I wish it was that easy. Flonase did nothing for me other than cause my nose to bleed. Azelastine helped some though and that makes sense for me, my congestion is likely caused by dust mite allergy.
Affrin is amazing for what it is. A few weeks ago I had a sinus headache so bad I threw up. Affrin cleared it up in 30 seconds, and I was able to maintain it without affrin after that.
Nosebleeds can happen and certainly do for some. Nasal hydration helps (for instance, ayr gel in combination with saline spray or irrigations). Ultimately, a good portion of patients that don’t tolerate or fail nasal steroids get surgery.
Azelaetine is fantastic - there’s a lot of patients I prescribe it in conjunction with Flonase. Allergic rhinitis or even just excessive secretions is common in patients with inferior turbinate hypertroph/nasal obstruction, and both meds have a function. They sell it as a combination, actually, but often insurance doesn’t cover the combo.
I had a doctor basically remove everything from my nose that could be removed including a bunch of the turbinates. It’s great I can actually breathe through it now.
Yeah, inferior turbinate reduction is the next small step for this. Often if it’s just alternating nasal obstruction that’s good enough. Oftentimes there’s another component of nasal valve collapse or septal deviation. Personally, in my population, I end up doing septorhinoplasty (nose job) way more often than other smaller nasal surgery.
You don’t want them to actually remove the turbinates, however. We generally just shrink them down – removing them makes the nasal air less turbulent, and difficult to sense airflow. TL;DR it make look like you can drive a semi truck through the nose, but people will feel like they cannot breathe at all. People have killed themselves over this.
It can happen, but the way most ENTs train these days, unlikely. I’ve seen it twice that I recall off the top of my head, but very rare these days.
Most ENTs, including myself, are overly cautious. You’re at a higher risk for symptom recurrence because of under resection.
That being said, I wouldn’t let an oral surgeon or general plastic surgeon touch my family member’s nose (unless they had a very very good reputation). Nothing wrong with their work, I’m just not sure they had the same training and respect for the nose.
True; I, and I’m sure most other physicians would not provide identifiable data in a public forum. If you are having issues with nasal obstruction, alternating or otherwise., best advice is to follow up with your pcm for treatment, possible referral.
I think it has something to do with needing more oxygen, just like doing push-ups will help and so will running around or even just stopping your breathing for ~30 seconds. Your body will eventually go into a higher alert state.
It just helps for a short bit though, when you relax your nasal passage does too and blocks all again.
It would by a sympathetic response from catecholamines – that’s how it constricts; however, I didn’t know that it had been studied and was actually effective in real life until today.
my college DSPS lab has this image on all its computer screens. I just saw it yesterday, it reminded me of this post, now I’m here to say it. Blah blah blah
(Verse 1)
Out on the edge of the Milky Way’s glow,
Lived a billionaire with a heart turned to stone.
Forty billion stars in his name,
But in the cosmic dust, they just faded away.
(Chorus)
He lost his love, his kids, his dreams,
In the black hole where his heart used to be.
A spaceship crashed, a fortune gone,
Now he’s singing this lonesome interstellar song.
(Verse 2)
He built his dreams on Martian sands,
A titan’s castle in the stars’ expanse.
But what’s a kingdom with no queen or heir?
Just a lonely throne in the cold, silent air.
(Chorus)
He lost his love, his kids, his dreams,
In the black hole where his heart used to be.
A spaceship crashed, a fortune gone,
Now he’s singing this lonesome interstellar song.
(Bridge)
Under the glow of a distant sun,
He wonders what he’s really won.
Forty billion stars don’t shine,
Like the love he lost in another time.
(Verse 3)
In the taverns of a spaceport town,
He drinks to memories that swirl around.
A family photo, a fading trace,
Of the life that vanished in space.
(Chorus)
He lost his love, his kids, his dreams,
In the black hole where his heart used to be.
A spaceship crashed, a fortune gone,
Now he’s singing this lonesome interstellar song.
(Outro)
So here’s to the man with everything,
Whose tears are hidden beneath his wings.
In the silence of space, he’s left to roam,
A billionaire wandering far from home.
lemmyshitpost
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