Recently, I had a CAT scan of my sinuses. It revealed mucosal thickening in the ethmoidal and maxillary sinuses. Also, the mucosal thickening is causing the ostiomeatal complexes to narrow. My question is how can I get this mucus to drain?
When a CT scan shows "mucosal thickening" it's not referring to thick mucus, it's referring to the mucus membranes that line your sinuses being swollen and inflamed.
Mucinex does help thin out mucus but doesn't do anything to reduce the swelling and inflammation in your sinuses. There are several medical options for reducing this inflammation:
1. Try switching from a neti pot to a NeilMed Sinus Rinse bottle. The bottle does a better job of getting the liquid into your sinuses and may provide some additional relief.
2. Ask your doctor about a steroid nasal spray like RhinocortAQ, Flonase, etc. The sprays are very effective at reducing inflammation and, because they are topical, are very safe.
3. Ask your doctor about Leukotriene inhibitors like Singulair and Zyflo. These are medications that block the allergic inflammatory response in the body and, over time, they should help reduce the inflammation as well.
If none of those things reduce the inflammation, your doctor may want you to try a brief course of oral steroids to help reduce the inflammation. Once the inflammation is under control it's important to keep it from getting inflamed again, so be prepared to continue using saline irrigation and any other medications at a maintenance dosage.