jpzsports

Sounds like oral allergy syndrome. https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/oral-allergy-syndrome-(oas)

I had MIST sinus surgery about 8 years ago due to recurrent sinus infections. Within a year after the surgery, I also had 2 minor procedures using radiofrequency to shrink the "nasal swell body." I've had a reduction in sinusitis episodes, but over the past several years have been dealing with increased congestion issue. The primary symptom is when I am lying down at night, within minutes of turning onto my side, that side of my nose becomes completely congested (while the other nostril is still clear). If I flip sides, within 5 minutes it will flip and the other nostril will become congested. It leads me to have trouble sleeping and breathe through my mouth all night.

About a year ago, I had Radiofrequency turbinate reduction performed. Symptoms improved for about a month but quickly returned. I had a second Radiofrequency turbinate reduction performed with no improvement in symptoms.

Afrin works absolute wonders, but I don't want to use it due to rhinitis medicamentosa. I use Flonase daily before bed and it has a mild benefit, but I still get swelling in my turbinates on the side that I lay on when sleeping. It is very frustrating and leads me to breathing primarily through my mouth.

I am intrigued by Allermi and the concept of microdosing oxymetazoline along with the nasal steroid. Do you think that a microdose will still be effective enough to keep my turbinate swelling down when I lay on my side at night? Do you feel that long-term use of oxymetazoline in low dosages is safe and won't cause reliance or rebound? And lastly, do you recommend that I consider a more invasive turbinate reduction microdebrider submucosal resection to treat my issue or is a nasal spray a suitable alternative? Thank you!

Thank you!

Is there any reason why you decided to use triamcinolone as the corticosteroid in allermi instead of fluticasone or mometasone? Triamcinolone seems to have a lower binding affinity and higher systemic absorption. I prefer the idea of using fluticasone or mometasone which should have decreased risk of long term side effects due to having lower bioavailability.