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Too much cold air entering the nostrils

Ear, Nose & Throat (ENT) | Last Active: Jan 31 7:20am | Replies (132)
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@joannap

Hi @learningstudent and everybody else suffering from similar symptoms.

My son has had problems with his breathing since last autumn 2020. He has a deviated septum and he was looking for help from an ENT. He got prescribet nasal corticosteroids (Mometasone) and after using the nasal spray for two months he claims that he has lost the sensation of air flowing in his nose. He can't also feel the temprature differences, e.g. if the air is cold. The condition is a little bit different from yours, but my guess would also be that it has something to do with the dysfunction of the turbinates.

Could there be one factor that would explain these strange symptoms? Have you used any nasal sprays before your problem started?

Have you or anybody found any alleviating solutions or answers?

I would very much appreciate your answer and hope your condition has got better.

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Replies to "Hi @learningstudent and everybody else suffering from similar symptoms. My son has had problems with his..."
John, Volunteer Mentor | @johnbishop | Jul 21, 2021

Hello @joannap, Welcome to Connect. I think it's bad enough when we have to deal with these types of problems ourselves but to watch our kids struggle with it is even worse. I also have a deviated septum that I've put up with all my life but I'm 78. I was considering a septoplasty but wanted a non surgical solution due to risk factors involved.

I met with my Mayo ENT and he prescribed a Mayo Clinic proprietary nasal spray with 3 ingredients -- 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 do a nasal rinse mornings and evenings followed by 2 sprays in each nostril. I'm into my 3rd month using the spray and nasal rinse and it has done an amazing job helping my breathing through my right nostril which was mostly always plugged. My ENT wanted me to try it for 3 months to see if it helps.

I've used saline solution sprays, Flonase and Fluticasone Proprionate in the past without much success. The propriety nasal spray along with the twice daily nasal rinse seems to be helping me but I'm also thinking I'm not sure I want to use it long term due to possible side effects so will have that discussion with my ENT soon.

Here's some information on Mometasone Nasal Spray and side effects: https://medlineplus.gov/druginfo/meds/a602024.html

Have you discussed your son's strange symptoms with his ENT doctor?

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@seekinginfo | @nrd1 | Jul 21, 2021

@joannap-metamathasone and other nasal corticosteroids cause dryness, vasoconstriction and can disrupt the skin barrier of the delicate nasal mucosa.
The nasal mucosal skin needs to remain moist in order to function and feel sensation properly.
The shrinking down of the mucosal tissue can make the airway feel too open, which could be reason why your son may not be getting the sensation that he was used to getting when air enters.

If the air enters too quickly due to a lack of resistance the nasal cavity does not have enough time to do warm and humidity the air before it makes its way to the lungs.
If your son has underlying allergies and had an exacerbation of these allergies I would start there. Steroids only address an issue from the outside, which can also damage the delicate skin and nasal mucosal lining.
These are all things you can bring up to your ENT. When asked, they will also tell you the same.

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