What is the treatment for swollen turbinates due to rebound congestion?

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Why do you feel the turbinates are not getting reduced? Is it because you see those big in the mirror? Is there any symptomatic improvement in nose block after the use of Mometasone? Turbinates usually increase and decrease in their size a few times a day. Additionally, the nasal cavities also have congestion decongestion cycles normally. The rebound congestion that occurs due to decongestant nasal sprays is a temporary phenomenon. What might have happened in your case is rhinitis medicamentosa. But that occurs after months of usage of the decongestant spray and not by a week. We do frequently give decongestant drops for a week or ten days as indicated. I suggest you to continue with the steroid sprays. You may use a plain saline nasal douching couple of times a day. Make sure that you do it before using Mometasone and not after using as then it would wash away the Mometasone. Nasal douching helps keep the mucosa clear and supple. It helps to improve the ciliary action of cells lining the mucosa and clear the mucus better. That way you appreciate the better movement of air inside the nasal cavities. Do revert back to me with more details. If possible click a picture of the turbinates and get back to me. For now, if you were to come to me for a second opinion, I would continue with the medications you are on.

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Your turbinates are boggy and edematous (attachment removed to protect patient's identity). There is a superimposed allergic component also. You would need to take steroid nasal spray for a month or two more and whenever the problem or allergy occurs. Additionally, you would have to take Allegra M one tablet daily for another month. A good mucolytic like Ambroxol will help lighten the mucus and make it go away better.

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Levomont having Levocetirizine and Montelukast is advisable. Allegra M (Fexofenadine and Montelukast) is less drowsy than Levomont. You can take either of the ones. It does not create any problem taking for a too long period. You may feel thirsty though. If there is excessive dryness, you may take on alternate days. But a long duration of the course is needed. It is safe to use Mometasone steroid spray, though it is different from the oral steroids you are taking. Nasal steroids have almost zero absorption into the bloodstream. They should act only inside the nasal cavities. For the same reason do not inhale immediately after spraying. Spray it when you are holding your breath and keep the breath held for another 10 to 15 seconds after spraying. You should be better.

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Continue using the medicines. The issue is allergy exacerbated. You will be better with a couple of weeks with medications. Try doing saline nasal douching a couple of times daily to remove dryness. You may also instill some Paraffin drops into the nose for lubrication.

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If there is nose block and congestion inside the nose, causing you to breathe with difficulty, then take oral decongestants like Sudafed (Pseudoephedrine) or Ephedrine (central nervous system stimulant). Consult a specialist, talk with them and take the medicines with their consent. I hope this has helped you.

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It is safe to use with a steroid spray. And intranasal decongestant drops and sprays have very clear indications, and they should not be used continuously for more than a week. They have the property of rebound vasocongestion, causing the problem of rhinitis medicamentosa. I hope this has helped you out. Take care.

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Oral decongestant does not cause rebound. They have different mechanisms of action. So do not worry. But the oral decongestant also should not be used unscrupulously, as it can raise your BP (blood pressure). I hope this has helped you out. Take care.