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Is a surgery mandatory for nasal turbinate issues?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a problem of nasal congestion for almost 15 days now. It started with running nose first and then the nose got blocked. In the past, I have taken antibiotic for eight days. For three days, I had taken Augmentin 375 twice a day and Erythrocin 500 one tablet a day for five days. I had shown it to an ENT specialist at my place. He has done endoscopy and diagnosed some turbinate issue in my nose for which he has suggested laser treatment. I would like to have second opinion on the same, to reaffirm whether it is required at this stage? I am a 46 year old male with no past medical record on this. If not required then what could be the treatment? I am attaching the diagram drawn by doctor after endoscopy. Red marking is the issue shown. Please let me have a detailed opinion. Thank you.

Answered by Dr. Alok Rathi

Education:

MBBS

Professional Bio:

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

If the problem is only for 15 days, then in my opinion, surgery can be withheld now. If you have any long-standing problem like nasal obstruction, nasal discharge, sneezing, post-nasal drip or allergic symptoms then you may go ahead with surgery. Your nose has septal deviation and turbinate (structures present on side walls inside the nose)hypertrophy (enlarged) according to the diagram (attachment removed to protect patient identity). If you are not going for surgery, then use topical nasal spray for three weeks.

Patient's Query

Hello doctor,

Which topical nasal spray should I use? Please suggest.

Answered by Dr. Alok Rathi

Education:

MBBS

Professional Bio:

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Fluticasone nasal spray once daily in both nostrils for three weeks.

Answered by Dr. Alok Rathi
Medically reviewed by iCliniq medical review team
Published At March 24, 2016
Reviewed At June 6, 2024

Education:

MBBS

Professional Bio:

This doctor is not available for online consultations on the platform anymore.

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Prep / Recovery Guide

Nasal Turbinate Issues Prep and Recovery Guide

How it works

Nasal turbinates are structures inside your nose that help warm and humidify the air you breathe. When they become enlarged, they can cause significant nasal congestion and other symptoms. Understanding your condition is the first step towards effective management.

1

Nasal
Turbinates

2

Turbinate
Hypertrophy

3

Symptoms
Diagnosis

4

Non-Surgical
Options

5

Surgical
Intervention

6

Second
Opinion

When to Seek Immediate Medical Attention

Call your doctor promptly if you experience a high fever, worsening pain or swelling, a nosebleed that will not stop, persistent foul-smelling discharge, or symptoms that worsen despite treatment. Go to the emergency room or call emergency services immediately if you have severe difficulty breathing or heavy uncontrolled bleeding.

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MBBS

Professional Bio:

This doctor is not available for online consultations on the platform anymore.

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