I have problems with my nose for over 10 years. My nose runs all time every day. I got a surgery on the nasal valve and it got worse. The surgeon told me that it is normal and prescribed me Xozal. I am using it for past three months but no improvement with it. I wish to get something prescribed through which I will be able to live like a normal person, not having tissue all day.
Welcome to icliniq.com.
You seem to be suffering from allergic rhinitis which is a form of hypersensitivity and it causes running nose. However this has an offending agent and when the allergen is avoided, the allergy subsides.
To confirm whether it is allergy we can do two tests which includes absolute eosinophil count and serum IgE. The positive signal shows that you suffer from allergy. A negative in the above tests need not always rule out allergy.
For allergic rhinitis, the accompanying symptoms are itching of eyes or nose, occasional nose block and sneezing multiple times.
Next, constant running nose can be due to nasal polyps, chronic sinusitis, inverted papilloma, nasal malignancy, deviated nasal septum, etc.
Please give me details regarding the following too:
What is the color and consistency of nasal discharge?
Is there any foul smell from the discharge?
How you perceive smell?
Kindly attach your previous investigations, reports and medical records pertaining to this matter so that we can arrive at a decisive diagnosis and institute the correct medications for you.
Chronic hypertrophic rhinitis
Revert back with the reports to an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist
I got those two tests done and the results are, absolute eosinophil count is 189 and serum IgE is 17.9.
There is no itching of eyes or nose. I do not sneeze multiple times. There is no nasal bleeding/pain/brow pain. But I daily have headaches. I have occasional nasal block. The discharge is very clear, watery without any smell. My smell sensation is good when there is no block in my nose. I have also tried Pulmicort spray but it did not help.
Hi, Welcome back to icliniq.com.
With the information you have provided regarding additional symptoms, I understand that you have only constant running nose without any of the other associated symptoms of allergy. These points towards an allergic pathology in your nose.
Your absolute eosinophil count is normal. To interpret the IgE value I need to know the units which your lab has used because different labs use different standards.
To make a decisive diagnosis of allergic rhinitis, we need to rule out any local pathology inside the nose, like polyps, deviated nasal septum, hypertrophied turbinate, etc. For the same you need in person consultation with an ENT surgeon who can do an anterior rhinoscopy and nasendoscopy and check the interiors of your nose.
A presumptive diagnosis on reasonable grounds and available evidence is allergic rhinitis. I suggest the following treatment to you.
You need to follow some general precautions to prevent allergy. I have enlisted them as follows.
Follow the suggestions I have given and you will feel better soon.
Allergens may be dust,dust mite, smoke, pollution, wind, pollen, saw dust, husk, agricultural dust, industrial air.
Food allergens such as prawns, peanuts, milk and gluten.
Revert back with serum IgE report and previous reports to an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist
My surgeon has done anterior rhinoscopy and nasoendoscopy and told me that I do not have any problem. I have never done tests for my nose before.My nose is running every day of the year. Serum IgE 17.9 Iu/ml. I never smoke.
Hi, Welcome back to icliniq.com.
Hope to see you in good health soon.
For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist
I did not get Fexofenadine in my place. Can you suggest something else? Also, I have tried Xozal for several months, and it did not help me at all. Thank you.
Welcome back to icliniq.com.
Instead of Fexofenadine, you can try Loratadine or Desloratadine.
Try getting any of the above and make sure that the contents of the tablet are what you want. Beware of the combination drugs. In your condition, a combination with Montelukast will be helpful, but combinations with Pseudoephedrine are unnecessary.
I have searched for brand names of these drugs from the internet and included those pertinent to your country. However, please note that these brand names are different in different countries and may not always rhyme with their chemical names. Hence, I suggest that before buying the product or consuming it, you make sure the contents are what you want.
Also understand that Levocetirizine, Fexofenadine, Loratadine, and Desloratadine are all antihistaminics. All are second generation antihistaminics which are supposed to cause very less CNS depressant effects (sleepiness). However, Desloratadine, Loratadine, and Fexofenadine produce almost nil sleep compared to others.
Have you started on Mometasone furoate nasal spray? That is the most important aspect of the treatment. Also, follow other general measures, precautions, and advice I gave.
Hope you feel better soon.
For further doubts consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist
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