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Q: Deviated septums and sinusitis
asked by: DoctorQuestion on May 19th, 2008
I have chronic sinus congestion, and have had it since I was 14 years old. I am now 37. Since I was in my teens, one nostril has always been clogged. Not most of the time, but always. However, it is not the same one all the time. In fact, I have literally had my left nostril clogged completely and in a matter of ten seconds or so, it will switch over to the right nostril, and the left is clear. All of my symptoms seem like a deviated septum, but I can't find any information about the clogged nostril shifting with a deviated septum.

I have lived with this condition because it never really affected me that much. It was just kind of a nuisance. In the past five years or so, I have started having problem with allergies, and it's just gotten worse. I now have had a sinus infection (perhaps?) for about two months. I have daily sinus headaches, coughing, and nasal drip that I can't seem to shake. Any ideas? Thanks!


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Dr. Nikola Gjuzelov , MD
replied on May 20th, 2008
Ear, Nose and Throat Disorders Answer A4147
Reviewing your symptoms (nasal congestion, sinus headache, coughing, nasal drip…) that last for more than 23 years, you probably have been experiencing chronic sinusitis. A deviated nasal septum is one of the most common reasons for developing chronic sinusitis. A deviated nasal septum makes the mucus drainage more difficult and further creates conditions for frequent bacterial infections. Allergies and improper treatment of acute bacterial sinus infections can also cause chronic sinusitis. Nasal inspection and an X-ray image of the nose and para-nasal sinuses are required for diagnosing the chronic sinusitis and deviated nasal septum. Microbiological examination of nose and throat samples is necessary to identify the infective agent and to choose the proper antibiotic. Chronic rhinitis and sinusitis often lead to polyp development that worsens the symptoms. If a deviated nasal septum is diagnosed, surgical intervention is recommended. Nasal polyps are also removed surgically.


You may want to consult an ENT-specialist about your condition.





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