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Medical Forum / Diseases and Disorders / Sinusitis / March 2006Steroid sprays........what percentage of people have luck with these longterm?
I had been doing well on Rhinocort for roughly 4 weeks. The main benefit was better breathing on my problematic left side. However, I started getting the bleeding that so many others have reported. Now, i'm off the steroid sprays for 3 weeks. I have doubts that I will ever be able to use them longterm. I'll probably just have to keep them in my arsenal to bring out when an infection hits. What percentage of people can take these longterm? I've read as many reports of stoppage due to bleeding as I have long-term success stories. On another note, to get my nasal mucosa back on track, I am irrigating twice a day and also using a good bit of ayr gel to keep my nose moist. I am drinking hot tea at different times throughout the day. I may continue using the ayr indefinitely, as I notice a nice benefit from it, especially overnight. Is there anything i'm leaving out that would prove beneficial to healing my nasal mucosa? Thanks. >I had been doing well on Rhinocort for roughly 4 weeks. The main >benefit was better breathing on my problematic left side. However, I [quoted text clipped - 5 lines] >reports of stoppage due to bleeding as I have long-term success >stories. Where did it bleed? If on the inside, you may have been aiming too much inwards. It will bleed if you do that, and also not get the drug where it is needed. You have to try to aim a little outwards toward open space, if you can find it. Also cutting the dose in half may work. Ihad a little bleeding but avoided it by such techniques. I used them for years but do not currently.... You can also try >On another note, to get my nasal mucosa back on track, I am irrigating >twice a day and also using a good bit of ayr gel to keep my nose moist. [quoted text clipped - 4 lines] > >Thanks. I tried to aim at the outer corner of the eye on the application side. I too question how far up and to what extent the membranes are affected. I do know that last evening I blew my nose and a good bit of red mucus came out, followed by some definite soreness in the ethmoid region for a couple of hours. This makes me think the damage has extended into that area. >I tried to aim at the outer corner of the eye on the application side. >I too question how far up and to what extent the membranes are >affected. I do know that last evening I blew my nose and a good bit of >red mucus came out, followed by some definite soreness in the ethmoid >region for a couple of hours. This makes me think the damage has >extended into that area. Well you can try it a few times with different sprays and see if you can tolerate any of them.. Sometimes preservatives are the irritant. If you cannot tolerarate any of them, even at lower doses, then you will have to relay on other approaches..... Update: Roughly 4 weeks have passed and my bleeding has stopped. Per my ENT's instructions, I began using the Rhinocort again on Saturday. Since stopping the Rhinocort, I had been using Allegra-D and Astelin. This combination was doing very little to help my symptoms (swelling in my left side). On Saturday, within a couple of hours of using the Rhinocort, I felt a big improvement in my symptoms. In terms of my symptoms, the past few days have been much better for me as well. However, my ethmoids and frontal sinuses have been 'aching'. It's hard to describe. Anecdotally, I would say the tissue is not swollen. It feels similar to a 'sore muscle' after a strenuous workout. I also get sharp pains randomly on my left side. These occur in on the left side of my nose in the bridge area, as well as behind my eyebrows. My left ethmoid and frontals have been my primary problem sinuses, and I had an ethmoidectomy done in 6/05. This stabbing pain all started since I began the Rhinocort again. It started on Sunday, and has slowly gotten worse since. One thing i am trying to do is keep my septum free of the spray during application. After application, i'll take a moist qtip and go over the areas of the septum close to the nostril that had been bleeding badly. I am thinking this may clean up any spray that inadvertently was applied in those areas. I may also experiment with lower doses. Original dose was 2 sprays/day. I may try 1 spray/day, and then 1 spray every other day and gauge the results. I am going to contact my ENT today and see how he wants me to approach this. I am wondering if anyone else has any experiences or advice. Thanks. Tyler >Update: > [quoted text clipped - 24 lines] >sprays/day. I may try 1 spray/day, and then 1 spray every other day >and gauge the results. Absolutely, reduced dosage may work just as well, especially when directed very precisely. One has to think that a large precentage of users are spraying it all over the place and taht they have to make the doses that much too large to compensate for that.... >I am going to contact my ENT today and see how he wants me to approach >this. I am wondering if anyone else has any experiences or advice. |
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