Suggest Treatment For Allergies After Surgery For Deviated Septum

Hello, Thank you for asking at HCM. I went through your history and would like to make suggestions for you as follows: 1. It is important to remember that sinus surgery corrects structural problems related to nose/sinuses, it cannot cure allergies as basically, allergies are related to immune system. So, unless your ENT surgeon suggests you need to have a repeated surgery (he will advise you only after examination of inside of your nose and after some investigations), you may not actually require a surgery. 2. Were I treating you, I would suggest you to continue intranasal corticosteroids (nasonex), I would add regular montelukast and an antihistamine like fexofenadine, cetirizine or levocetirizine. 3. I would suggest you regular steam inhalation (please be cautious to avoid burns) and neti. It will help. 4. Should you have reflux symptoms, i.e., regurgitation of foods after meals or burning pain in chest, especially after hot/spicy/oily meals, I would prescribe you antacid like omeprazole for at least 6 weeks. It can worsen sinusitis. 5. I would also suggest you allergy testing and consult an Allergist-Immunologist with the report. After reviewing your symptoms and reports, he may prescribe you allergen specific immunotherapy. The injections you have heard of might be actually immunotherapy. Nowadays, there are both injections and drops (to be kept under tongue) available. Of course it should be continued for 3-5 years, but improvement in symptoms usually begins within first 6 months of beginning of immunotherapy. It works on your immune system to modify response towards the substances one is allergic to and hence improves allergies gradually. 6. A diet rich in vitamins and minerals as well as avoidance of dusts, smokes and air pollution will also help you. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish you the best of the health. Thank you & Regards.