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What Causes Nasal Congestion In One Nostril While Lying Down?
Question: sudden mild breathing difficulty on one side of nose while lying down .happend few times in one year lasts less then a minute.i have deviated septum and tuberinate hypertrophy which comes and goes but it's more like nasal congestion this feels mild congestion with mild breathing difficulty like when you hold ur breath want to make sure it's nothing serious. iam 30 year old male obese. sometimes I get this feeling after a meal otherwise regular nasal congestion when lying down or when lying down if I put some weight on my belly like holding laptop on my stomach,bending down sometimes lifting heavy weights I get nose block,also most common while climbing stairs it happens in periods some days I feel no congestion with stairs .I have huge belly fat
Brief Answer:
A nasal endoscopy, sleep study and a plain CT PNS are suggested.
Detailed Answer:
Hi,
Thank you for your query.
1. Chronic nasal congestion, turbinate hypertrophy, DNS (Deviated Nasal Septum), acid reflux and SDB (Sleep Disordered Breathing) are common causes of these symptoms. Since cardiac and respiratory causes have been ruled out, you can get the turbinate hypertrophy treated with good results.
2. I recommend that you get a plain CT PNS (Para-Nasal Sinuses) done pre and post de-congestion with 0.1% Xylometazoline nasal decongestant drops. The procedure is as follows. After the first scan, use 5 to 8 drops of 0.1% Xylometazoline nasal decongestant drops in both sides of the nose. Wait 15 minutes and rescan. The radiation settings can be reduce by half. Print these images side by side and compare and co-relate with any subjective improvement of your nasal congestion. A nasal endoscopy is also required.
3. Nasal turbinate reduction with radio-frequency or coblation technology is a fairly simple, quick and safe procedure given your history.
4. A sleep study will also help. Weight reduction and treatment of acid reflux will prevent further increase in your symptoms.
5. Upload the endoscopy, sleep study report and scan images for either here or directly at bit.ly/Dr-Sumit-Bhatti
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
A nasal endoscopy, sleep study and a plain CT PNS are suggested.
Detailed Answer:
Hi,
Thank you for your query.
1. Chronic nasal congestion, turbinate hypertrophy, DNS (Deviated Nasal Septum), acid reflux and SDB (Sleep Disordered Breathing) are common causes of these symptoms. Since cardiac and respiratory causes have been ruled out, you can get the turbinate hypertrophy treated with good results.
2. I recommend that you get a plain CT PNS (Para-Nasal Sinuses) done pre and post de-congestion with 0.1% Xylometazoline nasal decongestant drops. The procedure is as follows. After the first scan, use 5 to 8 drops of 0.1% Xylometazoline nasal decongestant drops in both sides of the nose. Wait 15 minutes and rescan. The radiation settings can be reduce by half. Print these images side by side and compare and co-relate with any subjective improvement of your nasal congestion. A nasal endoscopy is also required.
3. Nasal turbinate reduction with radio-frequency or coblation technology is a fairly simple, quick and safe procedure given your history.
4. A sleep study will also help. Weight reduction and treatment of acid reflux will prevent further increase in your symptoms.
5. Upload the endoscopy, sleep study report and scan images for either here or directly at bit.ly/Dr-Sumit-Bhatti
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
please check those attachments just want to make sure it's not cardiac cause. iam having chest burning for past 2years this issue started year ago.had normal ECG,echo,treadmill test,and chest x-ray but my symptoms are little typical to cardiac .doctors put me on betablockers and statins on very low dosage and told me to reduce weight. can we exclude this issue as non cardiac
Brief Answer:
Details as discussed below:
Detailed Answer:
Hi,
Thank you for following up.
1. Your x-ray images show a DNS and turbinate hypertrophy.
2. It seems that cardiac issues have mostly been ruled out.
3. Hence you can proceed on the above mentioned line of investigation and treatment.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Details as discussed below:
Detailed Answer:
Hi,
Thank you for following up.
1. Your x-ray images show a DNS and turbinate hypertrophy.
2. It seems that cardiac issues have mostly been ruled out.
3. Hence you can proceed on the above mentioned line of investigation and treatment.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
before treatment should I continue with medicine.i didn't follow medicine course last time just used randomly.can you prescribe me new medicine.also nasal drops doesn't help much.
Brief Answer:
Details as discussed below:
Detailed Answer:
Hi,
Thank you for following up
1. You can start with a 15 day course of Tab. Montair-FX once a day, Ezicas AZ nasal spray once a day, Cap Curcon once a day, steam inhalation once a day.
2. In cases with turbinate hypertrophy, it is expected that in some cases these medications will have limited benefit.
3. In such cases, investigations are done early.
I hope that I have answered your query. If you have any further questions, I will be available to answer them.
Regards.
Details as discussed below:
Detailed Answer:
Hi,
Thank you for following up
1. You can start with a 15 day course of Tab. Montair-FX once a day, Ezicas AZ nasal spray once a day, Cap Curcon once a day, steam inhalation once a day.
2. In cases with turbinate hypertrophy, it is expected that in some cases these medications will have limited benefit.
3. In such cases, investigations are done early.
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. Kampana
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