Why does one side of my nose get stuffy/ inflamed when I'm upright?

Had rhino/ septo in Dec 2015. My only compliant is that the left nostril is clogged when standing. When I lie down it unclogs in a few minutes and I can breathe better out of both sides but especially the left, clogged side; when I get up it reclogs in minutes and I have nasal drip. I saw my Dr who said he left my septum primarily untouched on the left side, and that plus allergies (which I'm not sure I actually have) are causing the swelling. He recommend shaving down my septum. Thoughts?

Doctor Answers 4

Postural effect on breathing

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There are a number of potential explanations. The fact that position changes the effect is curious. Things that come to mind are turbinate hypertrophy or polyps but if the septum's deviated that is an aggravating factor.  I suggest a good look at your airway by an otolaryngologist before and after shrinking the tissues with a vasoconstrictor. If oxymetazoline spray (Afrin) eliminates this problem it is most likely from the turbinates. 

San Jose Plastic Surgeon
4.7 out of 5 stars 13 reviews

Why does one side of my nose get stuffy/ inflamed when I'm upright?

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Since your surgeon has a "birds eye" view of everything it sounds like what he is explaining is reasonable.

Fred Suess, MD (retired)
San Francisco Plastic Surgeon

Why Does One Side of My Nose Get Stuffy after Rhinoplasty Surgery?

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You need to be examined to determine the cause of your obstruction. It is difficult to suggest any treatment because there are many possible causes of your problem.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Nasal obstruction symptoms

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There are many  issues that can cause nasal obstruction, which include a deviated septum,  turbinate hypertrophy, allergies, chronic sinusitis, valve collapse,  and vestibular stenosis. Each one of these issues are treated differently with surgery or medications. It's important to try medical management first, before electing to undergo surgical intervention.  A thorough examination of the internal portion of the nose is required to make a determination about what may be causing issues. 

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.