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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ear Is Hypermobile, Blocked Nose, Using Saline Sprays, Otrivin, Nasonex. Left Ear Operated For Grommet Insertion. Any Suggestions?

Hi, I am 40 years old and have been using otrivin for the last 5 years or so. I always have blocked nose in one or both the nostrils and am using saline sprays and nasonex now for the last 3 weeks. Nasones does not seem to work at all, but my ENT has asked me to persist with it. In the meanwhile i have also got my left ear operated for grommet insertion bcos of ear pressure problem, and my right ear as per the ENT is hypermobile, and i constantly hear clicking sounds and popping sounds throught out the day specially when my jaw moves, I yawn or swallow etc. The ENT says this may stay like this, there is no liquid in my inner ear and I may have to live with this. I also have nasal polyp, deviated nasal setpum and most probably hypertrophied turbinates because of over use of otrivin. I have also started doing yoga, i.e. pranayam, i.e. breathing exercises a little when my nose is unblocked, and walking for 45-60 minutes every day for the last week. All this is verry verry annoying, and discomforting as I get distressed, have lot ofr anxiety, and am unable to focus elsewhere and my work is suffering quite a bit. Start having negative thoughts and have started to stay aloof. Have stopped enjoying life because of all these problems. Please advise the best course of action to get rid of otrivin, can one get cured without coblation of turbinates or setoplasty. I do not want to get another surgery done as I earlier rushed into grommet insertion for my left ear so soon. Is there anything else that can be done to expedite my treatment. If i persist with saline spray, and nasonex, can I improve in sime time? I am very tensed, will appreciate answers....thanks
Thu, 9 May 2013
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Dentist 's  Response
dear ,um feeling very pity for u.u have suffering really very badly.what i have understood from your history that u not have yet received the treatment proper .from your history what um feeling that u had a simple allergic rhinitis wht should be treated in different way.
u have got dns
hypertrophied turbinates
nasal polyp
all this can developed from chronic allergic reaction
unfortunately no ur situation is such ,that um afraid that u have to go for some surgical procedure to correct the dns and polyp
but if u start the treatment for allergy u may not hav that problem
but late better than never ..u just check ur plasma igE level and tak medication
montelukast+levocetrizine combination
and fluticasone +azalestine nasal spay twic daily
u hav to take thios medication for long u will get respose after 2-3 week of use
get well soon
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Ear Is Hypermobile, Blocked Nose, Using Saline Sprays, Otrivin, Nasonex. Left Ear Operated For Grommet Insertion. Any Suggestions?

dear ,um feeling very pity for u.u have suffering really very badly.what i have understood from your history that u not have yet received the treatment proper .from your history what um feeling that u had a simple allergic rhinitis wht should be treated in different way. u have got dns hypertrophied turbinates nasal polyp all this can developed from chronic allergic reaction unfortunately no ur situation is such ,that um afraid that u have to go for some surgical procedure to correct the dns and polyp but if u start the treatment for allergy u may not hav that problem but late better than never ..u just check ur plasma igE level and tak medication montelukast+levocetrizine combination and fluticasone +azalestine nasal spay twic daily u hav to take thios medication for long u will get respose after 2-3 week of use get well soon