Is dryness and cold air breathing normal after a kenalog injection?

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Experiencing dryness and sensitivity to cold air after a Kenalog (triamcinolone) injection is relatively common and can be attributed to the effects of the corticosteroid on the nasal mucosa. Kenalog is often used to reduce inflammation and treat conditions such as allergic rhinitis or nasal polyps, but its impact on the nasal passages can lead to these sensations.

Dryness in the nasal passages following a Kenalog injection is a typical side effect. Corticosteroids, like Kenalog, can reduce mucus production and alter the natural moisture balance in the nasal lining. This decrease in mucus can lead to a sensation of dryness and discomfort within the nasal passages. This dryness can be particularly noticeable in dry environments or if the air is heated, which further contributes to the feeling of irritation.

Sensitivity to cold air is also a common issue following the injection. The alteration in the nasal mucosa's protective barrier due to the corticosteroid can make the nasal passages more susceptible to environmental factors. Cold air can exacerbate the feeling of dryness and lead to an increased sensitivity or discomfort when breathing in cool or cold air. This heightened sensitivity occurs because the mucosa, now less moist and possibly more inflamed, reacts more intensely to temperature changes.

To manage these symptoms, using a humidifier can help add moisture to the air, which can alleviate dryness. Additionally, applying saline nasal sprays can help keep the nasal passages hydrated and provide relief from discomfort. Staying well-hydrated and avoiding exposure to cold, dry air can also help mitigate these issues. If these symptoms persist or become significantly bothersome, it's a good idea to consult with your healthcare provider. I hope this helps and best of luck!