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Old 03-08-2013, 04:20 AM   #7
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Re: Dr Says Surgery Will Not Help my Condition

The doctor is correct that surgery won't improve the congestion or inflammation. Surgery is effective in improving sinus drainage and removing polyps but has no effect on the underlying inflammation.

Unfortunately, it sounds like your doctor hasn't done much to address the underlying problems. You really should see an allergist and probably get a second opinion from another ENT, but there are several things that can help with the underlying inflammation and congestion:

-Daily saline irrigation with a SinusRinse bottle
-Daily Singulair
-Antihistamines and/or allergy shots if you have allergies
-Regular use of the Flonase (it takes time but will help)
-Daily pseudoephedrine (Sudafed) decongestants

As Leo255 said, you have to get off the Afrin. It causes rebound congestion after daily use for as little as a week and the rebound congestion can be worse than the congestion you're taking it for.

The other thing you need to ask a doctor about is a longer course of prednisone. Most Medrol dose packs aren't a high enough dose to address sinus inflammation. You probably need a 3 week course of prednisone to reduce the swelling.

All of this is pretty standard so the fact that your doctor didn't recommend it is a good sign that you find a new ENT, one who has more experience treating sinus disease.