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Medical Forum / Diseases and Disorders / Prostate BPH / December 2005Decongestants and BPH
I have a worsening post nasal drip condition - may be allegeries. I have tried Nasacort because it does not have any warnings about enlargesd protate (which I have). It really is not effective. Is anyone aware of ANY nasal decongestant that does not adversely effect the prostate in those of us who have BPH? Thanks! Steve >I have a worsening post nasal drip condition - may be allegeries. I >have tried Nasacort because it does not have any warnings about [quoted text clipped - 4 lines] >Thanks! >Steve Try a nasal spray. Oxymetazoline products, like Afrin -- and many generics, do the trick for me. When allergy season overwhelms the oxymetazoline, I have a prescription spray that does the job -- Nasarel. It has no immediate effect and needs to be used a couple of times a day, but in 24 - 48 hours it kicks in and is very effective. I should add that my symptoms are mainly the usual hayfever -- stuffy nose and sneezing, but post nasal drip seems to be part of it. Caution about Afrin Nose Spray... An Ear Nose Throat specialist used Afrin nose spray to diagnose a large deviated septum in 2004. Two days later I could not urinate. In small amounts it might be okay, but be aware what it can do in large amounts. The end result was a TUMT in 2004 and a PVP in 2005. 62 yr old. >>I have a worsening post nasal drip condition - may be allegeries. I >>have tried Nasacort because it does not have any warnings about [quoted text clipped - 12 lines] > should add that my symptoms are mainly the usual hayfever -- stuffy > nose and sneezing, but post nasal drip seems to be part of it. >Caution about Afrin Nose Spray... > >An Ear Nose Throat specialist used Afrin nose spray to diagnose a large >deviated septum in 2004. Two days later I could not urinate. In small >amounts it might be okay, but be aware what it can do in large amounts. > The end result was a TUMT in 2004 and a PVP in 2005. 62 yr old. Sigh. You appear to have a point. I think I need to restrict my advice to religion and politics. > Caution about Afrin Nose Spray... > > An Ear Nose Throat specialist used Afrin nose spray to diagnose a > large deviated septum in 2004. Chockman...why did the ENT need Afrin to diagnose your deviated septum. Huh!!! Couldn't he tell by just looking up your nose with his separator [ie reverse pliers - don't know the medical term :-)]. Pete Two days later I could not urinate. > In small amounts it might be okay, but be aware what it can do in > large amounts. The end result was a TUMT in 2004 and a PVP in 2005. [quoted text clipped - 16 lines] >> I should add that my symptoms are mainly the usual hayfever -- stuffy >> nose and sneezing, but post nasal drip seems to be part of it. Pete... I was referred to the ENT by my allergist for possible somnoplasty (reduction of the nasal passage turbinates so that I could breathe better at night) and he was examining me for that procedure when he found the deviated septum. I think I was hit in the nose by a basketball in the 9th grade. It is amazing to me that no MD (even the allergist who did an ENT exam with a scope) ever found the deviated septum. The ENT said it was one of the 3 worst ones out of a 100 he had ever seen. The surgery was a nasty one in that I had to try sleeping upright in a recliner for 5 nights. But I can breathe so much better and am glad I had it done. >>Caution about Afrin Nose Spray... >> [quoted text clipped - 6 lines] > > Pete > Two days later I could not urinate. > [quoted text clipped - 18 lines] >>>I should add that my symptoms are mainly the usual hayfever -- stuffy >>>nose and sneezing, but post nasal drip seems to be part of it. > Pete... > [quoted text clipped - 8 lines] > sleeping upright in a recliner for 5 nights. But I can breathe so > much better and am glad I had it done. Chockman...I have had deviated septum surgery (1970), and two turbinate ops in my life - one in the doc's office (with a scalpel and local anesthesia back in 1972). The doc was an old time Plastic surgeon (ex ENT) and I called him a horse doctor, because he was a miserable son of a bitch (but he knew what he was doing and helped me). I couldn't breathe for a long time (and the deviated septum op didn't help), and I was referred to him by an old time allergist. He was almost 70 I'd say and he had this beautiful receptionist/nurse (and his wife) who was at least 30 years younger than him. It was very interesting - I tried to go back to him a couple years later and he was on extended leave - but I saw him a little later, and a lady told me his wife was over in Egypt and they were splitting apart. My second turbinate was in 1996 and was laser assisted (didn't help as much as the first op with the horse doctor - lol). Now the nose sprays and inhalants are the least of my worries :-) . I haven't taken them in many years. I still don't see why an ENT couldn't see your deviated septum by visual examination. I'm sure a sinus catscan would have shown it. Did the Afrin help him to identify it...Pete >>> Caution about Afrin Nose Spray... >>> [quoted text clipped - 30 lines] >>>> hayfever -- stuffy nose and sneezing, but post nasal drip seems to >>>> be part of it. Steve...First, the term nasal decongestant may not be the right term, but I don't want to get into that. It sounds like your primary physician gave you the Rx for the nasacort. There are many on the market (flonase, etc). Most of them are corticosteroids (i.e. anti inflammatories) to my knowledge (I used to take every steroid spray and inhalant made back in the 90's). There are some that are not steroids, and may tend to be more for anti histamine effect, and may dry you up and plug up your nose. Ask your doctor to try some others. Flonase (corticosteroid) is probably the most well known. The over the counter sprays are vaso constrictors and are dangerous if you take them to long(regardless of the formula - I consider Afrin milder than the brands with phenylephrine HCL), and can cause re-bound congestion and make you worse than when you started. Some people can take them for long periods of time, which they shouldn't (I never could - they would rebound on me soon). The prescribed steroid sprays can also mess you up, but I believe it takes longer (and I believe many people take them for long periods, if at least not seasonally), and they may also eat a hole in your nose if you take them indefinitely :-). But they are mainly topical and have very little systemic effect like the oral corticosteroids...Pete > I have a worsening post nasal drip condition - may be allegeries. I > have tried Nasacort because it does not have any warnings about [quoted text clipped - 4 lines] > Thanks! > Steve > I have a worsening post nasal drip condition - may be allegeries. I > have tried Nasacort because it does not have any warnings about [quoted text clipped - 4 lines] > Thanks! > Steve try using that salt water spray mixture costs $2-shake it and squirt it up the nostril and let it drip down your sinus passages- cleans out the nose and sinus passage for me..the salt water seems to wash out allergens in the nose for me > > I have a worsening post nasal drip condition - may be allegeries. I > > have tried Nasacort because it does not have any warnings about [quoted text clipped - 8 lines] > and sinus passage for me..the salt water seems to wash out allergens in the > nose for me And if sinus is really a problem, for information go to: alt.support.sinus A popular way to irrigate the sinus is using the Grossan water pik attachment: http://www.natlallergy.com/allergy_relief/1344/grossan-sinus-irrigator-tip.html Or his latest device: http://www.hydromedonline.com/ Dr. Grossan often posts to that group. I used regular water and a teaspoon of salt in a pint of water. I had endoscopic sinus surgery a few years ago and don't need it much anymore. >> I have a worsening post nasal drip condition - may be allegeries. I >> have tried Nasacort because it does not have any warnings about [quoted text clipped - 8 lines] > out the nose and sinus passage for me..the salt water seems to wash > out allergens in the nose for me Good idea...worth a try...Pete Another helpful hint for sinus washing is the so-called "neti pot" which has been used for a long time to help sinus problems. It looks like a small Aladdin's lamp. You put some saline solution in it and let the solution run from one nostril to the other by tilting your head and pouring the liquid into the nostril. You then do the other side. There's a company called SinuCleanse that makes the neti pot and individual packs of salt which makes a saline solution in the neti pot. Their web site is www.sinucleanse.com, but you can make your own neti pot and saline solutions or just use droppers as mentioned earlier. The saline washes help symptoms, but like any other chronic situation, they do not cure anything. For my father in law and me vitamine almost eliminated nasel drip and improved breathing and sleep. Ed . . . >I have a worsening post nasal drip condition - may be allegeries. I > have tried Nasacort because it does not have any warnings about [quoted text clipped - 4 lines] > Thanks! > Steve |
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