Inferior Turbinates: what are they, why do they swell, stuffy nose, congestion, how do we treat
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- Опубліковано 1 жов 2024
- This video is about Inferior Turbinates
Small bones in the nose covered in soft tissue that can swell and cause congestion or stuffiness
Turbinates swell with allergies, head colds, lying down
Can be treated with nasal sprays or oral medications. Afrin or Sudafed can both give immediate relief, but should not be used more than a few days only due to addictive effects and other possible side effects.
Nasal steroids (Flonase, Nasacort, Nasonex, Rhinocort, etc) are most commonly used and are safe for longer term use. Can be used as needed, or daily depending on the underlying cause.
Managing allergies can make a huge difference. Avoid allergens (the things you are allergic to), potentially taking allergy medications, or even getting immunotherapy (allergy shots).
Can be shrunk with a variety of procedures in the office or in the operating room. Most common is to use a microdebrider suction device (like liposuction) or some energy device (submucous cautery, coblation) to shrink the turbinates. Sometimes, portions of the bone can also be removed.
We do not recommend removing the entire turbinate or to damage or remove large portions of the pink lining (mucosa) because it helps heat, humidify, and filter the air that we breathe. Doing "too much" causes a lot of dryness and crusting. It also creates an "empty nose" sensation.
Sometimes we also outfracture the turbinate bone - or push it to the sides of the nose.
Turbinate procedures can be done alone or in combination with other procedures such as septoplasty, adenoidectomy, sinus surgery.
Most turbinate procedures only take a few minutes. Recovery only takes about a week or so.
Saline sprays or irrigation help the healing and keep the nose clear and moist.
Over-the-counter pain medications are usually enough.
Medical Disclaimer: All comments are generalizations and intended to be for educational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
All i wanted is to breathe 😭
Me too😭 i wanna cry and i get so jealous of other healthy people :(
is it inside of ur nasal??
My left nose is healthy
Lovely Video! Sorry for the intrusion, I would appreciate your initial thoughts. Have you thought about - Yenamilla Sniffing Reformed (Sure I saw it on Google)? It is an awesome one of a kind product for curing nasal polyps permanently and naturally without the headache. Ive heard some great things about it and my mate at last got excellent success with it.
Yess
I had turbinectomy, septoplasty and sinus surgery 3 weeks ago.
First 2 days are rough, nose is very swollen and blood keeps coming out of it.
In 1 week, there's no more blood dripping, but it forms these thick clots together with mucus that get expelled when you wash your nose with saline water.
At 3 weeks now, still has some bloody mucus but at a much lower scale. The breathing is incredible. I didn't think this was possible tbh, there's no more air blockage whatsoever. Wife said she hasn't heard me snoring anymore. I encourage anyone that has breathing problems to strongly consider doing this surgery.
Thanks for the info! It helps to know what to expect. I just had all of that done today. It'll be so nice to be able to breathe better.
i had my septoplasty with fess with b/l partial inferior turbinectomy surgery but even after 2 weeks of surgery i am unable to breathe properly in one of my nostrils can you tell how long does it takes to breathe properly
Did it change how you look at all?
Dr. That was about the best video and explanation of the problem I have ever heard. Excellent!
Kudos for the video content! Forgive me for butting in, I am interested in your initial thoughts. Have you researched - Peyackenzor Phenomenal Predominance (Have a quick look on google can't remember the place now)? It is a smashing exclusive product for stamping out your nasal polyps issues minus the normal expense. Ive heard some pretty good things about it and my mate after many years got cool results with it.
Facts
Real talk here from new Zealand haven't been able to breath properly over the last 7 years I'm 25 now went to get a surgery test and they couldn't find a deviated septum but now I'm go let them know about enlarged turbantes. I figured this out my self but putting my fingers up my nose and realized it's not a hole all my life thought there was a big whole in my nose. I was wrong it's like a thin gap and when I open it a bit I could breath untill it closed again. I will be going to get something done with my enlarged turbante. I am so greatful this Is gonna bring me back up with everything, confident, singing, talking most things I put my self down because I knew I was good at it but then I noticed something was up and I couldn't figure it out. I only figured my nose was blocked on one side like 7months ago. And then I look back at my worse moments and realize why. Thank you God and this UA-cam guy for explaing. My life's only gonna get better and climb higher from now on
Those of us who are suffering from.Chronic Sinusitis with Nasal polyps know very well.the value of being able to breathe freely without any obstruction.
It is really great to see a good doctor takes his time to explain these critical stuff. Benefits of internet. Subbed and cheers from Turkey! Keep up the good work Dr!
Thank you for the positive feedback. Are there any other Ear, Nose, Throat videos you might find helpful?
@@GeneLiuMD
Yes, one on Empty Nose Syndrome. I'm guessing that won't bring the bucks in, huh?
@@flibgonrtsheglis242 I'll add it to the list. I'm trying to be more timely in getting these out, but they all take time and none of them "bring in the bucks". Partly also depends on when I get a good video of someone's nose with ENS. Much more insightful with visual aids.
@@ant-ep1sq We don't worry about swollen turbinates if there are no symptoms. In very rare cases, there can be growths, masses in the nose that look like turbinates though.
Appreciate Video clip! Forgive me for chiming in, I would love your opinion. Have you heard the talk about - Yenamilla Sniffing Reformed (Sure I saw it on Google)? It is a smashing one of a kind guide for curing nasal polyps permanently and naturally without the hard work. Ive heard some decent things about it and my m8 at last got excellent results with it.
My sinus issues are so bad I just want someone to go in there and remove every damn thing. So I can actually breathe my nose.
same with me, can you tell little bit about your sinus problem?
NEVER have your turbinates touched, you can end up with a nightmare like condition called EMPTY NOSE SYNDROME!!! Do your research...
This could cause an extremely serious condition called ENS. Please look it up online. An ENT destroyed my health and my life by cauterizing my turbinates.
Can nasal obstruction and turbinates hypertrophy cause facial swelling? Please reply
@@yorocco1 i plead the blood of jesus on you! You are healed!
Anytime I lay down I instantly get congested and it sucks
I miss sleeping 🥺
me too. you got help?
@@gomotsegangmotlhajwa8536
So I no longer have an issue
What really helped me was using a nasal spray 30 minutes before bed and never felt congested going to bed
@@carlosh8502 I am using nasal sprays but it's not curing
@@lilblitz7406 same for me
@@lushloren763 and my nasal hypertrophy is in both nostrils and I also have dns
I'm getting allergy shots already but after learning about ENS, I don't think I'll go through with turbinate reduction.
My nose is so stuffy and stopped up I had to come to UA-cam and research what is the cause of this..thank you Doc!
Me too...
Same here dear.
Soya same shit sucks so much i hate it
do you sleep with your nostril blocked?
Having knowing about Dr alamale remedies cure and save me from herpes virus
I wanna die because of my own nose,can't even do something simple like breathing.
hope you get that problem fixed soon I apparently have a URI and it sucks camel single berries. If you have any suggestions on how you go about your day. LET ME KNOW!
Hi are you alive?
@Gab F it wasnt a swelling that I felt but it did get better. Sadly it's not fixed 6 months later. I still feel short breathed some nights. The best method I found to ease that weird feeling is applying small amount of vics vapor rub on my chest and just above my lip. I'm still not conviced it was a uri
@Gab F dam, hope you feel better. Tbh after a few weeks it felt more of a mental battle. You have to force yourself to feel better. Go out for walks force your airways open. And keep a positive attitude as corny as it sounds. Its up to you to fix the rest. Or just melt with the depression. Stay strong. :)
@Gab F is it like a burning sensation in nose and can barely inhale ??
Any physician who talks about turbinate reduction and doesn't explain Empty Nose Syndrome is someone to stay far away from. This is because the physician suffers from Empty Head Syndrome.
Even if they do talk about it they sugar coat it and lie to the public and say it's no big deal. They have no idea how many lives have been ruined world wide from this pointless procedure that does more harm then good.
@@KhalKhtri And to add insult to injury they never do a nasal cytology biopsy to evaluate the mucosa at a cellular level before making a decision on removing tissue. This is just bad medicine in my humble opinion.
Do NOT get unnecessary reductions or removals of your turbinates done PLEASE. Look up Empty Nose Syndrome. Your life could get worse...MUCH worse. And there is no going back. Avoid any surgery whatsoever AT ALL COSTS. There ARE natural methods that will heal you without permanently altering your anatomy. You must be patient. Please I am begging you do not get any nose or turbinates surgery ever it has RUINED MY LIFE forever. Don't be another victim. Its not safe, they say it is but it IS NOT. you're rolling the dice for a lottery you do not want to win.
My life sucks I’ve been living with this thing and its been switching and won’t go away no matter what, I just wanna breathe like everybody else
I have this, I don't remember the last time I've been able through both nostrils at the same time. It's odd because it literally changes sides, but I have one blocked 24/7.
@@Tectosaurus same problem for 6 years I dont understand what should i do. If u ever find a cure olz share with me
@@regretsonly44 how are u
@@JJ-iu5qt not good.. one side of nose tightly blocked.. the side switches but one side always blocked. Extreme facial pain
@@regretsonly44 it’s horrible
I feel abandoned, I've suffered with this my whole life only to find out now at 40 that it can be easily corrected. Jesus. Great information, thanks very much doc
Never get surgery on your tubinates! May god help you.
Why?
@@1010beach ENS if the surgeon isn’t careful, and there is no cure for Empty Nose Syndrome
Turbinate reduction also cause Ens? Any one turbinates reductiion cause ENS PLS REPLY...
same question?
Have u done terbinates reduction deepti
Same question.
Sometimes I wonder why living at all when you cannot even breathe.
Guess I'll just die
Same bro
@@vaibhav5502 ：(
I feel the same way I feel so bad I'm very depressed and I can't see the ending not this proble.. u are not alone
@@MicahHTX what is your diagnose?
what about empty nose syndrome
Dr so glad I stumbled onto your video!!! I have allergies and a deviated septum so I’m constantly congested and can’t sleep. Your explanation is by far the best I have had...have been to several ENT’s & Allergist and never got this much info.
This method reduced my turbinate
ua-cam.com/video/dbKfZ2B2zYI/v-deo.htmlsi=6kwmtey9x0dO5BVu
My turbinate was almost poking out of my nose. I felt no relief in 4 weeks, but I just did what the guy said to do in the video and I CAN SEE STRAIGHT UP MY NOSE now.
I only did this 10 minutes ago!!!!!!!
Not an ad but I just want to help somebody who is suffering like me.
Watch the video and try it!
It will help you!!!!!
I don’t know what the cause of my turbinate is exactly, but I will keep looking.
I’m so glad I know how to make it go away though. I’m SO RELIEVED!
You solved your problem as yet? I have similar issues.
Do not have any kind of turbinate reduction its not worth the risk of getting empty nose syndrome then you will know what suffering is like.its not uncommon for people to get severe ens after just 10% reduction with rf turbinate treatment or any other form.
Dambustersteve ens damn I had surgery on my nose about two years ago from boxing got head but on my nose and broke it, went to a Specalist said I had to get surgery done and I remember he saying I had to get a septoplasty and turbinate reduction and after surgery I was fine until like 4 months later I noticed I’m having trouble breathing again like if extra tissue got built in there probably from wrong healing and now that I see your post I’m like damn lol
What is the safest turbinate reduction procedure to avoid possibility of empty nose syndrome? Thanks in advance!
turbinates filter warm and moisten the air you breath
They are also in your nose…. 😂😂😂😂
Do not take breathing for granted
Fr
High quality video. Just a steady stream of perfectly articulated info. No useless intro. Thank you!
I'm legitly scared right now. I've had this for a long long time and haven't thought much about it but i can't breathe in my left nostril and sometimes at the right i can only breathe to one and i have so many bad feelings in my body but everytime i tell my mom, i feel like she wouldn't care and i just leave it untreated...:(
Excellent video content! Sorry for chiming in, I would appreciate your opinion. Have you considered - Yenamilla Sniffing Reformed (probably on Google)? It is a good one off guide for curing nasal polyps permanently and naturally without the headache. Ive heard some unbelievable things about it and my old buddy Taylor at very last got astronomical success with it.
Same, literally just the other nostril for me
Why are you scared. it's not a major thing, and is mostly just a nuisance.
@@micaeladawnmakeup because i have like a big bump on both of my nostrils inside and i can only breathe through 1 nostril and my nose is always watery literally 24/7 :((( and other complications
@@loliloveya9545 drink only water so the mucus thins then unleash a huge blow it will come spitting out like water then your congested nostrils will slowly go down
I went to the doctor about 3 weeks ago and she said my right side of my nose was swollen and now I know what she meant and I didn’t think it would get worse but I mean hopefully it goes away
Be careful of messing with your turbinates (surgical): Empty Nose Syndrome.
you are right but what solution apart from the operation?
I know but it’s like choosing between two evils. What choices do we have when we’ve tried medication that doesn’t work.
@@MrBurkistan Get three different opinions and do due diligence in researching the doctor you pick to do the surgery.
He dosnt mention turbinate reductions by even a small amount can cause empty nose syndrome.
I had surgery yesterday .This video gave me more information than my actual surgeon. Thanks Dr. for taking the time to make this detailed video.
How are you now?
How did it recover?
You talked about the nose procedures, but nothing about the serious condition these procedures can cause like ENS or empty nose syndrome!
it’s so frustrating because i’ve had this problem my whole life. only the left nostril works and flares up and is able to have a good amount of airflow. However the other side doesn’t move at all when i flare my nostrils and there’s barely any airflow. so this has caused me to have asymmetrical nostrils. i went to the doctors about it and they kinda shook it off and said it was nothing. please lmk if anyone has this same problem as me
wait was it like a burning sensation and can barely inhale thru the nostrils ?
@@sisi6776 sometimes i feel a burning sensation but i think that’s cause it feels dry literally all the time! and yeah i’m only able to feel the littlest amount of airflow coming through only the right nostril
@@aliciabird8241 omg how do u sleep at night do u feel like u can’t breathe much ??
@@sisi6776 honestly i feel fine sleeping. at this point i’m used to it haha
@@aliciabird8241 yeah i literally can’t breathe at all i’m like so close to gasping for air i’m scared i don’t wanna croak in my sleep :(
The nasal airway is not supposed to be wide open. It is not a mouth. You refer to a normal airway as if it is obstructed but the turbinate is SUPPOSED to fill a fair amount of the space to enable it to do it’s job. If the air just shoots up straight past it, how can the turbinate direct, filter and humidify the air?
This is actually scary that you have an entire video on this without mentioning the very real risk of ENS.
He dosnt mention turbinate reductions by even a small amount can cause empty nose syndrome.
Empty nose syndrome is passivley dismissed as something minor if it occurs. The truth is that it is the worst torture a human can expirience. These surgeries need to be banned.
@@rd2071 why would a surgery that helps so many people be banned. The doctors just need to inform patients better of the risk and the small risk of ens.
Been stuck with them switching from side to side and me not being able to breath out of one nostril for about a day and half, god it’s annoying and my mouth is getting so dry since I have to rely on breathing through it now
Are you good now, any updates?
What happened?
@@dunkofhell7836 oh pretty much just had to wait it out, it constantly happens though, I'll be able to breathe fine for a little while, maybe a couple days, and then one nostril will get plugged and it's back to mouth breathing. It sucks
this guy says nothing about ENS.....tells me he is clueless.....
I have avoided this surgery with natural methods. 80-90% improvement in my nasal congestion which used to be at least 3/4 of my day.
1. Taking beet root powder every day, opens my nose within 10-15 minutes.
2. Removing seed oils from diet and eating healthier foods(a lot of organic)
3. Removing harmful detergents and other household products
4. Exercise
Do your own research! Take control of your health. Good luck!
you cant trust ent surgeons they dont always tell you the risks of surgery on nose. mine didnt. and i got EMPTY nose syndrome and pain.
then ent drs ignore and pretend its in my head and never help me
if you guys have chronic allergies, i would suggest allergy shots. i used to have such bad allergies in the spring that i couldnt eat most fruits with pollen in them. ive been getting allergy shots for about a year or two and havent gotten any allergies since. i 100% recommend!
Allergy shots (immunotherapy) can absolutely make a huge difference for a lot of people. Any procedure on the turbinates (or any sinus, septum, or nose surgery) do not change how severe someone's allergies are.
Is it normal to have swollen turbinates in one nostril ?
How about the risk of ENS from turbinates reduction surgery?
@Vads T I'm scheduled to have mine reduced in January and that is a HUGE fear of mine.
Don’t do it. I had it and lost my life. Do not do it promise me
@@sincere42O hi how ah u now need to do it but scared of ENS
@@samanthadattoo428 I never had it done.
@@sincere42O if u do could u tell me but how u liveing I cant breath good
Turbinates are such a stupid part of the body. I want to rip mine out sometimes because of how bothersome they are. Let's just block off oxygen whenever the nose has the slightest problem, dumbest design ever
Dr. Liu, could you do a video on ENS?
glad i turned down having surgery on my turbinates from hearing about ENS
@@tinabastarache2674 you are lucky
@@EdwardDawnCG yes so when i get colds, i have to like do sinus irrigations and take sudafed but mostly it's just super clogged.sinus rinses do help they are very soothing to irritated nasal passages.gross and not fun. i sleep elevated too always but does help me breath better too if sick
Controversial, most likely an psychosomatic illness.
Outstanding over view of a congestion problem I struggle with. Thank you for making this video and educating those of us that struggle with nasal congestion and breathing.
@Sporke you have if?
This video helped a lot. I’m having trouble breathing out the right side of my nose. It mostly happens when i’m lying down flat on my back, and i can feel scarring in the right nostril.
How did you solve the problem ?
Was it the allergy to something?
I have the same issue whats the solution?
What did you use to get better? I have the same problem.
Nasal surgery’s scare me, because they can cause Empty Nose Syndrome. The stories are horrifying!
I rather live without doing anything about it. I will just accept that I will struggle breathing. And, if it got worse, I would do the least terrifying thing about it.
It is not only helpful, it is the best video I have seen so far.
You can't be serious...
Can you explain the empty nose symdrome.
He wouldnt know. They dont teach or want Ents to know about the the severity of ENS. Look for patient based videos, blogs, websites that tell you the TRUTH.
You forgot to discuss about EMTY NOSE SYNDROME
Totie Gillego, this video; ua-cam.com/video/GkjDoPJZADA/v-deo.html explains a comp3llimg reason why empty nose happens to many patiwnts and why the industry tries to suppress It's existence.
Dr., how could you discuss turbinate surgery without mentioning Empty Nose Syndrome?? This is very irresponsible. ENS destroyed my life and that of thousands of patients around the world. We were all given this "talk" about the turbinates AFTER we were already butchered. ENS is a living hell that most ENT's STILL do not warn their patients about. Disgraceful!
@@flibgonrtsheglis242 This is just a UA-cam video. You should talk to your physician before any procedure.
jennifer cruz doesn’t matter awareness is awareness. It’s a known risk that doctors need and should discuss but fail to and cause people to with the disorder. I’m sure he did talk to his physician and they failed to warn them the risk just as the video didn’t discuss it. Informative video but did a disservice by not divisions ENS as something that has destroyed and destroying people lives.
@@OnlyGlenCoCo
Thank you. Maybe if Jennifer was left gasping for every breath it would dawn on her why a discussion of turbinates should always at least mention ENS. You clearly know nothing about this issue. We all talked to our doctors and we were butchered.
What? So that's why I wake up with half of my nose plugged up on the side I have down on the pillow!
The turbinate in the right side of my sinus was huge. I couldn't use a netty pot because the solution couldn't pass thru the right side. Also had terrible pain in my upper right teeth/molars. If I had the tool I would have pulled those perfectly healthy molars. My ent removed my turbinates and referred to one or both as concha bullosa. What's the difference, the size? 10+ years later I am still glad I had the surgery, still have open airways in my nose.
My nose isn’t stuffy but my nose feels likes it’s swollen I was sick for 3 weeks and now that on not congested just my nose feels like is swollen it comes and goes it’s very annoying I looked up my nose and it’s all raw up there too
Flonase used as directed helped me enormously.
Even with a small procedure, you can end up with Empty Nose Syndrome. I had only a 10 percent reduction and now my life is unbearable.
I'm sorry to hear about your results. I've performed around a thousand reductions without a single case of Empty Nose Syndrome. Although it would be exceedingly unlikely for such a minor reduction to cause such significant issues, it is certainly a potential risk. There are many contributing factors that can affect how someone does after any procedure, and choosing the right candidate and performing the right procedure for that patient is the art of medicine. I sincerely hope that you are able to find some relief.
The turbinates should not be operated on. The average person has absolutely no idea how important turbinates are to breathing and that is why they allow the operation. Out of the thousand people you operated on, I can't help but wonder how many of them could have been helped with other methods since many factors can irritate the turbinates, such as stress and diet. It's easy to blame patients for wanting a quick fix, but it is also the fault of doctors for heading straight for the scalpel instead of looking for the root cause of the problem.
Mellow Mike - If you watch my video, I do go into detail about medication options and talk about managing allergies before I talk about procedures. I am also conservative procedurally and always have patients try meds and non-surgical options first. I appreciate that you had a bad outcome, and to say that no one should ever have a procedure is unfair. I wish you the best.
idid surgery 2 months ago, i suffered a lot now ENS like drowning in water.. Dr didnt inform me before surgery
@@jayloving2005 this is very common, unfortunately, since ENT's operate for profit and disclosing potential risks could reduce the amount of surgical procedures, and therefore profits, those risks aren't always mentioned or explained.
You remind me of another asian doc, Steven Ho, based in Ontario, who wanted to do a full-plated jaw surgery on me for some basic upper/lower tooth alignment. It's alway$ by the book (drugs/surgery) with you guys, never mentioning holistic, natural approaches.
Thank you Doc for such clear explanation! God bless you more!
What procedures can lead to empty nose syndrome? That is what concerns me.
this video could be useful to answer your doubts about ENS, ua-cam.com/video/pmMqAJG5vq0/v-deo.html
Do not have any turbinate reduction.Any method of turbinate reduction causes the risk of empty nose syndrome even in patients with a small amount of turbinate tissue reduced. the scarring dosnt heal or the nerves are damaged and cause ens.its not worth the risk that the suffering ens causes.i was one of the many unlucky ones that got ens as a result.
What does ENS feel like?
It feels like your nose is bone dry and when you breath it has a neurological response which makes you feel exhausted and lethargic. Similar to constantly being stuck in a tiny room with awful stuffy air with not relief ever again. I have it and lost my life. Had surgery and was told of not a single side effect
@@gabshewitt1 Damn, see this is what worries me. I assume polyps are ok to remove without ENS? Just not the actual turbinates?
UA-cam Account omg now your scaring me because I just got balloon sinunoplasty and turbine procedure done
Sorry I did not mean to scare I just want people to know the risk. I had no symptoms until about 3 months after surgery where they have progressively got worse. Let me know how you feel in the future please
My nose is so dry inside all the time and inflamed
I did have deviated surgery in 2010 from head butt
Sadly it didn’t fix my sleep apnea or whatever is waking me up
Not sure why I’m so dry
Sjorgens was ruled out
Wonder if when I had surgery it was cut more certain parts
This was really informative! My turbinates are blocking my nose almost completely because of an allergic reaction I had some months ago. A doctor I visited said that I needed to get surgery done, but since I wanted another opinion, I scheduled the surgery and saw another doctor. He said that I might be able to make they shrink naturally with medical treatment and a vacine. The thing is, the first doctor had given me the same medical treatment. I tried it but it wasn't very effective, and I end up never managing to stick with it for long. There's a nasal spray that helps me, but the use is not recommended and I also don't want to use it, but it's the only thing that helps rn. I can handle it during the day, but at night it's terrible, I can't breathe at all, nor can I sleep. The worse part is that the waiting times are horrible. It's been 3 months already, and now I have to wait 3 more if I want to try to do everything naturally, but the medicine is not really helping.. even if I want to get the surgery done (I was previously going to it), the only day available is in the middle of January. I've been wanting since October so..
@@RajaKhan-zf8hh That comment was a year ago, nowadays it's still a little annoying at times but I did the medical treatment and once I actually followed it 3 days later it was much better..
@@RajaKhan-zf8hh Yep, or I couldn't sleep at all, took me three days of nasal spray to get better, at first I couldn't breathe at all, and by the third day I could breath a little...progress was slow but it worked in the end. You need to be patient if you're doing a treatment 🥹
@@RajaKhan-zf8hh So true! Hope it gets better for you! Remember to be consistent tho and do what your doc tells you!
What about empty nose syndrome?
They are too afraid to tell the truth. Look up Eugene Kern and Dr. Jang who are Ens experts. Turbinate surhery of any kind is a crime.
my most is stuffy no matter what even when I stand up straight
Omg... I just noticed these in my right nostril and I immediately panicked! Had no idea what it was, never noticed them before... Omg, I'm so relieved it's a normal thing... 😩
I love your videos. They are concise comprehensive. Thank you for sharing your knowledge Dr Liu. I had septoplasty and turbinate outfracture surgery today, and am breathing much better already.
Like how much does it take for one to undergo the surgery
hello , how are you now?
Why did I get empty qnose syndrome from radiofrequency??
I've had emptynose syndrome for 9 years now caused by inferior turbinate resection. it's ruined my life.all because of bad advice like he is saying in video.he didn't mention ens.neither did my surgeon I hope it happens to him one day
The world is a bizarre place. I wonder if these doctors would be so cavalier about this surgery if they had to watch someone they cared about it suffocating every day, contemplating suicide just to escape the suffering. These doctors are like the lawyers who set rapists free---it's like they think don't have sisters, daughters, mothers who could be the next victim.
Some people after the surgery face empty nose syndrome and it is also painful they claim ? What do you say doctor ?
this is what happens.ents dont tell u about ens risks when they know.i wasnt told.i bet u this guy wouldnt have any turbinate reduction.
I had a septoplasty 18 months ago and I have to use Afrin only at night just to sleep.
I want my enlarged turbinates our of my nostrils 😂
I've been going through this trouble for about a year as shown in some breath even when I talk too much my nose is always dry even dry mouth spit up mucus horse cloggy ears ringing pain and forehead cheeks ears even teeth stuffiness pressure in the head off balance while walking I don't know what to do anymore I suffer like this everyday NASA spray doesn't work
Thank you for explaining these procedures. I know these operations vary in cost, but could you give me a window or a range of how much it cost to have these operations. I'm considering having something done within my budget. Thank you.
I had same question .
About 2 months ago I accidentally inhaled a large amount of magnesium citrate and other ingredients from a magnesium supplement. Since I’ve been suffering from first pain and swelling and dryness and now swelling and dryness in my nasal cavity and down that side of my throat. My doctor thinks that I suffered from a chemical burn and they haven’t sent me to an ENT. The doctor says they don’t see significant swelling but I feel very stuffy like I’m having a sinus infection or allergy attack stuffy. If I close my good side to check for swelling I can barely breathe out of the right side and I have to stop to get enough air. I’ve noticed that I’ve been breathing through my mouth a lot as well. Could my nasal turbinates be swollen? My throat feels swollen too on the same side. No one seems to know what to do for me. What should I ask them to do or look for? I’ve been suffering for 2 months with these symptoms.
Hi. Just want to say I experienced this for 4 days, and I couldn’t breath with my nose the whole time. Turns out I have Covid-19 and this was how my body was reacting to the virus. The ENT specialist prescribed medication including a nasal spray and drops and it instantly reduced the swelling and I started breathing again. Keep safe out there guys
@Gab F The Covid-19 prescription I was given:
Tab Ivermectin 12mg start then 6mg daily X 4 days Cap Azithromycin 500mg daily X 5 days Tab Vitamin C 1000mg daily X 14 days Tab Vitamin D3 1000iu daily X 14 days. Tab Zink sulphate 40mg daily X 14 days. Tab dexamethasone 4mg BD X 5 days Tab Aspirin 300mg BD X 5 days.
The nasal meds the ENT prescribed:
Admichin 500mg
Nasal drops & sprays: Otrivin & Avamys
Will search for my prescription to know if there was something more from the ENT.
Please let me know if you have any concerns I can answer
Please note that the Covid prescription & medicines came only after my Covid test result returned positive, which was days after I had seen the ENT - Ear Nose and Throat doctor, was already on the respiratory medications and had experienced relief from the nostril swelling...
I don’t believe these medicines I was prescribed for Covid have anything to do with the relief I felt from breathing difficulties. Rather it’s the medicines from the ENT that gave me immediate relief. The swelling reduced dramatically and I started breathing okay after a few hours
@Gab F hi gab. i didn't epirience covid but i expirience the dry nose, not much mucus but i still expirienced like cloged nose. i can breath near normal but still it affects me. i expirienced it specialy when the weather is humid.
So u had no other symptoms from covid? I'm about to take this home test becuz I'm having these same nose issues I hope I'm ok
Doc I'm suffering from nerve damage due to aggressive turbinate reduction ..what do you think should I go for prp therapy..I mean how mucb effective it is..?
Thank you doctor
Champion Doctor🌹
LOL!
this is what happens.ents dont tell u about ens risks when they know.i wasnt told.i bet u this guy wouldnt have any turbinate reduction.
i used to think i got a stuffy nose because of booger’s all the way up in my nose deep down
It is possible for boogers to block the nose "way up" there.
@@tinabastarache2674 Hey Tina, I am also following a similar path as you. Last week, I went to my ENT dr for a follow up on my nasal congestion. My ENT dr told me my nasal pathways are still inflamed. I also told him that my right nostril is harder to breathe from than my left nostril. So he took the nasal endoscopy and examine both nostrils and agreed that the right nostril is a little more congested and I have a small nasal polyp in my right nostril. He wants me to try the nasal rinse and plumicort for a month and after a month, he will take another look to check on progress. I been taking Zyrtec, Alzestine, and flutinase, however he told me to stop with the flutinase. I been having really bad allergies since childhood, and it has cause a couple of trips to my primary care doctor and hospital. I am finally getting treatment and allergy shots for my allergies. I am doing my best to avoid surgery at all cost. I also watched @Gene Liu, MD, MMM on how to use the plumicort with the nasal rinse. I am starting tomorrow.
@@trevonsmith4607 good luck hope feel better soon
@@trevonsmith4607 how are you feeling now?
@@trevonsmith4607 hi how is your breathing now is it better
Does this also cause loss of smell?
I lost my sense of smell summer of 2019 and right nostril is blocked.
I have always gone to allergy doctor but after watching your video I think I need to see a nose throat ear specialist like you.
Thank you.
E a
Pls help me, I’ve had a stuffy nose since like March 2019 and I still have it, what do I do? I can’t sleep at night😭 btw I’m 12 years old
It's impossible to know what to do for you specifically as the underlying cause can vary a lot. You really should see a doctor to find out why it is happening. Only then can a recommendation be made as to how to treat it.
Ok
Try to get a sleep study to see if you have mild apnea or maybe it's this the swollen nose but go to a doctor it sucks to have allergies
i have similar issues like u. it may be due to various causes like allergies to dust, or cold weather, or germs.. u can try these:
1. sleep on your left side (helps to open the nasal openings for me)
2. sleep facing your pillow but still to the side
3. rinse your nose using filtered salt (can buy in your local pharmacy) using neti pot or neti bottle
@@linebyline901 what is your diagnose?i have bloked nose 9 monts,using dekongesttant,now 2 monts i using dymista kortiko-antihistamin spray and its bether,but when u dont using then i cant sleeo,i i kbow i cant using more then 6 monts,then i will back to fuking decongestant,1 doctor say alergyic rinitis,one vasomootor,am alergic to microorganism in dust(idk in english),but am have this when am child but never stufed nose, now have litle alergy to ambrosia,root,but but i dont think its problem...
Thanks Doc for this! Looking in the mirror I wrongly thought polyps and turbinates were one and the same thing. Now it's much clearer.
had a FESS operation together with an inferior turbinoplasty. Because of that operation I received Empty Nose Syndrome (ENS). Daily pain and suffering, dry nose, anxiety. Think carefully before you do any operation to your nose.
I'm sorry that you are suffering. The more that is done to the nose and sinuses, the higher the risk of ENS. The risk of ENS also depends on what general health conditions a patient may have and how healthy the lining of their nose is at baseline. Additionally, how much to do on any individual depends on the underlying problems being treated. There are also many techniques that are more tissue sparing than what used to be done in the past - all in hopes of avoiding ENS. You are 100% correct that all issues must be carefully considered before any surgery or procedure.
@@GeneLiuMD My ENT wrote SMR and BIT on my prescription. And told me that he will just remove the turbinate bone underneath to make the overall size small. Will it cause a risk of ENS. i have a problem of nasal congestion just when i lie on one side the nostril on that side get blocked and vice versa.
Hi Dr. Gene, so i got a turbinate reduction surgery and it has been a year and half, my left nostril is always in pain, it is very very very dry and crusty and huge crusted mucus always comes out when i pick it, with 1 inch diameter. I cant sleep normally at all after the surgery as my nose prevents me to sleep. I have visited my ENT but they always say it looks fine. I am in a lot of pain, i cant fall asleep cause of my nose and i am going crazy. Please help me as i really really cant sleep and i am very upset mentally and my quality of life has decreased significantly
Thank you
Dr. Liu, this video was incredibly helpful. Do those membranes or whatever swell up in hot air as well? Whenever my son goes into a car or room where the air is hot, he will start freaking out about not being able to breathe because his nose gets all stuffy. He's 13 now and this has been happening for many years, along with chronic stuffy nose at night
Same
I have the same issue , my nose even swell up on the outside and sometimes gets very red
Empty nose syndrome is a *catastrophic* disease and it is not rare.
It is definitely rare
No it’s not
So nice of you to do this video when everyone do anything only for money God bless you doctor my question is how do we know
What our specific issue is - is it allergy - phlegm- space in the nose
Can turbinate reduction cause side effect.
Yes, a nightmare like condition called EMPTY NOSE SYNDROME, do research on it ASAP!!!
I am so thankful for this doc great explanation keep it up and ty youtube recommendation
Doctors need to quit removing the turbinates without getting consent from patients. This is equivalent to malpractice and ENTs are far too frequently just removing them without even informing their patients.
I'm about to get this surgery. It was the first thing the ENT suggested. I have 4 completely blocked sinus cavities and super swollen turbinate on the left side of my face. I'm nervous about ENS but right now its constant pressure on my face. And the turbinate is basically touching the hairy part of my nose. I consider that ens would be the same, if not a little better more misery then i feel now.
"I consider that ens would be the same" LOL!!! Right---and getting a perverted phone call is the same as getting raped.
Wow nice metaphor. I bet you use it like once a day. I got turbinate reduction in both nostrils. I'm fine, breathing is fine. In fact better. I recommend the surgery 100%. ENS or not being able to breath through the nose. I'd get it again if needed
Levi Douglass I’m having surgery soon . I have tried everything since May 2018 and nothing has worked . I have tried steroids , allergy pills , all kind of nasal sprays and nothing works. But my condition is worst at night time when I’m going to sleep . I have to switch sides because one side get more congested than the other nostril . I Wake up with headaches and very tired all the time . I have no option but surgery 😓😓😓
@@beatrizj.5138 I get you. I ended up having inverted papilloma. In the left maxillary. I got the mass removed, both outer turbinates reduced, and a septoplasty. The surgery really wasn't bad. I couldn't breath in through my nostrils before. Only out, and only when I forced it. Now I can breath great. If you have a good surgeon theres nothing to worry about. The recovery isnt bad either. Just get you a few days in a hotel room. And just relax.
Levi Douglas " I bet you use it like once a day." Only when responding to comments as foolish as the one you made about congestion being as bad as ENS. You think ENS just means you can't breathe? It also means severe sinus burning, cold painful air in the lungs (because the turbinates no longer warm the air) and more frequent infections because you have lost the mucous that once caught all the irritants we breathe. How disgusting that you would encourage anyone to have surgery just because it went fine for you, knowing that if it goes badly for them, it's no skin off YOUR ass. Selfish.
I have this right now. Both sides! Out of nowhere for three months no pain. Everything is so dry up there. Getting a CT of my sinuses on the 17th. I need relief 😢
Keep your home clean and dust free as possible! Air out your home during the day, try to keep windows and maybe even doors open. Watch your diet. Try to stay away from dairy products. Drink lots of water to clean out your body. These things he should've mentioned. They are just trained to tell you take medicine and get surgery, but you should first try natural methods to fix the problem, not cover it.
Every time you do this surgery, you will have to wonder if this is the patient that ends up with Empty Nose Syndrome. And you will have to wonder if you can live with that.
Every time we consider any procedure or surgery, it is our job to discuss with the patient the risks, benefits, and alternatives and to make an educated and collaborative decision regarding the best and most appropriate course of action.
That's the "public relations" answer. I'm talking about you as a person. At the end of the day, you have to look at yourself in the mirror.
I'm sorry your experiences have made you to feel that is the "PR answer". It really _is_ the answer. And you are absolutely right that we have to look ourselves in the mirror...AND we also have to face the patients as well when things don't go exactly as hoped or planned.
@@GeneLiuMD Can you share the boilerplate risks contract you use to inform the patient of all possible risks from a turbinate reduction? Or, if you have more than one risks document for different approaches that would be very useful for patients as well. It would be valuable for potential patients to have this beforehand so that they have time to consider all pertinent information.
Some ENT's are more concerned with profits than patient outcomes, so they won't share the risks until the last moment and rush through them. This is dishonest, and why I am asking for them now, because most ethical doctor who want the best for their patients favor full up-front disclosure.
In your case I've noticed that the full risks are not posted anywhere, which can make these profitable surgeries appear more benign than they really are. Thank you for your video Dr. Gene Lou.
I have ENS , a rhynoplasty ruined muy life forever
Say NO to turbinate reduction procedures!
I have turbinate hypertrophy can i go for turbinate reduction with microdeblader
Yes, but I wouldn’t do it.
Up to you but there will be angry people people out there angry at you after they get ens.because u didn't mention the bad things that can ruin people's lives .u mention the good things though.o no you will never mention ens.if your talking about an operation u should mention the bad things that could happen.u will get a lot of angry people because u don't want to say the ens word
He said out of a thousand people not 1 got ENS. Sounds like you went to a crappy surgeon
I wish i never born in the first place
Thank you for explaining the swelling, the turbinate function and frustrations. I'm considering an in-office turbinate RF reduction procedure, because the hospital surgery sounds risky. I've had no luck with immunology, i.e., shots. Have had balloon rhinoplasty and surgery for deviated septum. CT scan says sinuses are "fine", but turbinates are too big. I swear, I'm almost ready to check out rather than have another doctor guess which part to fix this time. My sinus pressure (that I believe contributes to my depression), he says, is a headache, for which I should see a neurologist. Frankly, I think I can take care of all this myself with nine floors minimum. I can't take my depression and allergies anymore. But thanks. Your discussion was encouraging for most. Why are most ENT's so narrow in their treatment? All my life I've had allergies and depression, allergies and depression. Now add intestinal issues due to way too many steroids and antibiotics. Oh, well, tenth floor, please.
I'm sorry to hear that things are so rough. If you've already had all those other procedures done, a turbinate reduction will seem easy in comparison. The recovery isn't as bad and is reasonably fast. There really shouldn't be any downtime for most people (unless you have a very physically demanding job). I would recommend seriously seeking another opinion re: the ENT options. There really should be no harm in seeing a neurologist as well. There should be a treatable medical reason for the pressure sensation.
If you really are feeling like you can't take it anymore, you should also call the National Suicide Prevention Lifeline 1-800-273-8255.
I hope you are ok, really sorry to read you feel so bad. I understand because I felt so bad too, I got to a point where I didn't know how I could go on feeling that way my whole life. BUT PLEASE DO NOT DESPAIR. I had turbinates reduced and it did help me A LOT and like the Dr said it is pretty painless and easy recovery. Please seek help and look after yourself.
i got Empty nose syndrome and severe nasal nerve pain from this exact method!!!! from RAVOR CURIS radiofrequency to turbinates and septoplasty. THE ENT SAID IT WAS TOTALLY SAFE.
1 month ago
Please tell me, why is that my nose has been blocked for more than 10 years? Why wont the swelling go away?
May i know, Can you still breathe through your mouth?
@@holypanda34 yeah I can. Which is why Im still alive
Oh sorry what i mean is can you breathe with ur nose or is it completely blocked? Because mine is completely blocked rn. And im trying to find any therapy.
I wish I could tell you. There are many reasons why this may be the case. Only someone who has seen you in person and evaluated you can answer your question.
@@GeneLiuMD Please tell me nonetheless some of these reasons
Medicine in this area is so limited in its vision... the initial cause here as well is just blamed on "allergies" in fact what is causing the swelling when it becomes chronic is inflammation as a possible result of allergies, however there are many different kind of allergies that could be the trigger, in addition to other environmental factors including pollution but also lack of physical activity movement and above all stress and a poor general immune system. Instead of dealing with these issues holistically far too often irreversible surgery is suggested as quick fix which can leave permanent damage and in a few cases the result is worse than the initial nasal obstruction.
U are true. That my nose get inflamed when I lie down and which side I'm lying gets my nose blocked by the side of the nose I am lying down with it.. thank you for an excellent explanation!!
wait was it like a burning sensation and can barely inhale thru the nostrils ?
@@sisi6776 no no not like burning sensation.. it's just that my nose gets stuffed if I lay down
After I had covid in 2020 my nose got fked up. One side is always blocked and it would switch sides once in the morning and that was it for the day. When my left nostril was blocked it is worse than when the right one is. I did the nasal sprays and had a ct scan all I got told was the lining tissue in my nose was inflamed. They offered surgery which most likey wouldnt work and could make it worse. I let it be and over the 4 years it has improved a lot thankfully