Bronchial Issues and Nasal Turbinate Hypertrophy

Bronchial issues and turbinate hypertrophy?

Hello Doctor, I experienced bronchial itching for a week last July, but I did not seek treatment at that time.
After the symptoms disappeared, I developed other issues and consulted an otolaryngologist.
Despite taking medication, I still have the following symptoms (diagnosed as turbinate hypertrophy):
1.
Post-nasal drip, sometimes accompanied by nasal congestion.
2.
Occasional mild chest tightness and a sensation of itching in the lungs.
3.
A persistent feeling of phlegm stuck in my throat, which triggers a cough when pressed.
4.
Occasional shortness of breath, with a sensation of not being able to get enough air, although the symptoms are mild.
5.
Weight loss; aside from intentional pressure, I do not have a strong urge to cough, nor do I experience chest pain.
The phlegm I cough up is clear, thick, and without blood.
I would like to ask if these conditions are all caused by turbinate hypertrophy.
Will undergoing turbinate surgery alleviate these symptoms? Additionally, I am unsure if this falls within your area of expertise, but I would like to know if these symptoms could lead to weight loss.
My appetite is normal, and my weight fluctuates between 41 to 43 kg, but I feel there is a slight downward trend.
Should I be concerned about other possible causes? Thank you for your response.

Kang Kang, 20~29 year old female. Ask Date: 2023/01/18

Dr. Ji Zhaoyun reply Otolaryngology

Hello, the situation you described may be indicative of chronic pharyngitis.
It is advisable to undergo laryngoscopy to rule out any masses and to consider pharmacological treatment.
In addition to medication, daily lifestyle recommendations include avoiding lying down for two hours after eating, and steering clear of coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can help improve symptoms.
However, post-nasal drip caused by nasal allergies can indeed exacerbate symptoms.
After undergoing turbinate surgery, it is best to discuss the degree of symptom relief with the operating physician.
If you experience unexplained weight loss along with symptoms of chronic pharyngitis, it is recommended to consult a gastroenterologist for further evaluation.
Wishing you peace and health.

Reply Date: 2023/01/18

More Info

Understanding the relationship between bronchial issues, nasal turbinate hypertrophy, and the symptoms you are experiencing is crucial for effective management and treatment. Based on your description, it seems that you are dealing with a combination of nasal and bronchial symptoms that could be interconnected.

Nasal turbinate hypertrophy refers to the enlargement of the nasal turbinates, which are structures within the nasal cavity that help to warm and humidify the air we breathe. When these turbinates become enlarged, they can lead to nasal obstruction, which may cause symptoms such as nasal congestion, post-nasal drip, and even affect your breathing patterns. The post-nasal drip can lead to throat irritation, a sensation of mucus in the throat, and coughing, which you have described.

Your symptoms of chest tightness and bronchial itching could be related to several factors. First, nasal obstruction can lead to mouth breathing, which is less effective for filtering and humidifying air, potentially causing irritation in the bronchial passages. This irritation can manifest as bronchial itching or discomfort. Additionally, if you have underlying allergies or asthma, these conditions can exacerbate your bronchial symptoms, leading to feelings of chest tightness and difficulty breathing.

The medications you are currently taking, such as antihistamines and nasal sprays, are typically aimed at managing allergic symptoms and reducing nasal inflammation. However, if you find that these treatments are not providing sufficient relief, it may be worth discussing with your ENT specialist the possibility of surgical intervention, such as turbinate reduction surgery. This procedure can help alleviate nasal obstruction, improve airflow, and potentially reduce the post-nasal drip that contributes to your throat irritation and bronchial symptoms.

Regarding your weight fluctuations, it is essential to consider that chronic respiratory issues can lead to decreased physical activity, which may contribute to weight loss or difficulty maintaining weight. Additionally, if you are experiencing symptoms that disrupt your sleep, such as difficulty breathing at night, this can also affect your overall health and weight. It is important to monitor your weight and discuss any significant changes with your healthcare provider, as they may want to investigate other potential causes for your weight loss, including metabolic or gastrointestinal issues.

In summary, your symptoms of nasal congestion, post-nasal drip, bronchial irritation, and chest tightness could indeed be related to nasal turbinate hypertrophy. Surgical intervention may provide relief, but it is essential to have a thorough evaluation by your ENT specialist to determine the best course of action. Additionally, if you continue to experience weight loss or other concerning symptoms, further investigation may be warranted to rule out other underlying health issues. Always ensure that you maintain open communication with your healthcare providers regarding your symptoms and treatment options.

Similar Q&A

Understanding Sneezing and Nasal Turbinate Hypertrophy Issues

Hello Dr. Zheng, My wife has always been in good health, rarely catching colds or suffering from any serious illnesses. However, six months ago, she suddenly started sneezing loudly without warning. It was truly surprising and quite frightening. She sneezes multiple times at irr...

Dr. Zheng Jueyi reply Otolaryngology
Hello, based on your described symptoms of sneezing and runny nose, the most common causes are likely allergic rhinitis or vasomotor rhinitis. Most cases can be effectively managed with oral antihistamines combined with intranasal corticosteroid sprays for stable and good control...

Understanding Unilateral Inferior Turbinate Hypertrophy: Causes and Concerns

Hello, Dr. Zheng! For the past two to three years, I've been experiencing nasal congestion on the left side. Last year, due to nasal discharge with blood clots, I took medication for over a month without improvement. I underwent a nasopharyngeal biopsy and a CT scan of the s...

Dr. Zheng Jueyi reply Otolaryngology
Hello: Common hypertrophy of the inferior nasal turbinates, when tumors are excluded, is often associated with chronic inflammation, such as allergic rhinitis or chronic rhinitis. If nasal congestion persists or there are ongoing bleeding issues, it is recommended to return to th...

Concerns About Nasal Issues: Seeking Expert Advice on Symptoms

Around 1999, I experienced severe chronic nasal congestion that even affected my sleep. After an examination, the doctor diagnosed me with inferior turbinate hypertrophy and allergic rhinitis, and I underwent laser surgery for treatment. However, for the past year, I have felt pe...

Dr. Cai Zhenggu reply Otolaryngology
Hello, sister: Based on your description, you may be suffering from hypertrophic rhinitis and allergic rhinitis. I recommend that you visit my clinic for a detailed examination so that I can provide you with a definitive answer.

Can Long-Term Use of Steroid Nasal Sprays Cause Nasal Turbinate Hypertrophy?

Hello Doctor: I had severe chronic sinusitis (allergic) during my childhood, which improved on its own around middle school. In recent years, I have experienced mild nasal congestion and post-nasal drip, but since it wasn't severe, I didn't seek treatment and only visit...

Dr. Ji Zhaoyun reply Otolaryngology
Hello, regarding allergic rhinitis: The primary triggers are genetic predisposition and environmental allergens. If one parent has allergic rhinitis, the likelihood of their children developing it is four times higher. Treatment typically begins with oral medications and nasal sp...