Patient: On February 7, 2012, I went to the quintuplegia department of the state hospital to see (because it is the largest and most formal hospital in the area) because my throat was uncomfortable, then that doctor looked at it, told me to check my nose, said I was allergic rhinitis and hypertrophic rhinitis, told me to do a minimally invasive surgery (at that time I did not understand), anyway, they are formal hospitals, so they did it, came back to know that this surgery is called plasma ablation, and after the surgery I was not told how to take care of it, and I was told to go to the clinic for seven days of anti-inflammatory injections, so I was silent. I thought this kind of small surgery well, after a few days, but by March 27 I took leave to return home, after examination, I laryngeal epiglottis in a cyst, and then the surgery, the throat is always solved, I also told the doctor in my old home hospital (tertiary hospital) what happened to me, the doctor said to help me after examination, said, anyway, not as good as the original. Told me to apply some erythromycin eye ointment to my nasal cavity when I was usually dry. I did as I was told, but I still have trouble sleeping at night, hyperventilation and no resistance in the left nostril, it’s hard to get up in the morning all dry. If the weather cools down, it is even more uncomfortable, that the air sucked into the nose is colder and drier, until the whole chest is cold in the trachea below the throat. The nose is also very spicy, and washing it with saline will bring out some dried scabs with blood spots. From February 7 to now, I never slept well for a day, and it was good enough to sleep for three or four hours. I was awakened by the feeling of dryness and emptiness. I also thought, “It’s so uncomfortable, let’s just end it early. On May 4, I went to the hospital for a nasal endoscopy and the results were: nasal cavity: smooth mucous membrane, light red inferior turbinates, no congestion, no enlargement of the middle turbinate, all nasal passages were clear, no secretions. Cefixime was administered for 7 days on the same day after surgery. Physiological saline nasal wash (these days after seeing the online introduction for three days, the symptoms are somewhat relieved.) Because sometimes it is inconvenient. Erythromycin eye ointment on the nose (more than 2 months after the surgery),) May 4 to the provincial hospital (a provincial rhinologist prescribed) oral clarithromycin (May 5 onwards, 15 days, one a day kind of) spray Lidetin 9 days and oral dicloretin dry suspension (13 days a day two sachets) (a provincial rhinologist prescribed) two drops of oxyfloxacin eye solution (once a day) in the past two days ). Am I suffering from empty nose? I want to get a definite answer so that I can prepare my mind. What can I do about my symptoms? Thank you. Wang Hongtian, Department of Otolaryngology, Beijing 301 Hospital: Your symptom description is not consistent with the nasal endoscopic findings. Even empty nose syndrome is not a terminal disease and can be treated symptomatically. Patient: Thank you, Dr. Wang, for your reply. Now my feeling is that my nasal cavity is dry, my left nose is hollow and wide, I can’t restrict the airflow, and I have dry crust inside when I wash my nose. Now the weather is a little hot and still better, when the air cools down, it is unbearable, all the cold air is inhaled, and the nasal cavity feels dry, tense and spicy pain. When the nasal cavity feels dry and crusty, there is a little resistance to inhaling, and then the air inhaled is not so cold, so the lungs feel more comfortable. I don’t know what the nasal endoscopy report means, but when I was examined with the kind of mirror I wear on my head, it said that after thermal coagulation of the bilateral turbinates, there was a small part of scar formation and not much atrophy of the inferior turbinates. Dr. Wang, does this have an effect on the nasal turbinates with scars? What should I do? Wang Hongtian, Department of Otolaryngology, Beijing 301 Hospital: It is recommended to try plugging the nostrils with a little cotton Patient: Thank you for your reply, I tried plugging my nostrils with cotton, but the foreign body feeling was heavy. Now I can have some resistance in my left nose at night after rinsing with saline, but it’s not as natural compared to the right nose because I feel that the left nose is drier than the right nose. When I get up, the snot from my left nose will flow backwards and then I spit it out to see that it is a little yellow. But the amount is not much, just two or three times. Now I have very little sleep in a day, just four or five hours, and I can sleep only when I am very sleepy, but I wake up early when I go to sleep and late when I wake up. The first thing I do when I wake up is to blame myself and regret, I am in pain, I am about to collapse, in three and a half months, I have lost 18 pounds. Dr. Wang, like me, is it possible to return to normal in the future? I only have saline flushing now. I look forward to your reply. Wang Hongtian, Department of Otolaryngology, Beijing 301 Hospital: I understand your pain and I don’t know how I can help you. I would like to talk to you from 2 aspects. 1 from the treatment aspect and 2 from the will aspect. There are many ways to try to treat the nasal cavity, such as hot air fumigation, partial blockage of the anterior nostril, cod liver oil nose drops, erythromycin ointment local application. Because this happened to you after surgery, you feel especially wronged, especially painful and unacceptable. Imagine the will of people like Zhang Heidi and Paul Kerchakin. They were more unfortunate than you, but instead of bowing to their illness and disability, they lived their lives wonderfully. Their misfortune and pain were greater than yours, but then they were able to live a wonderful life, so why can’t you? Would you rather die than accept it simply because the doctor caused it for you? Many people have disabilities caused by natural disasters and car accidents, so what can be done? Patient: Hello, Dr. Wang. I listened to your words carefully. This week I have been running around for this nose, I went to the provincial hospital to see the doctor, the doctor prescribed several medicines, there are compound double flower syrup light calendula raw vein capsule, before that infusion of three days of salvia, now the turbinates, especially the left turbinate can rise up, not as empty as before, and not as very dry as before, now I drop peppermint oil three times a day, I feel that there is an improvement in the nasal cavity than before when I consulted you. Now my question is, do I have to rely on these three drugs in the future, and if I get off the drugs will I go back to the empty, dry and spicy pain I had before? Thank you, Dr. Wang, for your help in answering this question. Wang Hongtian, Department of Otolaryngology, Beijing 301 Hospital: I don’t dare to say. But please treat it and see. Don’t let worries about the future flood in to beat you down. Patient: Thank you, Dr. Wang, for your guidance! You’re right, I’m just overly worried about the future mentally now. Every night when I wake up, I first try to see if my nose is still comfortable, and if it’s a little uncomfortable, I worry until dawn. After more than three months of torture, I realized that I still have a lot of things to do, if my nose continues to be unable to adapt to the constant changes in weather and seasons, and also cold and dry pain, I may become a waste, and nothing can be done. The neglect of my nose and lack of proper care in the first period made me more worried about the recovery of my nose in the future. But after a few days of medication and nasal drip treatment, the nose symptoms have improved, but there are still symptoms of tight nasal roots and the left nose is still empty after waking up, in fact, I consult you, Dr. Wang, because you have seen a lot of knowledge, experience and high medical ethics. I got a lot of help, both psychologically and in the course of the disease. I went to a big hospital in the province this time, and the medical record says: nasal turbinates are small, congested, dry, throat is congested, follicles are increased, and the diagnosis is dry rhinitis and pharyngitis. Dr. Wang, will the symptoms of dry rhinitis be reversed later? Wang Hongtian, Department of Otolaryngology, Beijing 301 Hospital: It is possible to reverse. You have to have confidence. Even if it remains so, it is not a fatal disease like cancer, so don’t be overly afraid and worried. Many people have dry or even atrophic rhinitis without ablation, and that doesn’t live? So, I suggest you heat fumigation, partial blockage of the anterior nostril, cod liver oil nose drops, and erythromycin ointment local application. More importantly, at 30 years old, you should be a bloodthirsty young man, work well and make greater achievements. I sincerely wish you to get rid of your troubles and enjoy the happiness of life.