Nasal Allergies: When Is Surgery Necessary?

Nasal allergies

Hello, Doctor! I would like to ask about my nasal allergies.
I've had them since elementary school and have never seen a doctor until last Monday.
The doctor said my condition is quite severe and prescribed medication for me.
During my follow-up appointment on March 24, the doctor mentioned there was no improvement and said that surgery might eventually be necessary.
I would like to ask: 1.
Is surgery absolutely necessary? (Will it help?) 2.
What will happen if I don't have surgery? 3.
Will medication improve my condition?

Jun Jun, 10~19 year old female. Ask Date: 2014/03/24

Dr. Zheng Jueyi reply Otolaryngology

Hello Junjun,
Most allergies can be well controlled with oral antihistamines or nasal sprays.
Surgery is generally aimed at addressing nasal congestion.
If nasal congestion persists and medication is not effective, surgical intervention may be considered to improve the condition.
It is recommended to use medication for a while and then reassess the situation.
Wishing you safety and health,
Dr.
Cheng Jue-yi
Director, Department of Otolaryngology
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2014/03/24

More Info

Hello! Thank you for your questions regarding nasal allergies and the potential need for surgery. It’s understandable to feel concerned about your symptoms and the treatment options available. Let’s break down your questions one by one.

1. Is surgery necessary? Will it help?
Surgery is not always the first line of treatment for nasal allergies. It is typically considered when other treatments, such as medications and lifestyle changes, have failed to provide relief. Surgical options, such as endoscopic sinus surgery, can be effective in cases where there are structural issues contributing to chronic nasal congestion, such as nasal polyps or a deviated septum. If your doctor has suggested surgery, it may be because they believe that your nasal passages are significantly obstructed, which could be causing your symptoms. However, surgery does not guarantee complete relief, and the decision should be made after a thorough discussion with your ENT specialist about the potential benefits and risks.

2. What happens if I don’t have surgery?
If you choose not to undergo surgery, you may continue to experience symptoms such as nasal congestion, sneezing, and post-nasal drip. In some cases, chronic nasal allergies can lead to complications like sinus infections, which may require additional treatment. It’s important to manage your symptoms with medications, such as antihistamines, nasal corticosteroids, and decongestants, as recommended by your doctor. If your symptoms are manageable and do not significantly impact your quality of life, you may opt to continue with medical management rather than surgery.

3. Can medication improve my condition?
Medications can be quite effective in managing nasal allergies. Antihistamines can help reduce sneezing and itching, while nasal corticosteroids can decrease inflammation in the nasal passages, leading to improved airflow and reduced congestion. Additionally, saline nasal sprays or rinses can help clear allergens and mucus from your nasal passages. It’s essential to follow your doctor’s recommendations regarding medication use and to communicate any changes in your symptoms. If you find that your current medications are not providing sufficient relief, discuss this with your doctor, as they may adjust your treatment plan or explore other options.

In summary, surgery is not always necessary for nasal allergies, and many patients find relief through medication and lifestyle changes. However, if your symptoms are severe and persistent, surgical options may be worth considering. It’s crucial to have an open dialogue with your healthcare provider to determine the best course of action for your specific situation. They can provide personalized recommendations based on your medical history and the severity of your symptoms. Remember, managing nasal allergies often requires a comprehensive approach, including both medical treatment and lifestyle modifications. Best wishes for your health and well-being!

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