How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Vakul Aren Your Own Question

Vakul Aren
Vakul Aren, Doctor
Category: Health
Satisfied Customers: 3404
Experience:  MBBS,DTM&H( Univ of Liverpool),34yrs experience in practice
15267045
Type Your Health Question Here...
Vakul Aren is online now
A new question is answered every 9 seconds

hi I m struggling with blocked/runny nose for years now. combination

Resolved Question:

hi
I m struggling with blocked/runny nose for years now. combination of sinus problems and allergy ! and am used to taking pills/sprays/saline wash ect ect...
what really bothers me above all is when i sleep, I feel perfectly fine, as soon as I get up (by getting up I mean vertical position) nose goes mad! this canhappen in the middle of the night if for any reason I need to walk to the kitchen or bathroom, or in the morning...suddenly nose gets blocked and I start sneezing!
it won t get better unless I take some drug!!
what s wrong with me?
anything I can do to improve ?
Submitted: 3 years ago.
Category: Health
Expert:  Vakul Aren replied 3 years ago.
Dear customer, greetings.You apparently have a chronic sinusitis/rhinitis problem.Regular use of decongestant drops and oral decongestant medication (which should not be used for more than 3 days)would lead to Rhinitis Medicamentosa,in which rebound congestion following use of these products often leads to use of more drugs and a chronic condition.This mayalso be a result of many factors including allergy,fungal infections,chronic bacterial infections ,swollen mucosa,and polyps and chronic sinusitis.You need to be examined by a ENT doctor who may prescribe longer than usual courses of Steroids (for upto 8-12 weeks) and antibiotics for upto 6 weeks apart from other therapy..A Fibreoptic Endoscopic Sinus examination may help detect obstructions and other local problems.Correction of a deviated nasal septum would help.Use of antihistaminics and Montelukast/Singulair ,along with NSAIDS like Ibubrufen may help.In chronic nonresponsive cases regular use of saline irrigation of the nose by a neti pot and saline solution will help. Yoga exercises to help clear the nasal passages will be of use in the long term and have helped many of our patients who were not being helped by drugs.
Vakul Aren, Doctor
Category: Health
Satisfied Customers: 3404
Experience: MBBS,DTM&H( Univ of Liverpool),34yrs experience in practice
Vakul Aren and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Vakul Aren
Vakul Aren
Consultant Physician
1587 Satisfied Customers
MBBS,DTM&H( Univ of Liverpool),34yrs experience in practice