Also just to add to the torture of these conversations .... the inside of your lungs also have a certain 'scent' or 'aroma' to it. It's very subtle and wouldn't be noticeable to anyone else except for yourself because the exhaled air is coming straight out of your lungs and right past your nostrils and all its receptors. Your receptors can sense it but your brain automatically ignores it and you never notice.
The same goes for your vision ... you have a natural blind spot in the center of your vision ... the edges are not crisp and clean, you can only focus on about 10 percent of what you actually see in front of you, the rest is just blurry ... your brain just automatically processes your entire vision and autogenerates a perceived image that makes us believe that we have crystal clear vision through our entire field of view.
Same goes with hearing ... just about every person has a tiny bit of tinnitus, ringing of the ears but your brain just automatically processes it all out to make you think that you have crystal clear hearing.
When you think about it ... all our senses are pretty imperfect and there is a lot of interference and nonsense data that our brain processes out to make us believe that we have perfect or near perfect vision, hearing and sense of smell.
you can only focus on about 10 percent of what you actually see in front of you,
I read about this when I was in high school and it freaked me out because I convinced myself that there were Cthulhu-like eldritch abominations inhabiting the spaces I could not see RIGHT IN FRONT OF ME and I couldn't concentrate on school for the rest of the day.
Yes, and most importantly I would say :
immune system's way of cleaning each side...
The clogging is caused by the swelling (with the blood vessels and the action of blood's white cells ... or ... maybe I should read the article again)
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.
I had a doctor basically remove everything from my nose that could be removed including a bunch of the turbinates. It's great I can actually breathe through it now.
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.
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).
I wish it was that easy. Flonase did nothing for me other than cause my nose to bleed. Azelastine helped some though and that makes sense for me, my congestion is likely caused by dust mite allergy.
Affrin is amazing for what it is. A few weeks ago I had a sinus headache so bad I threw up. Affrin cleared it up in 30 seconds, and I was able to maintain it without affrin after that.
Nosebleeds can happen and certainly do for some. Nasal hydration helps (for instance, ayr gel in combination with saline spray or irrigations). Ultimately, a good portion of patients that don't tolerate or fail nasal steroids get surgery.
Azelaetine is fantastic - there's a lot of patients I prescribe it in conjunction with Flonase. Allergic rhinitis or even just excessive secretions is common in patients with inferior turbinate hypertroph/nasal obstruction, and both meds have a function. They sell it as a combination, actually, but often insurance doesn't cover the combo.
If you hold your breath to the point you can't anymore your body will automatically clear your nostrils in an attempt to help you not suffocate to death
Where did you get anti dustmite sheets? I looked a few years back and all I could find were $200 medical covers that were basically plastic bags and 1000 different ones on Amazon with 1* durability reviews. I would love to have a "legit" source and maybe some info on expectations.
Yep, never thought I had allergies. I was prescribed an antihistamine for a sleep disorder, and noticed this doesn't happen to me when I take antihistamines.
There's a trick I learned for clearing a stuffy nose.
Place the tip of your tongue on the roof of your mouth. Then, place a finger on the bridge of your nose.
In very small motions, alternate between pushing up on the roof of your mouth, and then releasing that and pushing on the bridge of the nose. Use a gentle teeter-totter to rock the pallette. Repeat ten or so times and, within a few seconds, your nose will be open.
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.
No joke my doctor told me I should whash my sinis everyday before bed and told me to buy a specific bottle that makes it easier and safer, I did and OMG, life changing!!
Just don't wash your sinus with regular water please!
Everytime I hear someone mention sinus, I get confused about what that is. Wikipedia says it's airpockets surrounding the nose. I don't feel anything besides fat and bone when I press down around my nose. Are they inside the skull? How do you access them?
Hmmm. This sounds promising. I notice that when I go on vacation and sleep overnight somewhere I usually don’t have any problems. Figured it was an allergen in the house but wasn’t sure what. I’ll take a further look into this. Thanks :)
I think it has something to do with needing more oxygen, just like doing push-ups will help and so will running around or even just stopping your breathing for ~30 seconds. Your body will eventually go into a higher alert state.
It just helps for a short bit though, when you relax your nasal passage does too and blocks all again.
Won't do much for the natural blocking. Notably is that this blocking is NOT caused by clogging. It's your nose deliberating shutting one hole slightly.
The reason this is because some smells take more exposure to detect while others can be detected immediately. The nose physically constricts airflow to accomplish this uneven speed on both sides.
I would never claim to know what your body does but FYI there is a popular misconception that diary promotes snot. The idea is based on the magical principle that like attracts like, there's no evidence for it.
That's an interesting read (after Googling) , especially the studies. I would love to be one of those types that says "Fake News" to anything I don't like, but the initial science seems to be there.
My nostril generally gets blocked on the side closest to the person who's spreading all the germs.
But I find you can sort it out if you tilt your head back slightly and point your nose up, then tilt to the side away from the blocked nostril. Once the blood starts to even out you can level out your head with both nostrils fairly clear.