Daniel Sullivan36 said:Here’s the deal. I went to see my doctor because of some breathing issues, specifically on the right side of my nose. Most of the time it feels clogged, and air barely gets through that side, though I can catch a breath every now and then. Looking inside, I can see something that makes me think that's the culprit. It looks exactly like this. Basically, more than half my nose (the right nostril and part of the left) is blocked by this slimy buildup—which I assume is what's stopping the airflow—and it’s been like this for years. After doing a little digging online and looking at photos, it seems like it might be a deviated septum. Well, my doctor sent me for imaging, and once she saw the scans, she reached the same conclusion: I have a deviation. My nasal bridge is also a bit bumpy; there's a visible bump that shifts things slightly to one side. In the meantime, she sent me for blood work (after seeing the ENT, who then ordered the tests), and it turns out I actually have allergies. I mean, maybe I do since the results say so, but I honestly don't feel like allergies are the main issue here. Suddenly, the deviation isn't even being mentioned anymore. I don't sneeze, I don't cough, and it doesn't flare up in the spring when pollen is everywhere; it's just constant all year round (just weak breathing). I saw an ENT too. The paperwork says "thickened nasal mucosa" and a bunch of other stuff. They gave me some pills and sprays (like Avamys and some saline rinse for clearing things out), and I spent more than $167 on them. I used them for two months, but it was a total waste of money. Nothing reduced that mucus or helped my breathing; I still can't breathe well. I’m honestly fed up with buying whatever they prescribe because it feels useless. So, I've just given up on it for now. I'm either waiting weeks for a follow-up or months while they shuffle me from specialist to specialist. I was really hoping for surgery—either functional or cosmetic—but obviously, that's not happening while I'm still on my supplemental insurance where everything is covered. Looks like I'll have to go fully private eventually. Anyway, I'm posting this to see if someone who knows their stuff can tell me if this could truly be caused by allergies and if I need longer treatment to reduce the swelling, or if it really is just the deviation (I can send over the scan).
I read the whole thing—what jumps out at me immediately is that this happens whenever things are done just for the sake of doing them.
Let's start from square one: breathing issues are about the state of the mucosa. In this case, Avamys wasn't meant to be just an allergy med, but rather something to help soothe a chronically inflamed and altered mucosal lining. Under these circumstances, you need consistent application for at least two months before you can even judge how much that edematous mucosa is affecting your airflow.
Second point: having a deformed septum doesn't automatically mean you need surgery; the key is linking that deformity to the actual difficulty breathing. At the end of the day, you don't operate on an X-ray, you operate on the patient—there are plenty of people out there who breathe perfectly fine despite having a crooked septum. That’s why routine pre-op X-rays of the nasal bones don't make much sense.
Finally, aesthetic corrections need to be stated clearly—they are performed in conjunction with the septum repair, provided the diagnostic and treatment process described above is complete.