I am an 28 yer healthy male who unfortunately abused Otrivine (oxymetazoline nasal drops) for a period of 12 months so as to fight my night time nasal congestion
The last 7 months one of my nostrils is almost completely blocked-the blocked nostril is alternating and I feel pressure on that side. The blockage is there only when I lie down or sit, the blocked nostril opens up when I excercise, run, walk briskly. Why?
I visited many good ENTs. The problem was obvious: enlarged (swollen) turbinates. No nasal discharge and prich test negative so the docs said vasomotor rhinitis
Initially we thought rhinitis medicamentosa. I stopped the oxymetaz. nasal drops and used Nasonex (steroid sspray) and Xozal antohistamine. Neither helped. I switched to Pulmicort/Flexotide steroids -NO relief. Saline just helped with the dryness. Tapered Oral steroids (prednisone) also tried. Very small temporary relief
Being a very active and decisive young man I tried to resolve the situation as soon as possible
-Did a CT scan of the sinuses ALL CLEAR, turbinate shape not abnormal, septum very mildly deviated
-Had ***** tests all negative, IgE within normal range
-Had antibody tests against all usual viruses (from HIV to CMV) everything OK
-Had a mucosa sample taken-nothing uncommon
-Had blood count tests-eosinophils were double the normal count but these eventually dropped, the problem was reduced but NOT resolved-the blockage is still there
The only drug that does temporarily help is a nasal spray called Dexarhina (german product which we have in Greece where I live). It has decongestant (so bad due to the rebound) and a steroid put together.
My doctor mentioned Radiofrequency Surgical Turbinate Reduction, to resolve the issue. I am very concerned about:
1) Is what I have typical vasomotor rhinitis? Why can't it resolve with drugs ?(or the problem is that I can't live without drugs...as the congestion comes back)
2) I would like to avoid Radiofreq surgery due to the so called Empty Nose Syndrome ( removed ). Is my fear well-founded? Should I really worry?
3) I (paradoxically) tend to believe I need surgery-otherwise the problem will not resolve. Do you agree with that?
Last edited by moderator2; 07-13-2008 at 11:04 AM.
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