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Suggest Treatment For Blocked Dry Nose When Treating Asthma
Question: Hi,I have had a very very dry nose for the last 3,4 weeks and have been prescribed naseptin cream for over a week now...also I have been having a blocked nose sensation aswell for the last 6,7 days not constantly but on and off through the day and night....I have been using beconase steroid nasal spray for about 20 years for perrenial rhinitis but have stopped taking it since the last 2 weeks on the advice of the doctor.I am unable to breath through my nose and I have asthma so when I breath through the mouth only it only puts a strain on my chest,lungs.last few days I have had acute asthma symptoms which in general are controlled quite well.coyld you please tell me what I can do? .I have tried all sorts of saline nasal sprays.I don't want to use antihistamines because from experience they will make my dry nose worse.thank you
Brief Answer:
Your clinical history is suggestive of Atrophic changes (Dryness) in nose.
Detailed Answer:
Hi,
Thanks for the query.
I have read your query , reviewed your medications and understand your concern.
Your clinical history is suggestive of Atrophic changes (Dryness with crusting) in nose due long term use of beconase steroid nasal spray & chronic infection .
In this condition , bone of nasal turbinates undergo resorption cause widening of nasal passage but due to crusting inside nose patient have nasal dryness & blockage.
If I were your treating Doctor for this case , I would advice you
continue Neilmed sinuse rinse ,
saline sprays &
naseptin cream .
Use kemicetine anti ozaena nasal solution twice daily after consulting your doctor .
Investigation needed like nasal endoscopy &
CT scan nose with paranasal sinuses to know & confirm Atrophic changes .
Revert back to me with reports.
Hope it is helpful to you . If you have any further questions I will be happy to help.
Regards.
Your clinical history is suggestive of Atrophic changes (Dryness) in nose.
Detailed Answer:
Hi,
Thanks for the query.
I have read your query , reviewed your medications and understand your concern.
Your clinical history is suggestive of Atrophic changes (Dryness with crusting) in nose due long term use of beconase steroid nasal spray & chronic infection .
In this condition , bone of nasal turbinates undergo resorption cause widening of nasal passage but due to crusting inside nose patient have nasal dryness & blockage.
If I were your treating Doctor for this case , I would advice you
continue Neilmed sinuse rinse ,
saline sprays &
naseptin cream .
Use kemicetine anti ozaena nasal solution twice daily after consulting your doctor .
Investigation needed like nasal endoscopy &
CT scan nose with paranasal sinuses to know & confirm Atrophic changes .
Revert back to me with reports.
Hope it is helpful to you . If you have any further questions I will be happy to help.
Regards.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Would it be correct to say that if i stay off the beconase for a few weeks then my damaged cells,tissue will regenerate and my nose will start producing normal mucus? .Percentage wise would you please tell me what chance is there that my nose will feel normal again? .
May you also tell me wether nasal dryness can affect my lungs/asthma in the short term or only if the dryness continues for a long time?
Could you please advise me if this dry and blocked nose problem is a serious health issue or merely a very uncomfortable situation to be in ?
Approximately how long will it take for my node to feel better and how long before the problem is completely alleviated?
Would it be correct to assume that the dryness and blockage will go away or is there a chance i may have to stay with this uncomfortable and distressing problem all my life?
Thank you sir
May you also tell me wether nasal dryness can affect my lungs/asthma in the short term or only if the dryness continues for a long time?
Could you please advise me if this dry and blocked nose problem is a serious health issue or merely a very uncomfortable situation to be in ?
Approximately how long will it take for my node to feel better and how long before the problem is completely alleviated?
Would it be correct to assume that the dryness and blockage will go away or is there a chance i may have to stay with this uncomfortable and distressing problem all my life?
Thank you sir
Brief Answer:
Yes , stopping beconase nasal spray will help to regenerate normal mucosa
Detailed Answer:
Thanks for the follow up query.
Yes , stopping beconase nasal spray will help to regenerate normal mucosa cells.
Use kemicetine anti ozaena nasal solution twice daily, it will help to increase regeneration of nasal mucosa .
I am unable to comment on % of chances getting it to normal because i do not know present severity of nose dryness . CT scan & nasal endoscopy will help me to guide you further .
There are very slight chances of getting dryness first into larynx & then lung .
It is more uncomfortable situation than serious health issue.
It will take 8 to 12 weeks to your nose feel better .
Dryness & blockage of nose will go away but require long term medication .
Hope it is helpful to you .
Regards.
Yes , stopping beconase nasal spray will help to regenerate normal mucosa
Detailed Answer:
Thanks for the follow up query.
Yes , stopping beconase nasal spray will help to regenerate normal mucosa cells.
Use kemicetine anti ozaena nasal solution twice daily, it will help to increase regeneration of nasal mucosa .
I am unable to comment on % of chances getting it to normal because i do not know present severity of nose dryness . CT scan & nasal endoscopy will help me to guide you further .
There are very slight chances of getting dryness first into larynx & then lung .
It is more uncomfortable situation than serious health issue.
It will take 8 to 12 weeks to your nose feel better .
Dryness & blockage of nose will go away but require long term medication .
Hope it is helpful to you .
Regards.
Above answer was peer-reviewed by :
Dr. Shanthi.E
On your advice i have had a nasonoscopy carried out by an ENT Consultant Surgeon.
The findings are as follow :
No evidence of Vestubilitis.However, the nasal mucosa looks dry and the left inferior turbinate in particular looks a little atrophic.There is also a small amount of crusting within the nose.There is no evidence of infection.
The ENT Consultant has also advised me to continue with the Sinus Rinse and the Naseptin Cream. He has also suggested that i do not use the nasal steroid spray for the next 6 weeks to allow the nose to settle down with the douching and the Naseptin.
Sir, do you have any additional advice and suggestions after the findings and would you say this problem should start improving quickly and would it be correct to assume that there will be a considerable improvement within the next 4 to 8 weeks?
In the meantime, if i get any rhinitis symptoms what would you suggest because i need to stay away from the steroid spray and if i take antihistamine tablets they can make my dryness worse.
Also the left turbinate is slightly atrophic is that going to cause problems or only hypertrophy causes problems?
Your expert opinion and suggestions are highly valued and appreciated.
Thank you sir.
The findings are as follow :
No evidence of Vestubilitis.However, the nasal mucosa looks dry and the left inferior turbinate in particular looks a little atrophic.There is also a small amount of crusting within the nose.There is no evidence of infection.
The ENT Consultant has also advised me to continue with the Sinus Rinse and the Naseptin Cream. He has also suggested that i do not use the nasal steroid spray for the next 6 weeks to allow the nose to settle down with the douching and the Naseptin.
Sir, do you have any additional advice and suggestions after the findings and would you say this problem should start improving quickly and would it be correct to assume that there will be a considerable improvement within the next 4 to 8 weeks?
In the meantime, if i get any rhinitis symptoms what would you suggest because i need to stay away from the steroid spray and if i take antihistamine tablets they can make my dryness worse.
Also the left turbinate is slightly atrophic is that going to cause problems or only hypertrophy causes problems?
Your expert opinion and suggestions are highly valued and appreciated.
Thank you sir.
Brief Answer:
As per your nasal endoscopy , your are having mild atrophic changes in nose
Detailed Answer:
Thanks for the follow up query.
As per your nasal endoscopy , your are having mild atrophic changes in nose .
In my opinion , you are taking correct treatment plan . Atrophic changes will improve within 6 weeks .
If you will have rhinitis symptom in the meantime , i would advice use Montelukast tablet at night .
Atrophic left turbinate will become normal within 6 weeks with medication .
Hope it is helpful to you .
Regards.
As per your nasal endoscopy , your are having mild atrophic changes in nose
Detailed Answer:
Thanks for the follow up query.
As per your nasal endoscopy , your are having mild atrophic changes in nose .
In my opinion , you are taking correct treatment plan . Atrophic changes will improve within 6 weeks .
If you will have rhinitis symptom in the meantime , i would advice use Montelukast tablet at night .
Atrophic left turbinate will become normal within 6 weeks with medication .
Hope it is helpful to you .
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. Pradeep Vitta
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