I'm enjoying these brief moments of Lemmy before it becomes mainstream. Who knows maybe it never will which is kinda bad but also kinda good.

Too late

So, you are saying I should follow medical advice by strangers in the Internet?

True; I, and I'm sure most other physicians would not provide identifiable data in a public forum. If you are having issues with nasal obstruction, alternating or otherwise., best advice is to follow up with your pcm for treatment, possible referral.

Yeah, inferior turbinate reduction is the next small step for this. Often if it's just alternating nasal obstruction that's good enough. Oftentimes there's another component of nasal valve collapse or septal deviation. Personally, in my population, I end up doing septorhinoplasty (nose job) way more often than other smaller nasal surgery.

You don't want them to actually remove the turbinates, however. We generally just shrink them down -- removing them makes the nasal air less turbulent, and difficult to sense airflow. TL;DR it make look like you can drive a semi truck through the nose, but people will feel like they cannot breathe at all. People have killed themselves over this.

I had this recommended for me, but the risk of empty nose syndrome scared the shit out of me.

This applies to nasal decongestants (NOT nasal steroids). Nasal decongestants (such as oxymetazoline AKA afrin, or phenylephrine based medications) are vasoconstrictors. They work very well and work very quickly as the vasoconstriction (constricting the blood vessels) which shrinks the inferior turbinates (and any other edematous tissue).

The body responds to chronic vasoconstriction by making more blood vessels. When the nasal tissues have more blood vessels (and I presume are more dense with vessels) it's harder for the decongestant to work. This is called rebound congestion

conversely, the patients in this scenario will feel they need to use more decongestant since it previously worked so well, but it no longer does. This cycle can be challenging to treat.

For this reason most ENTs, including myself, typically recommend against afrin use for more than 3 consecutive days. I've seen who go as long as five, but I'm cautious and would not recommend more than 3 days.

It's a bit funny, because if you come into my clinic and get an endosocpic exam of the nose and/or throat (i.e. probably around 50%, often more, of my patients on any given day), I will spray afrin and lidocaine into the nose before my examination. The other main thing I use it for is nosebleeds. It's okay to use it for 3 days during an acute exacerbation of sinusitis, but I don't really think it's necessary.

Edit: I forgot to mention nasal steroids. As I said, the above response doesn't apply to them. We don't include nasal steroids in this because they have a very slow effect and don't have the effect of rebound congestion. With few exceptions doing 2 sprays each nostril daily for a very long is fine for almost everybody, and usually helpful. When I prescribe them I recommend patients use them for at least 4 weeks. Once in awhile there are patient that I would be more cautious with prescribing nasal steroids, such as those with a septal perforation, or frequent nose bleeds. Usually it's a non issue. Tip: when spraying them don't spray straight back -- use your opposite hand and spray towards the eye (i.e. spray with right hand into left nostril, aiming towards left eye).

It is! It's to prevent situations where your mouth is obstructed and your nose is clogged from killing you. Give it a try

But it is!

I recommend getting both the anti-dustmite sheets and pillow covers as well as the spray!

A combination of all 3 legit stopped giving me a clogged nose at night immediately.

Edit:

Initial steps I put in the other comment:

My initial steps I took were:

• taking bed sheets and pillow covers to the washing machine

• applying anti-dustmite cover to mattress

• applying anti-dustmite cover to pillows

• putting bed sheets and pillow covers over the anti-dustmite covers

• spraying the anti-dustmite spray over and letting dry

Fire.

Dust and vacuum, often. And with a bagged HEPA sealed vacuum. Vacuum wars YouTube channel does good recommendations at all price points.

Right below the divide between nose and face, so about 3mm or so. In fact, if you press up on the roof of your mouth you'll feel the spot on your nose very slightly rise up.

Essentially you're rocking the soft palette up and down which flexes the sinuses and opens them up.

Never use tap water it has combined chlorine it (at least where I live it does)

Probably better if you just use Johnny Walker Blue Label

Edit : source of how I know the tap water has combined chlorine.. My brother has the testing equipment because he takes care of a swimming pool.

lol yeah, I wasn't shitposting. I read it somewhere a while ago.