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Suggest Treatment For Blocked Nose
Question: Hi
I usually have blocked nose. Feel something inside. I have to blow multiple times and with heavy pressure.
I seems to have this from my childhood.
XXXX
I usually have blocked nose. Feel something inside. I have to blow multiple times and with heavy pressure.
I seems to have this from my childhood.
XXXX
Brief Answer:
Get a Sinus CT done as per the instructions given below:
Detailed Answer:
Hi,
Thank you for your query.
1. Nasal turbinate hypertrophy or nasal polyps, in addition to DNS is a leading cause for nasal obstruction.
2. Get a Sinus CT done. Ideally the CT Scan should be with 1 mm sections, before and after de-congestion with 0.1 % Xylometazoline nasal dops (such as Otrivin). After the first scan, use 5-8 drops of Otrivin in each nostril, wait for 15 minutes and re-scan. The radiation settings should be set to below half. Compare the images with any improvement after the drops. This helps identify the site/s causing the nasal obstruction.
3. If you can share the CT Scan images, I will be able to give you an accurate assessment.
4. You should take a course of medication before the CT Scan. Medication should include an anti-allergic (such a combination of Fexofenadine and Montelukast) , a steroid nasal spray (such as Mometasone) and regular steam inhalation. I recommend that you take a trial of at least two weeks with this medication.
5. Revision surgery should be done only after a full trial of medication. Radiofrequency / Coblation assisted nasal turbinate reduction and Balloon Sinuplasty is a new option. Nasal polyps require endoscopic sinus surgery.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Get a Sinus CT done as per the instructions given below:
Detailed Answer:
Hi,
Thank you for your query.
1. Nasal turbinate hypertrophy or nasal polyps, in addition to DNS is a leading cause for nasal obstruction.
2. Get a Sinus CT done. Ideally the CT Scan should be with 1 mm sections, before and after de-congestion with 0.1 % Xylometazoline nasal dops (such as Otrivin). After the first scan, use 5-8 drops of Otrivin in each nostril, wait for 15 minutes and re-scan. The radiation settings should be set to below half. Compare the images with any improvement after the drops. This helps identify the site/s causing the nasal obstruction.
3. If you can share the CT Scan images, I will be able to give you an accurate assessment.
4. You should take a course of medication before the CT Scan. Medication should include an anti-allergic (such a combination of Fexofenadine and Montelukast) , a steroid nasal spray (such as Mometasone) and regular steam inhalation. I recommend that you take a trial of at least two weeks with this medication.
5. Revision surgery should be done only after a full trial of medication. Radiofrequency / Coblation assisted nasal turbinate reduction and Balloon Sinuplasty is a new option. Nasal polyps require endoscopic sinus surgery.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
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. Arnab Banerjee
Answered by
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