One blocked nose can have a significant impact on everyday life - be it when sleeping, speaking or simply breathing freely. Many people then turn to nasal sprays, which can provide quick relief. But what happens if the medication doesn't work? There can be various reasons for this. We explain which ones and how we can help you at our ENT practice clinic in Frankfurt.

How a nasal spray works

A nasal spray works in different ways depending on the type and active ingredient. The most common variants are decongestant, moisturising and anti-allergic nasal sprays:

Decongestant nasal sprays (alpha sympathomimetics)

They contain active ingredients such as xylometazoline or oxymetazoline, which can damage the blood vessels in the Nasal mucosa narrow. This causes the mucous membrane to swell, the nasal passages become clear again and breathing becomes easier. These sprays take effect within a few minutes and usually last for several hours.

Moisturising nasal sprays

These sprays use saline or hypertonic salt solutions to keep the mucous membranes moisturised. This is particularly helpful in dry air or with mild infections. They work purely mechanically by loosening mucus and supporting the natural cleansing function of the nose. As they do not contain any decongestants, you can use them long-term without hesitation.

Cortisone-containing or anti-allergic nasal sprays

These sprays are mainly used for allergies or chronic nasal complaints. Preparations containing cortisone reduce inflammation and swelling over a longer period of time, but only take effect after a few days. Anti-allergic nasal sprays often contain antihistamines or mast cell stabilisers, which block allergic reactions directly in the nasal mucosa.

Depending on the symptoms, a different nasal spray may therefore be useful.

What happens if the nasal spray doesn't work?

If a nasal spray no longer works as usual, this can have various causes. There are different reasons depending on the type of spray and the individual symptoms:

Familiarisation effect with decongestant nasal sprays

You should only use decongestant nasal sprays for a few days. Prolonged use can lead to your nasal mucous membranes becoming accustomed to the spray and no longer decongest properly without it (Nasal spray addiction). This can cause drug-induced rhinitis - the nose remains permanently blocked, even if there is no longer a cold.

Incorrect application

A nasal spray only develops its full effect when used correctly. Mistakes such as inserting the spray head incorrectly, pulling it up too quickly or failing to inhale briefly while spraying can result in the active ingredient not being optimally distributed.

Active ingredient too weak or unsuitable

Not every nasal spray helps with every cause of a blocked nose. For example, a mild seawater spray can moisturise a dry nose, but cannot relieve acute swelling. Conversely, decongestant sprays also do not help against allergic symptoms.

In which diseases is the nose blocked but a nasal spray is not effective or only partially effective?

If your nasal spray does not work for a long time or the symptoms persist, medical advice is required. Especially if accompanying symptoms such as headaches, a feeling of pressure in the face, frequent Nosebleed or olfactory disorders, you should make an appointment at our ENT clinic in Frankfurt for an examination.

Possible causes include

When the nasal spray doesn't work: Diagnostics and treatment at our ENT clinic in Frankfurt

If your nose remains blocked despite using a nasal spray, there may be an underlying cause. At our ENT practice clinic in Frankfurt, we diagnose possible triggers and determine the best treatment for your individual case.

Thanks to our comprehensive equipment, we can carry out both detailed examinations and surgical treatments directly in our practice clinic, so that all steps of the therapy remain in one hand.

Simply contact us to arrange an appointment!

Recurrent sinusitis can have a significant impact on quality of life and is often associated with persistent symptoms such as a feeling of pressure in the centre of the face, headaches and aching. blocked nose associated. Many sufferers wonder why the inflammation keeps flaring up even though it appears to have healed successfully. The causes can be varied - from anatomical features to allergies. In this article, you will find out which factors can be behind recurrent sinusitis and which treatment options can help to achieve long-term improvement.

What is sinusitis?

Sinusitis is an inflammation of the mucous membranes in the paranasal sinuses. The sinuses are air-filled cavities in the skull that are connected to the nasal cavity. Their main function is to humidify, warm and filter the air that is inhaled. When the Mucous membranes When these cavities become swollen or inflamed, sinusitis occurs.

Typical symptoms of the disease are

• Feeling of pressure in the face (especially over the affected sinuses)
• Clogged or Runny nose
• Yellowish-green nasal discharge
• Headaches and facial pain
• Diminished or absent sense of smell
• General feeling of illness

What are the causes of sinusitis?

There are many causes of sinusitis. The most common triggers include

Can recurrent sinusitis be harmful to your health?

Repeated sinusitis can have a negative impact on health in the long term:

Chronic sinusitis

If the inflammation flares up again and again, the mucous membranes can be permanently damaged, resulting in chronic sinusitis can lead to a severe condition. The symptoms persist for months or years. This can significantly impair quality of life.

Spread of the infection

In rare cases, bacteria or viruses from the sinuses can invade neighbouring areas. This can result in serious complications, such as

• Eye inflammation (orbital phlegmon)
  Infections can spread to the eye socket and cause swelling, visual impairment or even permanent damage.
• Meningitis (inflammation of the meninges)
  If the infection spreads to the meninges, this can be life-threatening.
• Abscesses
  Purulent inflammation can occur in bone or soft tissue.

Impairment of the respiratory tract

Repeated inflammation can permanently narrow the airways, making it difficult to breathe through the nose and causing sleep problems and Sleep apnoea can bring with it.

Worsening of other diseases

Recurrent sinusitis can also exacerbate existing conditions such as asthma or chronic bronchitis, as inflammatory processes can be linked.

General stress on the immune system

Frequent inflammation also puts a strain on the immune system and can increase susceptibility to further infections.

Recurrent sinusitis: What to do?

If sinusitis occurs frequently, it is important to identify the underlying causes and treat them in a targeted manner. This is the only way to prevent future episodes.

Recurrent sinusitis: Diagnosis and treatment at the ENT practice clinic Goethe10 in Frankfurt

Recurrent sinusitis is not only annoying, but can also affect your health in the long term. Without the right diagnosis and treatment, the symptoms can become chronic and significantly impair your quality of life.

We at the HNO-Praxisklinik Goethe10 in Frankfurt are your competent partner when it comes to the treatment of sinusitis & Co. With state-of-the-art diagnostic technology and an experienced team, we determine the individual causes of your symptoms.

If anatomical problems such as a crooked nasal septum or nasal polyps are the cause, we offer gentle surgical procedures. We also support you with innovative treatment approaches for chronic or particularly complex cases.

Simply contact us!

Free, undisturbed nasal breathing contributes significantly to quality of life and well-being. However, anyone who suffers from restricted nasal breathing knows the effects on sleep, concentration and general fitness only too well. There are many causes that can lead to a blocked nose or breathing problems - from simple dryness to chronic inflammation or anatomical restrictions. Fortunately, however, there are various ways to improve nasal breathing in the long term. In the following, we will show you effective options and modern treatment methods that will allow you to breathe freely again.

What can restrict nasal breathing?

Various factors and medical conditions can obstruct nasal breathing. The most common causes include

• Curvature of the nasal septum (deviated septum)
  A crooked nasal septum can narrow the airways and thus hinder breathing. This anatomical deviation is one of the most common causes of breathing problems through the nose.
• Enlarged turbinates (Nasal concha hyperplasia)
  The turbinates are folds of mucous membrane in the nose that can swell in the event of inflammation or irritation. Permanent enlargement, often caused by allergies or chronic inflammation, can narrow the airways.
• Nasal polyps
  These benign growths on the nasal mucosa can be caused by chronic inflammation, for example. Polyps constrict the airways and make nasal breathing difficult, especially when they grow larger.
• Sinusitis (inflammation of the paranasal sinuses)
  In sinusitis, the mucous membranes of the sinuses become inflamed, which can lead to persistent congestion and a feeling of pressure in the nose.
• Allergies
  Pollen, house dust mites, animal hair and other allergens can trigger swelling and inflammation of the mucous membranes in the nose. This often leads to an unpleasant blockage of the nasal passages.
• Injuries and traumas
  Injuries to the nose, e.g. due to accidents or blows, can lead to deformations or swelling that impair the flow of air through the nose.
• Dryness and mucous membrane irritation
  Dry air, pollutants or even cigarette smoke can dry out the nasal mucous membranes and cause irritation. This can make it difficult to breathe through the nose.
• Tumours
  In rare cases, tumours in the nasal or sinus region can also block nasal breathing.

Basic tips to improve nasal breathing: What you can do yourself

There are some simple and effective measures you can take yourself to improve your nasal breathing and keep your nose clear:

• Inhalations
  Inhaling with salt water, saline solution, camomile or essential oils helps to moisturise the mucous membranes and loosen encrustations.
• Nasal rinses
  Saline solutions can also help to flush mucus and dirt out of the nose and relieve inflammation. You can use special nasal rinsing systems that are available in pharmacies.
• Humidity in the room
  Dry air irritates the nasal mucous membranes. Therefore, use humidifiers, especially in the winter months, to make the air in living and working spaces more humid.
• Regular exercise
  Sporting activities such as running or cycling promote blood circulation and can also help to keep the airways clear. Moderate exercise gets the circulation going and makes it easier to breathe through the nose.
• Balanced diet and fluid intake
  Drink enough water to keep your mucous membranes moisturised. A diet rich in vitamins also strengthens your immune system and can prevent inflammation.
• Breathing exercises
  Special breathing techniques such as the Buteyko method or yoga breathing exercises (pranayama) strengthen awareness of breathing and promote relaxed nasal breathing.
• Stop smoking
  Cigarette smoke irritates the airways and dries out the nasal mucous membranes. Quitting smoking has positive effects on breathing and improves your nasal breathing in the long term.
• Avoid allergy triggers
  If you are allergic to certain substances, try to stay away from them as much as possible. Pollen allergy sufferers are advised to keep windows closed or use air filters during the pollen season.
• Nose plasters for the night
  Special nasal plasters that slightly lift the nostrils can improve the air supply at night and make it easier for you to breathe through your nose.

Improve nasal breathing: Medical help is needed in these cases

In some cases, restricted nasal breathing may be due to more serious causes that require medical treatment. In these situations, it is advisable to make an appointment at our ENT clinic in Frankfurt to be agreed:

• Chronic nasal congestion for no apparent reason
  If your nose is constantly blocked for weeks or months without a cold, allergy or other obvious cause, the cause could be a structural abnormality such as a deviated nasal septum or chronic inflammation of the nasal mucous membranes.
• Pain and a feeling of pressure in the nasal and sinus region
  Persistent pain, pressure in the face or headaches that worsen when bending forward can indicate sinusitis. Chronic sinusitis can often only be treated by a doctor.
• Frequent shortness of breath or difficulty sleeping
  Breathing problems that affect your night's sleep or lead to Breathing interruptions should definitely be checked out by a doctor. Sleep apnoea can put long-term strain on the cardiovascular system and severely impair quality of life.
• Bloody discharge or heavy crust formation
  If your nose bleeds regularly or crusts form constantly, this could indicate a serious inflammation of the mucous membranes or a tumour in the nose that requires medical clarification.
• Recurrent infections and inflammations
  If you suffer from frequent nasal and sinus infections, there could be an underlying anatomical cause. For example, enlarged turbinates or nasal polyps often need to be treated surgically.
• Difficulty breathing through the nose after an injury
  Injuries or fractures to the nose can cause deformation or narrowing of the nasal passages. In such cases, surgery is often necessary to restore nasal breathing.
• Growth of nasal polyps
  If benign growths such as polyps develop in the nose or paranasal sinuses, these can block the airways and often require surgical removal.

Treatment of nasal complaints: We at the Goethe10 ENT practice clinic in Frankfurt are here for you

As ENT doctors in Frankfurt, we offer comprehensive diagnostics and treatment for various diseases that can affect nasal breathing.

In addition to these specific treatments, we offer comprehensive ENT diagnostics and therapy - also for Dizziness, Allergies, sudden deafness and Tinnitus - to. With personalised advice and modern treatment methods, we help you to breathe freely again.

Nasal breathing has a significant impact on our well-being. When you have a cold, you have certainly experienced for yourself how frustrating, annoying and exhausting it is when you cannot breathe freely through your nose.

Some people suffer repeatedly or even permanently from this feeling of blocked nose. In this case, you may have enlarged turbinates. As part of the laser conchotomy, we can laser the inside of your nose, allowing you to breathe freely.

What are the consequences of restricted nasal breathing?

If you cannot breathe properly through your nose, this can affect your general well-being and quality of life. Typical consequences can be

Mouth breathing

Those affected tend to breathe more through their mouth when they feel a blocked nose. This can lead to dryness in the mouth and throat and also affect swallowing.

Increased susceptibility to infections

The nasal cavity normally provides protection against pathogens. Incorrect nasal breathing can weaken this barrier. This can make it easier for viruses, bacteria and other pathogens to enter your body. In addition, impaired nasal breathing can cause mucus and fluids to accumulate in the sinuses and airways. This moist environment is an ideal breeding ground for pathogens and can, for example Sinusitis and other infections.

Sleep disorders

Obstructed nasal breathing can lead to sleep disorders such as Snoring and nocturnal breathing interruptions (sleep apnoea). This can lead to restless sleep, reduced sleep quality and daytime tiredness.

Reduction in physical performance and concentration disorders

The restricted air supply through the nose impairs the Oxygen transport in your body. For this reason, you may find physical activity more difficult. This is often accompanied by a feeling of rapid fatigue and breathlessness. If you are unable to breathe properly, this can also affect your mental performance, because: An adequate supply of oxygen to the brain is also important for optimum concentration and alertness.

Changes in pronunciation

If the nasal passage is blocked or narrowed, there is a tendency to breathe more through the mouth. This can lead to changes in the articulation and sound quality of the voice. When speaking, the nose also supports the resonance and modulation of your voice. Obstructed nasal breathing can therefore lead to a nasal-sounding voice. In addition, breathing can become shallower and less efficient during speech.

Changes in the sense of smell

The nose plays an important role in our sense of smell. Restricted nasal breathing can lead to olfactory disorders, which can impair the enjoyment of food and the recognition of dangers.

One possible cause of restricted nasal breathing: enlarged turbinates

Nasal concha are bony structures in the nose that are covered with mucous membrane. They play an important role in air flow and filtering the inhaled air. Normally they are thin and have a structure that looks like lamellae or fan-shaped lobes. However, due to e.g. AllergiesThey can swell immensely in the case of infections, inflammatory diseases or anatomical conditions. Enlarged turbinates can narrow the space for airflow in the nose. The result is restricted nasal breathing.

These so-called Nasal concha hyperplasia can cause further complaints such as recurrent sinusitis, snoring or noisy breathing.

Laser nose surgery: Uncomplicated treatment of turbinate hyperplasia

No major surgery is required to treat enlarged turbinates. We can treat these findings with laser treatment. This is how the so-called Laser conchotomy from:

Preparation

We clean your nose. We then spray the inside with a local anaesthetic to numb the treatment area.

Laser nose

We reduce the size of the turbinates using a special laser. The laser beam generates high heat effects and vaporises or cuts off the excess tissue. This reduces the size of your turbinates and widens your nasal passages.

Conclusion and aftercare

You will not usually need any stitches or tamponades after the procedure. You can go home again. We recommend that you refrain from strenuous physical activity for a few days.

Laser nose surgery in Frankfurt: Laser conchotomy at the Goethe10 practice clinic

If you suffer from restricted nasal breathing, you are welcome to make an appointment at our ENT clinic in Frankfurt. We will examine you and check where the respiratory impairment is coming from. If enlarged turbinates are the cause of your problems, we can laser your nose and treat the turbinate hyperplasia. The procedure is outpatient, gentle and effective. Also for other triggers, e.g. a Curvature of the nasal septumwe can help. Please feel free to contact us!

ENT Frankfurt: Dr Thomas Fischer & Dr Albrecht Linke

Your specialists for ear, nose and throat medicine, who will provide you with professional and individualised advice, examinations and treatment in all matters relating to ENT medicine, functional plastic surgery and the aesthetic treatment of changes to the facial skin.

Our news articles are prepared for you to the best of our knowledge and belief and are intended for general education. They are in no way a substitute for medical advice, diagnosis and treatment and are not intended to encourage self-diagnosis or self-treatment. Please always contact your ENT specialist in Frankfurt directly if you have any health complaints!

© "Attractive man breathing outdoor" by Antonioguillem, stock.adobe.com

Loud snoring can turn sleep into torture. And not just for the person affected, but also for their partner. Loud snoring and "sawing" can affect not only older people or overweight people, but people of all genders, ages and body shapes.

There are many different causes, from anatomical conditions to lifestyle factors. In some cases, snoring surgery can be the solution so that you can sleep peacefully again. At our ENT clinic in Frankfurt am Main, we offer this form of snoring therapy.

What happens when you snore?

Snoring causes disturbing noises due to the vibrations of slack tissue in the throat and palate area when breathing in and out during sleep.
The exact causes and mechanisms of snoring are varied and differ from person to person.

The most common factors that play a role in snoring are

Relaxation of the throat muscles

During sleep, the muscles in the throat and palate relax. This causes the soft tissues in this area to contract more tightly. When the air flows past these relaxed tissues during inhalation, the characteristic snoring noises are produced.

Constricted airways

Some people's airways are naturally narrower. They can also be narrowed due to anatomical conditions such as an enlarged tongue or tonsils. In these cases, the air flows past with more pressure, causing snoring.

Overweight

Excessive weight can cause an increased accumulation of fatty tissue in the throat and pharynx area. This can further constrict your airways.

Alcohol and sedative medication

The consumption of alcohol or certain medications that relax the muscles can increase snoring. They can Throat muscles even more slack.

Sleeping position

If you sleep on your back, you may be more prone to snoring. This is due to the fact that gravity pushes the soft tissues in the throat area backwards. This narrows the airways.

What consequences can night-time snoring have?

Loud snoring can affect the quality of your own sleep and that of your partner. Common consequences are lack of sleep and daytime sleepiness, which are accompanied by concentration difficulties and reduced performance. Snoring can also cause you to sleep with your mouth open, which promotes dry mouth, a sore throat or even infections.

Chronic snoring can also be a sign of sleep apnoea, a serious sleep disorder that can increase the risk of cardiovascular disease, high blood pressure and other health problems.

Treating snoring: Options without surgery

Lifestyle changes

• Weight loss
  For overweight people, losing weight can help to reduce snoring, as this can reduce the accumulation of fatty tissue in the throat and pharynx area.
• Sleeping position
  Sleeping on your side instead of your back can reduce snoring in some people.

Avoidance of alcohol and sleeping pills

Alcohol and certain medications can affect the muscle tension in the throat, which can lead to increased snoring. Avoiding these substances before going to bed can be helpful.

Snoring splint

You wear this appliance in your mouth like a kind of brace. They are designed to change the position of your tongue and lower jaw to keep your airways open.

Nasal strips and nasal sprays

These products can help to open the nasal passages and make breathing easier if your snoring is due to nasal problems.

Surgical interventions

• Snoring operation
  If snoring is causing you significant health or social problems, snoring surgery may be advisable - even if other treatment methods have not been sufficiently effective.
• Rhinoplasty
  Snoring can occur with various nasal problems, e.g. with a curved nasal septum, Nasal polyps or one Nasal concha hyperplasia. In these cases, a Rhinoplastya Nasal septum surgerya Paranasal sinus surgery or the Laser conchotomy help. We offer all of these treatments at our ENT clinic in Frankfurt.

Snoring surgery in Frankfurt for an oversized or floppy palate

An oversized or sagging palate can lead to heavy snoring - especially if you sleep on your back. In such cases, we offer various surgical techniques to tighten or reduce the size of the posterior palate.

If an enlarged uvula is the cause of snoring, we can use the uvula flap technique. This involves lifting the uvula on your palate, reattaching it and suturing it.

Uvula palato pharyngoplasty is a common snoring operation in which we incise the mucous membrane in your palate, throat and uvula area, tighten it and stitch it back together. This tightening of the palate prevents constriction of the upper airways during sleep. We can also perform this operation at the same time as the removal of palatine tonsils.

Snoring surgery in Frankfurt

Snoring can be extremely stressful - for you and your relationship. It is not uncommon for snoring and humming to lead to separate bedrooms. If you suffer from regular snoring, you are welcome to make an appointment with us. In our ENT clinic in Frankfurt we will examine you carefully and recommend a therapy tailored to your individual needs. Together we can tackle your snoring problems and improve your quality of life.

ENT Frankfurt: Dr Thomas Fischer & Dr Albrecht Linke

Your specialists for ear, nose and throat medicine, who will provide you with professional and individualised advice, examinations and treatment in all matters relating to ENT medicine, functional plastic surgery and the aesthetic treatment of changes to the facial skin.

Our news articles are prepared for you to the best of our knowledge and belief and are intended for general education. They are in no way a substitute for medical advice, diagnosis and treatment and are not intended to encourage self-diagnosis or self-treatment. Please always contact your ENT specialist in Frankfurt directly if you have any health complaints!

© "Woman snoring while sleeping in bed at home" by New Africa, stock.adobe.com

The lateral wall of the nasal cavity contains a lower, a middle and an upper turbinate. These are bony ridges that surround a vascularised cavernous tissue. They are there to humidify and warm the air we breathe. If they swell and become permanently enlarged, they obstruct breathing. In this case, we ENT specialists speak of turbinate hyperplasia, which can be associated with increased mouth breathing, snoring and an increased susceptibility to infections in the throat and neck. You can find out what this finding means for you and how we can help you in this article.

Nasal concha hyperplasia

If you have turbinate hyperplasia, your turbinates are permanently enlarged. The lower turbinates are usually affected. The underlying nasal passage forms a connection to the airways. If the turbinates become enlarged, they lead to problems with nasal breathing: you then have the permanent feeling of having a blocked nasal passage. blocked nose to have. Especially when the air is too dry, they find it difficult to breathe through their nose. The problem can occur on one or both sides or even alternately. Nasal concha hyperplasia can be particularly troublesome when lying down. The already enlarged turbinates are supplied with even more blood. This means that even less air can pass through the nose.

Causes for the development of turbinate hyperplasia

An enlargement of the turbinates is not usually congenital, but is caused by various factors. These include

• Curvature of the nasal septum
• excessive use of nasal spray or nasal drops with a decongestant (Nasal spray addiction)
• Chronic allergic rhinitis/hay fever
• Injuries
• Malfunctions
• Infections with viruses or bacteria
• Food and medication intolerances
• Chronic sinusitis
• Hormone fluctuations (e.g. in pregnant women) and oestrogen-containing contraceptives
• Pollutants in the air we breathe
• Frequent, extreme temperature differences
• Alcohol abuse

Impaired nasal breathing: symptoms of turbinate enlargement

Enlarged nasal swellings can cause unpleasant discomfort:

• Insufficient nasal breathing/ventilation of the nasal cavities
• Increased breathing through the mouth
• Snoring up to sleep apnoea
• Difficulties with eating and drinking
• Nasal voice
• Drying out of the mucous membranes
• Irritable cough
• Sore throat
• Increased susceptibility to infections of the sinuses, throat, larynx, tonsils or bronchi
• Feeling of pressure in the paranasal sinuses
• Increased secretion from the nose
• Sneezing stimulus
• Odour disorders
• Nosebleed
• Tubal ventilation disorder of the middle ears
• Headache

Diagnostics for enlarged turbinates

In our ENT practice in Frankfurt we can quickly confirm the diagnosis if you are suspected of having an enlarged turbinate. We will perform a direct or endoscopic nasal examination and an ultrasound examination on you. This allows us to assess the shape, size and condition of your turbinates.

In some cases, this is followed by a Allergy diagnostics of your examination. If necessary, we can order a computerised tomography scan to rule out a hidden inflammation in the area of the paranasal sinuses.

Nasal turbinate hyperplasia: How we can treat enlarged turbinates

Conservative therapy is possible: Depending on the initial situation or cause of the turbinate hyperplasia, we recommend avoiding the trigger (weaning off nasal spray, avoiding allergens, treating the allergy, etc.). Treatment with cortisone can also help.

If this conservative therapy does not lead to success, surgical treatment is advisable. Laser conchotomy we can reduce the size of your turbinates using a special laser.

Before the laser treatment, we insert cotton swabs soaked in an anaesthetic into your nose for about half an hour. No injection is therefore necessary for the anaesthetic. We can then use the laser to painlessly reduce the size of your nasal swelling in just a few minutes. No tamponade is required after the procedure. You can go home afterwards.

Laser conchotomy is a low-risk and effective method of restoring your nasal swelling to a normal size. This significantly improves your nasal breathing.

If a deviated septum is involved in nasal concha hyperplasia, it can help to straighten it surgically (Nasal septum surgery).

Nasal concha hyperplasia treatment Frankfurt

If your Breathing is impaired by enlarged turbinates, we will be happy to help you. At our ENT practice in Frankfurt, we are optimally equipped to analyse your findings and treat you. We regularly perform both laser conchotomy and surgical straightening of the nasal septum.

ENT Frankfurt: Dr Thomas Fischer & Dr Albrecht Linke

Your specialists for ear, nose and throat medicine, who will provide you with professional and individualised advice, examinations and treatment in all matters relating to ENT medicine, functional plastic surgery and the aesthetic treatment of changes to the facial skin.

Our news articles are prepared for you to the best of our knowledge and belief and are intended for general education. They are in no way a substitute for medical advice, diagnosis and treatment and are not intended to encourage self-diagnosis or self-treatment. Please always contact your ENT specialist in Frankfurt directly if you have any health complaints!

© "Nose, mouth and beard of man" by tataks, elements.envato.com

You may be familiar with the situation: your nose is constantly running and tissues are in constant use. Even though it's not hay fever season and you don't suffer from any allergies. If secretions keep running out of your nose, this is not only unpleasant, but also annoying. In this article, we explain the possible causes of a runny nose.

Constant runny nose: These are possible triggers

Everyone knows that a cold makes your nose run. However, some patients also complain of a constantly runny nose. We explain which clinical pictures may be behind this:

Allergic rhinitis

The term "allergic rhinitis" is used to summarise various types of allergic rhinitis that are triggered by allergens in the air. The best-known form is hay fever. In this case, sufferers react to plant pollen, tiny pollen particles from trees, cereals, grasses and herbs in the air. However, reactions to house dust mites, animal hair or mould are also possible. Allergic rhinitis is accompanied by sneezing attacks, runny nose and a runny nose. blocked noseThe first step in therapy is to determine which allergens you are reacting to. The first step in therapy is to determine the allergens to which you are reacting. In our practice we carry out the Allergy diagnostics through.

Vasomotor rhinitis (hyperreflective rhinopathy)

This is a special form of rhinitis that can be accompanied by a constant runny nose. In vasomotor rhinitis, the nasal mucosa reacts hypersensitively to strong odours, hot drinks or strongly spiced food. Severe reactions to a change in temperature or physical exertion in cold air are also possible. Hyperreflective rhinopathy can also occur as a result of physical or emotional stress.

Non-allergic eosinophilic rhinitis (NARE syndrome)

If we cannot diagnose any allergic or infectious triggers for your runny nose, the so-called NARE syndrome may be responsible for your symptoms. Those affected suffer from symptoms such as nasal discharge, sneezing attacks, blocked nose and itching in the nose and throat all year round. This clinical picture is often accompanied by Nasal polyps associated. Non-allergic eosinophilic rhinitis can be treated with cortisone and/or surgical removal of the polyps.

Idiopathic rhinitis

Idiopathic rhinitis is often present if you have repeatedly suffered from rhinitis caused by viruses prior to the symptoms. Your mucous membrane may have become hypersensitive due to the viral infections.

Hormonal rhinitis

If your nose is constantly running, this can also be related to an overactive thyroid gland (known as hyperthyroidism). The thyroid gland produces too many hormones, which can lead to a generally increased sensitivity to temperatures, among other things. The body reacts with a swelling of the nasal mucosa.

The thyroid gland is not the only possible trigger. Swelling of the nasal mucosa can also be caused by a general change in hormone levels, e.g. in pregnant women. Many women who are expecting a baby suffer from a blocked or runny nose due to the altered hormone levels. After the birth, the "pregnancy cold" usually disappears again.

Senile rhinorrhoea (senile drip nose)

The natural ageing process also affects the connective tissue of the nose and the cartilage structures. In many older patients, the nose becomes larger, its tip lowers and the nostrils collapse. Breathing becomes more difficult due to the resulting bottlenecks. In addition, there is an age-related reduction in the number of cells in the nose. This causes the mucous membranes to dry out more. Unpleasant crusts can develop. In senile rhinorrhoea, the body also reacts with excessive secretion production. The nasal mucosa produces too much secretion. In addition, the secretion transport often no longer functions as it used to.

The result: senile rhinorrhoea or senile drip nose. It manifests itself as persistent chronic watery rhinitis. Secretions drip more or less uncontrollably from the nose. External influences such as a change in temperature or spicy food can exacerbate the condition.

Crack in the sieve plate

If your nose is constantly running, there may also be a leak in the sieve plate. This is a wafer-thin bone that separates the paranasal sinus from the organs in the head. Further examinations should be carried out, especially if there is heavy nasal discharge following a head injury, an accident or after an operation. A tear in the sieve plate can lead to cerebrospinal fluid escaping from the skull. This cerebrospinal fluid then flows out via the nose.

Constant runny nose: Clarification by your ENT specialist in Frankfurt

Before we can initiate treatment for your nasal complaints, we need to investigate the cause. In our ENT practice in Frankfurt we first check whether an allergic or infectious cause is the cause of your nasal discharge. There are various diagnostic methods for this, such as Endoscopy of the noseallergy tests, blood analyses or laboratory tests of the Nasal secretions.

The treatment of your runny nose depends on the underlying cause of your symptoms. Possible treatments include medication, household remedies such as nasal rinsing or Surgical measures.

Many people get scared when they hear the term "growths" and immediately think of malignant changes. But don't worry - there are also benign growths in the ENT area, which are not dangerous in themselves, but can disturb the patient. These include nasal polyps. These are soft, benign tissue growths in the nasal mucosa. Some polyps are only a few millimetres in size and do not cause any restrictions, while others can grow into extensive formations and block the nasal cavities. In this article, we will inform you about when and how we remove nasal polyps.

What are nasal polyps?

The nose is divided into the left and right nasal cavities. The two are separated by the nasal septum. The main cavities are connected to several Paranasal sinuses attached. They are connected to the respective main nasal cavity via excretory ducts. The main sinuses and sinuses are lined with a mucous membrane. One of its functions is to moisturise and filter the air we breathe.

Some patients develop soft, benign mucosal growths in the paranasal sinuses over time. These are nasal polyps. They vary in size from a few millimetres to several centimetres. The polyps sit flat on the mucous membrane.

However, it is also possible that they are connected to it via a thin stalk. In some cases, the growths may grow into the nasal cavity.

Nasal polyps mainly affect adults and are often part of the clinical picture of chronic sinusitis. The exact causes that lead to their formation or development are still unclear. Risk factors may include genetic predisposition and persistent inflammation of the mucous membranes due to allergies or infections. Nasal polyps are also frequently associated with bronchial asthma, (chronic) bronchitis and an intolerance to the painkiller acetylsalicylic acid (ASA). Patients suffering from cystic fibrosis or Kartagener's syndrome also often develop nasal polyps.

What symptoms can nasal polyps cause?

If the nasal polyps are (still) small, patients often do not even notice them. If they increase in size, they can lead to the following symptoms:

• Restricted nasal breathing, causing patients to breathe more through the mouth
• the feeling of a constant blocked nose
• Recurrent inflammation of the paranasal sinuses
• a nasal voice
• a limited sense of smell and an impaired sense of taste
• dull headache
• Snoring
• Sleep disorders, resulting in limited performance during the day

Removing nasal polyps: What treatment options are there for polyps?

If we have discovered nasal polyps in your nose, there are two forms of treatment:

Treatment with medication

If the nasal mucosa is not too swollen, i.e. the polyps are small, we can prescribe a nasal spray containing cortisone. The medication inhibits the activity of inflammatory cells. As a result, it also alleviates inflammatory reactions such as swelling of the nasal mucosa. Cortisone also inhibits the growth of the polyps. Smaller growths can be removed in many cases. The cortisone spray must be used regularly over several months. It is also possible to administer cortisone in tablet form.

Removing nasal polyps with surgery

If drug therapy does not bring sufficient success or no real or long-lasting improvement, we can remove the nasal polyps surgically. This also applies if the polyps are simply too large. The polyps are removed using microscopic/endoscopic minimally invasive surgery. Paranasal sinus surgery. We choose the nasal openings as the access route for this. With microscopic and endoscopic support, we locate the polyps in the paranasal sinuses and remove them using special instruments. We take great care to protect the surrounding important structures (eyes, brain and blood vessels). The aim of the operation is to permanently improve drainage of the sinus cavity into the nasal cavity.

After the nasal polyps have been removed, we recommend careful follow-up treatment. In this way, we can reduce the likelihood of the polyps reappearing. Follow-up treatment includes the use of nasal sprays containing cortisone and regular moisturising of the mucous membranes. Inhalation or a nasal douche are suitable for this.

Nasal polyp removal in Frankfurt

Nasal polyps usually grow quite slowly. As a result, many patients become accustomed to the symptoms. This means that they come to our clinic quite late. Goethe 10 Practice Clinic in Frankfurt come. However, small polyps can often be successfully treated with medication. We therefore recommend that if you have the above symptoms, you make an appointment at our ENT practice in Frankfurt and have yourself examined.

Following surgical removal, nasal polyps may reappear in the first few years after the operation. For this reason, it is advisable to come to us regularly for check-ups.

ENT Frankfurt: Dr Thomas Fischer & Dr Albrecht Linke

Your specialists for ear, nose and throat medicine, who will provide you with professional and individualised advice, examinations and treatment in all matters relating to ENT medicine, functional plastic surgery and the aesthetic treatment of changes to the facial skin.

Our news articles are prepared for you to the best of our knowledge and belief and are intended for general education. They are in no way a substitute for medical advice, diagnosis and treatment and are not intended to encourage self-diagnosis or self-treatment. Please always contact your ENT specialist in Frankfurt directly if you have any health complaints!

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When the nose is blocked, it is very unpleasant and annoying. There are several reasons for obstructed nasal breathing. Treatment varies depending on the underlying cause. It ranges from nasal irrigation and the use of nasal sprays to taking tablets. In some cases, surgery can also be performed in our ENT clinic in Frankfurt become necessary.

If the mucous membrane in the nose swells considerably and produces viscous mucus, the ducts narrow. The result: you get less air. Frequent triggers are infections of the upper respiratory tract caused by viruses and pathogens - in other words, the well-known common cold. However, there are also other causes that can impair nasal breathing.

Reasons for a blocked nose

• Inflammation of the paranasal sinuses (sinusitis)
• Allergies (e.g. hay fever, allergies to house dust or animal hair - the secretion remains clear and the blocked nose is usually associated with frequent sneezing attacks or itchy eyes)
• Effects of poisons or irritants
• Dry air
• Cigarette smoke
• Particulate matter
• Foreign bodies in the nose (especially in children)
• Curvature of the nasal septum
• Nasal polyps
• Enlarged turbinates
• Injuries to the nose, e.g. after accidents or operations
• Tumours in the nose (especially if only one side of the nose is blocked)

Tips for a blocked nose: common remedies to help you breathe freely again

A blocked nose can be treated in various ways. The therapy depends on the cause. There are basically the following options:

Medication

If your nose is blocked, you can use decongestant nasal drops or nasal sprays. But be careful: you should only use the medication a maximum of three times a day and for no longer than a week. Short-term use is generally not expected to have any negative consequences. However, if the drops and sprays are used for longer, the nasal mucosa can become accustomed to the medication. It then demands the medication again and again to reduce swelling. This leads to a nasal spray addiction (also read our blog post: "Nasal spray addiction: What are the consequences?").

Sometimes it is also necessary to take antibiotics. Other options include moisturising seawater nasal sprays or, in the case of an allergy, cortisone nasal sprays or antihistamines.

Inhalation and nasal irrigation

For rhinitis, colds and dry nasal mucous membranes, the daily Inhalationwith warm vapours can help. Inhalation can liquefy the mucus, loosen crusts and moisturise the nasal mucosa. It is possible to inhale pure water vapour or a saline solution. Popular inhalation additives are camomile, sage, tea tree oil or essential oils such as peppermint or eucalyptus oil.

Nasal rinsing or nasal irrigation can help your body to flush out secretions, pathogens, pollen or house dust from the nasal cavity.

Home remedy

If the nose is blocked for a "simple" reason and there are no physical causes such as a crooked nasal septum, home remedies can also be very helpful. A common tip is to drink plenty of water or unsweetened teas. The increased fluid intake can liquefy the thick mucus in the nose and sinuses, allowing it to be removed. It is also often recommended to eat hot and spicy food. Horseradish, ginger, chilli or mustard contribute to increased blood flow to the mucous membranes and can therefore clear the airways. It is also advisable to lie on your side when sleeping. This allows the upper nostril to decongest. This allows you to breathe better. Also make sure that your head is slightly elevated. The nose gets blocked more quickly in a flat lying position. Another tip is to humidify the room air with the help of a humidifier or an indoor fountain, especially in the winter months when the heating is running frequently and at high levels. This means that the nasal mucosa does not dry out so easily and is less irritated. Regular ventilation is also important. Oxygen can make breathing easier.

Nasal congestion: Surgery can help in these cases

In some cases, a blocked nose is not due to an infection or allergy. It is possible that the obstructed nasal breathing is the result of a malposition or physical illness.

Curvature of the nasal septum

If the septum is curved, this can lead to obstructed nasal breathing - including snoring. Affected patients often also suffer from headaches or recurring inflammation of the sinuses. In the course of Nasal septum surgery we can correct the malposition. This allows you to get more air through your nose again. An additional advantage: a bent septum often makes the nose look crooked. With rhinoplasty, we also even out the appearance of the crooked nose. The nose looks straighter.

Paranasal sinus surgery

If inflammation from the nose spreads to the sinuses, it can lead to blocked ventilation and chronic inflammation. Polyp formation in the sinuses can also lead to this effect. With the Paranasal sinus surgery For example, we can remove pathologically altered mucous membranes and eliminate obstructions to the nasal cavity. In this way, we can provide you with better ventilation.

Laser conchotomy

If the turbinates are healthy, they expand at rest. They contract during physical exertion. If the turbinates are enlarged, they are permanently enlarged. This can make breathing difficult. With the Laser conchotomy we can treat abnormally enlarged turbinates with laser and restore them to normal dimensions. This makes breathing easier again.

Nasal congestion: Treatments from your ENT doctor in Frankfurt

If your nose is blocked and the usual self-treatment does not help, then you should definitely make an appointment at our ENT practice in Frankfurt agree on the duration. This also applies if the illness lasts longer than ten days. With careful diagnostics, we will find out what is causing the obstruction to your nasal breathing.

Many patients with chronic sinusitis suffer for years from annoying symptoms that restrict their quality of life. These include a constantly blocked or runny nose, an unpleasant feeling of pressure, sometimes also a restricted sense of smell and headaches. Most sufferers are also affected by frequently recurring infections. Even if sinusitis is chronic, this does not mean that it cannot be treated. In this blog post, we show you various treatment methods.

Causes of chronic sinusitis

Various factors can contribute to the development of chronic sinusitis. The most common triggers include changes that prevent adequate ventilation of the nose. These can be allergic swelling or inflammation, but also anatomical changes such as a curved nasal septum, narrowing of the sinus openings, nasal polyps or cysts.

Other causes can be diseases such as Cystic fibrosisdiseases of the immune system or benign or malignant tumours. What most patients don't even think about is that dental inflammation can also cause chronic sinusitis. This is the case, for example, if there is inflammation of the root of the tooth. You ("this" would mean the root of the tooth. Always refers to the latter noun) can ascend into the maxillary sinus (dentogenic sinusitis) and manifest itself there.

Conventional measures to treat chronic sinusitis

Whilst a short cold is annoying but not very troublesome, it is unpleasant to be unable to breathe properly through the nose in the long term. Chronic sinusitis can be treated conventionally. These include, for example

• Nasal sprays containing cortisone
  The medication cortisone reduces the swelling of the mucous membranes in the sinuses. The full effect of cortisone sprays usually sets in after a few days. To achieve lasting relief from the symptoms, it is often necessary to take the medication for several months. Cortisone sprays are often used for nasal polyps or to avoid surgery. The disadvantage is that the sprays can irritate or dry out the nasal mucosa, especially if used over a long period of time. This can lead to increased nosebleeds.
• Antibiotics
  Sinusitis is usually caused by viruses. Antibiotics that are primarily effective against bacteria are therefore only useful in rare or specific cases: in the case of extremely severe symptoms, fever above 38.5 degrees and worsening symptoms, as well as in patients with chronic inflammatory lung disease or other serious underlying illnesses.
• Antihistamines
  If the sinusitis is the result of Allergy treatment with antihistamines can be useful.
• Conventional decongestant nasal drops/nasal sprays
  Nasal drops and nasal sprays with active ingredients such as xylometazoline soothe the mucous membrane and reduce swelling. As a result, nasal breathing improves temporarily. This can help you sleep better at night, for example. The disadvantage of these medications is that the decongestants can also quickly have the opposite effect. This means that the nasal mucosa swells up again after just a few hours. The more often you use the medication, the stronger this effect can be (keyword: Nasal spray addiction). Nasal drops and nasal sprays should therefore not be used continuously for more than a few days. For this reason, they are not suitable for the long-term treatment of chronic sinusitis.
• Painkillers
  Well-known painkillers from the pharmacy can relieve pain, but do not speed up the healing process in the case of chronic sinusitis. They should only be taken for a few days as they can cause stomach problems, for example.
• Inhalation and nasal rinsing
  Many patients can achieve good results in the treatment of sinusitis symptoms by inhaling or rinsing with saline solutions. The swelling of the mucous membrane can be reduced and secretions can be loosened. It is also possible to heat water and inhale the pure vapour. If desired, essential oils (e.g. peppermint oil) can be added.
• Biologics
  These are anti-inflammatory agents that are also used in the treatment of rheumatism. Since October 2019, biologics have also been approved as a form of treatment for severe chronic sinusitis.
• Home remedies and alternative healing methods
  Patients can support the treatment of sinusitis with simple measures: These include an increased fluid intake to liquefy the nasal secretions. Many patients also find exposure to red light particularly beneficial. Another tip is to put your head in a higher position when sleeping. This makes it easier to breathe through the nose. Some patients swear by taking zinc. Alternative approaches such as acupuncture or osteopathy can alleviate accompanying symptoms.

Nasal surgery for chronic sinusitis

If drug/conservative therapy is not successful enough or has been exhausted, if there is a risk of complications or if certain anatomical changes are the cause of chronic sinusitis, surgery may also be considered.

Depending on the findings, various surgical options are possible:

Paranasal sinus surgery

In our ENT clinic in Frankfurt we offer paranasal sinus surgery. We perform microscopic and endoscopic minimally invasive surgery on the paranasal sinuses or maxillary sinuses, ethmoid cells, frontal sinuses or sphenoid sinuses. We remove pathologically altered mucous membranes or polyps, for example, while carefully protecting the surrounding important structures, and use special instruments to widen structures that are too narrow.

Click here for more information: Sinus surgery Frankfurt

Nasal septum surgery

Chronic sinusitis can also be caused by a deviated nasal septum. If this is straightened surgically, breathing can be made significantly easier. The susceptibility to infections can also be reduced. Positive side effect: If the nose looked crooked due to the curvature of the nasal septum, the operation also has an effect on the appearance.

Further information: Nasal septum surgery Frankfurt

Laser conchotomy

Enlarged turbinates can also cause chronic inflammation. Laser conchotomy is a modern, tissue-sparing laser treatment that causes the turbinates to shrink. They can no longer swell as much, which means that nasal breathing remains unobstructed. The treatment has a similar effect to that of nasal sprays and nasal drops - but without the side effects.

Find out more here: Laser conchotomy Frankfurt

ENT doctor Frankfurt: Treating chronic sinusitis

We know how annoying a permanent inflammation of the sensitive mucous membranes in the sinuses can be - so we understand you well if you suffer from this condition and the associated symptoms. Dr Thomas Fischer is your Nose specialist in Frankfurt. He will examine you carefully and suggest the treatment options that are right for you.

ENT Frankfurt: Dr Thomas Fischer & Dr Albrecht Linke

Your specialists for ear, nose and throat medicine, who will provide you with professional and individualised advice, examinations and treatment in all matters relating to ENT medicine, functional plastic surgery and the aesthetic treatment of changes to the facial skin.

Our news articles are prepared for you to the best of our knowledge and belief and are intended for general education. They are in no way a substitute for medical advice, diagnosis and treatment and are not intended to encourage self-diagnosis or self-treatment. Please always contact your ENT specialist in Frankfurt directly if you have any health complaints!

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