I first quit smoking about 5 years ago. After about 4 months, I had severe nasal congestion so I went to see an ENT. He diagnosed a deviated septum and enlarged turbinates. I had a septoplasty and submucosal resectioning of the turbinates. My breathing was better afterwards as I basically had my nose "roto-rootered". 6 months later, I started smoking again (1/2 pack per day of American Spirit lights)... Never had any severe breathing problems but I did have the constant runny nose that I would blow before bed. Finally decided to quit smoking again 6 months ago. Like clockwork, 4 months later, I couldn't breathe through my nose at night. So...here is what I have tried for the last 2 months.
--Fluticasone 2 sprays daily in each nostril.
--sudafed (the real stuff..not the PE) 60mg 4x daily
--mucinex 1200mg daily as the mucous is now thick and sticky
--Allegra in the daytime
--Benadryl at night
--neilmed sinus rinse daily
--Max-air nose cones
--Low carb (keto) diet. Great for losing weight btw!
--Drink lots of water.
--No alcohol/drugs
--Exercise 3-5 times a week so I'm pretty fit for 47 years old.
--3 separate courses of antibiotics to no avail.
--HEPA air filter in bedroom (and another in living room)
--Humidifier in bedroom
The only thing that brings any relief is afrin which I am using every other day to prevent "rebound" but sleeping every day doesn't cut it and it is only a temporary solution.
Have seen the ENT and he thought that it would clear up with the final 2 week course. I asked him if it was possible that quitting smoking has led my sinuses to overreact and he just kinda blew it off, however, last night, I googled my situation and came across a post from 7 years ago on a medhelp forum where the poster stated that his nasal congestion started 4 months after quitting smoking and 43 replies over the last 6 years stating that they had the same issue...but no follow up posts with any resolution stated.