anyone using steroid nose drops for deviated septum?

chdurie2 · Post by **chdurie2** » Thu Jun 08, 2006 7:26 pm

ok guys:

finally got prescription from doc for flonase to help me breathe during cpap cuz i have deviated septum and can't nose breathe unless i'm cleaned out.
(ayr gel/saline cleans me out for maybe two hours.)

here's the thing: i put the drops in before putting on the mask, but the flonase loosens up everything and i want to blow my nose, even though i didn't before (when my nose insisdes were dry.) but then, if i blow, then does all the flonase stuff that will keep my nose clear all night go away? should i do the flonase, blow, then do flonase again?

hope this isn't too gross.

does this happen to anyone else? what do you do?

thanks.

caroline

krousseau · Post by **krousseau** » Thu Jun 08, 2006 8:48 pm

About 2 hours before bed-irrigate or spray liberally with saline. Let the saline clear things out for about an hour-then use the flonase. Avoid blowing your nose for about 30 minutes. Then blow your nose before putting on your mask. The flonase won't do a thing for a deviated septum-surgery is about the only option. If you have allergies too with swelling plus deviation-then the flonase will reduce the swelling from allergies.

chdurie2 · Post by **chdurie2** » Thu Jun 08, 2006 9:53 pm

krousseau--

so you don't ruin the effect of the flonase by blowing your nose after applying it? that was my concern. you're putting the flonase in your nose to keep your nose clear all nite but then it would seem like you're getting rid of it by blowing your nose? or does enuf stay in?

yes, i know only an operation will cure a deviated septum. but i believe the reason that i need flonase rather than just saline to clear me out all nite is because my deviated septum won't allow me to stay clear all nite without it.
(maybe i'm wrong, that i do have allergies and i don't know it, but then i guess, for whatever reason, i want the flonase to keep me clear all nite. as i said, when i used saline/ayr gel, it cleared me out for about two hours, then i got all stuffed up again--i assumed it was the deviated septum. i don't want a deviated septum operation if it won't keep me cleared out all nite.)

also, do you know whether flonase and rhino-cort are any different? my last doctor gave me rhino-cort and it seemed like that did a better job of keeping me clear all night, but that was a long time ago. so i may have changed.

thanks.

caroline

krousseau · Post by **krousseau** » Thu Jun 08, 2006 10:15 pm

There are differences in the two sprays but they work the same way-try them both to see which works best for you. I never used rhinocort. Flonase works for 24 hours actually longer becuase I can miss a day and not notice it now. I use it once a day after irrigating or using saline spray to clear my nasal passages and get them ready for the flonase (irrigation if my nose is really irritated or liberal spray when things are good). Saline alone won't work all night. I do avoid blowing my nose for about 30 minutes. If you just started using flonase it can take 10-14 days to reach maximum effectivness. I do have a deviated septum but with my allergies under control it isn't an issue. Just before starting CPAP I was ready to try anything-I would have let them remove everything inside my nose......Kay

wabmorgan · Post by **wabmorgan** » Thu Jun 08, 2006 11:12 pm

SALINE!!!!!!!!

But as someone posted above.... surgery is the only real fix.

I know.... I JUST HAD MINE DONE!!!! And I had tried EVERYTHING pior to surgery.

The surgery wasn't that bad and I can really tell the difference in breathing.

Before was like trying to breathe though a straw... now it is like a garden hose. (Maybe overstated... but you get the idea.)

sleepyred · Post by **sleepyred** » Fri Jun 09, 2006 6:42 am

I broke my nose twice as a kid. One side of my nose was completely blocked. I finally had the surgery 14 years ago. I would not say it was an "easy" recovery, but well worth it - that is for me. Just having my nose working properly has made all the difference in the world. I'm sure they have improved the surgery and maybe it is easier to recover from now. I would do it all over again if I needed it.

Hope this helps! Good luck!

Oh - I still use flonase for allergies - on a seasonal basis.

fujiinator · Post by **fujiinator** » Fri Jun 09, 2006 11:27 pm

I can agree on the post on the surgery working. 12 years ago I had the Deviated septum surgery (rhinoplasty) and the throat surgery. I could not do one without the other for it to help stop my apnea. Prior to this I was NEVER able to breathe through my nose only. My apnea was cured after my surgery. 2 years ago from what my wife and I determined my apnea returned, so I am on a CPAP. I figured it was not worth it for me to do the surgery again if it might not be a permanent fix.

My nose will still get stuffed up, so I have to use a nasacourt spray at night and I switched to a Mirage FF mask.

SORRY OFF ORIGINAL TOPIC> If the saline spray only works for two hour for you then use it an hour or so before bed and then try to clear your nose and then use the prescription spray. Another possible solution is a little Dinatap or the generic the Walmart carries to help clear your nose.

krousseau · Post by **krousseau** » Sun Jun 11, 2006 1:18 am

Yes saline...the problem is that with a deviated septum the nasal passages are already restricted. Then if you get a cold, have allergies, whatever-the mucosa/lining gets inflammed/boggy/swollen and the restriction is worse. Saline can reduce the swelling, flush out mucus & pollen. Problem is the effect doesn't last very long-so especially for allergies following the saline flush with a steroid spray can be very helpful in keeping what passage there is open. It's treating the lining of the nose not the deviated septum. That as I noted before MAY need surgery. Lot of people have a "minor" deviated septum but it only becomes a problem when the lining of the nose is inflammed/swollen.

wabmorgan · Post by **wabmorgan** » Sun Jun 11, 2006 1:43 am

Mine wasn't minor

I even had one side which was pretty much blocked off

But an ENT or plastic surgeon can advise you if surgery is advised or not.

And a second opinion may be advisable.

(Although, in my case, one look at my CAT scan and you could tell... this needed to be fixed.)

chdurie2 · Post by **chdurie2** » Sun Jun 11, 2006 10:10 am

kay-

thanks for the flonase directions.

the receptionist at my sleep doc also gave me samples of rhino cort when i told her i forgot to ask for a prescription.

do you know how they are different?

initially, rhino cort last nite was easier for me to tolerate without feeling that i needed to blow my nose immediately after spraying. it also made me feel clearer faster but this a.m. i am as stuffed up if not more so. also, the flonase insert said it takes about 10-12 days of continual use for it to work. do you know if that is the case with rhino cort?

although i am mainly concerned about being cleared out for cpap, would it be better if i used the stuff during the day rather than before bed? i just assumed that it's better before bed.

thanks.

caroline

chdurie2 · Post by **chdurie2** » Sun Jun 11, 2006 10:15 am

kay,

as i re-read this thread, i see now that you said you don't know about rhino cort. sorry for asking twice.

caroline

does anyone know about rhino cort vs. flonase?

thanks.

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anyone using steroid nose drops for deviated septum?

anyone using steroid nose drops for deviated septum?

Deviated Septum