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Respiratory Disorders (Expert Forum)
Nasal congestion and nasal spray
Answered by
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Nasal congestion and nasal spray
by mikenj, Aug 01, 2006 12:00AM
Hello,
I have been having problems breathing through my nose for several years. I have used over the counter oral medicine (Claritin) which provided some relief.
A few months ago I went to an ENT Doctor. The ENT Doctor examined my Ears, Nose and Throat.
After the exam the doctor told me that I had a deviated septum and possibly a nasal polyp. The ENT Doctor prescribed Nasonex and also told me that surgery may be an option.
I have found that Nasonex has worked well for me and I am able to breath through my nose. Sometimes I notice that I can breath through both sides.
As a general rule if medicine helps is it wise to not consider surgery? How long can people use Nasonex?
Thanks,
I have been having problems breathing through my nose for several years. I have used over the counter oral medicine (Claritin) which provided some relief.
A few months ago I went to an ENT Doctor. The ENT Doctor examined my Ears, Nose and Throat.
After the exam the doctor told me that I had a deviated septum and possibly a nasal polyp. The ENT Doctor prescribed Nasonex and also told me that surgery may be an option.
I have found that Nasonex has worked well for me and I am able to breath through my nose. Sometimes I notice that I can breath through both sides.
As a general rule if medicine helps is it wise to not consider surgery? How long can people use Nasonex?
Thanks,
Doctor's Answer
by National Jewish, Aug 02, 2006 12:00AM
, Aug 02, 2006 12:00AM
Nasal steroid sprays, like Nasonex® (mometasone) are very effective and safe products. There is a very limited absorption from the lining of the nose and what is swallowed is broken down in the stomach. There are some possible local side effects from nasal steroid use, including nasal perforation in some people. If this therapy works, I would recommend it over surgery. I would, however, have someone look into your nose periodically and maybe even stop the product for short periods during the course of a year. Talk with your doctor about all of these options.
Long term use of low dose steroid may affect your immune system.
You may have 2 problems: nasal septum deviation and nasal polyps.
You should know which causes your nasal obstruction. They are different and need different surgery approach.
Almost everyone has a nasal septum deviation. The indication of surgery(septoplasty) is depend on patient's feeling of nasal obstruction, the impact in daily life, if it become easily nasal bleeding, or it obstruct the natural sinus opening.
Alos, your may need to clarify if there are nasal polyps or not. If there are nasal polyps, it usually means your nasal sinus doesn't ventilation well,possible chronic sinusitis, and need surgical intervention(functional sinus scope surgery).
There are other manners to improve your nasal obstruction like local injection of steroid to your inferior turbinate or laser abrasion procedure.
Some patient come for surgery because of long term use of nasal decongestion drug.
Some old man will have difficulty in urination if they took nasal decongestion drug.
They need surgery to improve their quality of life.
Hope its helpful