Will sinus surgery (FESS) and septoplasty permanently cure my long-term nasal discomfort?which I currently relieve using Nasivion?given that my X-ray shows a deviated septum, cloudy spots in both of my cheek sinuses, and swollen tissues inside my nose? | Apollo Pharmacy

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Will sinus surgery (FESS) and septoplasty permanently cure my long-term nasal discomfort?which I currently relieve using Nasivion?given that my X-ray shows a deviated septum, cloudy spots in both of my cheek sinuses, and swollen tissues inside my nose?

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Will sinus surgery (FESS) and septoplasty permanently cure my long-term nasal discomfort?which I currently relieve using Nasivion?given that my X-ray shows a deviated septum, cloudy spots in both of my cheek sinuses, and swollen tissues inside my nose?

Asked by Male, 27 · 20 days ago

G.santoshini Reddy

M Pharmacy (Pharmaceutics)

20 days ago

Septoplasty and functional endoscopic sinus surgery (FESS) are excellent, highly effective procedures. They physically correct your deviated septum and improve sinus drainage, which should significantly and long-lastingly reduce your symptoms. While these surgeries address the structural causes, they may not completely eliminate future mild allergies or colds. Additionally, long-term use of Nasivion (oxymetazoline) can cause rebound swelling. Over time, reducing this spray under your doctor's guidance will be key to your recovery. I highly recommend discussing realistic expectations and post-operative care with your ENT specialist to ensure the best possible long-term outcome.

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Will sinus surgery (FESS) and septoplasty permanently cure my long-term nasal discomfort?which I currently relieve using Nasivion?given that my X-ray shows a deviated septum, cloudy spots in both of my cheek sinuses, and swollen tissues inside my nose?

Answered 20 days ago

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Relying on Nasivion (oxymetazoline) can actually cause a cycle called rebound congestion, where your nasal passages swell more as the medicine wears off. Please don't worry, we can fix this. I recommend gradually reducing your use of Nasivion. In the meantime, using a simple saline nasal spray can help keep your passages moist. It is very important to consult a doctor or an ENT specialist, who may suggest a gentle generic nasal corticosteroid spray to help ease you off the Nasivion safely.

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What is the recommended management plan for a patient experiencing mild ear pain and itching concurrent with a common cold while currently using Nasivion nasal spray?

It is very common to experience mild ear discomfort and itching during a cold, as congestion can block the tube connecting your nose and ears. Since you are using Nasivion (oxymetazoline), please ensure you limit its use to no more than 3 to 5 consecutive days to avoid rebound congestion. To ease your ear symptoms, try applying a warm compress over your ear and stay well-hydrated. If needed, simple over-the-counter pain relievers like paracetamol can help. Please consult a doctor in person if your ear pain worsens, or if you develop a fever or discharge.

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Is it normal to have ongoing pressure in my right ear that started after a flight four years ago, makes it hard to pop compared to my left ear, causes discomfort during daily air pressure changes like doors opening, and did not improve with Nasivion prescribed by an ear, nose, and throat specialist?

What you are describing sounds like chronic Eustachian tube dysfunction, which can start after flight-related pressure changes. Since the oxymetazoline (Nasivion) spray didn't provide lasting relief, the tube that equalizes pressure in your ear remains restricted. Please be reassured that this is a very common issue. I highly recommend following up with an ear, nose, and throat specialist. They can evaluate the tube directly and discuss other helpful options, such as prescription steroid sprays, specialized pressure exercises, or minor procedures to finally bring you relief.

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What are the permanent treatment options for severe nose stuffiness caused by a dust allergy, a crooked nasal passage (deviated septum), and small growths in the nose (polyps), especially when a prescribed steroid spray (ciclesonide) is not working and the over-the-counter decongestant spray Nasivion is causing worsening stuffiness (rebound congestion)?

It is very common to experience worsening stuffiness from using Nasivion, known as rebound congestion. Because your deviated septum and nasal polyps are physical blockages, and ciclesonide hasn't helped, the most effective, long-term options involve seeing an Ear, Nose, and Throat specialist. They can discuss highly effective procedures like a septoplasty to straighten your pathway and polyp removal. For your dust allergy, long-term allergy immunotherapy can provide permanent relief. Please consult a specialist to safely transition off Nasivion and discuss these lasting, gentle solutions.

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What are the potential medical causes for chronic nasal congestion that is temporarily relieved by decongestant sprays but exacerbated by cold food or drinks, and how does alcohol consumption affect sleep cycles to cause early spontaneous awakening?

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Will sinus surgery (FESS) and septoplasty permanently cure my long-term nasal discomfort?which I currently relieve using Nasivion?given that my X-ray shows a deviated septum, cloudy spots in both of my cheek sinuses, and swollen tissues inside my nose? | Apollo Pharmacy