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What Causes Persistent Blocked Nose?

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Posted on Thu, 30 Jun 2016
Question: I nose gets blocked often and i use otrivin adult spray.
kindly advice how to cure this.this is happening for last three months..
no other medical problem.

doctor
Answered by Dr. Hariom Sharma (42 minutes later)
Brief Answer:
Most probably you may be suffering from the rhinitis medicamentosa

Detailed Answer:
Hi Sir,
I have gone through your question and understand your concern; it suggests that most probably you may be suffering from the rhinitis medicamentosa.
Rhinitis medicamentosa (RM), also known as rebound rhinitis or chemical rhinitis, is a condition characterized by nasal congestion without rhinorrhea or sneezing that is triggered by the use of topical vasoconstrictive medications for more than 4-6 days.
But to rule out the other disease, to reach the near diagnosis and for better management; I would like to suggest that you may go for
1. CT scan PNS and
2. Nasal endoscopy.

Above mentioned investigation are necessary for better management.

Regards
Dr Hariom Sharma MS, XXXXXXX
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Hariom Sharma (12 hours later)
is there any medicines for this ??
doctor
Answered by Dr. Hariom Sharma (1 hour later)
Brief Answer:
Yes, there are medicines for rhinitis medicamentosa.

Detailed Answer:
Hi Sir,
I have gone through your follow up question; and there are medicines for rhinitis medicamentosa.

If I were your treating doctor then I would like to prescribe
1. Discontinue the use of the nasal decongestant.
2. Intranasal glucocorticosteroids spray twice a day.
3. Saline nasal douche once a day.
Continue the above mentioned treatment for at least one month; after discuss with your doctor.

Regards
DR Hariom Sharma MS, XXXXXXX
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Hariom Sharma (1 hour later)
Intranasal glucocorticosteroids

Saline nasal douche

are these name of medicines i can get from pharmacy?

thanks..
doctor
Answered by Dr. Hariom Sharma (6 minutes later)
Brief Answer:
Not a name of medicine

Detailed Answer:
Hi Sir,
I have gone through your follow up question; and for your kind information these are not the name of medicines.

Intranasal glucocorticosteroid is Avamys Nasal spray contains Fluticasone furoate.
Saline Nasal Wash or douche is Netiwash.

Regards
Dr Hariom Sharma MS, XXXXXXX
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Hariom Sharma

ENT Specialist

Practicing since :2006

Answered : 1113 Questions

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What Causes Persistent Blocked Nose?

Brief Answer: Most probably you may be suffering from the rhinitis medicamentosa Detailed Answer: Hi Sir, I have gone through your question and understand your concern; it suggests that most probably you may be suffering from the rhinitis medicamentosa. Rhinitis medicamentosa (RM), also known as rebound rhinitis or chemical rhinitis, is a condition characterized by nasal congestion without rhinorrhea or sneezing that is triggered by the use of topical vasoconstrictive medications for more than 4-6 days. But to rule out the other disease, to reach the near diagnosis and for better management; I would like to suggest that you may go for 1. CT scan PNS and 2. Nasal endoscopy. Above mentioned investigation are necessary for better management. Regards Dr Hariom Sharma MS, XXXXXXX