Ear, Nose & Throat Community
Chronic sinus congestion after quitting smoking
About This Community:

This patient support community is for discussions relating to ear, nose and throat issues, ear infections, nasal polyps, sore throats, and swollen glands.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Chronic sinus congestion after quitting smoking

I am a 28 yr old male with no history of allergies or ear infections. I had been smoking cigarettes liberally for about 10 years and quit smoking completely as of January, 2009.

About 6-7 months ago I developed (as if overnight) extreme sinus congestion. Usually my nose is completely blocked up around the clock, especially in the morning. Blowing my nose tends to do nothing, except for the rare occasion that while standing in a hot shower I can get a bit of gunk out now and then. I also have had extremely red chapped lips ALL the time. My family physician did blood tests to test for vitamin deficiencies and found nothing out the ordinary.

I saw an allergist about 4 months ago, they did all the standard allergy tests and didn't find anything. The doctors suggested that perhaps it was seasonal allergies and placed me on Clarinex, Nasonex and Astepro - none of which have had any sort of effect. I purchased a Neilmed Netipot, but my sinuses are so blocked that I can't use the product, as the nasal rinse wont travel through my nasal passages.

The ONLY medication that I have taken that helps is Neo synephrine nasal spray. Within minutes of using that stuff I get instant relief and can actually breathe through my nose (still can't blow anything out). However, it says on the label that you're not supposed to use it for more than 3 days.

I'm not sure of where to look for answers next. I've always read about people have quit smoking and felt so much healthier, and I feel like since I've quit smoking I've simply opened another door of health concerns. Has anyone else experienced something like this? I've never had any sort of health issues that have onset so quickly and persisted for so long!
Related Discussions
32 Comments Post a Comment
Blank
Avatar_n_tn
Have you gone to a ear and nose doctor, did your doctor do an x-ray?  I read somewhere that if your lips get chapped all the time, its a sign that your body is full of yeast.  I hope you get to feeling better...sorry I couldn't give you much answers.
Blank
Avatar_n_tn
i also quit smoking in 2009 and have experienced terrible sinus congestion ever since...worse part is, i am a nurse! i have seen my primary doctor, and an allergist, and had allergy testing done with no reactions to speak of. Your symptoms are vey close to mine as far as not being able to blow the nose, little relief with antihistamines, and sometimes no relief with sinus rinses. my allergist told me to quit taking zyrtec because i didnt need it, but i certainly need something...im miserable...the allergist is sending me for a CT of my sinuses...hopefully that will give me a clue as to what is going....have you seen an ENT yet???
Blank
Avatar_m_tn
I am in the exact same position as you guys. I quit smoking in Dec 09 and pretty much right away my sinuses were plugged. I haver tasted food since I quit smoking and I can't do my regular workout because it is hard to only breathe through my mouth. I have a 2 month wait to see an ENT, but I can't wait that long. I get severe sinus aches and get shooting pain from my sinuses to my forehead. I have spent an obscene amount of money on medication and none of it worked. I am desperate and would try anything at this pint. Please help!
Blank
Avatar_m_tn
I'm still having issues with my sinuses and the chronic chapped lips, however I did try something a few weeks back out of desperation that seemed to work temporarily...

After analyzing all my symptoms - headache accompanied by sensitivity to bright lights, occasional blurred vision, noticeably more bloodshot eyes, and the chronic congestion, I'm still determined that I'm dealing with just a very nasty sphenoid (sp?) sinus infection.

If you look around on the web, I found a few forums in discussion of a special method of nasal irrigation (I've already tried netti pot, and it didn't work for me at all). Anyway, it's a method called the 'Flip Turn nasal rinse'. I'm sure there are posts floating around the web that describe the process in detail. It's somewhat awkward, but doable in the shower, but it does mention that it's risky in that you have to tilt completely forward and such while squirting saline solution in your nose. This method is supposed to help irrigate the frontal and sphenoid sinuses that a typical netti pot rinse can't do as well.

Anyway, I tried this method about a month ago - it was moderately uncomfortable (kinda like accidentally swallowing ocean water - it burns your throat and nose for a few hours afterwards) but it worked AMAZINGLY well.... I had thought the problem was cleared up completely after immediate results and nearly a week of breathing great - I guess I didn't take care of ALL the gunk, because eventually the congestion came back.I might try this rinse again a few more times over the course of a few days to see if I have more permanent results until I can get with an ENT myself.

I followed the directions online exactly and it did actually work for me, so even if it's something temporary, I'd certainly consider trying it at your own risk until you can see your ENT.

Keep me posted on your success, and may strength be with you as continue forward as a non smoker! congrats!
Blank
Avatar_m_tn
keep blowing your nose and get a neti pot.  your sinuses and ears need to flush all that tar and smoke out it took aboutr 3 weeks for my head to get back to normal trust me you'll feel better
Blank
Avatar_m_tn
Its normal, I went through the same thing for almost a year.  It's probably just your lungs and sinuses clearing all that tar and nicotine out.
  
I found that by mixing a drink of tomato juice, lemon, horseradish and garlic, it helped.  I also found that something called "Ocean" really helped to relieve the dry stuffy sinuses.   Using a chest rub  like vicks and a vaporizer with
vicks really helped too.
Blank
Avatar_f_tn
I'm in the same boat, I quit smoking in April 2010 before that I was on 3 different nasal sprays, Clartin, Nasal decongestants. as well as any other OTC that I could take for this problem, I been to ears, nose and thoat Docs, had CT and MRI's of not only my sinus' but of my whole face and upper chest to see what is causes these problems...Nothing..all came back clear. the doc said that there was a little spect of pollution in the sinus' but that 98.5 % of the population has that problem..Anyhoo.. After some research and experiementing with doc's permission.. I started taking Vitamin C 500 mg once a day, Vitamin E 400, once a day a mulit-vitamin. As well as using a saline rinse 3 times a day using the technique described above( tilting your body as to where you feel your breathing in salt water.. AND YES ITS UNCOMFORTABLE THE FIRST FEW TIMES but after a while your used to it) I also had removed all carpets from home and things that hold allergents. I changed my diet to include whole grains,lots of veggies,fruit, and hardly any dairy ( as dairy can cause mucus build-up) I drink or try to drink at least a gal of plain water a day to stay hydrated.
I also try to walk at least a mile everyday to get fresh air. I also tried a techique that works for a while with also immente but not lasting results: Get two pails of water, one as hot as possible without causing burns, and one as cold as possible but not ice.. now place your bare feet in the hot water pail, for 3 min, now quickly in the cold water for 3 min, continue timing 3 min for each pail, until the hot pail is no longer hot ( warm but not luke warm) these process is said to cause your blood from your head to go to your feet in a manner that clears the head, ears, nose... I tried this and found it works well for a little while.  
Its now been 7 months and my breathing is down to a nearly mangable level ( I'm not in the ER every other night) I still having trouble sleeping night due to the nasal congestion and the feeling of drowning.. I'm down to using one nasal spray, clartin-D, and all my vitamins....I'm in hopes that in time that I can stop taking the nasal sprays and my sinus's will function properly..I just got to remember to keep doing the rinses and using steam treatments even when I feel good..
I hope this may help
Blank
Avatar_f_tn
Hey mate, I also smoke for ten years then quit cold turkey, ever since then I have had nothing but blocked sinuses and bad ears, bad headaches. Taking sudofed at the moment but steam therapy does relieve it wonders only it doesn't last long. I may have to be reffered to an ear nose and throat specailist so if its really bad then I would as to be reffered too. Hope your better soon. Ema
Blank
Avatar_m_tn
I, like yourself, was also a smoker for 10 years. I have a history of allergies to dust, mold, some pet dander, ragweed and pollen. Since I quit smoking 10 months ago, my nose has been clogged up or running non stop and I have experienced on and off sneezing. None of the over the counter allergy medications have worked for me nor has the netipot and the allergist I went to see was a joke. I don't know if quitting smoking has anything to do with this extreme change in my sinuses and nasal congestion but, I can not take it any longer ! Is there anyone who has a legitimate explanation or answer for me ?
Blank
Avatar_m_tn
I quit smoking just over a month ago.
I have the same congestion and sinus headaches as all of you.
It is definitely from from quitting. The body is cleaning and repairing itself.
All we can do is try what ever we can to ease the symptoms until
the body heals. We abused our sinuses, throat and lungs for years,
it takes time for that damage to resolve itself. I know this because
I have a family member who quit a few years ago and had the same
congestion, headache symptoms as us. It would get better for a few days then come back.
That cycle went on for 3 - 4 months.
It will get better, we have to be patient and stay strong.
Blank
Avatar_m_tn
I quit just over a month ago, too. It's unreal how awful I feel. Same symptoms as most of you, sinuses are a complete mess, sneezing, headaches, occasional wheezing, constantly clearing my throat. I'm on quarantine from my friends and co-workers because they think I'm sick all the time. I quit because I found out I was pregnant, so I can't even take anything to try to make myself feel better. I'm glad to read that quitting smoking is most likely the cause of these symptoms, I was beginning to worry. From everything I've read about quitting I have yet to come across anything which states these as possible side effects when you quit smoking.
Blank
Avatar_m_tn
I quit Jan 2 2012. I also am suffering with a terrible cough and congestion. I read that this happens when you quit smoking, can last for a few months. Hope not, it's brutal. seems I felt better smoking.
Blank
Avatar_m_tn
P S... I smoked for 51 years
Blank
Avatar_f_tn
Im the same way, i quit in september, and been sick ever since, sinus problems, and never had a sinus problem in my whole life, til i quit smoking, after 10 years, cold turkey as well. But had tubes in my ears when i was little til the age of 14, i started smoking at the age of 12, i quit when i was 22, and am now 23.. sometimes i wish i didnt quit smoking..
Blank
Avatar_m_tn
I smoked for about 10  years as well and quit about 4 months ago.  I don't have congestion but sinus pain.  The doctors says its inflamed but don't know why.  They think its because of that.  I had allegery tests, negative.  They did blood and CT scan, all good!  They prescribed flownaze which works a bit but I think waiting it out is hopefully the key.  I assume its from the quitting since nothing else is going on.
Blank
Avatar_m_tn
I quit smoking about 7 months ago, cold turkey, and my sinuses have been stopped up ever since. It is horrible, it affects my vision, and I can't even drink ice cold water or alcohol because of the vision thing. I have been to an ENT had catscans on my sinus cavities but they are clear. Been to the allergist and had the prick test on my back and arm, not allergic to anything, Nothing seems to work (nasal spray, clairatin, netti pot, etc.) I think the only option left is to have surgery and remove my nasal passage and replace it with tubes (I think that's how it works).
Blank
Avatar_m_tn
I have recently quit smoking myself 3 months ago and for the last 4 weeks my sinuses have gone into overdrive. I mean I am going through nearly a box of 120 tissues per day. Out of the 4 weeks I have had to use tissues every single day and only about 7 of the days were alright after the morning nose runs. Half of the time has been non stop drips from the moment I wake up to the moment I go to sleep. Fortunately it has not bothered me when I go to sleep, it seems to stop and my sinuses stay dry until I wake up and then it continues. Sometimes it affects my bronchial tubes making it wheezy to breathe but once the lungs “dry” out I am back to normal except the sinuses. My nose has been red raw for the 4 weeks, but I can deal with it. I just thank God I don’t smoke anymore, and I pray that my body heals fully. I have noticed that it is aggravated by diet and dehydration. I also notice that hot showers clear up the symptoms very well as well as foods that are excellent expectorants and blood stimulants such as ginger, cinnamon, spices, etc. I also quit caffeine with my quitting smoking.  I am going to try a water fast for 10-21 days to speed up the healing process.
Blank
Avatar_m_tn
Howdy everyone.... so... I, like all of you people, have quit smoking and noticed F-ed up sinuses...  I tried a bunch of methods, just like you all too.  Nothing has brought any relief.  Then I started to apply some deductive reasoning.  It went like this:  If I smoked for many years, habitually, and suddenly quit, then my sinuses become considerably negatively affected.  Next... If no form of physical treatment brings lasting relief, then the root of the problem is not physical.  But how is it possible to remedy a nonphysical problem when the only means available with which to use are physical?
Alright, people, now try to stay open-minded here.
This whole experience has lead me to the unconventional conclusion that the cause of my chronically aggravated sinuses is a spiritual lack.  Through smoking for many years my mind had developed habitual patters of thought and... existences, i guess.... (I don't know quite how to put it into words)  My physical self, my body, became conditioned to the smoking... addicted, but different from the nicotine sense.  So when that necessary substance, routine,  process, etc.,  was suddenly removed, it compromised some of the foundation of my conditioned mind so that a void was made manifest.
So I started meditating.  Yes, Meditation, folks.  I have been doing it just over one month. The first week I spent 10 minutes per day, just after I woke up, sitting in a chair, but not leaning back so my spine was straight.  Attentively I placed my attention the the air flowing in and out of my body.  Thoughts would come into my mind and I would GENTLY (to be gentle and noncritical is KEY here) return my attention to my breathing, but without actually changing my breathing.  The second week I sat for 11 minutes.  The third, for 12 minutes, and so on...  Now I am sitting on the chair with a straight back for 15 minutes just after I wake up, just before dawn.  
This process has been underway for just over a month and I see considerable improvement with my sinuses (and nearly ever other area of my life).  Often times, toward the beginning of the endeavor I would have to break the meditation to blow my nose or wipe that annoying, creeping snot away.  But a faithful, gentle return to the breath has helped me.  So just like, yall, nothing worked for me.  And that's the case in point.  NOTHING, i.e., No-THING, actually DID help me.
Cast my story into the wind or take heed of it.  It is working for me, and all I want to do is help.  It seems we are all in the same boat.  Nothing works for any of us, but I seemed to have found a way.   Take it or leave it, and good luck to you all.  And good job for quitting smoking, yall are inspirational.   Bye for now.  
  
Blank
612551_tn?1247839157
Very interesting, so much so I think benefit to the "community" of sufferers could be realized by taking your experience and putting it under its own subject, perhaps something like Subject: Use of meditation to clear nasal congestion

Sorry if I created a dumb title, but it is just a suggestion -  I will consider your approach but think I, and others, would benefit from more details on how to meditate - seems your method is to focus on breathing, and "gently" forcing the mind to "Stay on Subject".  This sounds a similar to another mind control I'm working on to be able to manage dreaming problems.  The method is called "lucid dreaming".  Not trying to side-track, just related to taking control of the mind to one's personal benefit.

In my case, I smoked for about 30 years, to age 45, then quit cold turkey.  I immediately started an exercise program that resulted in being a exercise runner.  I never had any sinus or nasal problems - and I smoked cigarettes at about 1 pack a day (more on weekends) and pipes and a few cigars.

However, after not smoking for about 25 years (ya, I'm an old guy) I developed nasal congestion problems, but mostly when trying to sleep, not so much when up and about.  I had to give up running because of heart problems... I wonder it that is what triggered my congestion. Afrin works great, by the way, but can't be used for long periods, even though I do have long runs of using it just at night.

In any case, I'm all for a new thread that expands on your idea/method.  It shouldn't require a lot more work on your part if you are willing.  I will be a reader/contributor.
Blank
Avatar_f_tn
I had very bad allergies as a child started smoking at age 16 and my allergies subsided to the point I didn't need any more shots or meds. At the time I thought nothing of it until I quit smoking at age 35. 30 days after detox I was suffering horribly from the allergies I thought were gone. I would get monthly upper respitory infections but I hung in there hoping it would pass. I had to resume with allergy shots and meds which we're costing me a fortune just in co-payments alone. I talked to my allergist and asked if there was a connection and I was told I was looking for excuses to go back to smoking which I really wasn't . We'll I hung in there 4 years no changes even with shots so I resumed smoking and I've been fine since. It's crazy but I wish they wouldn't dismiss people like us and do something to find out what it is about smoking and allergy control. No one believes me when I tell my story they write e off as a crazy person. I'm glad I found this to know I'm not alone.
Blank
612551_tn?1247839157
At the price of smokes these days (I don't even know, thank God) it must be as expensive to smoke as get allergy shots.

My mother and sister smoked into their 80s and they never got lung cancer, or heart disease...but, it was a lot easier to smoke in the "good old days"... it must be distressing to be prevented from smoking in almost all social environments.

If smoking helps, you got one benefit, hope you don't get anything worse than allergy symptoms as the downside.
Blank
Avatar_f_tn
I am a farm boy I started smoking at 15 smoked a pack a day .  I am now 39 quite smoking around the age of 29. I play music in bars , semi - professional . Breathed a lot of second hand smoke before the law was passed that smoking in  bars was illegal . When my second daughter was born she had asthma so I cut my smoking back to about a pack a week and still to this day only smoke about a pack every two to three weeks , more so when I play and drink in bars but having to smoke outside. I also am a ford mechanic , working in a shop around diseal smoke. I usually don't smoke until the weekend when I drink beer or have fun .  I recently got a head cold as my family did to . When I got the cold I did not smoke . I had bad nasal congestion and couldn't breathe at night . I couldn't sleep and would have a dry mouth. I have tried nasal sprays  and would get up two to three times to blow my nose and take nasal spary again , noted that left mask cavity had been blowing out blood and I had a tingling feeling in my nose .  I have tried NyQuil , it have me temporary relief for about six hours then the same thing happened over again I couldn't breathe. Recently the cold came back and I was feeling the urge to smoke a cigratte . I smoked two cigarettes and then I could breathe just fine. Why is that?!
Blank
Avatar_f_tn
I am a farm boy I started smoking at 15 smoked a pack a day .  I am now 39 quite smoking around the age of 29. I play music in bars , semi - professional . Breathed a lot of second hand smoke before the law was passed that smoking in  bars was illegal . When my second daughter was born she had asthma so I cut my smoking back to about a pack a week and still to this day only smoke about a pack every two to three weeks , more so when I play and drink in bars but having to smoke outside. I also am a ford mechanic , working in a shop around diseal smoke. I usually don't smoke until the weekend when I drink beer or have fun .  I recently got a head cold as my family did to . When I got the cold I did not smoke . I had bad nasal congestion and couldn't breathe at night . I couldn't sleep and would have a dry mouth. I have tried nasal sprays  and would get up two to three times to blow my nose and take nasal spary again , noted that left mask cavity had been blowing out blood and I had a tingling feeling in my nose .  I have tried NyQuil , it have me temporary relief for about six hours then the same thing happened over again I couldn't breathe. Recently the cold came back and I was feeling the urge to smoke a cigratte . I smoked two cigarettes and then I could breathe just fine. Why is that?!
Blank
Avatar_f_tn
I have exact same problem however i am tryin To cut back on my smoking have not been able To quit. Have been smoking for over 10 years. I have been taking an antibiotic called keflex which usually one prescription lasts about two weeks however i am Now on my second script about my third week in And finally my sinuses are getting much much better. I believe it is just an extremely stubborn infection so im excited that this keflex seems To finally be killing it. Just wanted To post the advice. I hope it will Help u.
Blank
Avatar_f_tn
I think that It's because smoking releases adrenaline/epinephrine, which is in an epi pen, which is for severe allergic reactions. So basically smoking is an anti allergy drug, because it causes the release of your own endogenous anti-allergy medicine. If the tests don't show an allergy to common allergens, then it could be something you're eating or using around the house, like perfume or cleaning products. You can try an elimination diet - consult a naturopath or the like.
Blank
612551_tn?1247839157
At the risk of repeating myself in this thread:  I smoked for at least 30 years and quit (cold turkey as the saying goes) at age 45.  At that time it was still possible to smoke in my office and was in general more accepted.  That was in 1984.  

I was working for AT&T and dealing with the break--up of the Bell System then and had a lot of pressure on getting the organization working in the new world of no associated local operating telephone companies.  Strangely I decided upon coming down with something (cold/flue?) on a weekend before another important planning meeting I had to feel the best I could and decided not to smoke that weekend while I was preparing for the Monday meetings.  I never went back to smoking - oh, yes, I smoked a cigar a couple of years later to celebrate some business successes, and had a cigaret at least once in the 5 year period while quitting - but that was it, I didn't let it go to two..three...  By the time I had quit for a few years there was basically no chance I'd go back.  Medical science too had advanced on the subject sufficiently to make be a beliver smoking was killing me.  Well, 30 years later and still not smoking (in fact I hate the smell of cigaret smoke) I am alive and getting around.  No longer running for exercise (one thing I took up upon quitting) , but I am certain I'd not be alive if I hadn't quite smoking.

Yes, I haunt this forum hopping to learn a new way to clear up my night time nasal congestion problem (boy does Afrin and clone nose sprays work well).  I can't recall any connection between quitting smoking and the congestion problem.   I think the congestion problem started about 5+ years ago, long after I had quit smoking.

In any case, I still like living and prefer suffering some congestion and other sleep problems to not being here - and finding I enjoy living more and more as the end approaches.... another experience I share to the younger who are not listening as they plan to live forever - not sure that would be a good thing either.

God bless, do what is right for your self, your loved ones, and you neighbors.
Blank
Avatar_m_tn
Wow - who knew there was a community like this.  Appreciated!  I am still on patch - though on 7th week.  I literally feel like part of my nasal cavity is changing or something.  Drips/Pain (Ew).  After smoking 35+ (approaching 50) now it is is time to stop!  Other question for the community - I actually had a few days of tension/tightness in chest and heart-burn for about a week - is that common with this clan as well?
Blank
612551_tn?1247839157
Yep, we "ain't" all the same.

Your profile is similar to mine, age and time a smoker.  The only difference may be how many and what.  I smoked mostly Terrytons (sp? forgot already, thank God), with the "double filter", wow, not.

Another difference, I didn't use any aids, I don't think the patch was even available when I quit in 1984.

I did not have any congestion or other breathing problems from quitting - the nasal congestion came along 15 or more years later.  I don't think there is a relationship in my case.
Blank
Avatar_m_tn
How did it work out ?
Blank
612551_tn?1247839157
Pipelinz made one post/reply in January 2010.  I think the chance of you getting an reply is zero.

You might wean to try a private message to Pipelinz or make a new post with any questions/experience you have.

Good luck.
Blank
Avatar_f_tn
I'm female and will be 49 in December. I had my first cigarette aged 14, and quit cold turkey in February of 2012.

I suffered severed nasal congestion about 6 months after quitting. It cleared up in the summer of 2013, but returned with a vengeance in the autumn of this year (2104). It was particularly awful during the night as I couldn't breathe through my nose. Consequently, I woke between 5 to 10 times with a very dry mouth and throat. It was just awful! I was sleep deprived and very irritable. The congestion led to fluid being trapped behind my left middle ear drum. I suffered (still am) low level tinnitus and a feeling of fullness in my left ear.  I saw an ENT about 4 weeks ago. I underwent a long and complex hearing test - the result of which was very positive, aside from a slight weakness in my left ear. I also had a nasal scope examination - it found no tumours in my nasal passages. In any event, the ENT prescribed a steroid nasal spray and a daily OTC antihistamine. 4 weeks into the treatment, my nasal congestion has completely cleared, but the fluid behind my eardrum hasn't drained. I'm seeing the ENT on the 4th of September for a review. Meanwhile, if you are interested in the prescription steroid nasal spray, it's called Nasonex. Two sprays in each nostril once a day. It's done me the world of good, as I was suffering terribly, especially at night. I've slept like  a baby for the past two weeks. ..............

Blank
612551_tn?1247839157
Thanks, I've used without success Nasonex/generic and one other prescription spray.  I believe the steroid spray is effective if you are in fact suffering from an allergic reaction - immune system gone wild.  Steroids are known for their ability to reduce swelling and to calm immune systems.  I'm not sure how long one can take them nigh-after-night.

Good to read you have had good results... I think past smoking, over two years in the past, is the cause of current congestion.  But, I am not an ENT or any type of medical doctor.

I still use OTC (generic) Afirin a couple of times a week just to enjoy clear breathing through most of the night..that doesn't mean I have unbroken sleep, I'm a senior age male and need the toilet at least twice during the night and chronic trouble mares (non-violent nightmares) also disrupt my sleep.  I have given some study of the art of Lucid Dreaming and plan to try meditation... it may even help with nasal congestion.  

Mild saline spray helps me most nights, I have to use a couple of time druing the sleeping period, but I'm up anyway.
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Ear, Nose & Throat Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
Top Ear, Nose, Throat Answerers
612551_tn?1247839157
Blank
Jerry_NJ
NJ
209987_tn?1334790318
Blank
tschock
AB
6423135_tn?1381947504
Blank
zombie_pikacha