Hi

Thanks for posting the query

The problem you are suffering from is rhinitis medicamentosa secondary to the prolonged use of nasivion nasal drops. Apart from that you are also suffering from Allergic rhinitis.

Rhinitis medicamentosa is a condition of the nose wherein prolonged use of decongestant nasal drops such as xylometazoline or oxymetazoline, causes rebound nasal congestion even in the absence of nasal congestion.

First of all, you will have to stop using nasivion nasal drops. You need to replace that with saline nasal spray and steroid nasal spray for the time being. Do steam inhalation 3-4 times a day and drink plenty of warm water.

In Mumbai, you can contact Dr. XXXXXXX Kirtane at Hinduja Hospital.

Hope I have answered your query; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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Hi

Thanks for writing back

The eosinophil count is marginally raised. This can happen in parasitic infections, allergy, etc. As mentioned in my previous response, you could be suffering from allergic rhinosinusitis.

If you have used Nasivion for more than 5 days in a week and more than once in a month, the nasal mucosa develops rebound congestion of the nose even in the absence of nasal congestion which is termed as rhinitis medicamentosa.

You can try using steroid nasal spray such as fluticasone or momentasone 2 puffs in each nostrils, early in the morning as soon as you get up from the bed. Also, avoid sleeping directly under the fan or in front of A/C, change the pillow cover every night before going to bed and cover the nose with a clean handkerchief when exposed to dust and smoke.

Regards
Dr. Naveen Kumar N.
ENT and Head & Surgeon

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