7 Most Common Nose and Sinus Disorders That Can Impact Your Quality of Life

If you are having difficulty breathing or are experiencing symptoms of any of the seven common causes of nose and sinus disorders, you should visit an ENT specialist for a treatment solution that will improve your breathing and enhance your quality of life.

Has your breathing become burdensome or painful?  

Because breathing is such a vital part of living, your quality of life and your overall health suffer when you’re struggling to breathe. 

There are many reasons breathing through your nose can be a struggle. Our team of otolaryngology specialists at ENT Consultants of East Tennessee wants to make you aware of the seven most common nose and sinus disorders that can impact your quality of life so you can get the help you need. 

1. Allergic Rhinitis

Typically referred to as hay fever, allergic rhinitis is among the most common nose and sinus disorders. It produces inflammation of the nose or nasal passages as they overreact to allergens, like pollen or airborne toxins in the air.  

Symptoms, such as runny or stuffy nose; sneezing; red, itchy, and watery eyes; and swelling around the eyes, can be ongoing or seasonal. 

Prevention includes avoiding the allergens by using mite-proof covers and air filters and reducing the intake of certain foods. 

Intranasal corticosteroids, antihistamines, decongestants, cromolyn, leukotriene receptor antagonists, nasal irrigation, and allergy shots/drops (immunotherapy) may be used by your ENT doctor to treat this condition. 

2. Chronic Sinusitis

Chronic sinusitis involves an ongoing inflammation of the sinuses that lasts for more than 12 weeks. It differs from recurrent sinusitis in that it is ongoing without a pause, while a recurrent condition involves four or more episodes of sinusitis within a year with periods without the condition between them.  

Chronic sinusitis can present in a similar manner to allergic rhinitis, with ongoing or recurring symptoms like: tenderness or pressure in the face, postnasal drip, runny nose, toothache, ear pain, cough, fatigue, loss of taste and smell, and bad breath. 

Prevention includes avoiding triggers like allergens and environmental factors. 

Treatment typically involves the use of intranasal corticosteroids, antihistamines, balloon sinuplasty, or sinus ostial dilation. When polyps are present, various therapies to slow their growth or surgical removal may be necessary. 

3. Deviated Septum

A deviated septum is among the most common types of abnormal nasal structures that contribute to breathing difficulties. It is characterized by an unequal or imbalanced division of the nasal cavity, making it difficult to breathe. 

Individuals struggling with a deviated septum may suffer from frequent nosebleeds, facial pain, headaches, postnasal drip, or loud breathing and snoring during sleep. 

Since the condition is usually congenital, there is really no way to prevent it. Treatment may require a surgical procedure called septoplasty to repair the condition and improve breathing. 

4. Nasal and Paranasal Tumors

Another possible cause of breathing difficulties is nasal and paranasal tumors, which are cancerous or benign abnormal growths within the nasal cavity. While nasal tumors begin in the nasal cavity, paranasal tumors form in air-filled chambers around the nose, known as the paranasal sinuses. 

The symptoms typically include difficulty breathing through your nose, loss of smell, nosebleeds, nasal discharge, facial pain and swelling, watery eyes, lesions in the roof of your mouth, vision problems, a lump in your neck, or difficulty opening your mouth. 

To prevent nasal tumors, avoid smoking and secondhand smoke, air pollution, and long-term exposure to chemicals or irritants as well as exposure to human papillomavirus (HPV) infection. 

The most common treatment option is a surgical procedure to remove the tumor, which may be followed up by radiation or chemotherapy for cancerous forms. 

5. Cerebrospinal Fluid Leaks

Though a rare condition, a cerebrospinal fluid (CSF) leak is the result of a tear or hole in the membranes surrounding the brain or spinal cord. These openings allow the clear fluid that surrounds and cushions those organs to leak out.  

CSF leaks are caused by an injury, surgery, epidural or spinal tap, or a tumor, and they can lead to an increased risk of meningitis. 

Symptoms can include drainage from the nose, a salty or metallic taste in your mouth, postnasal drip, drainage from your ear, cutaneous drainage from the sinus tract, a loss of smell, and a change in hearing or ringing in your ears. 

Bed rest and other conservative therapies typically correct CSF leaks, but surgical procedures, an epidural blood patch, and/or the insertion of shunts to drain away excess fluid may be necessary. 

6. Nasal Fractures

A nasal fracture can cause profuse bleeding and pain, along with swelling and bruising around your nose and under your eyes, altered cosmetic appearance of your nose, and trouble breathing. 

Prevention involves using proper safety equipment during activities that have the potential to result in a nasal fracture. 

Procedures to realign your nose and protect it while the fracture heals are the most common treatment option, but in some rare cases surgical procedures may be necessary to treat nasal fractures. 

7. Triad Asthma

Triad asthma is another possible contributor to breathing challenges. Sometimes referred to as aspirin-exacerbated respiratory disease (AERD) or ASA triad, it can develop as a comorbid condition of asthma due to aspirin sensitivity and nasal polyps. 

Most typical in patients between the ages of 20 and 40, symptoms can include coughing, wheezing, tightness in the chest, nasal congestion, headache, sinus pain, and sneezing. The condition might also include rashes, flushing of the skin, abdominal pain, and diarrhea or vomiting.  

The avoidance of aspirin and other NSAID medications is the most common means of both preventing and treating the condition. In some cases, leukotriene-modifying agents and cutting back on foods containing salicylic acid may be necessary. 

What to Expect During a Nose and Sinus Consultation 

If you are having difficulty breathing or are experiencing symptoms of any of the seven common causes of nose and sinus disorders, you should visit an ENT specialist for a treatment solution that will improve your breathing and enhance your quality of life. 

A nose and sinus consultation with an ENT Consultants of East Tennessee otolaryngologist will begin with an interview in which we take the time to listen to you while we compile a thorough patient history and review your previous medical records.  

Following our initial conversation, we’ll conduct a detailed physical head and neck exam, including a nasal endoscope to evaluate your nasal and sinus cavity as well as your larynx. 

We may draw a culture from your sinuses or conduct a biopsy on a polyp or mass in-office. Additional diagnostic measures could include a CT for a more complete picture of what is causing the nasal or sinus condition causing your discomfort. 

Once we have identified the underlying cause of your symptoms, we will have an honest conversation with you about the treatment options available, allowing you to have input into determining the plan of treatment we decide to follow. 

Your Next Step 

Proper breathing is an important part of your overall health as well as your quality of life.  

If you have challenges with your breathing, the professionals at ENT Consultants of East Tennessee have the equipment, knowledge, and expertise to diagnose and treat your condition.  

Your next step is to schedule a consultation using this link or give us a call at (865) 693-6065. 

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S. Mark Overholt, M.D.

Mark grew up in Knoxville, Tennessee, and went to Webb School of Knoxville for High School and Stanford University As a general otolaryngologist and head and neck surgeon, like many others in the team, he sees patients for half of the day and operates the other half of the day. Serving as president of the group, he is involved in administration decisions and planning, ensuring the ENT practice is always striving for success. He believes his partners are all well-educated and compassionate physicians and finds it a joy to practice caring for the wonderful people of East Tennessee. Nothing fulfills Mark more than solving a problem for a patient who has been suffering for a while, whether it is as simple as letting them breathe more easily, stopping their sinus infections, or walking through their cancer journey towards a cure. Mark loves his job and is honored to walk out the door with a smile on his face each day. Outside of work, Mark is an avid fly fisherman. He enjoys traveling to new places where he can experience different cultures with his family. He also loves history reading and is a passionate cook.

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