What is the treatment for severe nasal congestion?

Hello,

Welcome to icliniq.com.

I understand your concern.

I have read your query and I am sorry for such discomfort. So, have you had the above symptoms since the third trimester? You have nasal congestion that is troubling your breathing and sleep. What is the reason the ENT doctor mentioned for nasal congestion? What medications did the doctor suggest after doing a nasal endoscopy? Continue the recommended medication. You can apply Otrivin nasal drops, one drop in the congested nostril twice or thrice daily for five days. Please reply and follow up if you have any further related queries.

I hope this information will help you.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

You have symptoms of post-nasal drip. Causes of post-nasal drip include:

1. Allergy.

2. Sinus infections.

3. Pregnancy.

4. Certain medications.

5. Acid reflux.

You have already done a nasal endoscopy, one of the crucial investigations to look for nasal pathology. You are on antiallergic medication also. Stop the Otrivin (Xylometazoline hydrochloride and Ipratropium bromide) nasal drop I prescribed above. Since you are not getting relief with Montair FX (Montelukast and Fexofenadine), I suggest taking antacid medication also. Take a tablet of Pantocid (Pantoprazole) 40 mg once a day on an empty stomach for a week and watch for the improvement in symptoms. Avoid spicy foods and drinks for at least three hours before bedtime, keep your head elevated six to eight inches above your body at bedtime, etc., to prevent acid reflux.

I hope this information will help you.

Thanks.

Hello,

Welcome back to icliniq.com.

You have tried medications that are generally prescribed for post-nasal drip. You have also had a nasal endoscopy, which came back normal. What exact symptoms are you experiencing now? I would suggest continuing Pantoprazole once a day for another week. Do not take Montelukast along with Fexofenadine now. There is no need to do lukewarm gargles.

Please follow up if you have any further related queries.

Thank you.

Hello,

Welcome back to icliniq.com.

So far, you have tried antiallergic and antigas medications to treat your current symptoms, and they should have improved by now. I am aware of your nasal endoscopy report, and mild DNS (deviated nasal septum) generally does not cause such chronic nasal congestion symptoms. Now, the question is what you should do next. Based on your history, I suspect the cause of your post-nasal drip is nasal congestion (not acid reflux, as you did not mention any symptoms of acid reflux). You noted that the nasal drip starts after one of your nostrils becomes slightly congested. Congestion usually occurs due to infection or allergy. You should avoid exposure to dust and stay in a clean area with fresh ventilation.

Have you taken antibiotics for this current problem? Is it possible for you to have a phone or chat consultation to discuss the medications you have been prescribed so far? This will help me think it over and guide you if any additional treatment is necessary.

Please follow up for further guidance.

Thank you.