I have a constant septum pain and inside my nose for about 2 weeks now. I had it before but never constantly, always had difficulty to breathe only through my nose. I went to an otolaryngologist yesterday but it wasn't helpful. He couldn't answer my questions. My turbinates also look pretty enlarged to me. He didn't make a scan of my nose, only outside examination. I got cortisone spray but afraid it won't improve my condition for a long time. I had trauma when I was 11 (now I'm 23). Could it be deviated septum? What should I do? I feel awful.
Answer: Nasal-septal "sinus" pain may be a variant of migraine. You may well have a deviated septum, and enlarged turbinates, but these conditions are not usually associated with pain unless you're having a sinus infection. If you have a foul, off-colored, nasal discharge along with pain, then you could have sinusitis, and consultation with another ENT might help. In our experience, the majority of people who suffer with nasal and sinus pain may have a variant of migraine. I agree that steroid nasal sprays will not improve your pain, but might help with your breathing. I hope this was helpful, and best regards.
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CONTACT NOW Answer: Nasal-septal "sinus" pain may be a variant of migraine. You may well have a deviated septum, and enlarged turbinates, but these conditions are not usually associated with pain unless you're having a sinus infection. If you have a foul, off-colored, nasal discharge along with pain, then you could have sinusitis, and consultation with another ENT might help. In our experience, the majority of people who suffer with nasal and sinus pain may have a variant of migraine. I agree that steroid nasal sprays will not improve your pain, but might help with your breathing. I hope this was helpful, and best regards.
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CONTACT NOW Answer: Septum pain, deviation and turbinate hypertrophy Pain of the septum has many causes, but the most common that I see is caused by dryness. The septum can become chapped similar to your lips and this can cause significant irritation and pain. There are obviously many other causes, but an in person exam is necessary. Regarding the deviated septum and turbinate hypertrophy (IT), it is certainly possible you have neither, either or both. A CT scan is not necessary in most cases to diagnose these conditions. Europe may be different, but in the US, usually insurance will not cover septoplasty or IT reduction without a trial of nasal steroids. I have seen patients who have a septum that completely occludes the nasal passages, and there is no physical way that nasal steroids will make a meaningful difference, but this does not change the insurance company's need to check off the box of "tried nasal steroids and failed". Finally, having a deviated nasal septum can contribute to mucosal drying and irritation because the air flow through the nose is altered and changes from laminar flow to turbulent flow. This is a frequent cause of nasal dryness.
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CONTACT NOW Answer: Septum pain, deviation and turbinate hypertrophy Pain of the septum has many causes, but the most common that I see is caused by dryness. The septum can become chapped similar to your lips and this can cause significant irritation and pain. There are obviously many other causes, but an in person exam is necessary. Regarding the deviated septum and turbinate hypertrophy (IT), it is certainly possible you have neither, either or both. A CT scan is not necessary in most cases to diagnose these conditions. Europe may be different, but in the US, usually insurance will not cover septoplasty or IT reduction without a trial of nasal steroids. I have seen patients who have a septum that completely occludes the nasal passages, and there is no physical way that nasal steroids will make a meaningful difference, but this does not change the insurance company's need to check off the box of "tried nasal steroids and failed". Finally, having a deviated nasal septum can contribute to mucosal drying and irritation because the air flow through the nose is altered and changes from laminar flow to turbulent flow. This is a frequent cause of nasal dryness.
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August 1, 2012
Answer: Nasal septal pain
While you may have a deviated septum and or enlarged turbinates, pain in the nose typically indicates and acute and active process usually involving an inflammatory and or infectious process. This should be treated appropriately with antibiotics or anti-inflammatory medication. Once the acute issues have been stabilized and if you to indeed have a deviated septum or enlarged turbinates these can be addressed with surgery at a later date.
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Answer: Nasal septal pain
While you may have a deviated septum and or enlarged turbinates, pain in the nose typically indicates and acute and active process usually involving an inflammatory and or infectious process. This should be treated appropriately with antibiotics or anti-inflammatory medication. Once the acute issues have been stabilized and if you to indeed have a deviated septum or enlarged turbinates these can be addressed with surgery at a later date.
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July 2, 2012
Answer: Septal and Turbinate Pain
If one has septal or turbinate pain and discomfort and has inferior turbinate hypertrophy and deviation, this can be improved with septal reconstruction and turbinate submucosal resection and/or infracture. I would be very cautious about saying that it will guarantee pain relief. It may improve the nasal airway and breathing but may not always relieve the pain.
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Answer: Septal and Turbinate Pain
If one has septal or turbinate pain and discomfort and has inferior turbinate hypertrophy and deviation, this can be improved with septal reconstruction and turbinate submucosal resection and/or infracture. I would be very cautious about saying that it will guarantee pain relief. It may improve the nasal airway and breathing but may not always relieve the pain.
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September 9, 2009
Answer: See another otolaryngologist It is impossible to tell from the pictures what is going on with the nose. Examination of the internal portion of the nose will further delineate the extent of any deviated septum. If you have a deviated septum and enlarged turbinates, this is what usually causes nasal obstruction. A CAT scan of the para-nasal sinuses will also help reveal any chronic sinus issues and a deviated septum. The septum could be deviated from the trauma that you had when you were 11 years old. I would suggest you see another otolaryngologist.
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Answer: See another otolaryngologist It is impossible to tell from the pictures what is going on with the nose. Examination of the internal portion of the nose will further delineate the extent of any deviated septum. If you have a deviated septum and enlarged turbinates, this is what usually causes nasal obstruction. A CAT scan of the para-nasal sinuses will also help reveal any chronic sinus issues and a deviated septum. The septum could be deviated from the trauma that you had when you were 11 years old. I would suggest you see another otolaryngologist.
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