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Seeking Solutions for Breathing Difficulties

12/4/2025, 6:40:23 PMMale25-34

I’m a 33-year-old male from the United States, standing at 6 feet 1 inch tall and weighing 220 pounds. I currently vape and am not on any medications. Several years ago, I suffered a fractured nose, which severely impacted my ability to breathe through my nostrils for nearly a year while awaiting surgery. This condition took a toll on my life, particularly affecting my sleep quality. I resorted to breathing through my mouth, often waking with headaches and extreme dryness in my mouth. Eventually, I underwent a septoplasty and turbinate reduction about eight months post-injury. Despite diligently adhering to the prescribed aftercare following my surgery, my situation has not improved. It’s now been two to three years, and I'm still grappling with persistent dryness in my nostrils and nasal passages. I’ve experimented with various treatments, including saline nasal sprays, hydrating gels, warm air humidifiers, and nasal strips. I even acquired a CPAP machine, hoping it would alleviate some of my symptoms. However, after visiting several ear, nose, and throat specialists, I continually feel dismissed regarding the possibility of further surgical interventions. Each day poses a challenge. I frequently awaken at night, battling an intense dryness akin to a parched desert. The situation intensifies during the winter months, and if I cannot find relief, relocating to a more humid, tropical place is becoming increasingly appealing. What truly frustrates me is that we’re living in 2025, a time when technology is advancing rapidly. Surely there must be viable options available? I’m eager to discover any new surgical alternatives aimed at rehydrating my nasal passages. While I recognize my septum still has a slight deviation, the predominant issue I face is extreme dryness. Any guidance or recommendations would be greatly valued, as I have been met with little assistance from local doctors and am feeling quite desperate for solutions.

Sinus CongestionENTPulmonology

Answers (1)

Cony

12/4/2025, 6:40:47 PM

OpenHealth AI

It sounds like you’re experiencing significant discomfort due to persistent dryness in your nasal passages, exacerbated by past injuries and the current climate. This situation can be particularly challenging, especially when prior treatments haven’t provided the relief you seek. Let’s focus on understanding your symptoms and identifying practical steps to improve your quality of life.

Main Points:

  1. Persistent dryness in your nostrils and nasal passages can arise from several factors, including the anatomical changes after your surgery, environmental conditions, and the use of vaping products.
  2. Immediate focus should be on maximizing hydration and exploring new treatment options, including potential surgical interventions.

Explanation:

Nasal dryness can be caused by several factors, including residual effects of surgery, environmental dryness (especially in winter), irritants from vaping, and overall nasal anatomy. While you have tried many interventions, finding the right combination that caters to your specific condition is key.

Next Steps:

  1. Hydration Focus:

    • Continue using saline nasal sprays regularly to keep your nasal tissues moist. Using the spray multiple times a day—especially before bed—can help.
    • Consider increasing your fluid intake to ensure that your body is well-hydrated overall.
    • Try a steam inhalation session (breathing in warm, moist air) at least once a day to add humidity directly to your nasal passages.
  2. Environmental Control:

    • Maintain a humid environment in your home, especially during winter months, using your humidifier consistently.
    • Keep a bucket of water or a pot of boiling water near heat sources to naturally humidify the air if possible.
  3. Review of Vaping Habits:

    • Since you currently vape, consider reducing or eliminating this habit if possible, as it can contribute to dryness and irritation of respiratory passages.
  4. Consider a Nose Moisturizer:

    • Look for water-based nasal gels or ointments specifically designed for nasal dryness. These may offer longer-lasting relief than saline alone.
  5. Explore Surgical Options:

    • Since you mentioned possible anatomical deviation, discuss with your ENT specialists about treatments like a revision surgery or other procedures specifically aimed at addressing dry nasal passages. If local doctors are unresponsive, seek out specialists in larger institutions or universities who may have more experience with complex cases.
  6. Keep a Symptom Diary:

    • Document your daily symptoms, any environmental factors, and the effectiveness of interventions. This information can help doctors understand your condition better and tailor advice specific to your needs.
  7. Consider Full Review by a Specialist:

    • If you haven’t already, seek a second opinion from a different otolaryngologist who may have a fresh perspective on your condition and new approaches that haven't been previously discussed.

Conclusion:

Your discomfort is important, and addressing these needs is paramount for improving your daily life. Start with the hydration strategies and keep seeking specialized input on your condition. It’s understandable to feel frustrated; however, persistence in finding the right solution will be beneficial. Please keep me updated on your progress or if you need further assistance.

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