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90% of the time my right nostrilis blocked and left is open
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Allergic Conditions
Question #11713
4 hours ago
7

90% of the time my right nostrilis blocked and left is open - #11713

Abdul Majid

Main Complaints Persistent nasal blockage (in one Right nostril) with burning head sensation. Morning sneezing fits (5–7). Loose stools (IBS-D like), urgent at times, with mild abdominal discomfort. Excessive thirst, stool urgency worsens with stress medicines. History – Nasal Blockage improves briefly with water/pressure. Triggers: dust, smoke, odors. Relief: nasal irrigation, Mometasone spray (Metaspray).( This spray was prescribed by ent specialist for 6 months , I can't discontinue it due to this suffocation and inflammation problem in right side of head) ENT: Allergic rhinitis (mask advised). CBC (1st Sept 2025): WBC normal (5.0 ×10³/µl) Lymphocytes 47.8% ↑ Monocytes 24.4% ↑ Granulocytes 28.1% ↓ RBC, Hb, platelets – normal ➡ Suggests chronic allergic inflammation, not infection. Pending evaluation: Deviated septum, turbinate hypertrophy, nasal polyps, allergen testing. --- History – Gut Loose stools since post-TB period.( Treatment was done in 2018 , and started from 2016) Triggered by foods; no bleeding/weight loss. Stool: sour/vinegar smell, mostly black; yellow when I consume dal–rice only. Mild fatty liver + occasional low BP. Past scopes (6 yrs ago): Normal.( Colono, endoscopy , gastro all 3 scopes are normal) Concerns: IBS-D root cause – gut dysbiosis, SIBO, bile acid malabsorption, FODMAP sensitivity. --- Past Treatments Nasal: Mometasone spray – partial benefit, stopped after 8 months. Gut: Occasional supplements, no recent antibiotics. Probiotics suggested but not taken. Nexito (escitalopram) → worsened thirst & stool urgency → discontinue after 6 months Key Questions for Doctor 1. Nasal: Is it pure allergic rhinitis or with structural issues (DNS, polyps, hypertrophy)? Which tests are needed (CT PNS, nasal endoscopy, IgE, skin prick)? 2. Gut: Root cause of IBS-D? (gut dysbiosis, SIBO, bile acid malabsorption, FODMAP). What tests, diet, or supplements are recommended? 3. Overall: Safe long-term plan covering both nasal and gut issues together.

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