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Old 07-08-2008, 10:47 AM   #1
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Question Swollen Nasal glands- Can't breathe!!

Hi there.. I could use some help here if anyone else has been through this!

I have VERY large swollen glands on the inside of my nose near the opening.. If I look inside my nostrils I can actually see the pinkish glands obstructing my nasal passage. When I am sleeping laying on one side often clogs my nostril completely that I can't breathe very well... This has been chronic for about 2 years now... I had my tonsils removed (from frequent strep throat) and this helped my breathing however my nasal passage is still very clogged.
My ear/nose/throat specialist has prescribed me nasal sprays both over the counter and prescription and NOTHING is working. He did a CT scan and all that showed was one blockage on one side that didn't seem to be large enough to be removed. I have a slight deviated septum but he also doesn't feel it is an issue. All he noticed was that my glands are very swollen and large...
I am worried as to why my nasal glands on the inside of my nostrils are so enlarged and won't respond to treatments? I barely have any sense of smell and my upper respiratory always feels clogged like I have a headcold or allergies.. I have no known allergies at this time... I suffer from extreme fatigue and am starting to think this is the reason? I don't snore or have any sleep apnea that I know about.... My fiance has never heard me snore, and I rarely wake up during the night... I just ALWAYS wake up feeling unrested and drowsy..

Does anyone have any recommendations, should I seek a second opinion from another doctor?

 
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Old 07-08-2008, 12:47 PM   #2
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Re: Swollen Nasal glands- Can't breathe!!

I would seek a second opinion from an Ear, Nose & Throat specialist.

There really aren't any glands inside your nose - did the doctor mention swollen nasal turbinates (which are up inside your sinuses and help regulate the flow of air through your nasal passages) or nasal polyps (fluid filled bulges in the mucus membranes that line the sinuses).

Either way, if you have polyps or turbinates that are so swollen they're making it difficult for you to breathe and smell you should find a doctor who can help sort out what's going on.

You say that you have "no known" allergies - have you been tested for allergies?

 
Old 07-08-2008, 09:02 PM   #3
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Re: Swollen Nasal glands- Can't breathe!!

Hi thank you very much for responding... I don't know much about the anatomy of the nose/nasal so it was hard to describe.. I just looked up pictures of the turbinates and this is EXACTLY what is swollen inside my nose.
The front turbinates in both of my nostrils are very enlarged and swollen on a chronic basis.. My septum is slightly deviated, but without the swollen turbinates there is alot of room for air flow.. The turbinates are quite swollen that I only have about 1/4 size of my nostril openings of clear airflow. I am surprised my ENT doesn't think these are too swollen? They clearly obstruct my nostrils just from looking from the outside up my nose..


 
Old 07-09-2008, 03:56 AM   #4
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Re: Swollen Nasal glands- Can't breathe!!

It sounds like they're pretty swollen but, before you get too concerned, keep in mind that they're supposed to partially protect the openings from your nostrils into your sinuses. Air passing through the nose is filtered, warmed and humidified by passing over the surface of the turbinates. Your nose is not supposed to be completely wide open, if it were cold air, dry air and polluted air would wreak havoc on your sinuses.

Turbinates can get swollen - often due to irritation, allergies, etc. - but there are a couple of things you can do about it.

Using a steroid nasal spray (Rhinocort AQ, Omnaris, Flonase) may help shink them down to normal size. You'll need a prescription for the spray but they're usually pretty effective. I'd also recommend that you try saline irrigation using a SinusRinse bottle (available without a prescription at any major drug store) - just follow the directions on the package using the pre-mixed packets that come with it. It's a weird sensation at first but irrigation can really help soothe swollen tissues in your nose.

Beyond that, you might consider allergy testing if you haven't been tested before. Allergies are the most likely culprit in causing turbinates to get overly swollen.

 
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