Quick questions for you:

1) Do you drink coffee? Some people with gluten/casein issues cross-react with coffee. I find I have to lay off it a while when I get inflamed or overly stressed because I start getting sinus problems, even with decaf.

2) Have you tried things like ginger tea? I am able to reduce some inflammation with that and similar infusions.

Best of luck! My husband has had off and on post-nasal drip issues for years. Still haven't figured out why.

Also, like Nourished Girl said--Neti pots are amazing. Not a permanent solution, but they'll certainly bring relief.

I stopped having post nasal drip (which was leading to me getting sore throats waay too often) when I included fermented food into my daily diet. It's potentially connected to acid reflux, as that went away at the same time.

You almost certainly have chronic rhinosinusitis and IMO at this point it is not likely to respond to diet. The recommendation for fermented foods is worth trying, but if no response to that, then:

1) Get Immunocap quantitative allergen IgE blood panel appropriate to your area and/or get skin prick test panel by an allergist. BOTH of these tests are reliable with good sensitivity and specificity. These will tell if you have allergies accounting for the PND which is very common. Dust Mites are often the culprit.

2)If #1 is positive, then have SCIT - subcutaneous immunotherapy - this is highly efficacious and actually cures some inhalant allergies over time. It can be highly effective and can prevent new sensitizations as well as progression to asthma. CRS and asthma are actually the same disease, differing only which part of the airway is affected.

3) Whether you have allergies or not, a trial of nasal steroids is warranted for symptom relief. Antibiotics usually have no role.

4) All of this can be handled by your allergist, but an ENT consult might be warranted to see if you have nasal polyps causing obstruction. The initial treatment should be the same, however.

Hi Gill, I have year round allergies and PND. I have noticed it's not AS bad without dairy. I don't have any dietary recommendations, but wanted to suggest Ayurvedic medicine which helped me greatly. There are two things that really helped me (didn't clear up my PND but helps it "move")

• Nasya Oil - An oil blend that you drip in your nostrils, with your head tilted back, 1/2 tsp for both nostrils. It helps "move" the gunk out. I do it before I go to bed, and in the morning. I get my Nasya Oil from Banyan Botanicals, here. If you don't want to spring for Nasya oil you can also try good sesame oil. I like Eden's Sesame Oil. I tried Flora Sesame oil in my nose and it just BURNED - not good. It shouldn't burn, it actually doesn't feel like anything.

• Neti pot/Saline rinse/nasal irrigation - This also really helps me help move things out. I like Neilmed's Saline Rinse bottle. Definitely make sure the salinity is correct or else it'll burn.

I don't want to recommend herbs (which also really helped me. I stopped taking the nasal sprays that my regular MD prsecribed to me) since I'm not an Ayurvedic doctor but the oil really helped me. If possible I would start seeing an Ayurvedic doctor (I see mine twice a year), only because they can really fine tune the regimen for you and just to be sure you're taking the right things :)

If you want you can also look up your dosha, I think you might be kapha.

Hope this helps!

Acupuncture helps my allergies quite a bit.

It's likely not a complete solution, but, if you can, consider removing the carpet in your home-- especially since you mentioned that having the carpets cleaned seemed to help abate your symptoms, perhaps removing them entirely will help. Best of luck!

Have you tried keeping a food journal? I've had severe allergies for a very long time (even succumbing to allergy shots for over an entire year). But when I went Paleo, most of my allergies went away, but not quite. I would notice that every once in a while, I would get severe nasal congestion/post-nasal drip.

One day, I noticed that I was completely clear, ate a meal and then had an orange for desert. Ten minutes later, I was stuffy/sneezy. It lasted for a short while, and then cleared up while I was at work. Later for dinner, I had a meal and then another orange for dessert. Again, I was stuffy/sneezy ten minutes later .Since it was a totally different environment than my home, I know it was the citrus. So I cut out citrus, and my allergies are fine! I don't even get allergy shots anymore...and am completely clear and can breathe free!

Just wanted to give you an example that you can have the perfect diet on paper, but you still may be consuming something that's not right for you. Try keeping a food journal to determine any patterns.

I would recommend consuming lots of gelatinous bone-broth and probiotic-rich foods (because I believe allergies are ultimately a sign of leaky-gut). Hope this helps! I definitely realize the misery of year-round allergies....

I'm not sensitive to gluten or dairy, I'm just allergic to living in Alabama. Days I am outside without planning leaves me miserable for a week. I'm talking about red watery eyes, rhinitis, swollen sometimes midline tonsils, headache, cough especially at night, sore throat, the whole nine yards. Interestingly, my dad and my toddler have the same issues. I tried natural routines like local honey and Neti Pots, but without medicine it didn't kick it. The only thing to make life bearable for me is: Zyrtec 10mg, Vit C, Vit D, and for when I'm sick, basically COPD medicines, I have a albuterol and bronchodilator inhaler and nasal steroid. Edit: studies have shown most antibiotics do not penetrate the sinuses. However my doctor will prescribe cipro for long-term sinus infections.

My Dad had this type of, what he thought, was post nasal drip for years. Finally one day he goes to a new doctor and the doctor says its caused by acid reflux. My Dad takes some medication for acid reflux and viola, problem gone.

Maybe check that out.

I like to recommend NAET (www.naet.org) (Nambudripad Allergy Elimination Technique), very non-invasive. It can be very good if it is, in fact, environmental allergy.

I love my neti pot; I put two drops of GSE in it, and a little ascorbic acid (vitamin C). I just mix salt with the water, I've not had any trouble with salinity (my nose must not be fussy). It was disgusting and difficult for me in the beginning. Practice is good. I have days when it starts to gag me, I just stop and dump it out. I get too dry using it daily, but when I get sick, i LOVE it.

I've had the gross post nasal drip issue for years. Allergy tests didn't show anything, so the doc started me on some steroid to treat a possible sinus infection. It didn't work, just made me sick and I couldn't keep any food down after a week of the med.

Anyway, i searched for a ton of things before, and what I've found helps has been: -garlic supplement -oil of oregano, in the oil form - you put 1-2 drops under your tongue. and then you breathe oregano for hours, kind of gross, but it definitely cleared mine up for the entire day last time i took it. -echinacea supp

someone suggested slippery elm lozenges, apparently vocalists take them before singing...i haven't found them particularly helpful, but who knows, they might be

i've also read about the below, bought them, but haven't taken them, oops: -hyssop -fenugreek/thyme supp -Quercetin With Bromelain -Eyebright -Nac (N-Acetyl-L-Cysteine) -Propolis Extract Ultimate Strength

Take enough vitamin D3 to test in the 60s or 70s in your blood. Where is my prize? This is going to work.