Bleeding to the Back of the Nose (BGA)

A discharge from the back of the nose (BGA) is feeling the discharge in the throat or noticing that the discharge is flowing from the back of the nose. BGA can also occur due to exercise, thick secretions or throat muscles and problems with swallowing.

Normally, the glands lining the nose and inside the sinuses are 250-500 ml per day. produces secretions. On the surface of this mucosa are small, mobile hairs that can only be seen with a microscope. These allow the epidemic to move backwards. It is then unconsciously swallowed without realizing it. This secretion wets and cleans the membranes and fights infections. The production and clearance of this secretion depends on the relationship between nerves, blood vessels, glands, hormones, and small awns.


Increased thin and clear secretions for colds, flu (upper respiratory viral infection), allergies, cold weather, bright light, some foods and spices, pregnancy and hormonal changes, birth control pills and medications including some blood pressure medications, and intranasal seen in cases such as bone curvature.

Vasamotor rhinitis is a non-allergic disease that causes excessive secretion and stuffy nose. Increased thick secretion is often seen in houses and buildings that are heated without humidification during the winter months and the humidity drops. It is also seen in sinus and nasal infections and allergies to poultry products. If the secretion in the common cold thickens over time and starts to turn yellow and green, it is probably a symptom of an object caused by bacteria (beans, peas, a piece of paper, a piece of a toy, etc.) The decrease in the epidemic may be due to one of the following reasons:

Prolonged exposure to environmental irritants can dry out the nose and cause damage to the membranes (cigarette smoke, industrial fumes, car fumes). When the secretion is reduced, it is thicker than normal and falsely feels increased. Structural disorders (nasal septum irregularities) cause drying of the nasal membranes by changing the air flow. This causes less and thicker secretion than normal and the person feels BGA. Other rare causes also cause this feeling by making changes in the membranes. SWALLOWING PROBLEMS

Swallowing is a complex phenomenon involving the passage of liquid and solid food from the mouth into the esophagus. This happens when the nerves and muscles in the mouth, throat and stomach work in coordination. Swallowing problems may cause solid or liquid foods to accumulate in the throat and then spill over to the area of ​​the vocal cords, resulting in hoarseness, throat clearing or coughing.

There are many reasons for difficulty in swallowing: With age, swallowing muscles lose both their strength and coordination ability. Therefore, sometimes even normal secretion may not pass into the stomach.

During sleep, swallowing is less and the secretion accumulates in the mouth. Coughing or throat clearing sensation may be felt on waking

Nervousness and stress at any age cause contraction of the throat muscles and as a result, the feeling of something in the throat. Frequent throat clearing can exacerbate the irritation and worsen the condition. Growths or swellings on the way food passes slow or prevent the passage of solid and/or liquid foods.

Swallowing disorders can also result from a condition defined as Gastroesophageal Reflux (GER) or Laryngopharyngeal Reflux (LPR), in which food or acid from the stomach backs up into the esophagus or throat. Burning sensation, indigestion and discomfort in the throat are the main symptoms, and these are especially worse when lying down after eating. It is caused by bag-shaped hernias that occur at the junction of the esophagus and the stomach.


Before starting treatment, a diagnosis must be made. This includes a detailed Otorhinolaryngology examination and possibly some laboratory, endoscopic and x-ray studies.

Bacterial infections are treated with antibiotics, but these provide temporary relief. In chronic sinusitis, a surgical intervention is needed to open the mouth of the closed sinuses.

allergy; can be controlled by eliminating the cause. Antihistamines and decongestants, cromolyn and steroid nasal sprays, other forms of steroids and hyposensitization (vaccine therapy) may be used for treatment. However, some antihistamines cause drying and make the secretion thicker. Decongestants cause increased blood pressure and exacerbation of heart and thyroid disorders. Steroid sprays can usually be used safely for years under medical supervision. However, strict control and observation should be made in the long-term use of oral and injection steroids that do not have side effects in the short term.

Gastroesophageal reflux treatment is started with life-regulating recommendations such as raising the head of the bed by 12-15 cm, eating little and often, prohibiting alcohol and caffeine, and doing sports provided that it is not tiring. Antacids or drugs that stop stomach acid production, which are very effective in this disease, should be given under the control of a doctor. There are definitive diagnostic methods such as pH measurement.

Structural defects require surgical application. Septum deviation prevents the sinuses from emptying normally and causes chronic sinusitis. A protrusion in the septum will cause irritation and abnormal secretion. A hole in the septum causes crusting. Enlarged or deformed turbinates (structures on the side walls of the nose that regulate and moisten the airflow) or polyps (benign growths caused by infection, allergy or irritation) may also cause the same complaints.

It may not always be possible to find a cause. If medical treatment does not respond, the patient should decide on surgical treatment.

In some cases, no specific cause can be found. If there is no disease that can be corrected, the treatment is to thin the epidemic so that it can flow more easily. This is especially true for elderly people with insufficient fluid intake. These patients should drink at least eight glasses of water a day, they should stop Caffeine and, if appropriate, should not use diuretics. If guaifenesin or organic iodine is used to thin the secretion, if swelling in the salivary glands or rash develops in the body, the drug should be discontinued.

Rinsing the nose with water helps to correct the thick and reduced secretion. It can be applied two to six times a day with special devices made for the nose. This liquid can be made by adding baking soda or salt to hot water. Finally, simple saline solutions that do not require a prescription are used to moisten the nose.


BGA often causes a red, irritated throat. Throat cultures are usually ineffective, but tonsils and other tissues may swell and cause discomfort. This event will go away when BGA is treated.

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