Persistent Allergy Symptoms After Nasal Mucosa Surgery: What to Do? - Otolaryngology

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Allergic rhinitis


Nasal mucosal hypertrophy was surgically treated, but allergy symptoms still persist.

Zhenzhen, 20~29 year old female. Ask Date: 2000/09/29

Dr. Chen Junliang reply Otolaryngology


Surgery for nasal mucosal hypertrophy does not mean that treatment is complete.
Regular maintenance and prevention are also very important.
Additionally, there is a possibility of recurrence after nasal mucosal surgery.
It is recommended to visit an outpatient clinic for further detailed examination.

Reply Date: 2000/09/29

More Info


After undergoing nasal mucosa surgery, it's not uncommon for patients to continue experiencing allergy symptoms. This can be frustrating, especially if you had high hopes that the surgery would alleviate your issues. Here’s a comprehensive overview of what you might be experiencing and some strategies to manage your symptoms.


Understanding Persistent Allergy Symptoms
1. Surgical Expectations vs. Reality: Many patients expect that surgery will completely resolve their allergy symptoms, particularly if they have undergone procedures like turbinate reduction or septoplasty. However, while these surgeries can improve airflow and reduce nasal obstruction, they do not necessarily eliminate underlying allergic conditions. Allergies are often caused by environmental factors, such as pollen, dust mites, or pet dander, which may still trigger symptoms even after surgery.

2. Inflammation and Healing: Post-surgery, your nasal passages may still be inflamed as they heal. This inflammation can mimic or exacerbate allergy symptoms. It’s essential to give your body time to recover fully, which can take several weeks to months.

3. Underlying Conditions: Conditions such as allergic rhinitis or non-allergic rhinitis can persist despite surgical intervention. If you had a history of allergies prior to surgery, it’s likely that these conditions will continue to affect you.


Management Strategies
1. Medication: Over-the-counter antihistamines, nasal corticosteroids, and decongestants can help manage allergy symptoms. Antihistamines can reduce sneezing and itching, while nasal corticosteroids can decrease inflammation in the nasal passages. If you haven’t already, consult your healthcare provider about the best medication regimen for your situation.

2. Nasal Irrigation: Using a saline nasal spray or performing nasal irrigation can help clear allergens and mucus from your nasal passages. This can provide relief from congestion and help keep your nasal passages moist, which is especially important after surgery.

3. Avoiding Triggers: Identify and minimize exposure to allergens that trigger your symptoms. This might include using air purifiers, keeping windows closed during high pollen seasons, and regularly cleaning your living space to reduce dust and pet dander.

4. Follow-Up with Your Surgeon: If your symptoms persist, it’s crucial to follow up with your ENT specialist. They can assess whether there are any complications from the surgery, such as scarring or persistent inflammation, and recommend further treatment options.

5. Consider Allergy Testing: If you haven’t already, consider undergoing allergy testing. This can help identify specific allergens that may be contributing to your symptoms, allowing for more targeted management strategies.

6. Consult a Specialist: If your symptoms are significantly impacting your quality of life, consider consulting an allergist. They can provide specialized care, including allergy shots (immunotherapy) or other advanced treatments that may help reduce your sensitivity to allergens over time.


Psychological Considerations
Persistent allergy symptoms can lead to frustration and anxiety, especially if they interfere with daily activities. It’s essential to address any emotional or psychological distress you may be experiencing. Techniques such as mindfulness, cognitive-behavioral therapy, or even discussing your concerns with a mental health professional can be beneficial.


Communication with Your Healthcare Provider
Effective communication with your healthcare provider is vital. Prepare a list of your symptoms, any medications you are taking, and questions you may have for your next appointment. This can help ensure that you receive the most comprehensive care possible.

In conclusion, while it can be disheartening to experience persistent allergy symptoms after nasal mucosa surgery, there are various strategies and treatments available to help manage your condition. By working closely with your healthcare providers and taking proactive steps, you can improve your quality of life and find relief from your symptoms.

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