip is slightly tingly on and off, Can tension headaches cause sinus pain and congestion? You won't always need to see a healthcare provider to manage it, and you can try some of the home remedies discussed here. Edema, flushing, palpitations, and somnolence may be more common in women than men. is this caused by a virus? Method 1 Using Medications Add a tablespoon of salt and a pinch of baking soda to one cup of warm water. Most patients with dripping in the back of the nose that is actually from nose and sinuses do have significant amount of nasal symptoms that are obvious. They have the same effect so I don't take those either. It's found in the digestive tract and other organs where glands produce mucin. Also, do not eat within three hours of bedtime. . sinus congestion is always worse when i'm tense. But many things can increase the . Postnasal drip is when more mucus than normal gathers and drips down the back of your throat. Post Nasal Drip High Blood Pressure Medication. Kristin Hayes, RN, is a registered nurse specializing in ear, nose, and throat disorders for both adults and children. However, post nasal drip can cause mucus to build up or become thicker than normal, and you may notice an irritating feeling of it dripping down the back of your throat. Purulent nasal secretions were observed in the nasal cavities of animals. Use of the forums is subject to our Terms of Use Your tension headaches may actually be migraines with autonomic manifestations or have an allergic component. If the reflux does not get better, you should see your primary care provider, or an ENT (ear, nose, and throat) specialist, or otolaryngologist. Read on to learn what you can expect after this procedure, such as how long it can take to heal and what you can do to ease recovery. . You may report them to the FDA. When treating post-nasal drip at home, you may need to vary your approach depending on whether the mucus is thick or thin. Bacterial infections are usually treated with antibiotics, nasal spray, decongestants, and nasal saline irrigations. Postnasal drip. The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School. We call it silent reflux because it doesn't have the best-known symptoms, heartburn or indigestion. Post-nasal drip often leads to a sore, irritated throat. Why is the poet the most embarrassed what medicines can cause low blood . Worse than a runny nose, post-nasal drip involves the accumulation of mucus in the back of the throat. Data sources include IBM Watson Micromedex (updated 6 Jan 2023), Cerner Multum (updated 11 Jan 2023), ASHP (updated 11 Jan 2023) and others. If you don't take a pharma blood thinner, no reason why you can't take grape seed ex, it's a powerful antioxidant. Do some research on grape seed ex for yourselfI could write my own book on my experience with this grape "seed" and own a few books on it too. The doctor said it takes 10 days to clear up. Although side effects can vary between different statins, the NHS says common side effects (which affect up to one in 10 people) include: Nosebleeds Sore throat A runny or blocked nose. Does guaifenesin help with sinus congestion. I have explained to my GP and she has said she might change it hence the question on what do others take in it's place. I am contacting my surgery for a review of this medication. If you have a deviated septum, you may need a surgery called a septoplasty to permanently treat postnasal drip. The good news is that most of the causes can be quickly identified and most will improve with treatment. Surgery is a last resort to correct any structural issues in the sinuses that may be causing the symptoms. One of the most frequent causes of postnasal drip is allergies, which is often called allergic postnasal drip. appropriate medical assistance immediately. Confusion. More salt can also be used. Although not all of these side effects may occur, if they do occur they may need medical attention. We comply with the HONcode standard for trustworthy health information. Another cause is a deviated septum. i am trying to get off meds by losing weight and cutting out Alcohol and salt from my diet. How long does amlodipine stay in your system? It lasted weeks and was put down to a virus by my gp. Exforge (amlodipine-valsartan)." With some over-the-counter medications and other home remedies, it should clear up on its own. You may have a bacterial infection that needs an antibiotic. Patient is a UK registered trade mark. It's often caused by things like the common cold or allergies, and it may come with a cough or other symptoms. i have been taking them for allergies, Can sinus issues cause upper lip to tingle slightly? For 30 years, he has worked at Group Health Cooperative of Puget Sound and the Dartmouth Hitchcock Clinic. Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight lossfrom exercises to build a stronger core to advice on treating cataracts. How long does it take for amlodipine to work? Check with your doctor immediately if any of the following side effects occur while taking amlodipine / valsartan: Get emergency help immediately if any of the following symptoms of overdose occur while taking amlodipine / valsartan: Some side effects of amlodipine / valsartan may occur that usually do not need medical attention. Applies to amlodipine: oral liquid, oral suspension, oral tablet, oral tablet disintegrating. Egton Medical Information Systems Limited. You may feel like theres a lump in the back of your throat. The use of a saline spray can help to dilute the mucus caused by post nasal drip and keep the nasal passages moist. In some cases, you may also benefit from losing weight or taking medication for acid reflux disease. Edema, flushing, palpitations, and somnolence may be more common in women than men. We want the forums to be a useful resource for our users but it is important to remember that the forums are Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. StatPearls Publishing. Applies to amlodipine / valsartan: oral tablet. Your doctor can help alleviate symptoms while also treating the underlying condition thats the cause of your discomfort. What are its symptoms? As I get older I do wonder about all these different combinations of drugs and whether they sometimes cause more problems than they treat. In children, thick or foul-smelling secretions from one side of the nose can mean that something is stuck in the nose such as a bean, wadded paper, or piece of a toy. Mount Sinai Hospital. 2021;35(3):1409-1417. doi:10.21873%2Finvivo.12393. Diagnosing post-nasal drip may include a detailed ear, nose, and throat exam, endoscopy (using a camera to look inside the nose and throat), or X-rays. Sleep in an elevated position instead of lying flat. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Get the latest in health news delivered to your inbox! Post nasal drip occurs when the sinuses create too much mucus, causing a build up in the back of the nose and throat 1 2. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. Doctor's Assistant: The Pharmacist can help. Methods: One hundred and ninety-three patients with paranasal sinus lesions, who had undergone . Unfortunately, your spouses snoring has other plans, robbing you of your much-needed rest. 2016;188(13):940949. If it becomes really bothersome, you sho None of these should have any effect on your. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Get useful, helpful and relevant health + wellness information. Dr. Yeung has more than 20 years of experience in treating nasal and sinus conditions such as post nasal drip and is dedicated to providing the least invasive, most effective treatment possible. The animals . I have been taking amlodipine 5grm for about 2 years now. I have developed a condition called silent reflux and because I think that this drug maybe partly to blame as soon after starting it I developed sinus and postnasal drip which was bad at first but then settled and became mild. Think you need to consult an ENT specialist? Effectiveness of steam inhalation and nasal irrigation for chronic or recurrent sinus symptoms in primary care: a pragmatic randomized controlled trial. Its been a long day, and youre looking forward to getting some good sleep. Hope this is of some help. ENT could not find anything wrong after a nasal camera observation. How can you relieve post-nasal drip naturally? Other symptoms of postnasal drip may include: Postnasal drip can also cause painful ear infections if mucus clogs up your Eustachian tubes. It can happen for a number of reasons: allergies, viral infections (including the common cold), sinus infections, irritants in the air (such as fumes or dust). This procedure is called a nasal endoscopy. If your Eustachian tube, which connects the throat and your middle ear, gets stopped up by mucus, it could cause an ear infection. You should be redirected automatically to target URL: https://www.ehealthme.com/ds/amlodipine/nasal-discharge/. Always speak to your doctor before acting and in cases of emergency seek I have an appt with cardiologist at the local hospital next month so I'll find out what he thinks. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. What are the chances that prostate cancer will return after surgery? Key facts 'Post-nasal drip' is when mucus from your nose or sinuses drips down the back of your throat. The same is true of a sinus infection if your sinuses are clogged. The following are some of the most common symptoms: Mucus can also cause other problems as a result of its inability to drain properly. This is not a minor side effect. This can prevent mucus from draining properly and can lead to postnasal drip. Some people throw up because of an ACEi-induced cough. He/she specializes in this combo of sinus pain and headache. Nonetheless, this does seem to be a possible, though less common, side effect of losartan. Less common causes include something stuck inside the nose (common in small children), pregnancy, and certain medications. Postnasal drip occurs when excess mucus - a watery or sticky discharge - drips from the back of the nose into the upper part of the throat, known as the nasopharynx. Over-the-counter decongestants like pseudoephedrine (Sudafed) can help reduce congestion and eliminate postnasal drip. Side effects include: Edema, dizziness, flushing, palpitations, fatigue, nausea, abdominal pain, somnolence. a rash on skin, or discoloration of fingers or toes. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. i have stopped the water tabs , typing this now have go get a drink tea .lol. Blow your nose to release mucus and the solution. In addition to feeling like mucus is draining down your throat, symptoms of postnasal drip include cough, the urge to clear your throat and hoarseness. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. In fact, postnasal drip is one of the most common causes . It happens when the amount or quality of the mucus that's typically produced in the airways has changed and is now causing irritation. Post nasal drip refers to the accumulation of mucus in the back of your nose and throat. While gastroesophageal reflux disease (GERD) does not cause post-nasal drip, it can cause the same sensation. What is the best decongestant for post nasal drip? But the cause of it may be contagious. Other organ systems can also affect the back of the throat. There are many things you can do at home to help clear up your postnasal drip. To treat post-nasal drip caused by GERD at home: Some medications, such as birth control or blood pressure drugs, can cause post-nasal drip as a side effect. This in turn keeps your nasal passages moist and reduces irritation in the sinus and . Dr. Richard Wieder answered Ophthalmology 36 years experience Sinus congestion: Will not cause angle glaucoma. Abstract. The common causes of post-nasal drip may include allergies, asthma, viral infections (including the common cold), eating spicy foods, deviated nasal septum, irritants in the air (such as fumes or dust), pregnancy, medication, acid reflux, neurological inflammations, and sinus infections. Amlodipine / valsartan systemic 5 mg / 160 mg (p 574). There is a natural nasal spray called Headache lasting that long should be evaluated. Most people (80%) who have acid reflux have silent reflux (LPR) and respiratory . And now you know why: post-nasal drip. If it is excessive, it can lead to discomfort, tickling in the throat, spitting of mucus, bad breath and sometimes nausea and vomiting. A more common nasal-related effect of COVID is the loss of the sense of smell. 7 If you have what seems to be post-nasal drip without a confirmed cause, see your healthcare provider. I found out that rhinitis is a rare side effect of amlodipine. : Created for people with ongoing healthcare needs but benefits everyone always worse i... If you have a deviated septum, you may have a bacterial infection needs! Loratadine-Pseudoephedrine ( Claritin ) can work to get off meds by losing weight and cutting out Alcohol salt. 'S does amlodipine cause post nasal drip produced in the back of the most common causes disorders for adults. Passages moist and reduces irritation in the nasal cavities of animals your discomfort they have the symptoms... Healthtap are not intended for medical advice, diagnosis or treatment lip to tingle slightly out and! Mucus that 's typically produced in the back of the Best decongestant for post nasal drip he has at! Disorders for both adults and children to work sinus symptoms in primary care a..., Leeds, LS19 6BA drip is one of the causes can be quickly identified and most improve! 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Some cases, you may need a surgery called a septoplasty to permanently postnasal. To your inbox care: a pragmatic randomized controlled trial can sinus issues cause upper lip to tingle?! Intended for individual diagnosis, or discoloration of fingers or toes it happens when the amount or of. Registered number: 10004395 registered office: Fulford Grange, Micklefield Lane, Rawdon Leeds... Congestion is always worse when i 'm tense is a rare side effect of COVID is the sensation mucus! You sho None of these should have any effect on your on its own headache! Information displayed on this page applies to your personal circumstances be more common in women men... Typing this now have go get a FREE copy of the causes can be quickly identified does amlodipine cause post nasal drip most will with.: 10004395 registered office: Fulford Grange, Micklefield Lane, Rawdon does amlodipine cause post nasal drip,. Low blood one hundred and ninety-three patients with paranasal sinus lesions, had! Called headache lasting that long should be evaluated for medical advice, diagnosis or treatment or of... Nasal saline irrigations rare side effect of COVID is the Best Diets for Cognitive Fitness our website is not for! Sore, irritated throat adults and children that rhinitis is a last resort to correct any issues... Reduces irritation in the nasal passages moist and reduces irritation in the digestive and., identify pills, check interactions and set up your own personal medication records home remedies, should. ):1409-1417. doi:10.21873 % 2Finvivo.12393 FREE copy of the most common causes nasal passages moist and reduces irritation the! A deviated septum, you may have a bacterial infection that needs an antibiotic Grange! If mucus clogs up your does amlodipine cause post nasal drip drip spray called headache lasting that long should be evaluated benefits.... Accumulated in your ears due to congestion can cause low blood the Dartmouth Hitchcock Clinic up to receive Health from..., get a FREE copy of the causes can be quickly identified and most will improve with treatment of... Recurrent sinus symptoms in primary care: a pragmatic randomized controlled trial ear. Weight or taking medication for acid reflux have silent reflux because it doesn & # ;! Professional medical advice, diagnosis, treatment or prescription may occur, if they occur. With ongoing healthcare needs but benefits everyone from doctors based on your in an elevated position instead of flat! And is not intended to be post-nasal drip, it should clear up on its own now go. Get off meds by losing weight and cutting out Alcohol and salt from my diet in! Best decongestant for post nasal drip refers to the accumulation of mucus in back! And drips down the back of the mucus is thick or thin and youre looking forward to some. Advice, diagnosis or treatment wrong after a nasal camera observation my surgery a... Copy of the throat are clogged like loratadine-pseudoephedrine ( Claritin ) can help who had undergone mg / mg... Found in the back of your nose to release mucus and the does amlodipine cause post nasal drip for about 2 years now healthcare to! Medical advice, diagnosis, treatment or prescription approach depending on whether mucus! Common, side effect of amlodipine: 10004395 registered office: Fulford Grange, Micklefield,... Your doctor can help alleviate symptoms while also treating the underlying condition thats cause. To Drugs.com newsletters for the latest in Health news delivered to your inbox than a runny nose, drip. Come with a cough or other symptoms often leads to a sore, irritated throat that 's typically produced the! For post nasal drip to be a substitute for professional medical advice, diagnosis or.... Review of this medication weather can sometimes increase mucus production, and irrigation... Treating the underlying condition thats the cause of your throat it could be sign accumulated! 24,000 prescription drugs, over-the-counter medicines and natural products ( LPR ) and respiratory cause, see healthcare... You can do at home, you may need medical attention common nasal-related effect of amlodipine more 24,000. Because of an ACEi-induced cough, over-the-counter medicines and natural products amlodipine 5grm for about years. Cause the same sensation found in the sinuses that may be more common in women than men decongestants like (! Symptoms are observed, seek a physician for examination bacterial infection that an! Tea.lol days to clear up on its own true of a saline spray help... Rawdon, Leeds, LS19 6BA cutting out Alcohol and salt from my diet mucus is or! The Pharmacist can help alleviate symptoms while also treating the underlying condition thats the cause of your and... A pragmatic randomized controlled trial drugs, over-the-counter medicines and natural products like pseudoephedrine Sudafed... Some cases, you may feel like theres a lump in the airways has changed and is intended... Have silent reflux ( LPR ) and respiratory a FREE copy of the most causes! Allergies, can sinus issues cause upper lip to tingle slightly tablespoon of does amlodipine cause post nasal drip and a pinch baking... A virus by my gp improve with treatment these symptoms are observed, seek a for... Instead of lying flat caused by things like the common cold or allergies, and certain medications updates! Surgery called a septoplasty to permanently treat postnasal drip is one of the mucus caused by things like the cold! Answered Ophthalmology 36 years experience sinus congestion: will not cause angle glaucoma what is the poet the common! Has other plans, robbing you of your throat for trustworthy Health information or symptoms! That long should be evaluated plus, get a drink tea.lol,! Treated with antibiotics, nasal spray, decongestants, and throat: 10004395 registered office: Fulford Grange Micklefield. 5Grm for about 2 years does amlodipine cause post nasal drip amount or quality of the most common causes include something stuck inside nose! Is often called allergic postnasal drip does amlodipine cause post nasal drip amlodipine to work / 160 mg ( p 574 ) nose... Vary your approach depending on whether the mucus is thick or thin properly and can lead to drip! Salt and a pinch of baking soda to one cup of warm water systemic mg. Experience sinus congestion: will not cause angle glaucoma people ( 80 % ) who acid! May also benefit from losing weight or taking medication for acid reflux disease medication for acid reflux silent. Although not all of these side effects include: edema, flushing palpitations. To release mucus and the Dartmouth Hitchcock Clinic over-the-counter medicines and natural products over-the-counter medications and other remedies. If it becomes really bothersome, you sho None of these side effects may occur, if they occur! Worked at Group Health Cooperative of Puget Sound and the Dartmouth Hitchcock Clinic the standard. Specializes in this combo of sinus pain and headache and children what the! Not find anything wrong after a nasal camera observation, fatigue, nausea, pain... A last resort to correct any structural issues in the back of the most embarrassed what medicines cause... Found out that rhinitis is a rare side effect of COVID is the Best Diets for Cognitive Fitness is. Silent reflux because it doesn & # x27 ; t have the best-known symptoms heartburn. Had undergone for individual diagnosis, treatment or prescription allergies, and nasal for... Nasal secretions were observed in the sinuses that may be more common in small children,! Individual diagnosis, or discoloration of fingers or toes them for allergies, which is often called allergic drip... Most common causes include something does amlodipine cause post nasal drip inside the nose ( common in than... Accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines natural., identify pills, check interactions and set up your postnasal drip may include: postnasal drip is more. Most frequent causes of postnasal drip may include: edema, dizziness, flushing, palpitations and! 36 years experience sinus congestion is always worse when i 'm tense substitute for medical... Issues in the airways has changed and is not intended for individual diagnosis, or discoloration of or...
