Hey, due to the recent times, I have some sinus problems, so I go to t

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Hey, due to the recent times, I have some sinus problems, so I go to the doctor. Uh, according to this, they have been said like, uh, uh, s- growing of skin on my nose. So whether it is take possible surgery or medicinal treatment is enough for this?

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I now have enough information from the medical textbooks to give you a thorough, well-sourced answer. Let me put it all together.

Your Nasal Endoscopy (DNE) Report - Explained

First, here is what the doctor's note says (it is a Diagnostic Nasal Endoscopy report):

Finding	What it means
Mild Deviated Nasal Septum to Right side	The cartilage/bone that divides your nostrils is slightly off-center toward the right
Spur on Right side	A small bony/cartilage projection on the septum on that same side
1st pass possible on both sides	The endoscope could pass through both nasal passages - no complete blockage
Adenoid Grade II hypertrophy	Your adenoid tissue (at the back of the nasal cavity) is moderately enlarged - blocking roughly 25-50% of the airway
No crowding of m.m. on both sides	The middle meatus (drainage pathway of sinuses) is not blocked - a good sign
ITH on Right side	Inferior Turbinate Hypertrophy - the soft bony shelf inside your right nostril is swollen/enlarged

The "Growing of Skin" You Mentioned

You are likely referring to the Inferior Turbinate Hypertrophy (ITH) or possibly the adenoid hypertrophy. These are not cancer or polyps - they are normal structures in your nose that have become swollen/enlarged, usually from chronic inflammation, allergies, or repeated infections.

Surgery or Medicine - What Is Right for You?

Based on authoritative ENT textbooks, the answer is: medicine first, surgery only if medicine fails.

Step 1: Medical Treatment (Try This First)

For Inferior Turbinate Hypertrophy, the standard first-line approach includes:

Intranasal corticosteroid sprays (like Fluticasone or Mometasone) - reduce swelling of the turbinates
Antihistamines - if allergy is the underlying trigger
Nasal saline rinses (Jala Neti / saline spray) - flush mucus, reduce inflammation
Oral decongestants (short-term)
Leukotriene inhibitors (like Montelukast) in allergic cases

For Adenoid Grade II Hypertrophy, the Cochrane Collaboration evidence shows that intranasal corticosteroids may reduce adenoid size and significantly improve nasal obstruction without surgery - Textbook of Family Medicine 9e, p. 427.

The mild deviated septum with a spur alone, since it is described as mild and the 1st pass is still possible, does not automatically need surgery.

Step 2: Surgery (If Medicine Does Not Work)

Surgery is considered when symptoms persist despite adequate medical treatment. Options include:

Turbinate Reduction (for ITH) - using radiofrequency, laser, cautery, or submucosal resection. Submucosal resection gives the best results while preserving normal function. Note: Surgeons are careful not to remove too much - this can cause "empty nose syndrome," which is very difficult to treat - Textbook of Family Medicine 9e, p. 419
Septoplasty (for deviated septum with spur) - surgical straightening of the septum
Adenoidectomy (for adenoids, if Grade II causes persistent symptoms)

Practical Summary for You

Since your findings are:

Mild deviation (not severe)
Grade II adenoids (moderate, not severe Grade III/IV)
ITH on one side only (right)
No crowding of the middle meatus

This is a very good scenario for medical management first. Most ENT specialists would start you on a nasal steroid spray + saline rinse for 6-8 weeks and reassess. Surgery is only recommended if you fail to improve after proper medical treatment.

Important: Please follow your ENT doctor's specific recommendation. They have examined you in person. This information is educational and does not replace their clinical judgment.

Yeah, the doctor has been give, अ, Decronic Adenotonsillitis Mucus of Nasal Spray, like that something, अ, 15 days oral take. अ, so, 15 takes has been finished. So, whether, अ, it reduce the swellings or anything.

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Great - I have what I need from the textbooks. Here is your answer:

Will the 15-Day Medicine Reduce the Swelling?

The short answer: Yes, it can help - but 15 days is often just the starting point, not the complete cure.

Here is what typically happens with your type of treatment:

What the Medicines Are Doing

Your doctor likely gave you a combination of:

Medicine Type	What it does
Nasal corticosteroid spray (e.g., Mometasone/Fluticasone)	Directly reduces swelling/inflammation of the turbinate and adenoid tissue. This is the most important medicine for your condition
Oral antibiotic (15-day course, e.g., Amoxicillin/Clindamycin)	Treats the chronic bacterial infection in the adenoid/tonsil tissue
Oral decongestant/antihistamine	Reduces mucus and opens up the blocked nasal passages

What You Can Expect After 15 Days

Symptoms like nasal blockage, runny nose, and sinus pressure should have improved noticeably if the medicine is working
The nasal spray works gradually - it can take 4 to 8 weeks of regular use before the full reduction in adenoid/turbinate swelling is seen. So 15 days of spray is not enough on its own - the spray should typically continue for 6-8 weeks or longer
The oral antibiotics would have cleared the active bacterial infection in 15 days, but they do not permanently shrink the enlarged tissue
According to the Cochrane Collaboration evidence, intranasal corticosteroids can reduce adenoid size with moderate-to-severe hypertrophy - Textbook of Family Medicine 9e, p. 427

Key Point: Chronic = Takes Longer to Heal

Your condition is chronic (long-standing), not acute. Chronic adenotonsillitis means the tissue has been inflamed for a long time. It does not fully resolve in 15 days. Think of it like this:

Antibiotics: clear the infection ✔
Nasal spray: slowly reduces swelling over weeks ✔
Full recovery: needs 6-8 weeks minimum of consistent treatment

When to Be Concerned / Go Back to Doctor

You should revisit your ENT doctor if:

Nasal blockage is not improving after 4-6 weeks of nasal spray
You still have mouth breathing, snoring, or difficulty sleeping
You develop fever, facial pain, or severe headache again
Symptoms come back after finishing antibiotics

For Chronic Tonsillitis specifically, Goldman-Cecil Medicine (a top internal medicine textbook) states: if long-term antibiotics fail to resolve it, or if there are repeated episodes, tonsillectomy/adenotonsillectomy becomes the next option - Goldman-Cecil Medicine, p. 3849.

Bottom Line for You

The 15-day oral medicines will have reduced the infection and initial inflammation - that is a good start
Your nasal spray should be continued as prescribed (likely for several more weeks) - this is what will reduce the turbinate and adenoid swelling over time
Go for your follow-up appointment with the doctor as scheduled. They will re-examine you and decide if medicine is enough or if any further step is needed
Most patients with Grade II adenoids and mild turbinate hypertrophy like yours do respond well to medicines and avoid surgery

I have noticed before 15 days, the-- my nose will be blocked only on peak winter times, not on summer times. After 15 days, I has been leave 15 days without consulting doctor. And between those 15 days, I can, uh, feel the one side nose blocking after taking this medicine. I don't know why. Uh, today also, one side only my nose blocking, like the air flow in right-hand side, it was full clear. In left-hand side, or during some time, I can feel that the air can growing is literally somehow one side high and one side low. After taking only this medicine, so why?

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This is textbook-perfect. Here is your full explanation:

Why One Side of Your Nose Feels Blocked - Completely Normal!

What you are experiencing has a proper medical name: The Nasal Cycle. And it is one of the most fascinating things the human nose does.

What is the Nasal Cycle?

Your nose intentionally blocks one side at a time - and switches every few hours. This is not a disease. This is your body working normally.

Here is how it works:

"The nasal cycle is a cyclical vascular phenomenon that occurs in 80% of normal individuals - alternating congestion/decongestion every 3 to 7 hours. It is centrally mediated by the autonomic nervous system."

K.J. Lee's Essential Otolaryngology

Your turbinates (those bony shelves inside your nose) act like sponges - they fill with blood on one side, making that side feel blocked
Meanwhile, the other side opens up fully to compensate
Then after 3-7 hours, they switch - the blocked side opens, and the clear side blocks
The total airflow through both sides combined stays the same - your body maintains a balance

This has been known since 1927 and occurs in 80% of all people - Cummings Otolaryngology Head and Neck Surgery.

Why Are You Noticing It MORE Now After Medicine?

This is the interesting part - and your observation is very sharp. Here is why:

Before treatment: Both your sides were partially blocked (from chronic inflammation + turbinate hypertrophy). The blockage was roughly equal on both sides, so the switching was less obvious.

After medicine: The nasal spray reduced the overall swelling. Now one side is much clearer than before. So when the nasal cycle switches to block the left side, you suddenly feel a strong contrast - "one side is completely clear, one side is blocked." The difference is more noticeable because the medicines actually worked!

There is also a concept called "Paradoxical Nasal Obstruction" - your report showed a deviated septum to the right side. Because of this, your brain unconsciously ignores the constant mild blockage on the right (deviated side). So when the nasal cycle blocks the left (open side), you suddenly feel it strongly - even though the right side is technically more deviated.

Why Was It Worse Only in Winter Before?

Your textbook report also explains this perfectly:

"Cold/dry air, irritants (dust, smoke), alcohol, pregnancy, hypothyroidism can cause congestion of capacitance vessels"

K.J. Lee's Essential Otolaryngology

In winter, cold dry air irritates the nasal lining, causing the turbinates to swell more. This made the nasal cycle blockage severe enough to bother you. In summer, your turbinates were less reactive, so the same cycle happened but you did not feel it much.

What You Should Do

Situation	Action
One side blocks, other is clear, switches after a few hours	Normal nasal cycle - no action needed
One side is always blocked and never switches	Visit doctor - could be turbinate issue or septum
Blockage is worse lying down on one side	Also normal nasal cycle - try sleeping on the other side
Blockage feels heavy, with facial pain or thick discharge	Could be sinusitis - consult doctor

The most important thing: Your one-side-blocked feeling after starting medicines is actually a sign that the medicines are working - the swelling has reduced enough that you can now feel the normal nasal cycle that was always there but was hidden before.

Continue your nasal spray as prescribed and go back to your doctor for a follow-up - they will check if the turbinate and adenoid swelling has reduced adequately.

How long should I continue the nasal spray before results stabilize?

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Searching PubMed

intranasal corticosteroid duration treatment adenoid turbinate hypertrophy

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Here is a clear, structured answer based on ENT textbook evidence:

How Long Should You Continue the Nasal Spray?

The Short Answer: 6 to 12 weeks minimum, and possibly long-term

This is not a medicine you take for 15 days and stop. Nasal steroid sprays (like Mometasone or Fluticasone) work very differently from antibiotics.

Timeline of How the Spray Works

Timeframe	What is happening
Day 1-3	Almost no noticeable effect yet - the medicine is just starting to act on the tissue
Week 1-2	Very mild reduction in inflammation begins - you may feel slight improvement
Week 3-4	More noticeable improvement - nasal breathing starts becoming easier
Week 6-8	The real stabilization point - adenoid tissue and turbinate swelling meaningfully reduced
Week 8-12	Maximum response achieved in most patients
Beyond 12 weeks	Long-term maintenance use to prevent swelling from returning

The Cochrane Collaboration evidence (referenced in the Textbook of Family Medicine) specifically states that intranasal corticosteroids need adequate time to show measurable adenoid size reduction - 15 days is far too short to judge results.

Key Facts About Nasal Steroid Sprays

From K.J. Lee's Essential Otolaryngology (a top ENT textbook):

Intranasal corticosteroids (INCS) are indicated for allergic rhinitis, nonallergic rhinitis, vasomotor rhinitis, and chronic rhinosinusitis - exactly your conditions
Topically administered corticosteroids typically have few or no systemic side effects due to minimal absorption into the bloodstream - so long-term use is safe
Local side effects are limited to occasional minor nosebleeds (epistaxis) - K.J. Lee's Essential Otolaryngology, p. 221
They do not cause the serious problems that oral/injected steroids cause (no blood pressure issues, no bone loss, no blood sugar problems)

For Your Specific Conditions

Your Finding	Expected Spray Duration
Inferior Turbinate Hypertrophy (right)	6-8 weeks to reduce mucosal swelling
Adenoid Grade II Hypertrophy	8-12 weeks, sometimes ongoing
Chronic Adenotonsillitis	Continue as long as inflammation is present
Deviated septum	Spray helps the mucosa, but septum itself does not straighten with spray

The Most Important Rule: Do Not Stop on Your Own

You mentioned you left 15 days without consulting the doctor after finishing oral medicines. This is the key issue. With chronic conditions like yours:

Stopping the nasal spray early allows the turbinate swelling to come back (rebound inflammation)
The benefit builds slowly and needs consistent daily use - missing days resets progress
Your doctor needs to re-examine you at 6-8 weeks to decide whether to continue, reduce the dose, or change the plan

Go back to your ENT doctor now. Tell them:

You finished the 15-day oral course
You are still using the nasal spray
You notice one-side alternating blockage (nasal cycle - normal, as we discussed)
Ask them specifically: "How many more weeks should I continue the spray?"

Your doctor will likely ask you to continue the spray for at least another 4-6 weeks from today, then reassess. If the turbinate swelling and adenoids do not reduce adequately after a full 8-12 week spray course, that is when surgery discussion becomes relevant.

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