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  • BDD Moderators: Keif’ Richards

Never-ending blocked nose/sinus problems.

MatthewD

Bluelighter
Joined
Jun 13, 2009
Messages
229
What's up everyone! This is a pretty straight forward issue, but it proves to be a constant annoyance. I can barely remember one moment in a year where I have said to myself "wow, I can breathe through my nostrils."

Every day when I wake up, I have to snort a heap of mucus up, spit it out, repeat. My nose almost never runs, and my lungs themselves don't seem to be the immediate issue; I only really cough up anything first thing in the morning. I put this down to mucus run-off while I'm asleep. Sinus issues and allergies seem to run in both sides of my family, which is probably a very likely factor in this. I also suffer from Asthma (nowhere near as bad as it was when I was a kid).

The inside of my nose itself, is often dry, and the contents crusty and flaky. I do not appear to be "sick", to my knowledge, as the contents are often clear, or as close to it as mucus/snot generally can be. Sometimes so much that I can get a blood nose trying to physically clean my nose out. Generally I can't blow out or snort up much, so it's a constant battle to feel that relief.

I have tried damn near everything easily available, but mostly everything doesn't help. A hot shower (specifically running over my face) helps to loosen up a bit of it, and usually I can spit out a bit, but that's basically as far as my progress goes. I'll list some other methods I have tried to benefit from:

Antihistamines: Due to the already dry nature of my nose, this class of drugs seems to provide roughly zero relief. I'm talking all of your general cold/flu/hay-fever prevention/relief products. The side effects of being lethargic and feeling a little 'sketchy' make them not even worth taking at all.

Nasal-Sprays: Often just an Antihistamine, sometimes mixed with other, lesser-active substances. These seemed promising, as they are a liquid, so they should counter the dryness of my nose and beyond. Sadly, theory fails in this case. They too do little to nothing for the regular blockages.

Naturally Scented Decongestants: Products such as 'Vicks Vaporub', which is Menthol scented, and various other aromatic decongestants. They help a little bit, but are a constant upkeep and overpower the most formidable of deodorants. For them to have any positive effect, they also require me to apply them that close to my nostrils that I get mustache burn.

Hot Food: Oddly enough, this really works. The downside, however, is that it's very impractical. My nose will run like a tap eventually (proving to me that it WAS blocked, and I'm not just 'tripping out'), but not until I get to the stage of sweating, going red, stripping off clothing to 'cool down' etc. I think I'd rather the blocked nose?

Pseudoephedrine: I was fortunate enough to find an old box of Sudafed in my parents cupboard one day. I never actually swallowed the tablets, but instead snorted one or two. I only did this once, but my nose literally ran like a tap for an hour and a half or so. I'm hesitant to even ask for it though... It's generally frowned upon at Chemists, plus I am prescribed several potentially recreational drugs already, one being Dexamphetamine, which I believe will interact badly.

Dexamphetamine: I've tried this in very small doses insulated. I never would do this to get a buzz off the pills, but it works as quite an effective, but only temporary decongestant for my nose. Orally it is a lot less effective for this purpose. I can't get into a habit of snorting amphetamines for a simple blocked nose.

Additionally, I bought a product that pushes salty water into your nose by hand-pumping it. It works a little bit, but spending 10-20 minutes in front of a mirror, several times a day, feeling like I have just been dumped by a massive wave, isn't what I would call a comfortable or socially viable solution.

Where does this leave me?
 
Pseudoephedrine/amphetamine (try and get some levomethamphetamine from a Vicks inhaler?) are excellent decongestants but they will develop a rebound effect eventually. They're still the most effective decongestants I can think of.

Phenylephrine (cut down version of sudafed) is crap, IME.

Avoid nasal spray decongestants like oxymetazoline and friends, they also cause terrible rebound congestion even though they may be active. Stick to saline mists.

For you I might suggest a carefully dosed preparation of atropine, hysocine, and/or scopolamine plus a decongestant - the anticholinergic will produce dryness of the mucous membranes and the e.g. pseudoephedrine will constrict the blood vessels in your sinuses and let the mucus clear out.

Also, this may be obvious, but cease any intranasal drug abuse for a while (if you snort things). See if that helps. You could also go see an ear, nose, throat specialist.
 
I used to suffer like this when I was using amphetamines; do you notice a relation between your d-amp usage and your condition?
 
Sekio nailed it really!

It does sound like you suffer from chronic rhino-sinusitis (inflammation of your nose and sinuses), most likely related to an allergy but it could be an infection (more likely if the discharge from your nose when it does run is green, if you have lost your sense of smell, have pain across the sinuses, accompanying earache/discharge or a mild fever). Doesn't sound like an infection from the way you describe it but if you do notice things changing you might benefit from a course of antibiotics - but see a specialist for advice :)

One thing that has not been mentioned is a steroid nasal spray. You would need to see a doctor for this, but it can work really well to decrease the inflammation and as it is fairly locally acting (meaning it acts on the nose but not much is absorbed and spreads to the rest of your body) it is pretty safe to use it long-term.. however, it can add to the dryness of your nasal lining so you often need to use it in conjunction with a saline nasal spray or even some cream to keep everything moist.
 
It could be worth seeing a nasal specialist. I couldn't breathe much out of my nose for years and then was finally diagnosed with a deviated septum after discovering that I didn't in fact have the allergies I was perscribed corticosteroids for. One nose job later and things are really a lot better though not really perfect. I woke up on a doctor-administered speedball after the operation though, but that's another story.
 
I've had nasal congestion my entire life too, causing migraines throughout the day... before i was introduced to amphetamines ofc ;)

The only thing that works effectively/consistently long-term is nasal irrigation - there are funnels and various devices made for this (available at any pharmacy), tho personally i just use a small glass and a straw and snort/breathe in a solution of sea salt and water.. then hold my head back or lay on my back till the mucous follows through to the other side

saline never worked for me, plus it's more expensive to buy all that commercial shit than to just walk into your kitchen and grab a glass, plastic straw and some sea salt+water

It might be gross, but it's the only way to go long-term without ruining your nasal cavity.. plus it's the most effective method. The commercial crap just scratches the surface, so-to-speak... basically compacting the mucous the solution doesn't reach and hardening it once it wears off (leaving you back where you started)
 
Pseudoephedrine/amphetamine (try and get some levomethamphetamine from a Vicks inhaler?) are excellent decongestants but they will develop a rebound effect eventually. They're still the most effective decongestants I can think of.

Phenylephrine (cut down version of sudafed) is crap, IME.

Avoid nasal spray decongestants like oxymetazoline and friends, they also cause terrible rebound congestion even though they may be active. Stick to saline mists.

For you I might suggest a carefully dosed preparation of atropine, hysocine, and/or scopolamine plus a decongestant - the anticholinergic will produce dryness of the mucous membranes and the e.g. pseudoephedrine will constrict the blood vessels in your sinuses and let the mucus clear out.

Also, this may be obvious, but cease any intranasal drug abuse for a while (if you snort things). See if that helps. You could also go see an ear, nose, throat specialist.

My Dexamphetamine prescription is hit or miss when it comes to aiding my nasal issues. Occasionally it will loosen up large amounts of congealed mucus, but that restricts me to when I am "allowed" to breathe properly. For example, I can't just smash down a heap of Dexamphetamine before bed because my face is killing me, I'll be up all night. I have a feeling that Dexamphetamine provides a more intense stimulation:decongestant ratio than that of Pseudoephedrine and LevoAmphetamine's. I am not even sure if we have LevoMethamphetamine Inhalers here anyway...

As for the Atropine etc., I am willing to give them a try. I've seen them mentioned many times in old-school drug books, so I have a feeling a few of those mentioned are contained within Psychedelics such as Datura or Magic Mushrooms... Or maybe it was deadly spiders haha? If you could send me in the right way to obtaining some easily that would be great.

I had the opportunity to take a Phenylephrine containing Cold and Flu tablet last night, but I didn't even bother as it had Codeine in it, which in my experience, only makes things worse. My sinus hit me so hard last night my face was getting hot flushes and it felt like I just smoked a massive cone (had I zero tolerance ;)).

I used to suffer like this when I was using amphetamines; do you notice a relation between your d-amp usage and your condition?

I find in general that Amphetamines can help, but overall they could be drying my nose out and making it more congealed once they wear off. Maybe due to leaving my nose dry or something?

Sekio nailed it really!

It does sound like you suffer from chronic rhino-sinusitis (inflammation of your nose and sinuses), most likely related to an allergy but it could be an infection (more likely if the discharge from your nose when it does run is green, if you have lost your sense of smell, have pain across the sinuses, accompanying earache/discharge or a mild fever). Doesn't sound like an infection from the way you describe it but if you do notice things changing you might benefit from a course of antibiotics - but see a specialist for advice :)

One thing that has not been mentioned is a steroid nasal spray. You would need to see a doctor for this, but it can work really well to decrease the inflammation and as it is fairly locally acting (meaning it acts on the nose but not much is absorbed and spreads to the rest of your body) it is pretty safe to use it long-term.. however, it can add to the dryness of your nasal lining so you often need to use it in conjunction with a saline nasal spray or even some cream to keep everything moist.

At the worst, the colour my mucus is yellowish, but usually only when I really try to snort it up hard. Every now and then I'll get minor nose bleeds as well. Usually when really dried up and stubborn mucus is aggressively blown/picked/snorted/washed out. This would probably be due to dryness, right? You're spot on with the mild-headaches and fever, along with blocked ears as well. Last night I could feel my ears pop individually as I would tilt my head from side to side. Looking far downwards, and sidewards gives me a dull pain as well. I usually look far upwards to tell if I'm getting a bit dehydrated, it seems to work. I think I'll ask a doctor about the nasal sprays...

It could be worth seeing a nasal specialist. I couldn't breathe much out of my nose for years and then was finally diagnosed with a deviated septum after discovering that I didn't in fact have the allergies I was perscribed corticosteroids for. One nose job later and things are really a lot better though not really perfect. I woke up on a doctor-administered speedball after the operation though, but that's another story.

At the moment I would not have a hope of affording a nasal specialist, although in the future I'd love to do so. I'll just have to see if any G.P.'s can help me out, and tell them what's what if they try to (again) give me antihistamines. Or we can skip straight to the speedball ;).

The answers above have pretty much explained it all, and it is probably sinus problems, I use the technique in the website below though and I always get a clear nose for at least half a minute, allowing me to snort a line quickly.

http://www.buteykoscotland.co.uk/nose.htm

I did look at that site, and I have somewhat of a similar routine myself. Minimally effective, however. But thank you, and I agree that the previous posters hit the nail on the head.

I've had nasal congestion my entire life too, causing migraines throughout the day... before i was introduced to amphetamines ofc ;)

The only thing that works effectively/consistently long-term is nasal irrigation - there are funnels and various devices made for this (available at any pharmacy), tho personally i just use a small glass and a straw and snort/breathe in a solution of sea salt and water.. then hold my head back or lay on my back till the mucous follows through to the other side

saline never worked for me, plus it's more expensive to buy all that commercial shit than to just walk into your kitchen and grab a glass, plastic straw and some sea salt+water

It might be gross, but it's the only way to go long-term without ruining your nasal cavity.. plus it's the most effective method. The commercial crap just scratches the surface, so-to-speak... basically compacting the mucous the solution doesn't reach and hardening it once it wears off (leaving you back where you started)

I spent ages the other night snorting warm salty water, and it helped a little bit. I did this with a straw and a glass as well. Long-term this seems like a viable solution, but probably more effective for upkeep, after I sort the issue out with other methods.

I apologize for the late reply everyone, but I really appreciate the input!
 
Have you had an ENT or surgeon investigate structural problems? I had the exact same problem until I was 15, had surgery to remove lower turbinates, abnoid pad, and something else I can't remember the name of, fixed me right up. It was a nightmare until then, was exactly like what you are describing. The only thing that ever helped me before that were large doses of afrin; which would only last a couple days and the rebound from it would become painful.
 
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