Nasal steroids for chronic sinusitis

Regarding diagnosis:

  • What is the cause of the deviated septum? Trauma? Birth defect?
  • If trauma-related, did additional injuries occur to the nose or surrounding area requiring additional treatment or correction, such as rhinoplasty?
  • Were other conditions noted or ruled out, including allergic rhinitis, mucosal edema, or irritation from long-term use of decongestant spray; or from cocaine abuse?
Regarding treatment:
  • How long were symptoms present prior to correction? How severe?
  • Have decongestants, antibiotics, or nasal inhaled steroids failed to satisfactorily treat individual?
  • If treated medically, was treatment palliative or curative?
  • Is septal surgery warranted?
  • Will additional treatment (surgical correction) be necessary in the future?
Regarding prognosis:
  • If surgical correction was required, what method was used? Septoplasty? Submucous resection?
  • Was successful correction accomplished? If not, what is being considered as future treatment? Rhinoplasty?
  • Do symptoms persist despite surgical correction?
Source: Medical Disability Advisor

General measures that allow mucus secretions to pass more easily may be recommended when it is not possible to determine the cause. Many people, especially older persons, need more fluids to thin out secretions. Drinking more water, eliminating caffeine, and avoiding diuretics (medications that increase urination) will help. Mucous-thinning agents such as guaifenesin (Humibid®, Robitussin®) may also thin secretions. Nasal irrigations may alleviate thickened secretions. These can be performed two to four times a day either with a nasal douche device or a Water Pik® with a nasal irrigation nozzle. Warm water with baking soda or salt (½ to 1 tsp. to the pint) or Alkalol®, a nonprescription irrigating solution (full strength or diluted by half warm water), may be helpful. Finally, use of simple saline (salt) nonprescription nasal sprays (., Ocean®, Ayr®, or Nasal®) to moisten the nose is often very beneficial.

We welcome visiting patients from Mexico and Canada looking for same day, in-office evaluation and treatment of nasal polyps. Have you been diagnosed with nasal polyps? Do you suffer from nasal congestion and diminished sense of smell? Have you had difficulty locating a sinus specialist in your area that offers comprehensive evaluation and treatment of nasal polyps? If the answer to these questions is yes, consider contacting our referral coordinator, Tracy (602) 258-9859 , to arrange a comprehensive evaluation with one of our fellowship-trained sinus specialists.

You may be looking for a nasal polyps treatment miracle, but conventional treatment usually starts with a nasal corticosteroid spray. It may also include a prescription to take prednisone by mouth for one week. ( 14 ) Nasonex, fluticasone, Beconase AQ, mometasone and beclamethasone are all nasal steroids that may be prescribed to treat nasal polyps. ( 15 ) Other medication, such as antihistamines and decongestants, don’t really help nasal polyps. However, your doctor may recommend antihistamines to control allergies, or antibiotics before your start on a steroid prescription if you have an infection. ( 16 )

Nasal steroids for chronic sinusitis

nasal steroids for chronic sinusitis

You may be looking for a nasal polyps treatment miracle, but conventional treatment usually starts with a nasal corticosteroid spray. It may also include a prescription to take prednisone by mouth for one week. ( 14 ) Nasonex, fluticasone, Beconase AQ, mometasone and beclamethasone are all nasal steroids that may be prescribed to treat nasal polyps. ( 15 ) Other medication, such as antihistamines and decongestants, don’t really help nasal polyps. However, your doctor may recommend antihistamines to control allergies, or antibiotics before your start on a steroid prescription if you have an infection. ( 16 )

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