Deviated Septum vs. Allergy Testing: What Should You Address First? - Otolaryngology

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When considering whether to address a deviated septum or undergo allergy testing first, it's essential to understand the implications of both conditions and how they may interact. A deviated septum can lead to various symptoms, including nasal obstruction, difficulty breathing, and chronic sinus issues. On the other hand, allergies can cause significant nasal congestion, runny nose, and other symptoms that can exacerbate the discomfort associated with a deviated septum.

Given your situation, where you have a history of severe allergies and recent symptoms such as nasal swelling and persistent nasal discharge, it would be prudent to address your allergies first. Here’s why:
1. Symptom Management: Allergies can significantly contribute to nasal congestion and discomfort. By identifying and managing your allergies through testing and subsequent treatment (like antihistamines, nasal corticosteroids, or allergy shots), you may find relief from your symptoms. This could improve your overall nasal function and quality of life.

2. Surgical Considerations: If you were to undergo surgery for a deviated septum, it’s crucial to ensure that any underlying allergic conditions are managed. Surgery may not provide the relief you seek if your nasal symptoms are primarily due to allergies. In some cases, treating allergies first can lead to a reduction in symptoms that might make surgery unnecessary or less urgent.

3. Comprehensive Approach: Addressing allergies first allows for a more comprehensive approach to your nasal health. Once your allergies are under control, you can better assess the degree to which the deviated septum is affecting your breathing and overall comfort. If symptoms persist despite allergy management, then surgical intervention may be warranted.

4. Consultation with Specialists: It may also be beneficial to consult with an allergist for allergy testing and a rhinologist or ENT specialist regarding your deviated septum. They can provide tailored advice based on your specific symptoms and medical history. This multidisciplinary approach ensures that all aspects of your nasal health are considered.

5. Potential for Improvement: Many patients experience significant improvement in their nasal symptoms with allergy management alone. If your nasal congestion and other symptoms improve, you may find that surgery is no longer necessary.

In summary, I recommend starting with allergy testing and management. Once your allergies are under control, you can reevaluate the need for surgery related to your deviated septum. This approach not only addresses the immediate discomfort but also provides a clearer picture of your nasal health moving forward. If symptoms persist despite allergy treatment, then discussing surgical options with your ENT specialist would be the next logical step. Always remember to keep an open line of communication with your healthcare providers to ensure the best possible outcomes for your health.