
I've Been Working In Kubul, Afghanistan (altitude 5,900 Ft) For

Sinus barotrauma and Allergic Nasal Condition
Detailed Answer:
Hi
Thanks for posting the query
After going through the history I am of the opinion that you could be having 2 issues, first the sinus barotruama due to high altitude and secondly, allergic nasal condition.
1. At high altitude there is inflammation being caused due to the negative pressure gradient, between the sinus cavity and the surrounding ambient environment. This leads to constant headache, nasal block and nasal bleed.
2. Presence of allergens in the atmosphere can also induce similar set of symptoms.
My suggestions to you are:
1. Drink frequent sips of warm water
2. Do steam inhalation 2-3 times a day for a week
3. Use intranasal corticosteroid nasal spray such as Fluticasone or Mometasone to reduce the inflammation of the sinuses and headache.
4. Use normal saline nasal spray as frequently as possible to keep the nasal mucosa moist, reduce the dryness of the nose, clear the secretions and stop the bleeding.
5. Avoid staying/sleeping in front of the fan.
6. Change the pillow cover every night before going to the bed.
With the above measures you should get better. Revert back to me if you have any follow up queries.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon



Nasal congestion on exposure to cold and air conditioner is due to allergy
Detailed Answer:
Hi
Thanks for writing back
1. The symptoms of nasal congestion in a cold weather of A/C rooms itself is an indication of nasal allergy. Humidifiers are of little benefit only. They help in keeping the nasal mucosa moist and reduce the nasal bleed, but, the nasal congestion may not improve.
2. Even though, the symptoms are more related to the high altitude there is definitely some allergy component associated with it. As I mentioned in my earlier response, use of the intranasal steroid spray would help in alleviating the symptoms. I would suggest you to use spray religiously, and you would see some progress.
3. If you do not get better with the above mentioned medications, it would be wiser to return home and get the complete check up done.
Hope this clarifies your doubts. Wish you good health.
Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Answered by

Dr. Dr. Naveen Kumar Nanjasetty
Otolaryngologist / ENT Specialist
Practicing since :2001
Answered : 2545 Questions
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