Hello doctor, I am on rebound congestion because of misuse of the nasal spray. I have used it seven days not knowing that will cause me rebound effect. My ENT doctor says to continue my spray due to my dry nasal congestion I think. Now I went back to him saying that, I had rebound congestion and my turbinates are swelling, he advised me to stop the spray, and he replaced it with Mometsone Furoate two sprays once a day. He also gave me Methylprednisolone two times a day for seven days and an antihistamine. I am now on my sixth day of withdrawal, the steroid spray works and also the oral he gave me relief. But I do not think that it reduces my turbinates.
Hello. Why do you feel the turbinates are not getting reduced? Is it because you see those big in the mirror? Is there any symptomatic improvement in nose block after the use of Mometasone? Turbinates usually increase and decrease in their size a few times a day. Additionally, the nasal cavities also have congestion decongestion cycles normally. The rebound congestion that occurs due to decongestant nasal sprays is a temporary phenomenon. What might have happened in your case is rhinitis medicamentosa. But that occurs after months of usage of the decongestant spray and not by a week. We do frequently give decongestant drops for a week or ten days as indicated. I suggest you to continue with the steroid sprays. You may use a plain saline nasal douching couple of times a day. Make sure that you do it before using Mometasone and not after using as then it would wash away the Mometasone. Nasal douching helps keep the mucosa clear and supple. It helps to improve the ciliary action of cells lining the mucosa and clear the mucus better. That way you appreciate the better movement of air inside the nasal cavities. Do revert back to me with more details. If possible click a picture of the turbinates and get back to me. For now, if you were to come to me for a second opinion, I would continue with the medications you are on.