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Medical Forum / Diseases and Disorders / Sinusitis / May 2006

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How to treat dry stuffiness in nose while having hypertrophic vasomotor (allergic) rhinitis?

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Dmitriy - 17 May 2004 13:41 GMT
Hello
How to treat dry stuffiness in nose while having hypertrophic
vasomotor (allergic) rhinitis? The dry stuffiness increases on a side
which I lie on.
Don Brady - 17 May 2004 15:42 GMT
>Hello
>How to treat dry stuffiness in nose while having hypertrophic
>vasomotor (allergic) rhinitis? The dry stuffiness increases on a side
>which I lie on.

Steroid nasal sprays (Nasonex or Flonase) should help.

Also avoid allergens (dust, mold) as much as possible.
Dmitriy - 18 May 2004 09:47 GMT
Thanks.
Are the Steroid nasal sprays (Nasonex or Flonase) against allergy or hypertrophy?

> >Hello
> >How to treat dry stuffiness in nose while having hypertrophic
[quoted text clipped - 4 lines]
>
> Also avoid allergens (dust, mold) as much as possible.
Don Brady - 19 May 2004 06:01 GMT
>Thanks.
>Are the Steroid nasal sprays (Nasonex or Flonase) against allergy or hypertrophy?

They should help with any inflammation:  "drugs indicated for nonallergic as
well as allergic rhinitis are nasal steroids (like Flonase, Nasonex), Astelin
and Atrovent."

Hypertrophy just means that the turbinates are too large (for any reason),
Dmitriy - 31 May 2004 12:12 GMT
FLIXONASE (FLUTICASONE; GLAXOWELLCOME), ALLERGODIL (AZELASTINE; ASTA MEDICA)
do not help much.

> >Hello
> >How to treat dry stuffiness in nose while having hypertrophic
[quoted text clipped - 4 lines]
>
> Also avoid allergens (dust, mold) as much as possible.
Don Brady - 31 May 2004 15:47 GMT
>FLIXONASE (FLUTICASONE; GLAXOWELLCOME), ALLERGODIL (AZELASTINE; ASTA MEDICA)
>do not help much.

Even when used continuously?

I suspect you are highly allergic or sensitive  to something in your
environment then, or else the turbinates have become so chronically enlarged
that nothing can be done.   I'd bet on the former though......
MS - 19 Sep 2005 22:01 GMT
Those two medications you mention are the same as Flonase (steroid nasal
spray), and Astelin (different names where you live.)

If your nose is too dry, do you use saline spray? That can help.

> FLIXONASE (FLUTICASONE; GLAXOWELLCOME), ALLERGODIL (AZELASTINE; ASTA MEDICA)
> do not help much.
[quoted text clipped - 7 lines]
> >
> > Also avoid allergens (dust, mold) as much as possible.
Susan - 19 Sep 2005 22:42 GMT
> Those two medications you mention are the same as Flonase (steroid nasal
> spray), and Astelin (different names where you live.)

I'm not sure I understand your post correctly, but Astelin is not a
steroid spray, it's an antihistamine mist.

Works miracles for me, can even abort a sinus migraine.

Susan
Killer Cabs Sales Team - 24 Sep 2005 10:30 GMT
Can you tell me which type of Antihistamine this is?

Here in the UK, I currently use Benadryl (sp?) .. if that came in a mist
spray, it would be very helpful!

Thanks

Tony

<Snip>

> I'm not sure I understand your post correctly, but Astelin is not a
> steroid spray, it's an antihistamine mist.
>
> Works miracles for me, can even abort a sinus migraine.
>
> Susan
Susan - 24 Sep 2005 14:42 GMT
> Can you tell me which type of Antihistamine this is?
>
[quoted text clipped - 4 lines]
>
> Tony

The chemical name is azelastine HCL.

Susan
SJF - 22 Oct 2005 18:44 GMT
> x-no-archive: yes
>
[quoted text clipped - 10 lines]
>
> Susan

Antihistamine spray --

I have used Astelin.  Seemed not very effective and rather expensive.

I presently dissolve 75 mg. of an OTC generic of Benadryl (contents of three
25 mg. capsules) in one ounce of warm water and put it in a salvaged pump
spray bottle for nasal use.  To me, this seems more effective than the
Astelin.  It will generally stop a sneezing spell and seems to mitigate the
congestion that sometimes occurs when I lay down to retire for the night.
Occasional use for several years has not indicated adverse effects.

Caveat --

I am not a physician and can only report my observations.  My use of this
spray is based on a comment by physician Murray Grossan in this newsgroup
several years ago.

SJF
Susan - 22 Oct 2005 18:54 GMT
> Antihistamine spray --
>
> I have used Astelin.  Seemed not very effective and rather expensive.

My rx plan pays for it, though I have a high co-pay.  It works so well
for me that use of it can abort a sinus induced migraine.  Very
effective for me.

> I presently dissolve 75 mg. of an OTC generic of Benadryl (contents of three
> 25 mg. capsules) in one ounce of warm water and put it in a salvaged pump
[quoted text clipped - 8 lines]
> spray is based on a comment by physician Murray Grossan in this newsgroup
> several years ago.

Whatever works; certainly sounds innovative.

Susan
Murray Grossan - 23 Oct 2005 05:16 GMT
On 10/22/05 10:54 AM, in article 3rvcmfFlm2btU2@individual.net, "Susan"
<nevermind@nomail.com> wrote:

> x-no-archive: yes
>
[quoted text clipped - 22 lines]
>
> Susan
This tastes bad but so does Astelin
Susan - 23 Oct 2005 16:57 GMT
> On 10/22/05 10:54 AM, in article 3rvcmfFlm2btU2@individual.net, "Susan"
> <nevermind@nomail.com> wrote:
[quoted text clipped - 27 lines]
>
> This tastes bad but so does Astelin

Ick, yes, Astelin tastes awful at first, and caused me taste alteration
for a while.  I'm not sure when that stopped happening for me, but I
haven't experienced it for a couple of years now.  I don't know if it
goes away for everyone.

Susan
MS - 08 May 2006 19:35 GMT
> > Those two medications you mention are the same as Flonase (steroid nasal
> > spray), and Astelin (different names where you live.)
>
> x-no-archive: yes

> I'm not sure I understand your post correctly, but Astelin is not a
> steroid spray, it's an antihistamine mist.

I think my sentence was pretty clear, Susan. Flonase was described in
parentheses as a steroid spray, not Astelin.
Flash - 17 May 2004 16:35 GMT
> Hello
> How to treat dry stuffiness in nose while having hypertrophic
> vasomotor (allergic) rhinitis? The dry stuffiness increases on a side
> which I lie on.

I thought vasomotor rhinitis is a non-allergic reaction. That
is to say, the reaction can't be traced to an allergen.  And,
of course, allergic rhinitis is a result of allergen(s). So,
I'm not sure what "vasomotor (allergic) rhinitis" is?  Could
you elaborate?
Don Brady - 18 May 2004 04:57 GMT
>I thought vasomotor rhinitis is a non-allergic reaction. That
>is to say, the reaction can't be traced to an allergen.  And,
>of course, allergic rhinitis is a result of allergen(s). So,
>I'm not sure what "vasomotor (allergic) rhinitis" is?  Could
>you elaborate?

You are correct but it makes little difference because the same things work to
treat boith kinds of reaction (allergic and non-allergic vasomotor).
Dmitriy - 19 May 2004 06:31 GMT
Thanks.
I have more discomfort from dry stuffiness in my nose because of the
hypertrophy. I don't have itch in my nose or sneezing.

> >I thought vasomotor rhinitis is a non-allergic reaction. That
> >is to say, the reaction can't be traced to an allergen.  And,
[quoted text clipped - 4 lines]
> You are correct but it makes little difference because the same things work to
> treat boith kinds of reaction (allergic and non-allergic vasomotor).
Don Brady - 19 May 2004 07:11 GMT
>Thanks.
>I have more discomfort from dry stuffiness in my nose because of the
>hypertrophy. I don't have itch in my nose or sneezing.

Well if they are enlarged and stay enlarged you may eventually have to consider
surgery if you start getting sinusitis due to the air blockage.

But it is worth trying to get them down by other means first.  AIr quality can
make a huge difference if you can eliminate irritants and allergens.
Dmitriy - 19 May 2004 14:00 GMT
What are the other means?
I don't have the irritants and allergens usually.

> >Thanks.
> >I have more discomfort from dry stuffiness in my nose because of the
[quoted text clipped - 5 lines]
> But it is worth trying to get them down by other means first.  AIr quality can
> make a huge difference if you can eliminate irritants and allergens.
Dmitriy - 31 May 2004 12:18 GMT
I don't get sinusitis due to the air blockage, but I feel bad because
of the air blockage. How to get the turbinates down by other means
first? What are the other means?

> >Thanks.
> >I have more discomfort from dry stuffiness in my nose because of the
[quoted text clipped - 5 lines]
> But it is worth trying to get them down by other means first.  AIr quality can
> make a huge difference if you can eliminate irritants and allergens.
Don Brady - 31 May 2004 15:44 GMT
>I don't get sinusitis due to the air blockage, but I feel bad because
>of the air blockage. How to get the turbinates down by other means
>first? What are the other means?

The thibgs we have discussed - mainly eliminating irritants and allergens.

Do you find taht your nsoe opens up in some particlauar place - for example, in
a large auditorium with good air conditioning?  Or outdoors?

If so, you will have an indication that the issue is allergens and air quality.
Dmitriy - 02 Jun 2004 12:49 GMT
Thanks for your reply.
I don't find that my nose opens up in any particlauar place: in a
large auditorium with good air conditioning or outdoors.

> >I don't get sinusitis due to the air blockage, but I feel bad because
> >of the air blockage. How to get the turbinates down by other means
[quoted text clipped - 6 lines]
>
> If so, you will have an indication that the issue is allergens and air quality.
NorthShoreCEO - 02 Jun 2004 13:03 GMT
I  think it's possible you have some allergies that require both a steroid
nasal spray and
an antihistimine.  Why not ask your doctor for samples of Allegra and try
the combination
spray/med thing to see if that helps?  There are cases where people have had
negative
test results for allergies, yet found relief from allergy meds just the
same.

> Thanks for your reply.
> I don't find that my nose opens up in any particlauar place: in a
[quoted text clipped - 10 lines]
> >
> > If so, you will have an indication that the issue is allergens and air quality.
Don Brady - 03 Jun 2004 04:48 GMT
>Thanks for your reply.
>I don't find that my nose opens up in any particlauar place: in a
>large auditorium with good air conditioning or outdoors.

Does it ever vary at all under any conditions?
iJah - 19 May 2004 14:51 GMT
>> >I thought vasomotor rhinitis is a non-allergic reaction. That
>> >is to say, the reaction can't be traced to an allergen.  And,
>> >of course, allergic rhinitis is a result of allergen(s). So,
>> >I'm not sure what "vasomotor (allergic) rhinitis" is?  Could
>> >you elaborate?

Don Brady <dbrady@pobox.com> wrote in message
news:<c92ja0t6hl8ub9tds0vmrr5gkpn58kk83c@4ax.com>...

>> You are correct but it makes little difference because the same things work to
>> treat boith kinds of reaction (allergic and non-allergic vasomotor).

>Thanks.
>I have more discomfort from dry stuffiness in my nose because of the
>hypertrophy. I don't have itch in my nose or sneezing.

hy·per·tro·phy    ( P )  Pronunciation Key  (h-pûrtr-f)
n. pl. hy·per·tro·phies
A nontumorous enlargement of an organ or a tissue as a result of an
increase in the size rather than the number of constituent cells:
muscle hypertrophy

Ok, so you have swelling/inflammation and dryness.

I'm right there with you - very unpleasant, uncomfortable - miserable
state depending on the degree of inflammatin and dryness. Mine at
times has gotten to be like almost 100% blockage of my nasal passages
due to inflammation. Now, I'd say it varies from 30% to 60% blockage.

I'm surprised no one has suggested - or maybe it is already assumed -
that you use a saline spray or a nasal gel to help keep your nasal
linings moisturized. I find that a mixture of saline water and Alkalol
(which contains all kinds of pleasant stuff like camphor, wintergreen,
eucalyptus, etc) works best for me.

Also, nasal irrigation with a water pik and Dr Grossan's nasal
attachment has helped me tremendously.

Steriodal nasal sprays most likely will help quite a bit to reduce the
inflammation, but I've also found that they tend to increase the
dryness unless I only use on spray per nostril a day. I've gotten the
best results with Rhinocort Aqua wich doesn't contain a preservative
called benzolokium? that most of the others sprays do contain and many
people have adverse reactions to that preservative.

Also, I wonder why no one ever asks this question -

Do you smoke?

I'm quite certain smoking has caused or greatly contributed to my
inflammation and dry stuffiness condition - duh - but it didn't occur
to me as a probable cause because I'd been smoking for over 15 years
without any sinus problems. Now, unfortunately, like so many others I
find it impossible to beat my addiction to tobacco completely, but try
to limit my usage and when I'm able to keep my smoking to a minimum I
find my nasal condition improves - so, if you smoke - quit if you can
or cut back as drastically as you can and that should help.
Don Brady - 19 May 2004 15:50 GMT
>Also, I wonder why no one ever asks this question -
>
[quoted text clipped - 8 lines]
>find my nasal condition improves - so, if you smoke - quit if you can
>or cut back as drastically as you can and that should help.

You are absolutely correct.

The reason I don't ask is because smokers already know darn well that smoking
is extremely deleterioust - their doctors will have told them, among others.
Dmitriy - 20 May 2004 08:53 GMT
I have never smoked.
Salin increased blockage in 3 hours after the spraying, and the
spraying caused sneezing sometimes.
What are the water pik and Dr Grossan's nasal attachment? I live in
Moscow.

What saline water and Alkalol proportions are recommended in a
mixture?

> >> >I thought vasomotor rhinitis is a non-allergic reaction. That
> >> >is to say, the reaction can't be traced to an allergen.  And,
[quoted text clipped - 53 lines]
> find my nasal condition improves - so, if you smoke - quit if you can
> or cut back as drastically as you can and that should help.
Dmitriy - 20 May 2004 10:58 GMT
I can't find the "Rhinocort Aqua" in Moscow. What does the "Rhinocort Aqua" contain?

> >> >I thought vasomotor rhinitis is a non-allergic reaction. That
> >> >is to say, the reaction can't be traced to an allergen.  And,
[quoted text clipped - 53 lines]
> find my nasal condition improves - so, if you smoke - quit if you can
> or cut back as drastically as you can and that should help.
MS - 19 Sep 2005 22:05 GMT
And--no one really knows what "non-allergic rhinitis" is. It is when someone
has rhinitis, but the allergy skin test doesn't show much allergy. I read in
a recent article though, that the nose can be allergic without it
registering on skin tests. I'm not sure how accurate those allergy skin
tests are. Also--one could be allergic to something one was not tested for.

So, there may really be not much difference between allergic and
"non-allergic" rhinitis. Generally same treatments for both though.

> >I thought vasomotor rhinitis is a non-allergic reaction. That
> >is to say, the reaction can't be traced to an allergen.  And,
[quoted text clipped - 4 lines]
> You are correct but it makes little difference because the same things work to
> treat boith kinds of reaction (allergic and non-allergic vasomotor).
Don Brady - 19 Sep 2005 23:15 GMT
>And--no one really knows what "non-allergic rhinitis" is. It is when someone
>has rhinitis, but the allergy skin test doesn't show much allergy. I read in
[quoted text clipped - 4 lines]
>So, there may really be not much difference between allergic and
>"non-allergic" rhinitis. Generally same treatments for both though.

I agree completely.  
Dmitriy - 18 May 2004 09:42 GMT
My nose swells becase of cold (vasomotor) and becase of dust and fresh
green in a field (allergy).
> > Hello
> > How to treat dry stuffiness in nose while having hypertrophic
[quoted text clipped - 10 lines]
> http://www.newsfeeds.com - The #1 Newsgroup Service in the World!
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