Deviated Septum

10 min read

A deviated septum is a condition in which the nasal septum, the wall that separates the two nostrils, is displaced from its normal position. It is a common condition, affecting up to 80% of the population. It can be caused by trauma, such as a broken nose, or it can be present from birth.

Causes of Deviated Septum

A deviated septum can be caused by trauma, such as a broken nose, or it can be present from birth. It can also be caused by the natural aging process, as the cartilage in the nose weakens over time.

Diagnosis of Deviated Septum

A deviated septum is usually diagnosed during a physical examination of the nose. The doctor will look for signs of a deviated septum, such as a visible displacement of the septum or a blockage of one or both nostrils. The doctor may also use a nasal endoscope to get a better view of the inside of the nose.

Complications of Deviated Septum

A deviated septum can cause a number of complications, including difficulty breathing, frequent sinus infections, and snoring. It can also lead to a decrease in the sense of smell.

Symptoms

Symptoms of a Deviated Septum

The most common symptom of a deviated septum is difficulty breathing through the nose. This can be caused by a blockage of the nasal passages due to the displacement of the septum. Other symptoms include:

  • Frequent nosebleeds
  • Nasal congestion
  • Facial pain or pressure
  • Snoring
  • Frequent sinus infections
  • A whistling sound when breathing

If you experience any of these symptoms, it’s important to see a doctor for a diagnosis. A deviated septum can be diagnosed with a physical exam and imaging tests such as an X-ray or CT scan.

Take the Deviated Septum Assessment

Causes

Birth Defects

One of the most common causes of a deviated septum is a birth defect. During fetal development, the nasal septum may not form properly, resulting in a deviated septum. This type of deviated septum is usually present at birth and is known as a congenital deviated septum.

Injury

Injury to the nose is another common cause of a deviated septum. Trauma to the nose, such as from a car accident or a sports injury, can cause the nasal septum to become displaced. This type of deviated septum is known as an acquired deviated septum.

Growth

In some cases, a deviated septum may develop as a result of normal growth and development. As the nose grows and changes shape, the nasal septum may become displaced. This type of deviated septum is known as a developmental deviated septum.

Getting a Diagnosis

Physical Examination

During a physical examination, the doctor will look inside the nose with a lighted instrument called an endoscope. This allows the doctor to see the septum and determine if it is deviated. The doctor may also use a nasal speculum, which is a device that holds the nostrils open so that the doctor can get a better view of the septum.

Medical History

The doctor will also ask the patient about their medical history, including any previous injuries to the nose or sinuses. The doctor may also ask about any symptoms the patient is experiencing, such as difficulty breathing, frequent nosebleeds, or a feeling of congestion.

Imaging Tests

In some cases, the doctor may order imaging tests such as a CT scan or an MRI to get a better view of the septum. These tests can help the doctor determine the extent of the deviation and plan the best course of treatment.

Conclusion

Diagnosis of a deviated septum typically involves a physical examination of the nose and a review of the patient's medical history. In some cases, imaging tests may be ordered to get a better view of the septum. Treatment for a deviated septum may include medications, lifestyle changes, or surgery.

Questions for Your Doctor

Questions to Ask Your Doctor

  • What are the symptoms of a deviated septum?
  • What tests do I need to diagnose a deviated septum?
  • What are the treatment options for a deviated septum?
  • Are there any risks associated with the treatment?
  • What can I do to manage my symptoms?

What to Expect During Your Appointment

Your doctor will likely ask you questions about your symptoms and medical history. They may also perform a physical exam of your nose and sinuses. During the exam, they may use a lighted instrument called an endoscope to look inside your nose. They may also order imaging tests, such as a CT scan, to get a better look at your nasal passages.

Your doctor may also recommend lifestyle changes to help manage your symptoms. These may include avoiding allergens, using a humidifier, and using nasal sprays or decongestants. If your symptoms are severe, your doctor may recommend surgery to correct the deviated septum.

Takeaway

If you suspect you have a deviated septum, it is important to discuss your symptoms and concerns with your doctor. Be sure to ask questions about the diagnosis, treatment options, and any risks associated with the treatment. Your doctor may also recommend lifestyle changes to help manage your symptoms.

Treatment

Surgery

The most common treatment for a deviated septum is a surgical procedure called septoplasty. During this procedure, the surgeon will make an incision in the septum and then reshape it to its normal position. The procedure is usually done under general anesthesia and takes about an hour. After the surgery, the patient may experience some swelling and bruising, but these should subside within a few weeks.

Nasal Strips

Nasal strips are adhesive strips that are placed on the outside of the nose to help open the nasal passages. They work by gently lifting the sides of the nose, which helps to open the airways and improve breathing. Nasal strips are available over-the-counter and are a safe and effective way to treat mild cases of a deviated septum.

Nasal Sprays

Nasal sprays are another option for treating a deviated septum. These sprays contain decongestants that help to reduce swelling in the nasal passages and improve breathing. Nasal sprays are available over-the-counter and can be used for short-term relief of symptoms.

Oral Medications

Oral medications, such as antihistamines and decongestants, can also be used to treat a deviated septum. These medications can help to reduce swelling in the nasal passages and improve breathing. Oral medications should only be used under the supervision of a doctor.

Conclusion

A deviated septum can cause difficulty breathing and other symptoms. Fortunately, there are several treatments available for this condition. Surgery is the most common treatment, but nasal strips, nasal sprays, and oral medications can also be used to treat a deviated septum. It is important to talk to your doctor to determine the best treatment for your individual situation.

Drugs & Medications

Treatment for Deviated Septum

Treatment for a deviated septum typically involves surgery, known as a septoplasty. This procedure is designed to straighten the septum and improve breathing. In some cases, medications may be prescribed to reduce inflammation and swelling.

Medications for Deviated Septum

Medications may be prescribed to reduce inflammation and swelling associated with a deviated septum. These medications may include:

  • Corticosteroids: These medications reduce inflammation and swelling.
  • Antihistamines: These medications reduce the body's response to allergens.
  • Decongestants: These medications reduce nasal congestion.
  • Nasal sprays: These medications reduce inflammation and swelling.

It is important to note that medications are not a substitute for surgery. Surgery is the only way to permanently correct a deviated septum.

Diet

What to Eat

A healthy diet for a deviated septum should include plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats. Eating a variety of foods from each food group can help ensure that you get all the nutrients you need. Some specific foods that may be beneficial for people with a deviated septum include:

  • Berries: Blueberries, strawberries, and other berries are high in antioxidants, which can help reduce inflammation.
  • Leafy greens: Spinach, kale, and other leafy greens are packed with vitamins and minerals that can help boost immunity.
  • Fish: Salmon, tuna, and other fatty fish are high in omega-3 fatty acids, which can help reduce inflammation.
  • Nuts and seeds: Almonds, walnuts, and other nuts and seeds are a good source of healthy fats and protein.
  • Garlic: Garlic has anti-inflammatory and antibacterial properties that can help reduce symptoms of a deviated septum.

What to Avoid

In addition to eating a healthy diet, it is important to avoid certain foods that can worsen symptoms of a deviated septum. These include:

  • Processed foods: Processed foods are high in sodium and other additives that can increase inflammation.
  • Sugary foods: Eating too much sugar can weaken the immune system and make it harder to fight off infections.
  • Alcohol: Alcohol can irritate the lining of the nose and worsen symptoms of a deviated septum.
  • Caffeine: Caffeine can cause dehydration, which can make symptoms of a deviated septum worse.

Conclusion

Eating a healthy diet can help reduce the symptoms of a deviated septum and improve overall health. Eating plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats can help reduce inflammation and boost immunity. It is also important to avoid processed foods, sugary foods, alcohol, and caffeine, as these can worsen symptoms of a deviated septum.

Lifestyle

Avoid Allergens

One of the best ways to manage the symptoms of a deviated septum is to avoid allergens. Allergens can irritate the nasal passages and cause inflammation, which can worsen the symptoms of a deviated septum. To reduce your exposure to allergens, keep your home clean and dust-free, and avoid pets, smoke, and other potential allergens.

Stay Hydrated

Staying hydrated is important for overall health, but it can also help manage the symptoms of a deviated septum. Drinking plenty of water helps thin the mucus in the nasal passages, which can help reduce congestion and make it easier to breathe. Aim to drink at least 8 glasses of water per day.

Use a Humidifier

Using a humidifier can help keep the air in your home moist, which can help reduce congestion and make it easier to breathe. Make sure to clean the humidifier regularly to prevent the growth of mold and bacteria.

Avoid Irritants

Irritants such as smoke, strong odors, and chemical fumes can irritate the nasal passages and worsen the symptoms of a deviated septum. To reduce your exposure to these irritants, avoid smoking and other activities that produce smoke, and use natural cleaning products in your home.

See a Doctor

If lifestyle changes don't help manage the symptoms of a deviated septum, it's important to see a doctor. A doctor can diagnose the condition and recommend treatments such as surgery or medications to help manage the symptoms.