Refractory (years) mucus plug nasopharynx (id by md allergist)> productive (clear/brown bb size) "throat clearing." saline spray ineffective. ?

Step-Up Therapy: If you are suffering from chronic rhinitis then you are likely under-treating your disease. Saline sprays are helpful but not best treatment for persistent congestion, post-nasal drip, and running. Consider starting medicated nasal steroid sprays. See an Allergist to determine what possible triggers you may have so that appropriate treatment can be prescribed.