Persistent Nasal Congestion: Allergies and Deviated Septum

I have been struggling with persistent nasal congestion?

Hello, Doctor: I have allergic rhinitis and a slight deviation of the nasal septum, which makes me prone to nasal congestion and post-nasal drip.
I underwent nasal laser surgery last year, but the symptoms of nasal congestion still persist.
I hear a wheezing sound when I breathe, but the doctor said it’s just a perception issue.
What should I do? (I have a few questions to ask you) 1.
Is the nasal septum originally curved? 2.
If the turbinate hypertrophy is reduced, will it grow back?

Xiao Fang, 20~29 year old female. Ask Date: 2005/04/29

Dr. Wu Wenqiu reply Pulmonology

If allergic rhinitis causes nasal congestion and postnasal drip, it is important to identify the allergens and avoid exposure to them.
Regular nasal care, such as washing the face with warm water in the morning and evening and using saline solution (like that used for contact lens cleaning) to clean the nostrils, can yield good results.
If symptoms persist, it is advisable to consult a specialist who may recommend appropriate medications, such as antihistamines or intranasal corticosteroid sprays.

1.
The nasal septum is not inherently crooked; however, some individuals may have a deviated septum without experiencing symptoms or only mild symptoms, which is not a concern.

2.
Enlarged nasal turbinates may regrow after treatment, as surgery cannot completely remove them.
Generally, surgical intervention tends to be more effective than laser surgery for the nose.
If symptoms continue, a physician's evaluation may indicate the need for surgical treatment.

Reply Date: 2005/04/29

More Info

Persistent nasal congestion can be a frustrating and debilitating condition, especially when it is associated with allergies and structural issues like a deviated septum. Your experience with allergic rhinitis and the surgical intervention you've undergone indicates that you are already aware of the complexities involved in managing these symptoms. Let's address your questions and provide a comprehensive understanding of your situation.

1. Is the nasal septum originally curved?
Yes, it is quite common for the nasal septum to be deviated or curved. In fact, many individuals have some degree of deviation, which may not cause any noticeable symptoms. However, in some cases, a significant deviation can lead to nasal obstruction, difficulty breathing, and other complications. The septum is the wall that divides the nasal cavity into two nostrils, and its alignment can affect airflow. If the deviation is severe, it can contribute to chronic nasal congestion and other issues, such as sinusitis.

2. Will nasal turbinates grow back after reduction?
Nasal turbinates are structures within the nasal cavity that help warm and humidify the air we breathe. When they become enlarged, they can contribute to nasal obstruction and congestion. Surgical procedures, such as turbinate reduction, aim to decrease their size to improve airflow. While it is possible for turbinates to regrow after surgery, the extent of regrowth can vary from person to person. Factors such as underlying allergies, environmental irritants, and individual healing responses can influence this. In some cases, patients may experience a return of symptoms if the underlying causes, such as allergies, are not adequately managed.

Given your history of allergic rhinitis, it is crucial to address the underlying triggers of your symptoms. Here are some strategies that may help:
- Allergy Management: Identifying and avoiding allergens is key. Common triggers include pollen, dust mites, pet dander, and mold. Consider working with an allergist for testing and tailored management strategies, which may include antihistamines, nasal corticosteroids, or immunotherapy.

- Nasal Irrigation: Regularly using saline nasal sprays or performing nasal irrigation can help clear mucus and allergens from the nasal passages, providing relief from congestion.

- Environmental Control: Implementing measures to reduce allergens in your home, such as using air purifiers, regularly washing bedding in hot water, and keeping windows closed during high pollen seasons, can be beneficial.

- Follow-Up with Your ENT Specialist: Since you have undergone surgery and are still experiencing symptoms, it may be worthwhile to revisit your ENT specialist. They can assess the current state of your nasal passages and determine if further intervention is necessary. This could include imaging studies to evaluate the anatomy of your nasal cavity and sinuses.

- Consider Additional Treatments: If allergies are a significant contributor to your symptoms, your doctor may recommend additional treatments, such as allergy shots (immunotherapy) or prescription medications to better control your symptoms.

In summary, persistent nasal congestion can stem from a combination of structural issues like a deviated septum and allergic reactions. Understanding the nature of your nasal anatomy and effectively managing your allergies are essential steps toward finding relief. Regular follow-ups with your healthcare providers will ensure that you receive the most appropriate care tailored to your specific needs.

Similar Q&A

Understanding Persistent Nasal Congestion and Associated Symptoms

Hello, doctor. I'm sorry to bother you again. I used to have severe nasal allergies, but now I experience less runny nose and sneezing, although I do have nasal congestion that alternates between sides. At night, one side is always completely blocked. I have a deviated septu...

Dr. Zheng Jueyi reply Otolaryngology
Hello, 1. If you are experiencing drowsiness or fatigue, it may be worthwhile to check if you are using long-acting antihistamines due to allergies. If so, you can discuss with your physician the possibility of switching to a different formulation, as individual responses can v...

Understanding Chronic Nasal Congestion: Allergies or Inflammation?

Hello, Doctor. My nose has been congested for a while, with one side being blocked, but it doesn't consistently alternate sides. I've had this nasal congestion for several years. Since I don't have a runny nose, postnasal drip, or sneezing, I haven't paid much...

Dr. Li Jiaxuan reply Otolaryngology
It is recommended to visit an otolaryngology clinic to check whether it is chronic rhinitis or sinusitis, as the treatment methods for these different conditions may vary. Wishing you good health.

Chronic Nasal Congestion: When to Seek Further Medical Help?

Hello: I have been experiencing nasal congestion for six months. Previously, I consulted an ENT specialist who diagnosed me with sinusitis and prescribed antibiotics for 14 days, which alleviated the nasal congestion. Upon follow-up, it was noted that I no longer had thick mucus ...

Dr. Ji Zhaoyun reply Otolaryngology
If symptoms persist, it is advisable to seek medical evaluation. Regarding allergic rhinitis, there are several important concepts to consider: the individual's constitution and environmental allergens and irritants are the primary triggering factors. If one parent has aller...

Chronic Nasal Congestion: Causes and Solutions for Better Breathing

I have a history of nasal allergies, but I have been experiencing persistent nasal congestion on one side (at any time). Recently, it has felt more severe, and I often have a runny nose. At night, I have to rely on breathing through my mouth while sleeping.

Dr. Ji Zhaoyun reply Otolaryngology
Hello, if you are experiencing unilateral nasal congestion, it is advisable to consult an otolaryngologist for an endoscopic examination to rule out conditions such as nasopharyngeal or nasal cavity tumors. However, in most cases, the common causes are nasal allergies, nasal poly...