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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Nasal Congestion Be Treated?

I sleep on my side and I am having trouble sleeping because of clogged nasal passages. when I lay on my left side my left nasal passage gets plugged up. If I roll to my right side it drains to my right nasal passage. I have tried a nasal spray and nasal rinses with no help. During the day time I occasionally cough up flem and occasionally have a runny nose. I also sleep with a full mask CPAP machine pressure at 16. I do not have a cold I have also never had allergies as a kid or middle aged. Doug Bigelow
Tue, 4 Oct 2016
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General & Family Physician,  's  Response
Persistent nasal congestion indicates increased mucous production. Common causes may be allergy, sinus infection, nasal polyp, rhinitis and deviated nasal septum.
Advice
1.     Levocetirizine 5 mg daily per oral for 5 days
2.     Azithromycin 500 mg daily per oral for 7 days
3.     Ambroxol 30 mg daily per oral for 5 days
4.     Do gargle with slight warm salt water four times daily
5.     Do not eat heavily at a time. Eat smaller meals
6.     Do not lie down immediately after meal
7.     Avoid dust, smoking, alcohol, dry environment and spicy food
8.     Avoid coffee and tea after meal
9.     Investigation – X – ray PNS
10.     Consult an ENT specialist for general examination of your nasal passage
I hope this information will help you. I will be happy if you ask another question
Thanks
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How Can Nasal Congestion Be Treated?

Persistent nasal congestion indicates increased mucous production. Common causes may be allergy, sinus infection, nasal polyp, rhinitis and deviated nasal septum. Advice 1. Levocetirizine 5 mg daily per oral for 5 days 2. Azithromycin 500 mg daily per oral for 7 days 3. Ambroxol 30 mg daily per oral for 5 days 4. Do gargle with slight warm salt water four times daily 5. Do not eat heavily at a time. Eat smaller meals 6. Do not lie down immediately after meal 7. Avoid dust, smoking, alcohol, dry environment and spicy food 8. Avoid coffee and tea after meal 9. Investigation – X – ray PNS 10. Consult an ENT specialist for general examination of your nasal passage I hope this information will help you. I will be happy if you ask another question Thanks