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zaa (@zaa)

Nasal passage blocked

Ear, Nose & Throat (ENT) | Last Active: Sep 16, 2023 | Replies (60)

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@johnbishop

@zaa I have the same problem. As long as I can remember I have always had problems breathing through my nose. Mostly it's the right side of my nose that is blocked and hard to breathe through. I was diagnosed with obstructive sleep apnea a couple of years ago and have had some difficulty with the face masks due to breathing mostly through my mouth.

I have been using a nasal wash every so often in the evenings which is a 50-50 chance of clearing the nose. Sometimes it works and sometimes it doesn't clear up after using the nasal wash. I had been thinking about a septoplasty for a couple of years to correct my deviated septum but I wanted to learn how bad it really is and what my options were. I talked with my primary care doctor who gave me a referral to a Mayo ENT doctor for a consultation. I met with the ENT doctor and PA Monday and discussed the options available to me. After the exam and the little camera they poke in your nose and record a little movie they were able to explain what they thought was causing the blockage and what my options were. He also mentioned I have a longer nose and one of the options to fix the issue is to open the nose and do reconstruction. He mentioned that I have a couple of small bone spurs and enlarged turbinates which could be reduced in size to help as an option. Then he went through the risks and no guarantees talk about what the surgery involves. He also explained that they have had success with more conservative treatments using a special Mayo proprietary nasal spray compounded in their pharmacy.

I opted to try the conservative treatment for 90 days to see if it helps before considering surgery or just living with it. They gave me a Neilmeds sinus rinse starter kit which I already had one at home. I have to use it twice a day, once in the morning and once at night. After rinsing I have to use 2 sprays in each nostril of the Mayo spray which contains Mometasone to reduce inflammation, Ipratropium to reduce nasal drainage and Diphenhydramine which is an antihistamine to help reduce nasal drainage. I started using it Tuesday and was pleasantly surprised with the results. I can breathe through both nostrils freely now and it seems to be helping with my CPAP. At 78 years old I really don't want surgery unless it's a last resort and will help quality of life. I would have never guessed the Mayo proprietary nasal spray would have worked this well as I have tried all of the normal nasal sprays with no help at all. I'll know for sure in a couple more months.

I would definitely have a meeting with an ENT specialist if you have not already seen one.

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Replies to "@zaa I have the same problem. As long as I can remember I have always had..."

Happy to hear you won’t have surgery and that the Mayo helped. Looks like they gave you a good treatment plan. I did go to ENT but next time it will be at the Mayo. Thanks John.

Hello @ablema1, Welcome to Connect. I am responding to your comment in the Nasal passage blocked discussion so that you can see my original post about the Mayo Clinic proprietary nasal spray. The 3 ingredients are Mometasone to reduce inflammation, Ipratropium to reduce nasal drainage and Diphenhydramine which is an antihistamine to help reduce nasal drainage. The product description on my prescription is MOMET 0.033% - IPRA 0.02% - DIPH 0.02%. I think an ENT doctor may be able to write an RX so that you can get it from a Mayo Clinic Pharmacy but you may want to talk with your doctor and/or give the Mayo Pharmacy a call. Here's the Mail Order phone information:

Phone: 507-284-4041, 800-445-6326
Mon - Fri 7:30 am - 6 pm
Sat - 8 am - noon
Closed Sundays and Holidays

Do you have a blocked nasal passage or breathing problems?

Thanks for sharing. My situation is kinda similar. Trying nasal breathing, seems good for BP (lowered 15) but uncomfortable esp. walking uphill. I suspect I've had the problem long term, but mostly mouth breathed thru it! 77 & not interested in surgery!

Read about empty nose syndrome first. That's why we didn't do surgery.