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Nasal congestion due to allergy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello i am aged 21. I am suffering form blockage of both nostrils since November 2009 and due to this i am unable to breathe with my nose. From the past one year i consulted with four doctors at our native place Andhra Pradesh. One of the doctors told to me the problem is due to allergy and he gave some medicines but the problem is not solved. Another doctor told me that the problem is not related to allergy and is due to a minor bend of the bone which lies in the middle of my two nostrils. Now i am in hyderabad doing some private job. Please suggest a solution to my problem.
Doctor :   Let me read your query for few minutes to
be able to have a good discussion here.
User :   ok
Doctor :   OK, so you have been having a chronic problem , for which inspite of visiting 4 docs, hope all were ENT specialist? They still couldnt come to a conclusive diagnosis right?
User :   yes, all of them are ENT doctors
User :   they didnt tell my exact problem
Doctor :   Could you give me a brief history of your illness, just answer me- the blockage you said, is it because of secretions(mucus)?
Doctor :   How many days/weeks/months over the year from last Nov have you suffered?
Doctor :   was the suffering continuous or intermittent?
User :   First when it was started blockage is not because of mucus but during the starting of this winter mucus is also comming from my nose. I am suffering from the blockage CONTINUOUSLY and DAILY from the last year november.
Doctor :   What other symptoms di you have?
Doctor :   fever?
Doctor :   headache?
User :   no fever.
Doctor :   cough?
User :   no headache.
Doctor :   sneezing?
User :   no cough.
Doctor :   pain over the face?
User :   YES sneezing.
User :   no pain over the face
Doctor :   Does the block clear when you lye on one side?
User :   no it will INCREASE when i lay down on the bed for sleep.
Doctor :   Which side nostril is blocked more often right or left?
Doctor :   Does the block clear on one side when you lye on the side?
User :   first it was right which is often blocked but for the past one month BOTH are completely blocked
Doctor :   Did the doctor who suggested "bend of the bone", ask you to get operated?
User :   YES
Doctor :   Did the doctor who suggested "allergy", conduct blood tests?
User :   YES he conducted blood test.
Doctor :   Could you tell me what were the test results?
Doctor :   Eosinophil count?
Doctor :   E as percentage?
User :   Eosinophil is 660
User :   cells/cu mm
Doctor :   How many times was this test done?
User :   only once
User :   on 2nd october 2010
Doctor :   Ok, looking at that result, its clear that allergy has a role
Doctor :   but that does not say anything about the bend
Doctor :   You could still have a bend
User :   ok
Doctor :   which can only be confirmed by looking
Doctor :   into your nose
Doctor :   by an expert ENT surgeon, if it is minor
Doctor :   A large/gross bend can be confirmed by yourself
Doctor :   looking into the mirror
Doctor :   or by your friend
User :   ok it seems the bend could not be the problem because i cant find it when i am looking into the mirror
Doctor :   Now what you need to do is stick to any one ENT surgeon whom you consider expert, or take a second opinion from another surgeon regarding the bend & the surgery
Doctor :   There is no doubt about the allergic component though
Doctor :   Do you jog/exercise or practice Yoga or breathing exercises
Doctor :   ?
User :   no
User :   I hadnt done any of them
Doctor :   Why dont you give it a shot
Doctor :   it has shown very good results in many patients
Doctor :   Any sort of exercise, which involves heavy breathing & sweating
User :   But the problem in doing those exercises is that i am unable to breathe with my nose. The problem is very severe and i am taking air with my mouth.
Doctor :   Then there must be a problem with the structure of the nose, & the allegic component must have increased the size of the glands behind the nose
Doctor :   Have you tried steam inhalation?
User :   tried two to three times but didnt find any result
User :   please suggest me an advise whether i have to consult an ENT or an allergy doctor
Doctor :   2-3 times does not give any result
Doctor :   take second opinion regarding the Bend
Doctor :   from another ENT surgeon
Doctor :   Then you will know whether it is purely allergic or a mix of allergy & bend
User :   please suggest me an expert ENT surgeon in hyderabad.
Doctor :   There are patient written reviews for doctors
in our listing, those can guide you for a
better doctor.
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