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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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DNS Sinusitis, SOB And Throat Infection, Treatment ?

HI,I HAVE DIAGNOSE DNS SINUSITIS .MY AGE IS 24..BUT THE SYMPTOMS WAS APPEARS AT THE AGE OF 5 BUT NOT DIAGNOSE AT THIS AGE..SYMPTOMS WAS ON AND OFF..LIKE COMPLAIN OF S.O.B AND THROAT INFECTION..WHENEVER I WAS BUSY SYMPTOMS DID NOT SHOW PROPER BUT NOW I HAVE COMPLETED MY STUDY AND NOW IN HOME SO SYMPTOMS APPEAR OF SEVERE NATURE S.O.B COMPLAIN IS SEVERE.MY ALL REPOTS OF ECG , CBC ARE NORMAL.,.I M VERY DISAPPOINTED ND FEEL VERY DISCOMFORT PLEASE TELL ME WHAT SHOULD I DO DOCTOR GAVE ME ANTIBIOTIC ND ADVICE FOR SURGERY
Sat, 12 May 2012
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Pediatrician, Infectious Diseases 's  Response
Hello Dr.Rabita,
Welcome to Healthcare Magic forum.
Please do not worry.
Deviated nasal septum is a condition in which the middle wall of the nose is deviated making the nasal passages unequal and causing airflow changes in the sinuses.
The symptoms you are experiencing are common in such disorder.
A minor deviated septum often only causes intermittent problems, such as minor snoring or an occasional stuffy nose. These symptoms can be treated with medications including antihistamines, decongestants and nasal sprays.
However ,Surgery, called a septoplasty, is the only way to straighten a deviated septum. This is often the preferred treatment method for those with a severe deviation that causes continual sinus problems such as chronic congestion, frequent infections, nose bleeds, facial pain and headaches.
Since your diagnosis has been confirmed and all other routine tests are normal, and you have been experiencing symptoms since a long time, it would be advisable to consult an otolaryngologist and if indicated plan for a septoplasty.
There are two common types of septoplasty. The procedure most preferred by physicians is the minimally invasive powered septoplasty which uses an instrument called a microdebrider to strip away the mucous membrane and cartilage that is causing the problem. This method does not require an outside incision and reduces the risk of a septal perforation which is a hole in the nasal septum.
A submucous resection, the traditional surgical method, involves an outside incision to allow access to the mucous lining of the nasal septum.

In severe DNS the benefits from the surgery will be more than the minor risks involved.
So do not lose hope and consult your doctor.
Hope this information is helpful to you.
Wishing you good health.
Regards
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General & Family Physician Dr. Neelam Ashish Vanjari's  Response
Hi Dr. Rabita,

As a doctor you must be completely aware of what is DNS [Deviated Nasal Septum].
Coming to treatment part of it, septoplasty is advised only if symptoms remain there even after using decongestants, antibiotics,steam inhalation.
Again if deviation is minor then septoplasty will not be advised.
Treatment options will be discussed once endoscopy is done [sometimes CT Scan ] to inspect and decision is taken accordingly.
Discuss with your doctor regarding surgery, as you have severe symptoms.
Take care.
Best regards,
Dr.Neelam.
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DNS Sinusitis, SOB And Throat Infection, Treatment ?

Hello Dr.Rabita, Welcome to Healthcare Magic forum. Please do not worry. Deviated nasal septum is a condition in which the middle wall of the nose is deviated making the nasal passages unequal and causing airflow changes in the sinuses. The symptoms you are experiencing are common in such disorder. A minor deviated septum often only causes intermittent problems, such as minor snoring or an occasional stuffy nose. These symptoms can be treated with medications including antihistamines, decongestants and nasal sprays. However ,Surgery, called a septoplasty, is the only way to straighten a deviated septum. This is often the preferred treatment method for those with a severe deviation that causes continual sinus problems such as chronic congestion, frequent infections, nose bleeds, facial pain and headaches. Since your diagnosis has been confirmed and all other routine tests are normal, and you have been experiencing symptoms since a long time, it would be advisable to consult an otolaryngologist and if indicated plan for a septoplasty. There are two common types of septoplasty. The procedure most preferred by physicians is the minimally invasive powered septoplasty which uses an instrument called a microdebrider to strip away the mucous membrane and cartilage that is causing the problem. This method does not require an outside incision and reduces the risk of a septal perforation which is a hole in the nasal septum. A submucous resection, the traditional surgical method, involves an outside incision to allow access to the mucous lining of the nasal septum. In severe DNS the benefits from the surgery will be more than the minor risks involved. So do not lose hope and consult your doctor. Hope this information is helpful to you. Wishing you good health. Regards