Also fun fact: don’t follow medical advice given by strangers on the Internet that claim they are an expert
You can never verify that
Comment on It's like everyday
Nmill11b@lemmy.world 11 months ago
This is called the nasal cycle.
Use Flonase to help (need daily use for >= 4 weeks) If this doesn’t help enough, you should see an ENT.
Fun fact: the turbinates in the nose (which are responsible for the nasal cycle) have erectile tissue in them.
Source: your friendly neighborhood Otolaryngologist
x4740N@lemmy.world 11 months ago
CurlyMoustache@lemmy.world 11 months ago
So, you are saying I should follow medical advice by strangers in the Internet?
letsgo@lemm.ee 11 months ago
Only if they don’t claim they’re an expert.
pirat@lemmy.world 11 months ago
Trust me, I’m not an expert
Nmill11b@lemmy.world 11 months ago
True; I, and I’m sure most other physicians would not provide identifiable data in a public forum. If you are having issues with nasal obstruction, alternating or otherwise., best advice is to follow up with your pcm for treatment, possible referral.
nixcamic@lemmy.world 11 months ago
I had a doctor basically remove everything from my nose that could be removed including a bunch of the turbinates. It’s great I can actually breathe through it now.
Nmill11b@lemmy.world 11 months ago
Yeah, inferior turbinate reduction is the next small step for this. Often if it’s just alternating nasal obstruction that’s good enough. Oftentimes there’s another component of nasal valve collapse or septal deviation. Personally, in my population, I end up doing septorhinoplasty (nose job) way more often than other smaller nasal surgery.
You don’t want them to actually remove the turbinates, however. We generally just shrink them down – removing them makes the nasal air less turbulent, and difficult to sense airflow. TL;DR it make look like you can drive a semi truck through the nose, but people will feel like they cannot breathe at all. People have killed themselves over this.
tatterdemalion@programming.dev 11 months ago
I had this recommended for me, but the risk of empty nose syndrome scared the shit out of me.
Nmill11b@lemmy.world 11 months ago
It csn happen, but the way most ENTs train these days, unlikely. I’ve seen it twice that I recall off the top of my head, but very rare these days.
Most ENTs, including myself, are overly cautious. You’re at a higher risk for symptom recurrence because of under resection.
That being said, I wouldn’t let an oral surgeon or general plastic surgeon touch my family member’s nose (unless they had a very very good reputation). Nothing wrong with their work, I’m just not sure they had the same training and respect for the nose.
Pulptastic@midwest.social 11 months ago
I wish it was that easy. Flonase did nothing for me other than cause my nose to bleed. Azelastine helped some though and that makes sense for me, my congestion is likely caused by dust mite allergy.
Affrin is amazing for what it is. A few weeks ago I had a sinus headache so bad I threw up. Affrin cleared it up in 30 seconds, and I was able to maintain it without affrin after that.
Nmill11b@lemmy.world 11 months ago
Nosebleeds can happen and certainly do for some. Nasal hydration helps (for instance, ayr gel in combination with saline spray or irrigations). Ultimately, a good portion of patients that don’t tolerate or fail nasal steroids get surgery.
Azelaetine is fantastic - there’s a lot of patients I prescribe it in conjunction with Flonase. Allergic rhinitis or even just excessive secretions is common in patients with inferior turbinate hypertroph/nasal obstruction, and both meds have a function. They sell it as a combination, actually, but often insurance doesn’t cover the combo.
Nomad@infosec.pub 11 months ago
How does that not get your nose tissue addicted to nasal sprays?
Nmill11b@lemmy.world 11 months ago
This applies to nasal decongestants (NOT nasal steroids). Nasal decongestants (such as oxymetazoline AKA afrin, or phenylephrine based medications) are vasoconstrictors. They work very well and work very quickly as the vasoconstriction (constricting the blood vessels) which shrinks the inferior turbinates (and any other edematous tissue).
The body responds to chronic vasoconstriction by making more blood vessels. When the nasal tissues have more blood vessels (and I presume are more dense with vessels) it’s harder for the decongestant to work — conversely, the patients in this scenario will feel they need to use more decongestant since it previously worked so well, but it no longer does. This cycle can be challenging to treat.
For this reason most ENTs, including myself, typically recommend against afrin use for more than 3 consecutive days. I’ve seen who go as long as five, but I’m cautious and would not recommend more than 3 days.
It’s a bit funny, because if you come into my clinic and get an endosocpic exam of the nose and/or throat (i.e. probably around 50%, often more, of my patients on any given day), I will spray afrin and lidocaine into the nose before my examination. The other main thing I use it for is nosebleeds. It’s okay to use it for 3 days during an acute exacerbation of sinusitis, but I don’t really think it’s necessary.
Nomad@infosec.pub 11 months ago
Thank you for this great answer, I feel like I just learned a ton :D
Advocado@lemmy.world 11 months ago
Hi, I’d like to subscribe to Daily Otolaryngologist Facts.