Nasal and Tonsil Issues: Symptoms and Solutions - Otolaryngology

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Nasal and tonsil issues?


Hello Doctor, I previously visited a physician due to excessive yellow nasal discharge and nasal congestion.
The doctor informed me that my nasal septum is slightly deviated and that there is a spherical growth inside my nose, which he suggested might be due to allergies.
He prescribed allergy medication, but after taking it, I felt worse, so I stopped using it.
I then used NeilMed nasal rinse, which improved my nasal discharge somewhat.
However, due to the spherical growth in my nose, I still experience regular nasal congestion.
Recently, I noticed that my tonsils in my mouth are swollen.
I consulted the school doctor, who said this is normal and could be due to a cold at that time.
However, after almost 2-3 weeks, the swelling persists, and I also discovered a round lump under my left cheek, which worries me.
I am concerned it might be nasopharyngeal cancer or something related to rhinitis.
I have asked doctors about it, and they all said it is not the case.
Additionally, I typically experience migraines about twice a month (even before I noticed the nasal congestion).
Recently, there have been a few instances of yellow nasal discharge.
Thank you!

Nìmíng, 10~19 year old female. Ask Date: 2016/03/03

Dr. Zheng Jueyi reply Otolaryngology


Hello, the main issues may still be related to a deviated septum and allergies causing hypertrophy of the inferior turbinates.
If you continue to have yellow nasal discharge, you should seek medical evaluation; otherwise, you can observe and reassess later.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/03

More Info


Hello! Thank you for sharing your concerns regarding your nasal and tonsil issues. It sounds like you are experiencing a combination of symptoms that can be quite distressing. Let's break down your situation and explore potential causes and solutions.


Symptoms Overview
From your description, you are dealing with:
1. Nasal Congestion: You mentioned having a deviated septum and a growth in your nasal cavity, which could contribute to persistent nasal blockage.

2. Postnasal Drip: The yellow nasal discharge suggests that there may be an infection or inflammation in your nasal passages or sinuses.

3. Enlarged Tonsils: The swelling of your tonsils could be a response to infection, allergies, or other irritants.

4. Facial Swelling: The round mass you feel on your left cheek could be related to sinus issues or lymph nodes reacting to infection.

5. Frequent Headaches: These could be linked to sinus pressure or tension headaches, often exacerbated by nasal congestion.


Potential Causes
1. Allergic Rhinitis: Given your history of allergies, it's possible that your symptoms are exacerbated by allergens, leading to inflammation in your nasal passages and sinuses.

2. Sinusitis: The presence of yellow nasal discharge and facial discomfort may indicate sinusitis, which can occur after a cold or due to allergies.

3. Deviated Septum: A deviated septum can obstruct airflow and drainage in the nasal passages, leading to chronic congestion and discomfort.

4. Tonsillitis: Swollen tonsils can be a sign of infection, which may also contribute to your overall discomfort and could be linked to your nasal issues.


Recommended Solutions
1. Nasal Irrigation: Continuing to use a saline nasal rinse (like NeilMed) can help clear mucus and reduce inflammation. This is a good practice for managing symptoms.

2. Allergy Management: If you suspect allergies, consider consulting an allergist for testing. They may recommend antihistamines or nasal corticosteroids to help manage your symptoms more effectively.

3. Follow-Up on Growth: The "ball-like" growth in your nose should be evaluated by an ENT specialist. They may perform a nasal endoscopy to assess the growth and determine if it requires treatment.

4. Tonsil Evaluation: If your tonsils remain swollen and you experience difficulty swallowing or breathing, further evaluation by an ENT specialist is warranted. They can determine if your tonsils need to be removed or if other treatments are necessary.

5. Headache Management: Keeping a headache diary may help identify triggers. Over-the-counter pain relievers can be used, but if headaches persist, a healthcare provider should evaluate them further.


When to Seek Further Help
If your symptoms do not improve with conservative measures or if you experience:
- Severe facial pain or swelling
- Persistent fever
- Difficulty breathing or swallowing
- Changes in vision or neurological symptoms
You should seek immediate medical attention.

Conclusion
Your symptoms are interconnected, and addressing them holistically is essential. Working closely with an ENT specialist will provide you with a comprehensive evaluation and tailored treatment plan. Remember, while online information can be helpful, it cannot replace personalized medical advice. I hope this information helps you find relief and clarity regarding your health concerns!

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