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What Causes Tension In Turbinates Despite Having Normal Endoscopy?
Question: tension in turbinates for 3years it increases when I do work related to study.
direct nasal endoscopy report with normal limit.
direct nasal endoscopy report with normal limit.
Brief Answer:
Need more information for further comments.
Detailed Answer:
Hi,
Welcome to health care magic,
Your nasal endoscopy report is normal as stated by you,so there will be no nasal polyp,deviated nasal septum,swollen turbinates or any congestion.
Here,I would like to ask the exact clinical symptoms which you are suffering from this 3 years like excess sneezing or nasal blockage or allergic rhinitis.
As you are already taking nasal spray and antihistamines,I guess you must be having symptoms of rhinitis.
Kindly get back to me with some more nasal symptoms which you are suffering and if possible kindly send this nasal endoscopy report.
Regards,
Need more information for further comments.
Detailed Answer:
Hi,
Welcome to health care magic,
Your nasal endoscopy report is normal as stated by you,so there will be no nasal polyp,deviated nasal septum,swollen turbinates or any congestion.
Here,I would like to ask the exact clinical symptoms which you are suffering from this 3 years like excess sneezing or nasal blockage or allergic rhinitis.
As you are already taking nasal spray and antihistamines,I guess you must be having symptoms of rhinitis.
Kindly get back to me with some more nasal symptoms which you are suffering and if possible kindly send this nasal endoscopy report.
Regards,
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
sir, chief complaint-constent tension in nose and around it from 3 years. H/O present illness-I was apparentaly asymptomatic 3 years back then I noticed sever tension in nose and around it after withdrawal of xylometaxyoline nasal drop( 2 month used).at the time of sleep tension persist because of sever tension its difficult to do any work even routine work because of strain then I started taking antidepresent under phyciatrist (on 50mg peroxitine OD) till now from 3 years.tension is gradually decreases in 3 years but tension is there constent which increases sevearly and rearly tension is relief for sometime .there is no H/o of rinorrhoea,headace.
docter I am not able to study even simple reading because of this tension around nose.but when at the time im reliefed for some time I did reading learning and every work easly,plz doctor i'll go for anthing to treat this problem. iam prepearing for medical PG enterans but I cant prepear .
docter I am not able to study even simple reading because of this tension around nose.but when at the time im reliefed for some time I did reading learning and every work easly,plz doctor i'll go for anthing to treat this problem. iam prepearing for medical PG enterans but I cant prepear .
Brief Answer:
It will require further ENT evaluation.
Detailed Answer:
Hi,
Thanks for the follow-up.
I have read your whole query and understand the concern.
Here,you are suffering from tension nose but still you have not mentioned any specific symptoms for which you were taking xylometazoline nasal spray and antihistamines.
Anyway,tension nose is a combination features of protruding tip and nose protrusion under the upper lip.Many patients do not have any significant clinical features.
The causes could be overgrowth of the nasal septum leads to tip drooping down and short upper lip.
This can be diagnosed clinically or on the basis of some X-ray and Scan of the face by the ENT specialist.
You might require septoplasty or rhinoplasty after conducting clinical examination and assessing clinical features. The ENT specialist would be the best doctor who can guide you in this regard.
The above operation would be the best and permanent solution if you have this tension nose problem well diagnosed clinically.
Hope this will help you.
Regards,
It will require further ENT evaluation.
Detailed Answer:
Hi,
Thanks for the follow-up.
I have read your whole query and understand the concern.
Here,you are suffering from tension nose but still you have not mentioned any specific symptoms for which you were taking xylometazoline nasal spray and antihistamines.
Anyway,tension nose is a combination features of protruding tip and nose protrusion under the upper lip.Many patients do not have any significant clinical features.
The causes could be overgrowth of the nasal septum leads to tip drooping down and short upper lip.
This can be diagnosed clinically or on the basis of some X-ray and Scan of the face by the ENT specialist.
You might require septoplasty or rhinoplasty after conducting clinical examination and assessing clinical features. The ENT specialist would be the best doctor who can guide you in this regard.
The above operation would be the best and permanent solution if you have this tension nose problem well diagnosed clinically.
Hope this will help you.
Regards,
Above answer was peer-reviewed by :
Dr. Shanthi.E
I was taking xylometazoline because of b/l nasal obstruction which was relief after taking nasal drop...but the tolerance was increase that level I used its three times a day initially befor 3 years .then when I stopped its there is sever withdrawal symptoms like sever nasal blockage then ent doctor start me nasal saline ,antihistaminices,and because of minimal hypertrophy of turbinates there was coutary of my turbinate but still tension and little bit nasal blockage is there.sir im junior resident in ENT department in IIMS&R XXXXXXX
Brief Answer:
See an experienced ENT surgeon or plastic surgeon.
Detailed Answer:
Hi,
Thanks for the follow-up.
The treatment you have take so far like xylometazoline spray or drops,nasal saline and antihistamines, are all symptomatic treatment for your nasal obstruction or tension nose because of minimal hypertrophy of turbinate.
We need to find out the cause of this tension nose which could be overgrowth of the nasal septum here but it must be evaluated by clinical examination of nose and some tests as I mentioned earlier.
In my advice,you should consult your ENT department head or plastic surgeon who will examine the nasal cavity with some relevant investigations to find out the actual cause.
Septoplasty or rhinoplasty would be the best and permanent solution for your tension nose problem,if it is very well diagnosed.
In case,no exact cause is found then you should go with symptomatic treatment.
Regards,
See an experienced ENT surgeon or plastic surgeon.
Detailed Answer:
Hi,
Thanks for the follow-up.
The treatment you have take so far like xylometazoline spray or drops,nasal saline and antihistamines, are all symptomatic treatment for your nasal obstruction or tension nose because of minimal hypertrophy of turbinate.
We need to find out the cause of this tension nose which could be overgrowth of the nasal septum here but it must be evaluated by clinical examination of nose and some tests as I mentioned earlier.
In my advice,you should consult your ENT department head or plastic surgeon who will examine the nasal cavity with some relevant investigations to find out the actual cause.
Septoplasty or rhinoplasty would be the best and permanent solution for your tension nose problem,if it is very well diagnosed.
In case,no exact cause is found then you should go with symptomatic treatment.
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. Vaishalee Punj
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