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Unable to breathe at night as nostrils are completely blocked. Had severe cold and phlegm. What to do ? - Online Doctor Chats

Date : 08-Jun-2013
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1148 Questions
Doctor:Good Evening
User:Good eve
Doctor:Good evening.
Doctor:Please proceed with your query.
User:the problem is
User:last time when i been to my hometown
User:for Diwali
User:it was very cold and while litting the crackers i have smoked the carcker smoke a lot
User:and while returning to bangalore
User:the bus window was opened
User:and it was very cold Outside
User:and i believe that due to chilliness outside
User:i had severe cold and phlegm
User:and i took some basic medicines
User:like TusQ
User:and i felt some time it was good
User:later i couldnt breathe
User:and couldnt sleep i mean nice sound sleep
User:then I took Ascorin
User:syrup and few tablets for the same
User:now in the nights iam not able to sleep properly
User:becuase my nostrils are completely closed everynight
User:and takig breathe from mouth is leading bit of chest pain
User:can you please advice?
Doctor:Has the breathlessness improved since the last year?
Doctor:Or you still continue to have the breathing difficulty?
User:I still have breathing difficulty
User:in the nights
User:not able to sleep sound
Doctor:Do you also have cough?
User:yes I do
User:intially the phlegm use to come
User:but now it is not coming
Doctor:Do you have wheezing (abnormal sound during breathing)?
Doctor:May I know your age?
User:wheezing not that much extint
User:but Yes a bit
User:now also my nostrills are blocked
Doctor:Are you suffering with on and off - regular fever?
Doctor:Have you lost weight?
Doctor:Is your appetite normal?
User:i have put on
User:i dont get fever
Doctor:Do you have diabetes, high blood pressure?
User:but i feel that my ribs are blocked and heart beat goes down and increases fastly
User:if taking breathe from mouth
User:Iam not a diabetic
User:but Blood pressure
Doctor:Are you on any medications for high blood pressure?
Doctor:Thanks for providing these details.
Doctor:Let me brief you.
Doctor:Based on your description, you seem to have recurring/chronic upper respiratory inflammation.
Doctor:The problem could be related to deviated nasal septum / hypertrophied turbinates / sinusitis extending to the bronchi leading to cough, breathing difficulty and pain.
Doctor:Asthma may or may not be associated too.
User:earlier i had bronhiatic allergy
User:long back
User:i used some medication that time
Doctor:These possibilities can be narrowed down by a detailed examination with battery of test that includes X-ray Paranasal sinuses, chest X-ray and pulmonary function test.
Doctor:Your past history of bronchial asthma increases my suspicion of recurring asthma
Doctor:in association with the nasal problems.
Doctor:And as I said, you will need complete set of investigations to identify the causative factors.
Doctor:Therefore I would urge you to consult an ENT surgeon and chest physician for the evaluation.
Doctor:In the mean time, I would recommend you to try deep steam inhalation before sleep.
User:shall I use karvol plus?
Doctor:Add contents of Karvol plus capsule into the hot water and inhale for better results.
Doctor:Sleep in an inclined position.
Doctor:And avoid any cold and refrigerated diet.
Doctor:After the evaluation your doctors can prescribe long acting bronchodilator with inhalers.
Doctor:Those will take care of your problem.
User:do you suggest any best doctor for me
Doctor:Rarely you may need surgical procedures to improve the nasal blockade.
Doctor:May I know your locality?
User:around in bangalore
User:and more thing.. since my child hood....only one nostril works
User:i mean
User:half the day right one and left one will be blocked
Doctor:If Manipal is feasible, you may consult Dr. E.V XXXXXXX / Dr.BhathiReddy (ENT specialist) and Dr. XXXXXXX XXXXXXX (Chest Physician).
User:yes manipal is feasible
Doctor:Alternatively you can use this link
Doctor:to find good specialists around your locality and consult them.
Doctor:There are user written reviews for some doctor to help you choose.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:yes one more
User:can you recommend
User:for my wife
User:she is feeling severe cold
User:and fever
Doctor:Since how many days is she having fever and cold?
User:one day
User:she is sneezing
User:she took dolo
User:and ascoril
User:as well
Doctor:Does she have any chest pain?
User:but no betterment
User:she doesnt
Doctor:This season is very common for viral fevers.
User:can you suggest
User:some medication
Doctor:So let her continue with Tablet Dolo 650 mg, 3 times daily after food.
Doctor:There is no medication which can control virus.
User:anything else needed
Doctor:Also let her do steam inhalation with Karvol plus
User:for cough and sneezing
Doctor:That should help her to reduce the symptoms.
Doctor:If fever and cough persists for more than 3 days, you will have to consult a physician to do an evaluation.
Doctor:Have you followed?
Doctor:Do you have any other queries?
User:yes iam done
User:thanks for your assistance
Doctor:Thanks for consulting me.
Doctor:Let us know if you have any health related queries.
User:thanks for your advice
Doctor:Bye for now.
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