Chronic Nasal Congestion and Sinus Issues

Question #28692

28 days ago

118

Chronic Nasal Congestion and Sinus Issues - #28692

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«С детства не дышу нормально носом. Сперва были аденоиды, их удалили. Из-за Того что плохо дышал носом, стал неправильным прикус. В возрасте 25 лет заболел гайморитом, делали несколько раз прокол, и стало легче. Но потом со временем появилось осложнение в виде кисты одной трети пазухи. Перед эти была простуда и с носа выходила желания липкая жидкость несколько раз.Проходил КТ, и поставили диагноз: полипозный пансинусит. Но другой врач назначил стероидный спрей и сказал, что через две недели станет легче. По факту нос у меня живет своей жизнью. Хочет — работает постоянно хорошо, а может мгновенно заложить и перестать нормально дышать. Сейчас простуда, и одна сторона постоянно заложена, я уже думал — гайморит. Но через 7 дней лечения заложенность. Перешла на другую половину и та что болела перестала болеть и тревожить.

How long have you been experiencing nasal congestion?:

- 1-4 weeks

Have you noticed any specific triggers for your nasal congestion?:

- Infections

Have you tried any treatments for your nasal issues?:

- Yes, nasal sprays

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Doctors' responses

Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

28 days ago

Ваше состояние, с учетом длительной истории нарушенного носового дыхания, перенесенных аденоидов, эпизодов гайморита с пункциями и данных КТ о полипозном пансинусите, наиболее вероятно связано с хроническим воспалительным процессом слизистой носа и околоносовых пазух с формированием полипов, что объясняет перемежающуюся заложенность (так называемый «переключающийся» нос), особенно на фоне простуды; улучшение на одной стороне с одновременным ухудшением другой типично для хронического ринита/синусита, а не обязательно острого гнойного гайморита, и назначение стероидного спрея является правильной базовой терапией, однако при наличии кисты и полипозного процесса может потребоваться длительное лечение и наблюдение у ЛОР-врача, а при недостаточном эффекте — дополнительная оценка (повторное КТ, эндоскопия) и рассмотрение хирургического лечения для восстановления нормального дыхания.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

28 days ago

Hello
Your history (adenoids, sinus punctures, cyst, CT showing polyposis pansinusitis) suggests chronic sinus inflammation with nasal polyps, not just a simple cold. The congestion switching sides is typical of chronic sinus or nasal lining swelling.
Using a steroid nasal spray (for example, Mometasone or Fluticasone) is standard treatment, but 2 weeks is usually too short — improvement often takes 4–8 weeks.
Most likely causes now:
•	Chronic rhinosinusitis with nasal polyps
•	Temporary flare from a recent cold
•	Possible sinus cyst contributing to blockage
What to do:
•	Continue the steroid nasal spray daily for at least 4–8 weeks.
•	Use saline nasal rinses regularly.
•	See an ENT specialist if blockage persists beyond 4–6 weeks or keeps recurring — sometimes long-term therapy or surgery is needed.
Thank you
Take care

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

27 days ago

Спасибо, что подробно описали свою ситуацию! У вас действительно сложная история с носом и пазухами: аденоиды, неправильный прикус, гайморит, киста, полипозный пансинусит, и сейчас — заложенность носа, которая меняется с одной стороны на другую.
### Что это значит?
- Полипозный пансинусит — это хроническое воспаление всех пазух с образованием полипов, которые мешают нормальному дыханию.
- Стероидный спрей помогает уменьшить воспаление и отек, но эффект может быть временным.
- Заложенность, меняющая стороны — типично для хронических синуситов и полипов, особенно во время простуды.
### Что делать дальше?
- Продолжайте использовать стероидный спрей по назначению врача.
- Промывайте нос солевым раствором (например, физраствор или специальные аптечные средства).
- Избегайте аллергенов и раздражителей (пыль, дым, сильные запахи).
- Если заложенность и симптомы сохраняются больше 2–3 недель или ухудшаются, стоит снова обратиться к ЛОР-врачу. Иногда требуется повторная КТ, коррекция лечения или даже операция (удаление полипов/кисты).
### Когда стоит беспокоиться?
- Если появляется сильная боль, отек лица, высокая температура, гнойные выделения — это признаки осложнения, и нужно срочно обратиться к врачу.
Thank you

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

28 days ago

Hello dear
See as per clinical history it seems chronic allergic sinusitis along with suppurative otitis media.
There is presence of allergy due to
Dust
Pollen grains
Blood allergy
Also presence of bacterial infection making the healing difficult due to persistent discharge
Infection
Trauma
I am suggesting some tests for confirmation
Please share the result with ent surgeon in person for better clarity and for safety please donot take any medication without consulting the concerned physician
Esr
CBC
Audiometry
Otoscopy
Microscopy
Intradermal skin test
RBS
Ct scan of sinuses
Patch test
Immunoglobulin ratio test
Blood allergy test
In addition
Kindly avoid exposure to
Dust
Pollen
Cold food
Hopefully you recover soon
Regards

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Client_72d5c5

Client

28 days ago

Аллергия исключена, иммуноглобулин в норме.

Dr. Bharat Joshi

28 days ago

Hello dear
Thanks for the kind response
Then follow precautions only
Regards

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

26 days ago

Вы описали довольно сложный и многогранный случай хронической заложенности носа и синусита, который может потребовать комплексного подхода. Полипозный пансинусит, возможно, объясняет появление рецидивирующих симптомов, поскольку полипы могут создавать препятствия для нормальной вентиляции носовых пазух и способствовать хроническому воспалению. Стероидные спреи, которые вам назначили, часто используются для уменьшения воспаления и размера полипов, и могут быть эффективными, но зачастую необходимо их длительное использование. Это средство обычно нужно применять каждый день, и видимый эффект может проявляться не сразу. Вам также следует следить за изменением состояния и регулярно консультироваться с ЛОР-врачом для оценки прогресса. Важно исключить другие причины хронической заложенности носа, такие как аллергии, искривление носовой перегородки или другие анатомические особенности. Возможно, потребуется аллерготестирование или дополнительные методы визуализации. Если у вас простуда и симптомы со временем изменяются, это может быть связано с циклическим отеком или временным изменением в проходимости носовых каналов. Также, если воспаление или инфекция поражают одну сторону за другой, стоит понять, нет ли выраженного искривления перегородки или других механических препятствий. Продолжайте следовать рекомендациям вашего ЛОРа и обращайте внимание на любые изменения симптомов. В случаях если симптомы усиливаются или вы отмечаете выраженное ухудшение — такие ситуации требуют срочного медицинского вмешательства. Если есть возможность, постарайтесь вести дневник с симптомами для более точной диагностики и подбора лечения.

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

26 days ago

Here are the key points from your history:
· Nasal Congestion: Present for 1–4 weeks (acute worsening), but lifelong history of poor nasal breathing.
· Triggers: Infections (current symptoms began with a cold).
· Treatments Tried: Steroid spray prescribed, but response has been inconsistent.
· Key Notes: History of adenoid removal, sinusitis with punctures, diagnosed with polyposis/pan sinusitis on CT. Symptoms shift sides, suggesting inflammatory or polyposis rather than isolated infection.
Advice: Follow-up with ENT is essential; steroid sprays often require consistent use beyond 2 weeks for polyposis, and surgical options may be needed.
— Dr. Nikhil Chauhan
Urologist

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

22 days ago

Здравствуйте, я понимаю вашу проблему, у вас достаточно длительная и сложная история с носовым дыханием.
Судя по описанию, у вас вероятнее всего имеется хронический риносинусит с полипами (полипозный пансинусит), на фоне которого:
Нос может поочередно закладывать то одну, то другую сторону
Симптомы могут усиливаться при простуде или инфекции
Может быть ощущение, что нос «живет своей жизнью»
Это довольно типично для такого состояния.
Что важно понимать:
Стероидные спреи (назальные), это основное лечение
Но эффект от них появляется не за 2 недели, а обычно через несколько недель регулярного использования
Лечение должно быть длительным и регулярным, а не эпизодическим
Что вы можете делать сейчас:
Продолжать использовать стероидный назальный спрей ежедневно
Делать промывания носа солевыми растворами (2–3 раза в день)
Избегать переохлаждения и вовремя лечить простуду
Когда нужно обратиться к ЛОР-врачу:
Если заложенность сохраняется длительно
Частые обострения
Есть киста и полипы по КТ
В таких случаях может потребоваться:
Длительная медикаментозная терапия
Иногда, хирургическое лечение (эндоскопическая операция)
По поводу вашей текущей ситуации:
То, что заложенность «переходит» с одной стороны на другую, это может быть связано с:
Воспалением
Особенностями носового цикла (это физиологично)
Успокоение:
Это хроническое, но контролируемое состояние. При правильном лечении можно значительно улучшить дыхание и качество жизни.
Главное, регулярное лечение и наблюдение у ЛОР-врача.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

19 days ago

Your symptoms are consistent with Chronic rhinosinusitis with nasal polyps, where nasal blockage can shift sides and worsen during infections.
Steroid nasal sprays are the main treatment but need to be used regularly for several weeks to months, along with saline nasal rinses for better relief.
You should consult an ENT (otolaryngologist), as persistent cases may require long-term therapy or procedures like polyp removal.

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