Hi,
Welcome back to icliniq.com.
Your history points towards a sinus problem. It could be aggravated by the deviated nasal septum. Additionally, an allergic cause for the prolonged duration of complaints has to be ruled out too. I do want you to get a couple of tests. I would want to suggest the following to you if you were to come to me and show me my clinic. First I would like to examine your nose nevertheless.
If you have not had a course of antibiotics, I would recommend you take one. A course of Clarithromycin as per your weight for five days will be ideal. This drug has both antibacterial and anti-inflammatory effects. Stop using Otrivin. The side effect of Otrivin (Xylometazoline) is rebound congestion of the nose and prolonged use causes rhinitis medicamentosa. Stop Otrivin straightaway.
Use Mometasone furoate nasal spray. It is an anti-inflammatory medicine that removes edema and inflammation inside the nasal and sinus cavities. Take one puff in each nostril twice daily. There is a specific method of using the spray that is given in the pamphlet. If you need help with that contact us. The spray takes time to act. You may have to use it for 4 to 6 weeks. After two weeks we can reduce the dose.
I would put you on a combination of Montelukast 10 mg and Levocetirizine 5 mg. Take this medicine once a day in the evening at 7 PM. It produces a mild sedative effect. It removes a histaminic component of your disease and removes allergic influence. Continue this for a week. If the sedation is not acceptable, let me know, and I can suggest a substitute for Levocetirizine.
After the bath immediately dry your hair. Avoid smoking and drinking till we find a permanent solution to your problem. While going outside stay away from dust smoke and pollution. Wear a mask if need be. Drink plenty of water. Take a multivitamin supplement daily or at least every alternate day. Take Vitamin C-rich fruits like orange or gooseberry once every couple of days. If the bitterness is uncomfortable you may cook the gooseberry and then consume it. Take a picture of the open throat trying to focus on the tonsils and send it to me. Avoid steam inhalation and warm saline gargles. Eat less spicy and fewer masala foods. Avoid cold drinks and aerated drinks for a while.
The tests I would recommend are:
- Serum IgE.
- Complete blood count (it should include Hb, TC, DC, ESR, and platelets among others).
Nose block could be due to the septum that is deviated. Probably with growth and puberty the alignment of the septum could have changed mildly. But alternate side nose block is not usual with DNS (deviated nasal septum). DNS causes one side block usually. Alternate opening and closing of nostrils are physiological but in you, this seems to be not the case.