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Medical Forum / Diseases and Disorders / Sinusitis / March 2004

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Steroid shots up the nostrils

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Sjean - 02 Mar 2004 04:18 GMT
Has anybody here had steroid injections in your nostrils?  I did a couple of times when I was in bad shape with swollen sinuses.  Within a day the swelling went down which allowed my sinuses to drain.

It sounds horrid I know, but the ENT swabbed a topical pain killer in my nostrils first and it didn't hurt at all.  I must admit that I kept my eyes shut during the entire procedure.

My ENT won't do that very often because of the side effects of steroids but it sure helped when I really needed it.  And he got the message about just how bad I was feeling when I'd go in asking for injections up my nostrils.
Don Brady - 02 Mar 2004 05:01 GMT
>Has anybody here had steroid injections in your nostrils?  I did a couple of times when I was in bad shape with swollen sinuses.  Within a day the swelling went down which allowed my sinuses to drain.
>
>It sounds horrid I know, but the ENT swabbed a topical pain killer in my nostrils first and it didn't hurt at all.  I must admit that I kept my eyes shut during the entire procedure.
>
>My ENT won't do that very often because of the side effects of steroids but it sure helped when I really needed it.  And he got the message about just how bad I was feeling when I'd go in asking for injections up my nostrils.

I have heard of that being done - a few doctors do it.

I think it is not too common though.

Have you tried steroid sprays, by the way?
Sjean - 02 Mar 2004 17:21 GMT
Yes.  I'm using Rhinocort Aqua now with medium success.  I use it once a day routinely and increase it to twice a day when I'm having sinus problems.  It's a lot less nerve racking than injections in the nostrils !!
ENTconsult - 03 Mar 2004 17:08 GMT
for most patients an injection of Kenalog into the turbinates is panless, there
is some tylenol controlled discomfort for a day with congestion and then good
relief.
Most patients return for a re do in 9 months or so without hesitation.
Murray Grossan, M.D.
http://www.ent-consult.com
Dali - 02 Mar 2004 16:37 GMT
There is something causing the inflamation. steroids provide relief
not the cure. If he has a needle up their ask him to do a sinus
puncture and look for aenorobic bacteria. better yet just do an
antibiotic irrigation. The sinuses soak that stuff up.

>Has anybody here had steroid injections in your nostrils?  I did a couple of times when I was in bad shape with swollen sinuses.  Within a day the swelling went down which allowed my sinuses to drain.
>
>It sounds horrid I know, but the ENT swabbed a topical pain killer in my nostrils first and it didn't hurt at all.  I must admit that I kept my eyes shut during the entire procedure.
>
>My ENT won't do that very often because of the side effects of steroids but it sure helped when I really needed it.  And he got the message about just how bad I was feeling when I'd go in asking for injections up my nostrils.
Don Brady - 02 Mar 2004 19:11 GMT
>There is something causing the inflamation. steroids provide relief
>not the cure. If he has a needle up their ask him to do a sinus
>puncture and look for aenorobic bacteria. better yet just do an
>antibiotic irrigation. The sinuses soak that stuff up.

The most common cause by far is believed to be allergens and irritants in the
air.

Anaerobic infections are believed to be rare.   They can occur all right,
though.
 
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