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Old 01-01-2012, 08:47 PM   #1
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Septoplasty and turbinate reduction surgery: Decongestant

Hi Guys,

Am new here. Anyways, I am having surgery on the 16 January by the method of FESS in order for a septoplasty and turbinate reduction to be conducted. I would like to ask whether anyone that has undergone the surgery knows if you can a decongestant weeks before the surgery and even possibly the day/night before the surgery? As some would know, long term decongestant use (3 days +) usually involves a complication of rebound congestion where you nose is actually more blocked after it wears off. It is a terrible feeling to have and I have this rebound congestion now.

The reason I am asking this is that I cannot breathe without the decongestant and also, It makes me go crazy when my nose is blocked now matter how hard I blow my nose. PRetty much would like some insight, information, feedback on whether I should be able to use a decongestant for the remaining 2 weeks until my surgery (can't wait!). I won't be able to see/ask my surgeon since he is on holidays until the 9 of January

any help would be greatly appreciated!
Cheers.

 
Old 01-03-2012, 11:06 AM   #2
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Re: Septoplasty and turbinate reduction surgery: Decongestant

Your best bet would be an oral decongestant. Sudafed 12-hour (Pseudoephedrine) is probably the most effective option (and it doesn't cause the rebound congestion issues that topical decongestant sprays can). Be sure to get Pseudoephedrine (which is usually behind the pharmacy counter but doesn't require a prescription) and not Phenylephrine (Sudafed PE) which isn't very effective.

 
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Old 01-03-2012, 12:04 PM   #3
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Re: Septoplasty and turbinate reduction surgery: Decongestant

Thank you gcsjr for your reply. I have tried pseudoephadrine on many occasions and the thing is sometimes it works and sometimes it does not. The pseudoephadrine in cold and flu tablets only comes to a total of 30mg per tablet and does not really do anything. I think my best bet is to purchase anti-histamine with decongestant which has a dose of 120mg of pseudoephadrine. The problem is that here in Australia (like the USA), you cannot purchase more than a packet of pseudoephadrine.

But I guess my best bet is to try and purchase from a few different pharmacies and possibly even get my friends/family to purchase for me to. Just ridiculous really when something that we need, we cannot purchase much because stupid people make illicit drugs from it. Absolutely ridiculous us sinus sufferers have to suffer the consequences of this!

I wonder what would happen if someone uses a decongestant say a few hours before their surgery. Obviously, a decongestant reduces swelling and so the turbinates shrink. Never mind guys.

Any more insight would be greatly appreciated.

 
Old 02-05-2012, 03:09 PM   #4
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Re: Septoplasty and turbinate reduction surgery: Decongestant

Cheers.[ Hi, I have just had the same surgery and am now starting day 5 post op. I was given an oral decongestant which helps for about an hour then nose blocks again. I was just thinking about using an oral decongestant and was wondering how you got on with your surgery and recovery.]

 
Old 02-06-2012, 05:48 AM   #5
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Re: Septoplasty and turbinate reduction surgery: Decongestant

Hi Crofty,

Well I am exactly 3 weeks post operation. And my sinuses are doing great! After my splints were removed after the first week, my breathing for my nose has gone much better. However, over the past week, my nose has starting to get a fair bit blocked again (I think my turbinates and sinuses have swollen). But I going to obviously give it the full 6 weeks. I stopped using the decongestant (drixine) after 5 days from the 1st post op date as per instructions. I will NEVER touch a decongestant again. Ruined my life.

Do you still have your splints in? Are you sure you didn't mean you were giving a decongestant nasal spray? Or an actual tablet (pseudoephadrine).? How long have you been using it? How is your breathing now?

 
Old 02-06-2012, 03:26 PM   #6
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Re: Septoplasty and turbinate reduction surgery: Decongestant

Hi Newbie,

Thank you for responding to my post so quickly.

I am very happy to hear that you are doing so well and it gives me positive vibes that I too will feel better soon.

My specialist prescribed a decongestant nasal spray which I used for 5 days. It didn't work for much more than an hour or so and it was back to being blocked up. And I have been taking Panadol but had Panadeine Forte as a back up but I haven't needed to use it the Panadeine Forte.

Yesterday, day 5, I took Sudafed which my doctor said would be OK. It seemed to help a little to stop the constant dripping and the feeling of being totally blocked all the time. Sudafed has pseudoephadrine.

I visited the pharmacist last night as I had a brain waive to get a Sudafed tablet that I could use at night which has some sleepy properties as I NEED to get a decent nights sleep. She recommended Sudafed Sinus Day and Night Relief. It has Pseudoephadrine and Paracetamol for the day time tablet and a third ingredient for the night tablet, Triprolidine Hydrochloride.

I took the night time tablets last night which certainly made me feel drowsy but did not help with clearing the congestion as it was one of the worst nights I have had so far. I am feeling strung out, tired and fully blocked up again this morning.

I didn't have splints and am scheduled to visit my doctor for a checkup on Feb 22nd.

I work in a bank and am supposed to go back to work on Thursday but there is no way I would be able to feel well enough to do that if things do not improve dramatically. How long did you take off work and how did you go when you went back?

Last edited by Administrator; 02-06-2012 at 10:38 PM.

 
Old 02-06-2012, 06:15 PM   #7
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Re: Septoplasty and turbinate reduction surgery: Decongestant

You're OK Crofty. You will do fine, just give it a bit of time. I know its a terrible feeling (I hate congestion!) having your nose blocked and all, however after another 2 weeks and also the full 6 weeks, you'll be very happy. Your specialist only prescibed to use the decongestant spray for 5 days because of the rebound effect which I had outlined in my first post in this thread. So please do not use that anymore.

I think the best thing for you is to just take things really slow and don't rush anything. Pseudoephadrine is ok but is not the best to clear congestion. DId you doctor prescribe you saline rinse (product is called Neilmedz)?? I use this at least 4 times a day and it is a must for everyone who has our type of surgery. It does in a way clear my nose a bit and it definitely removed a whole lot of gunk from my nose for the first 2 weeks which helped my breathing.

If it is really unbearable Croft, I suggest purchasing an anti-histamine that has 120mg of pseudoepadrine or 240mg (if you are in the US).

You should have your post op appointment soon (mine was after a week in which my Dr removed the splints and vacuumed inside my nose). Your Dr will vacuum inside your nose (doesn't hurt, don't worry).

But yeh, like I said, just take it slow and your congestion will improve daily. I had more than a week off work but thats because I had watery eyes and I kept wearing the moustache to catch any drops of blood. It was very uncomfortable not wearing the moustache as I felt really self-conscious. If you can, take a few more days off work, it will do you the world of good.

Good luck!

 
Old 02-07-2012, 12:17 AM   #8
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Re: Septoplasty and turbinate reduction surgery: Decongestant

You're OK Crofty. You will do fine, just give it a bit of time. I know its a terrible feeling (I hate congestion!) having your nose blocked and all, however after another 2 weeks and also the full 6 weeks, you'll be very happy. Your specialist only prescibed to use the decongestant spray for 5 days because of the rebound effect which I had outlined in my first post in this thread. So please do not use that anymore.

I think the best thing for you is to just take things really slow and don't rush anything. Pseudoephadrine is ok but is not the best to clear congestion. DId you doctor prescribe you saline rinse (product is called Neilmedz)?? I use this at least 4 times a day and it is a must for everyone who has our type of surgery. It does in a way clear my nose a bit and it definitely removed a whole lot of gunk from my nose for the first 2 weeks which helped my breathing.

If it is really unbearable Croft, I suggest purchasing an anti-histamine that has 120mg of pseudoepadrine or 240mg (if you are in the US).

You should have your post op appointment soon (mine was after a week in which my Dr removed the splints and vacuumed inside my nose). Your Dr will vacuum inside your nose (doesn't hurt, don't worry).

But yeh, like I said, just take it slow and your congestion will improve daily. I had more than a week off work but thats because I had watery eyes and I kept wearing the moustache to catch any drops of blood. It was very uncomfortable not wearing the moustache as I felt really self-conscious. If you can, take a few more days off work, it will do you the world of good.

Good luck!

 
Old 02-07-2012, 03:57 AM   #9
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Re: Septoplasty and turbinate reduction surgery: Decongestant

Thank you so much for your message of encouragement. It is really good to talk to someone who has recently experienced the same procedure. I will try to stay positive and think only of the end result - one day at a time.

I spoke to my doctor today and have extended my sick leave another 2 days so I will go back to work on Monday which gives me another 5 days re-couperating.

I am doing the saline rinse at least 4 times a day and I find it wonderful in helping with cleaning out the gunk. Sometimes I will do it in the middle of the night just to get some relief.

Good tip about the anti histamine can you please recommend a product. I live in Perth, Western Australia.

Last edited by moderator2; 02-07-2012 at 06:01 AM. Reason: fix smilie code

 
Old 02-07-2012, 04:11 AM   #10
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Re: Septoplasty and turbinate reduction surgery: Decongestant

Wow, I live in Sydney, Australia lol. The best one is Claratyne-D. The pharmacy will need to see your licence and will record your details. The problem is with that, is that it is very expensive for only 6 tablets (around $12) with each tablet being 12 hours. So if you can bear that. Check to see if there is any generic versions of it in your pharmacy as it will be a lot cheaper.

Yeh, thats heaps good that your doctor has extended your sick leave for another 2 days. 5 days will do you the world of good. Yeh, the Saline rinse is awesome. Do it as much as you can and use a bit warm pre-boiled water. I am realy surprised why your doctor didn't place splints in your nose. What exactly was your procedure and how much did he/she charge?

Mine cost exactly $3440 which consisted of turbinate reduction, septoplasty and Functional endoscopic sinus surgery (FESS).

And no worries, I am glad I am of help. It was a terrible feeling I know around the 4-5 day mark so I can definitely relate!

 
Old 03-01-2012, 05:30 AM   #11
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Re: Septoplasty and turbinate reduction surgery: Decongestant

Crofty,

How are you feeling now? Any updates? Seems you haven't been on in here in a month. With me, its been 6.5 weeks and sometimes I can breath fairly good through my nose and sometimes (Especially at night) I feel my turbinates swollen, thus, making it difficult to breathe through my nose. So pretty much on and off. Starting taking a nasal steroid (nasonex) a week ago (2 spray each side, twice a day). We'll see if it helps (never helped before surgery). I sort of wish my doctor took off more turbinate. I know there is the phenomenon of empty nose syndrom but I don't care lol.

 
Old 04-10-2012, 06:07 PM   #12
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Re: Septoplasty and turbinate reduction surgery: Decongestant

Hello,

I hope people here are still active and responding.

I have been coping with severe allergies and blocked nasal passages for years now. After trying numerous alternatives to help quell my symptoms such as:

OTC meds like Claritin-D, Zyrtec, Flonase, Nasex and Rhinocort
Routine using a neti-pot as well as Vicks menthol inhalation

but nothing as given me relief and allowed me to breath normally.

One ENT advised a turbinate reduction using either a somnoplasty or coblation. Seeking a second opinion, another ENT immediately went the route of a septoplasty.

Returning to the original ENT, he did indicate that my septum was mildly deviated, however this statement only came when when I asked about my septum and a possible septoplasty. He intimated that although fixing my slight deviation would fix my nasal blockage more permanently since, I assume, he could also reduce my inferior turbinates during the procedure, he was more inclined to shrink the turbinates as they were the main culprits to my blockage. There are couple different options to execute this procedure - in-office, local anaesthetics, out-of-pocket payment vs. hospital, general anaesthesia, insurance partial coverage. Either way, the results are said to be the same with minimal recovery time.

I have recently returned from an ENT appointment from the more conservative doctor. He sprayed some medicine inside my nose to shrink the inferior turbinates. If this is what breathing normally is supposed to feel like, I have been in serious discomfort. I have never been able to breath so freely and effortlessly. Both nasal passages are patent and breathing seems so easy.

I am bothered by the fact that second doctor immediately optioned to have an invasive procedure. I did ask him about other options such as radio frequency reduction and the doctor admitted that he was less confident with the technique and more comfortable with his hands in the surgery route.

I am tempted to go the coblation route though there are horror stories all over the place. I haven't read anything more positive about somnoplasty in forums. One journal article I read showed that patients who went with microdebridement have significant more satisfaction to their quality of life than those who opted for radiofrequency reduction.

Anyhow, I would love to know how you are doing three years out of surgery. If you can offer any advice or options, I'd be most welcome to your opinion.

Thank you and hope things are going well!

 
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