Brief Answer:
Next step is to find the root cause of issue !!!

Detailed Answer:
Thanks for consulting at my virtual clinic!
I have carefully worked through your case, and can well realize your health worries. Being your physician, I will take care all of your medical concerns today and will put my best efforts to get you out of this situation.
 
 We need to see the root cause of your swollen, inflamed, congested and engorged nasal passages.

Filled sinuses mean there is mucous in them due to infection and inflamed mucosal lining (inner walls) of the sinuses.


 In this situation you are unable to breathe normal and Oxygen debt is created causing fatigue and malaise. Another reason in such a clinical setting is Obstructive Sleep Apnea (sleep pattern is disturbed due to frequent waking at night as a result of respiratory passage blockage). In this context I am also interested to see your body weight, height and waist circumference--to calculate your body mass index (BMI). High BMI (more than 25 is taken abnormal and is associated with sleep disturbances and weakness).

We need to see the cause of allergy that is causing irritation to the nasal and sinus mucosa. Frequently seen causes may be:-
Fomites
animal dander
grass, trees, pollen allergy.
extremes of temperature.
direct air etc.

Highest Recommendation :-
You need to consult an Otorhinolarngologist for thorough evaluation and management accordingly. You may be having Nasal septal defect, Nasal polyps or other issues of nose and sinuses around nose.

Keep taking the medications you are on as the are all mandatory. I usually prefer to add systemic Corticosteroid too in the form of nasal spray. Definitive treatment can be decided after Otorhinolarngologist examination of course.
 
Hope I answered all of your questions. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with my expert opinion. Please don't forget to give rating (5 stars if agreed) and write a review to help me assist my patients in a better way; and, please click on 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in the start of your questions at this forum & I will be with you in no time).
 
 
Regards!
DR. XXXXXXX HANIF
USA

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Brief Answer:
Obvious need for Sleep Apnea Specialist Consultation! !!

Detailed Answer:
Welcome back with a follow-up query. I am glad to assist you today.


You have obvious signs of Obstructive sleep apnea and there is a mandatory need for you to get yourself evaluated by a Sleep Apnea Specialist. He will evaluate the case and after careful examination and investigations, if needed, he may refer you to an ENT Specialist for management of any defects in nose and nasopharynx.

Saline nasal douches with lukewarm water, and gargles arw the best ones for you. steam inhalation and keep a warm mist vaporizer in your room will soothe your respiration and will assist in weakness and snoozing during daytime.
 
Reducing body weight will reduce your troubles many folds. Keep a regularity on this project to.
 
Hope I answered all of your questions. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with my expert opinion. For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in the start of your questions at this forum & I will be with you in no time).
 
 
Regards!
DR. XXXXXXX HANIF
USA

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