Deviated Septum Surgery

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Essential Oil for a Deviated Septum: 8 Essential Oils Proven to Reduce Breathing Problems

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There are a number of essential oils that can alleviate the breathing problems associated with a deviated septum. These include:

  • Lavender Oil:

Lavender oil (Lavandula officinalis) is used in aromatherapy and for massaging. This oil is derived from aromatic flowers and exhibits anti-inflammatory, antimicrobial, and analgesic (pain relieving) properties. It reduces the swelling and pain in inflamed mucosa (inner skin) of congested nose and sinuses.1Karaca, N., Demirci, B., & Demirci, F.Evaluation of Lavandula stoechas L. subsp. stoechas L., Mentha spicata L. subsp. spicata L. essential oils and their main components against sinusitis pathogens. Zeitschrift Für Naturforschung C. 2018

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Lavender oil also increases blood circulation and activates the immune system. External application of lavender oil instills relaxing effects and diminishes stress and anxiety.

Massaging the forehead using lavender and peppermint oils helps relieve headaches due to clogged sinuses.2Chu CJ, Kemper KJ. Lavender (Lavandula spp.). Longwood Herbal Task Force. 2001 Jul;32.

  • Eucalyptus Oil

This oil (Eucalyptus globulus) is derived from steam distillation of leaves. It exhibits anti-inflammatory, analgesic (pain-relieving), and antimicrobial properties.3Kapitanska, Polina, Kaloyana Shangova, Rostislava Markova, & Petya Genova. "Effects of eucalyptus oil on ciliary beat frequency of nasal mucosa." Scripta Scientifica Pharmaceutica [Online], 3 (2016): 18. Web. 13 Sep. 2020 Eucalyptol (1,8-cineole) is the key ingredient present in the essential oil which reduces the inflammation of mucosa (inner lining), serving as an effective decongestant.


Research suggests that ingredients of this essential oil block the production of inflammation causing agents (e.g., interleukin, thromboxane, leukotriene), exhibiting anti-inflammatory action.4J., Abebe, W., Sousa, S. ., Duarte, V. ., Machado, M. I. ., & Matos, F. J. . (2003). Analgesic and anti-inflammatory effects of essential oils of Eucalyptus. Journal of Ethnopharmacology, 89(2-3), 277–283. doi:10.1016/j.jep.2003.09.007

Inhalation of eucalyptus oil through steam also exhibits antimicrobial properties that helps fight infections in the nose and sinuses.

External application of eucalyptus oil relieves from pain and headaches. It also enhances the mucociliary clearance, leading to thinning of the mucus and easier drainage from the clogged sinuses.5Dhakad, A. K., Pandey, V. V., Beg, S., Rawat, J. M., & Singh, A. (2017). Biological, medicinal and toxicological significance of Eucalyptus leaf essential oil: a review. Journal of the Science of Food and Agriculture, 98(3), 833–848. This oil should not be used during pregnancy, lactation, and in infants.

  • Peppermint Oil

Peppermint’s (Mentha piperita) essential oil is obtained by distillation of leaves. A key ingredient of peppermint oil is menthol, besides methofuran and limonene. It is known for its cooling and relaxing effects and is commercially used in balms (cream applied on the skin for a soothing effect).6Cristina, E. D. (2004). Understanding True Aromatherapy: Understanding Essential Oils. Home Health Care Management & Practice, 16(6), 474–479.

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The anti-inflammatory properties of menthol help relieve nasal congestion and stuffiness of the nose. 

External application or inhalation of peppermint oil through steam serves as an effective decongestant and provides relief from headaches and migraines.


Its antiseptic and antimicrobial properties inhibit the growth of several microorganisms and reduce infections in the nose and sinuses.7Nayak P, Kumar T, Gupta AK, Joshi NU. Peppermint a medicinal herb and treasure of health: A review. Journal of Pharmacognosy and Phytochemistry. 2020;9(3):1519-28. Due to its side effects, this oil is not advised for infants, children, pregnant and lactating women.

  • Other Essential Oils
  • Rosemary oil: This essential oil is extracted from the leaves, stems, and flowers of the rosemary herb (Rosmarinus officinalis). Its anti-inflammatory action reduces swelling of the mucosa of the nose and sinuses, relieving congestion and clearing the airway.8Banjaw D, Wolde TG, Gebre AM, Mengesha B. Rosemary (Rosmarinus officinalis L.) variety verification trial at wondogenet, South Ethiopia. Med Aromat Plants (Los Angel). 2016;5(267):2167-0412.
  • Thyme oil: This oil is extracted from thymus flowers (Thymus sipyleus or vulgaris) after steam distillation. Inhalation of this oil with steam is effective against several microorganisms and aids in the treatment of nose and sinus infections (rhinosinusitis).9Hall E. Natural Rx for Sinus Infections.
  • Oregano oil: Inhalation of this oil assists in clearing accumulated mucus in the clogged sinuses. It also has antiseptic and antiallergic properties.10Demirci, F., Karaca, N., Tekin, M., & Demirci, B. (2018). Anti-inflammatory and antibacterial evaluation of Thymus sipyleus Boiss. subsp. sipyleus var. sipyleus essential oil against rhinosinusitis pathogens. Microbial Pathogenesis, 122, 117–121.
  • Tea tree oil: This oil (Melaleuca alternifolia) has antibacterial, anti-inflammatory, and immune-system boosting properties. Inhalation of this oil is an effective remedy against cough, congestion, and infection of the nose and sinuses.11Ali, B., Al-Wabel, N. A., Shams, S., Ahamad, A., Khan, S. A., & Anwar, F. (2015). Essential oils used in aromatherapy: A systemic review. Asian Pacific Journal of Tropical Biomedicine, 5(8), 601–611.
  • Anise oil: Anise oil (Anisi aetheroleum) is derived from ripened fruits by steam distillation. This oil helps in thinning of the mucus and clearing of clogged nose and sinuses. Anise oil should not be used for more than 2-3 weeks and is not recommended in case of any known allergic reactions.12Horváth G, Ács K. Essential oils in the treatment of respiratory tract diseases highlighting their role in bacterial infections and their anti‐inflammatory action: a review. Flavour and Fragrance Journal. 2015 Sep;30(5):331-41.

Sources:

  1. 1
    Karaca, N., Demirci, B., & Demirci, F.Evaluation of Lavandula stoechas L. subsp. stoechas L., Mentha spicata L. subsp. spicata L. essential oils and their main components against sinusitis pathogens. Zeitschrift Für Naturforschung C. 2018
  2. 2
    Chu CJ, Kemper KJ. Lavender (Lavandula spp.). Longwood Herbal Task Force. 2001 Jul;32.
  3. 3
    Kapitanska, Polina, Kaloyana Shangova, Rostislava Markova, & Petya Genova. "Effects of eucalyptus oil on ciliary beat frequency of nasal mucosa." Scripta Scientifica Pharmaceutica [Online], 3 (2016): 18. Web. 13 Sep. 2020
  4. 4
    J., Abebe, W., Sousa, S. ., Duarte, V. ., Machado, M. I. ., & Matos, F. J. . (2003). Analgesic and anti-inflammatory effects of essential oils of Eucalyptus. Journal of Ethnopharmacology, 89(2-3), 277–283. doi:10.1016/j.jep.2003.09.007
  5. 5
    Dhakad, A. K., Pandey, V. V., Beg, S., Rawat, J. M., & Singh, A. (2017). Biological, medicinal and toxicological significance of Eucalyptus leaf essential oil: a review. Journal of the Science of Food and Agriculture, 98(3), 833–848.
  6. 6
    Cristina, E. D. (2004). Understanding True Aromatherapy: Understanding Essential Oils. Home Health Care Management & Practice, 16(6), 474–479.
  7. 7
    Nayak P, Kumar T, Gupta AK, Joshi NU. Peppermint a medicinal herb and treasure of health: A review. Journal of Pharmacognosy and Phytochemistry. 2020;9(3):1519-28.
  8. 8
    Banjaw D, Wolde TG, Gebre AM, Mengesha B. Rosemary (Rosmarinus officinalis L.) variety verification trial at wondogenet, South Ethiopia. Med Aromat Plants (Los Angel). 2016;5(267):2167-0412.
  9. 9
    Hall E. Natural Rx for Sinus Infections.
  10. 10
    Demirci, F., Karaca, N., Tekin, M., & Demirci, B. (2018). Anti-inflammatory and antibacterial evaluation of Thymus sipyleus Boiss. subsp. sipyleus var. sipyleus essential oil against rhinosinusitis pathogens. Microbial Pathogenesis, 122, 117–121.
  11. 11
    Ali, B., Al-Wabel, N. A., Shams, S., Ahamad, A., Khan, S. A., & Anwar, F. (2015). Essential oils used in aromatherapy: A systemic review. Asian Pacific Journal of Tropical Biomedicine, 5(8), 601–611.
  12. 12
    Horváth G, Ács K. Essential oils in the treatment of respiratory tract diseases highlighting their role in bacterial infections and their anti‐inflammatory action: a review. Flavour and Fragrance Journal. 2015 Sep;30(5):331-41.

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Supplements for a Deviated Septum: 6 Vitamins to Reduce Your Symptoms

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In addition to improving your overall health, there are supplements for a deviated septum you can take that will reduce your deviated septum symptoms.

Let’s take a look:

​What Pills Help with Deviated Septum?

  • Vitamin C for Deviated Septum

Vitamin C has anti-inflammatory properties and is an effective antioxidant. Individuals with deviated nasal septum often complain of congestion of the nose and sinus, nasal discharge, and a feeling of pressure and tenderness in the areas of sinuses. In such individuals, Vitamin C can reduce the inflammation of mucosa present in the nose and sinuses.

vitamin c

Vitamin C also helps reduce histamine levels in the body, which is responsible for causing nose and sinus congestion.1Meletis CD. Natural Approaches to Sinusitis Relief. Alternative and Complementary Therapies. 2000 Apr;6(2):69-71.

Research suggests that external application of Vitamin C creams in the nasal mucosa help improve mucociliary clearance (defence mechanism to remove microorganisms from the airway). It is also an effective anti-allergic supplement which can modify the immune system by targeting damage-causing cells.

Vitamin C can be taken alone orally or can be combined with other medications to treat the symptoms of deviated nasal septum.2Jiao, J., Meng, N., Wang, H., & Zhang, L.The effects of vitamins C and B12 on human nasal ciliary beat frequency. BMC Complementary and Alternative Medicine. 2013;13(1).

  • Vitamin D for Deviated Septum

Vitamin D supplementation is an effective therapy against respiratory tract infections. It is observed that individuals with vitamin D deficiency often develop sinonasal and other upper respiratory tract infections.3Tomaszewska M, Sarnowska E, Rusetska N, et al. Role of Vitamin D and Its Receptors in the Pathophysiology of Chronic Rhinosinusitis. J Am Coll Nutr. 2019;38(2):108-118.

Usually, mucus (a slimy substance) secreted by the mucosa (inner skin) of the nose and sinuses trap microorganisms present in the air inhaled and drain them out through the throat.

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This process is known as mucociliary clearance. In individuals with vitamin D deficiency, mucociliary clearance is delayed which leads to accumulation of mucus within the nose and sinuses, increasing congestion and chances of subsequent infections.

The anti-inflammatory properties of vitamin D help decrease the swelling of inflamed mucosa (inner skin) of the nose and sinuses. Vitamin D also regulates the function of immune cells in sinuses. In individuals with vitamin D deficiency, the immune response may get interrupted and increase susceptibility to infections.4Akcan FA, Dündar Y, Akcan HB, Uluat A, Cebeci D, Ünlü İ. Evaluation of nasal mucociliary clearance time in patients with Vitamin-D deficiency. Eur Arch Otorhinolaryngol. 2019;276(4):1075-1080.

  • Magnesium and Calcium for Deviated Septum

Magnesium is known for its antioxidant effect which reduces the inflammation of nasal mucosa. It plays an important role in providing relief from headaches. Magnesium blocks chemicals (serotonin) which transmit pain to the brain, consequently helping relieve headaches. In case of deficiency, daily intake of 350mg in women and 400mg in men is prescribed.5Mauskop A. Headache alternatives: Drug-Free therapies for preventing, reducing, and ending the pain of migraines and other headaches. Townsend Letter: The Examiner of Alternative Medicine. 2007 Nov 1(292):83-6.

apple cider vinegar

The oral intake of calcium reduces the swelling of mucosa in the nose and sinuses. It also regulates the mucociliary clearance, assisting in relieving the congestion.6Bachert C, Drechsler S, Hauser U, Imhoff W, Welzel D. Influence of oral calcium medication on nasal resistance in the nasal allergen provocation test. Journal of allergy and clinical immunology. 1993 Feb 1;91(2):599-604.

  • Other supplements:
  • Vitamin A:  It strengthens the immune system of the individual. It infuses immunity to fight against microorganisms causing infection in the nose and sinuses.7Daniels, A. L. Nasal Sinusitis Produced by Diets Deficient in Fat-Soluble A Vitamin. Jama: The Journal of The American Medical Association.1923; 81(10), 828.
  • Selenium: It aids in the removal of substances causing damage to the mucosa of the nose and sinuses.8Linday, L. A., Dolitsky, J. N., & Shindledecker, R. D. (2004). Nutritional supplements as adjunctive therapy for children with chronic/recurrent sinusitis: pilot research. International Journal of Pediatric Otorhinolaryngology, 68(6), 785–793.
  • Omega-3 fatty acid: Due to its anti-inflammatory properties, it can be effective in the treatment of chronic sinusitis.9Linday, L. A., Dolitsky, J. N., & Shindledecker, R. D. (2004). Nutritional supplements as adjunctive therapy for children with chronic/recurrent sinusitis: pilot research. International Journal of Pediatric Otorhinolaryngology, 68(6), 785–793.

Deviated Septum and Vitamin Deficiency – What Role Does It Play?

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Deviated septum and vitamin deficiency do not have a direct cause-effect relationship. But deficiency of vitamins can exacerbate the symptoms associated with a deviated septum.

Research suggests the low levels of vitamins in the body increase the frequency of mucosal diseases such as infections of the nose and sinuses.10Huang, Y., Liu, A., Liu, L., Wang, B., & Liang, G. The association between vitamin deficiency and otolaryngologic diseases: A therapeutic target. Medical Hypotheses. 2019. 109448.

Vitamins A, C, and E have antioxidant effects that help remove infection-causing substances from the mucosa of nose and sinuses and combat infections. Vitamin E has an essential role to maintain and protect the tissues of the nose and sinuses. Vitamin C and D have anti-inflammatory properties that reduce the swelling of the mucosa, clearing the airway to breathe.

Vitamin D deficiency can delay the nasal mucociliary clearance which may increase the accumulation of mucus within the nose and sinuses, obstructing the nasal passage. Meanwhile, Vitamin C deficiency can cause mucosal bleeding in the nose and increase the incidence of sinus infections.11Huang, Y., Liu, A., Liu, L., Wang, B., & Liang, G. The association between vitamin deficiency and otolaryngologic diseases: A therapeutic target. Medical Hypotheses. 2019. 109448.

Individuals suffering from symptoms of deviated nasal septum should keep track of these vitamin levels and consult a doctor for supplements.

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How to Fix a Deviated Septum Without Surgery: Complete Guide to Home Remedies, Devices & More

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Can you fix a deviated septum without surgery?

Yes, you can – there are natural methods that don’t require surgery. And in this complete guide we cover every method that can help you. But…

Remember that natural methods for fixing a deviated septum do not have the support of scientific studies that surgical methods do. In other words, while surgeries for deviated septum have been tested in scientific studies, natural methods have not.

With that said, there are natural methods that many people have used with success, and that you can try at home to get relief from the symptoms of deviated septum. We cover all of those methods in this guide.

Table Of Contents
Can you fix a deviated septum without surgery?
How to Fix a Deviated Septum Without Surgery
​Essential Oil for a Deviated Septum
​Diet for a Deviated Septum
Supplements for a Deviated Septum
​Devices That Help a Deviated Septum
Medication for a Deviated Septum
​Exercises for a Deviated Septum
Eastern Medical Techniques

How to Fix a Deviated Septum Without Surgery

Home treatments for a deviated septum include:

  • Essential oils
  • Dietary changes
  • Supplements
  • Devices
  • Medications
  • Exercises (yoga and Buteyko breathing)
  • Eastern medicine (Ayurveda)

And more! Let’s get into each one:

​Essential Oil for a Deviated Septum

There are a number of essential oils that can alleviate the breathing problems associated with a deviated septum. These include:

  • Eucalyptus Oil: This oil is obtained through steam distillation of eucalyptus leaves (Eucalyptus globulus). The extracted oil is a colorless or pale-yellow liquid, with an aromatic, sweet smell.

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External application of eucalyptus oil decreases the formation of mucus (slimy substance on the inner surface of the nose and sinus), reducing nasal congestion. Inhalation of steam mixed with eucalyptus oil (12 drops of oil in 150 ml of boiling water) reduces bacterial activity and inflammation. It also helps reduce headaches induced by sinonasal congestion. This oil should not be used during pregnancy, lactation, and in infants.1Ali, Babar & Al-Wabel, Professor Dr. Naser & Shams, Saiba & Ahmad, Aftab & Khan, Shah & Anwar, Firoz. (2015). Essential oils used in aromatherapy, A systemic review. Asian Pacific Journal of Tropical Biomedicine.2015, 5:589-598

  • Peppermint Oil\Herbal Tea: The peppermint oil (Menthae piperita) is obtained by steam distillation of fresh flowers. It is a colorless or pale-yellow liquid. The main constituent of peppermint oil is menthol which provides a cooling effect and relieves sinonasal congestion.

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External application or inhalation of steam mixed with a few drops of the oil helps open the nasal passage, clear the mucus, and reduce headache. Due to its anti-inflammatory and antibacterial property, herbal tea prepared from peppermint also helps reduce sinus infections. This oil is not advised for infants, children, pregnant women, and lactating mothers.​​2Ali, Babar & Al-Wabel, Professor Dr. Naser & Shams, Saiba & Ahmad, Aftab & Khan, Shah & Anwar, Firoz. (2015). Essential oils used in aromatherapy, A systemic review. Asian Pacific Journal of Tropical Biomedicine.2015, 5:589-598

  • Lavender Oil
lavender oil

Lavender oil is commonly used in aromatherapy. The inhalation of lavender oil helps relieve headaches due to pressure from clogged sinuses. Its anti-inflammatory and antibacterial properties aid in reducing the inflammation in the nose and sinuses. Inhalation of this oil instills relaxing effects, reduces anxiety, clears the airway, and eases the breathing process.3Ali, Babar & Al-Wabel, Professor Dr. Naser & Shams, Saiba & Ahmad, Aftab & Khan, Shah & Anwar, Firoz. (2015). Essential oils used in aromatherapy, A systemic review. Asian Pacific Journal of Tropical Biomedicine.2015, 5:589-598

  • Other Essential Oils4Hall, Elizabeth. "Natural Rx for Sinus Infections.
  • Anise oil: This oil helps in thinning of the mucus and clearing of clogged nose and sinuses. This shouldn’t be used for more than 2-3 weeks and is not advised in case of any allergic reactions. Its use is also restricted in individuals below 18 years of age, pregnant women, and lactating mothers.
  • Thyme oil: This oil is obtained from the steam distillation of flowers of Thymus vulgaris. It is a yellow or dark reddish-brown liquid and is aromatic in nature. Inhalation of 4-5 drops of thyme oil helps in thinning of the mucus and combats infection in the sinuses. This oil is not recommended in children below 5 years, pregnant women, lactating mothers, and individuals with thyroid and epileptic disorders.
  • Oregano oil: This oil has antiseptic and antiallergic properties. Steam inhalation of the oil helps fight against bacterial activity and reduces sinus infection.
  • Rosemary oil: It has antibacterial action and helps increase antioxidant levels in the body which eliminates infection in clogged sinuses, clearing the airway.

​Diet for a Deviated Septum

Certain foods can cause congestion and inflammation, which can be made worse by a deviated septum. Here are some of the foods and dietary changes you can follow to reduce those side effects:

  • Cayenne Pepper\Hot Peppers

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They help reduce the inflammation present in the nose and sinuses.5Hardy, Mary L., and Elizabeth R. Volkmann. "2 Rhinosinusitis." Food and Nutrients in Disease Management (2016): 29. Research suggests that the use of cayenne pepper in the diet results in clearing congestion. It is a good source of vitamin A and helps relieve pain by promoting drainage of accumulated mucus in clogged sinuses.6Blom, Severijnen, Van Rijswijk, Mulder, Gerth Van Wijk, & Fokkens. (1998). The long-term effects of capsaicin aqueous spray on the nasal mucosa. Clinical Experimental Allergy, 28(11), 1351–1358.

  • Ginger

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Ginger (Zingiber officinale) is commercially available in wet and dry forms, both of which have great medicinal value. Its anti-inflammatory property causes shrinkage of the enlarged mucous lining (inner skin) of the sinus and nose.7Manohar, P. Ram. "Ayurvedic Uses." Ginger is commonly used in various medicinal formulations in Ayurveda. Below are some uses of ginger in relieving nose and sinus congestion:8Kunnumakkara, A. B., Koca, C., Dey, S., Gehlot, P., Yodkeeree, S., Danda, D., … Aggarwal, B. B. Traditional Uses of Spices: An Overview. Molecular Targets and Therapeutic Uses of Spices.2009, 1–24.

  • Consumption of ginger along with jaggery for a month is effective against sinusitis and diminishes any difficulty in breathing.
  • Ginger juice along with honey is also effective against sinusitis.
  • A mix of ginger juice, rock salt, black pepper, long pepper, and dry ginger powder is effective against nasal congestion.
  • Apple Cider Vinegar
apple cider vinegar

Apple cider vinegar is rich in vitamins and antioxidants which help eliminate the bacteria that cause sinus infection. It acts as an immunity booster and helps in thinning the mucus and draining it, clearing the nasal airway. About 10ml of apple cider vinegar can be diluted with warm water and consumed. To improve the taste of the drink, lemon, and honey can be added.9Charlie parker; FEELING BUNGED UP? Experts reveal how to get rid of a painful sinus infection using apple cider vinegar; The Sun; December 2,2018.

  • Reduce Dairy Intake

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Intake of dairy products increase the production of mucus (slimy substance). Dairy products are considered inflammatory, and may amplify the existing rhinosinusitis (inflammation of nose and sinus). Further, they may increase the patient’s susceptibility to bacteria and impair sinus drainage. However, these claims do not have enough scientific backing.10Bartley, J., & McGlashan, S. R. Does milk increase mucus production? Medical Hypotheses.2010, 74(4): 732–734.


Supplements for a Deviated Septum

In addition to improving your overall health, there are supplements you can take that will reduce the effect of the deviated septum:

  • Vitamin C: Vitamin C (ascorbic acid) is an important antioxidant in the respiratory tract. It is also an effective anti-inflammatory and anti-allergic supplement. Research suggests that it is effective in clearing the mucus from blocked sinuses. Vitamin C is largely taken orally.11Jiao, J., Meng, N., Wang, H., & Zhang, L. (2013). The effects of vitamins C and B12 on human nasal ciliary beat frequency. BMC Complementary and Alternative Medicine. 2013;13(1).
  • Vitamin D: Vitamin D has anti-inflammatory properties and hence aids in a reduction in the size of an inflamed mucosa (inner skin) of the nose and sinus. Research suggests that the incidence of chronic rhinosinusitis with vitamin D deficiency is more common in females than males. It also suggests that symptoms in chronic rhinosinusitis (especially smell related) show significant improvement with vitamin D.12 Al-Ebiary, Hassan A., et al. "Role of vitamin D in chronic rhinosinusitis: a systematic review and meta-analysis study." The Egyptian Journal of Otolaryngology 34.1 (2018): 1.
  • Magnesium and Calcium: Research suggests that reduced magnesium levels in the body can aggravate headaches and can be associated with various diseases including sinusitis. Magnesium is also essential for the absorption of calcium in the body. Meanwhile, calcium acts against inflammation-causing substances (histamine) in individuals with sinusitis.13 Johnson S. The multifaceted and widespread pathology of magnesium deficiency. Med Hypotheses. 2001;56(2):163-170.

​Devices That Help a Deviated Septum

As you would expect, where there’s a health problem, there’s a device that can help!

Here are the main nasal devices that can help a deviated septum:

  • Neti Pot

This is an alternative therapy for the treatment of sinonasal disorders. This method involves pouring lukewarm saltwater in a pot and flushing the nose. The pot resembles a teapot with a conical, tapered spout. The spout is easy to insert in the opening of the nostrils and forms a seal.14Scott, John. "Nasal irrigation for allergies, sinusitis-and winter sniffles?." Foods Matter (2008): 13. This seal allows flushing of the nose without entering the mouth. The volume of neti pots range from 30-500ml.15Jeffe, J. S., Bhushan, B., & Schroeder, J. W. (2012). Nasal saline irrigation in children: A study of compliance and tolerance. International Journal of Pediatric Otorhinolaryngology, 76(3), 409–413.

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While using, the spout of the pot is inserted into a nostril. The position of head and pot are tilted and adjusted until there is no spilling. The use of neti pot aids in mucociliary clearance (draining of mucus embedded with foreign particles), which eases nasal and sinus congestion.16Jeffe, J. S., Bhushan, B., & Schroeder, J. W. (2012). Nasal saline irrigation in children: A study of compliance and tolerance. International Journal of Pediatric Otorhinolaryngology, 76(3), 409–413.

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Here’s a video showing how to use a neti pot:

  • Pillows

In individuals with sinus inflammation, sleeping on the back with a flat pillow may lead to discomfort due to pressure created by the accumulation of mucus. The use of double or wedge-shaped pillows helps them keep their head elevated which aids in drainage of mucus (due to gravity). This prevents the accumulation of mucus at one site, reducing discomfort.17Farrer, Fae. "Blocked nose and sinus headaches: clinical." SA Pharmacist's Assistant 14.3 (2014): 16-18

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  • Humidifier

Sometimes if the air inhaled is too dry, it can cause thickening of mucosa (inner skin) of the nose and sinus. This can reduce the drainage of mucus (mucociliary clearance). The thickened mucosa further obstructs the airway passage, causing difficulty in breathing. Over time, this congestion can lead to pain and a headache.18Keck, T., Dürr, J., Leiacker, R., Rozsasi, A., Rettinger, G., & Rother, T. (2006). Influence of passive humidification on nasal conditioning. American Journal of Rhinology, 20(5), 430–433.

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Devices such as the humidifier add moisture to the air, preventing dryness of the mucosa. Humidifiers come in various shapes and sizes and can be purchased based on the purpose and use. These devices are also recommended to individuals after sinus and nose surgeries.19Best Humidifier for Sinus Problems (All Types Compared 2020);Humidity expert; August 7, 2020

  • Nose Cones

These are soft, flexible, nasal devices which assist in dilating the nostril to ease breathing in a blocked airway passage. These are commonly used for unrestricted breathing in individuals with sleep apnea or nasal obstruction due to deviated nasal septum.20Raudenbush, Bryan. Stenting the nasal airway for maximizing inspiratory airflow: Internal Max-Air Nose Cones versus external Breathe Right strip. American journal of rhinology & allergy.2011,25: 249-51.

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Here’s a video showing a popular brand of nose cones:

  • Nasal Strips

These consist of an adhesive strip with two parallel bands, and helps broaden the nostrils for unrestricted breathing. It is placed 1 cm above the nostril openings and extends horizontally from one nasal wing (flares of the nose) to the other. These strips prevent the closing of the nasal wings while breathing to increase the airflow.21Dinardi RR, de Andrade CR, Ibiapina Cda C. External nasal dilators: definition, background, and current uses. Int J Gen Med. 2014;7:491-504. Published 2014 Nov 11.

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Here’s a video showing nasal strips:

  • Nasal Dilator

 A nasal dilator is a small plastic device that comes in various forms (in-nostril stents, in-nostril cones, and external strips) and is designed to mechanically open users’ nasal passages. By increasing the diameter of the nostril, the dilators enhance the airflow and reduce the impact of the deviated septum. These are also effective in overcoming difficulty in breathing among pregnant women and infants.22Corey JP, Houser SM, Ng BA. Nasal congestion: a review of its etiology, evaluation, and treatment. Ear Nose Throat J. 2000;79(9)

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Here’s a video showing one brand of nasal dilator:

  • Nasal Valve Support

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This is a mechanical device that is placed inside the nose through the opening of the nasal passage. It is used to ease breathing in individuals with nasal obstruction due to deviated septum. It can be easily seated between the sidewall of the nose and nasal septum. The device aids in keeping the air passage open and can be worn in one or both nostrils.23Comfortable, Unobstructed Nasal Breathing; Nasal valve support; retrieved on August 8, 2020.

  • Airway Remodeling Devices

Airway Remodeling Devices (e.g., Vivaer Nasal Airway Remodeling Device): This device uses heat to reshape tissues on the inner sidewalls of the nose. This creates more space in the nasal passage and improves breathing. The treatment can be carried out under local anesthesia and requires minimal intrusion. This non-surgical therapy is helpful in individuals with the deviated nasal septum, congestion, and snoring.24Brehmer, D., Bodlaj, R. & Gerhards, F. A prospective, non-randomized evaluation of a novel low energy radiofrequency treatment for nasal obstruction and snoring. Eur Arch Otorhinolaryngol 2019,276: 1039–1047.

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Here’s a video showing one brand of airway remodeling device:

  • Hot Shower/Steam Therapy

Steam therapy using vaporizer moisturizes the dry, enlarged mucosa of the nose and sinus. It softens the dry flaky crusts on the nose and liquefies the mucus for easier drainage. Steam inhalation can also be taken with essential oils (e.g., eucalyptus, lavender, peppermint oil) for more benefits. If steam inhalation is not possible, a hot water bath can provide relaxing effects.25Druce, H. M. (1990). Adjuncts to Medical Management of Sinusitis. Otolaryngology-Head and Neck Surgery, 103(5_suppl), 880–883

Medication for a Deviated Septum

The main medications for a deviated septum reduce inflammation in the nasal passage and help to flush it out:

  • Nasal Steroids: These have anti-inflammatory properties and help reduce the swelling in the inner skin of the nose. Steroids also help enlarge the diameter of the sinus opening which permits drainage of mucus from clogged sinuses. These are recommended in individuals with nasal obstruction, allergic conditions of nose, and sinusitis.26Druce, H. M. (1990). Adjuncts to Medical Management of Sinusitis. Otolaryngology-Head and Neck Surgery, 103(5_suppl), 880–883
  • Nasal Irrigation: The use of salt water irrigation or flushing of the nose acts as a decongestant when performed 2-3 times a day. It helps in mucociliary clearance (draining of mucus embedded with foreign particles), which eases congestion. Nasal irrigation helps in thinning the mucus and moisturizing the mucosa of nose and sinus.27Druce, H. M. (1990). Adjuncts to Medical Management of Sinusitis. Otolaryngology-Head and Neck Surgery, 103(5_suppl), 880–883
  • Allergy Medications (e.g., antihistamines/decongestants): Decongestants are considered the first line of drugs for the treatment of nasal congestion. They are available in oral and topical (applied on the surface of the skin) forms. The topical form can be used in the initial days of congestion. If congestion persists for more than 3 days, oral decongestants can be used.28Druce, H. M. (1990). Adjuncts to Medical Management of Sinusitis. Otolaryngology-Head and Neck Surgery, 103(5_suppl), 880–883
  • Homeopathic Medicine: Homeopathic medicine is an alternative therapy for the treatment of many chronic ailments including chronic rhinosinusitis. These are derived from natural resources such as plants and minerals in small quantities. The therapy relies on the self-curing ability of the body against diseases.29Loudon I. A brief history of homeopathy. J R Soc Med. 2006;99(12):607-610.

The medicines prescribed in case of sinusitis include Mercurius (Merc.), Kalium bichromicum (Kali bi.), Silicea (Sil.), Kalium iodatum (Kali. Iod.), Lycopodium clavatum (Lyc.), Nux vomica (Nux vom.), Pulsatilla (Puls.), Arsenicum album (Ars.), Graphites (Graph.), and Sticta pulmonaria (Stic).30Nayak, C., Singh, V., Singh, V. P., Oberai, P., Roja, V., Shitanshu, S. S., … Mathew, G. Homeopathy in chronic sinusitis: a prospective multi-centric observational study. Homeopathy.2012; 101(2)

While individuals benefit from the therapy, there is little scientific evidence to validate the use of this therapy.

​Exercises for a Deviated Septum

There are some intriguing exercises to help in breathing problems, including problems caused by a deviated septum.

While these exercises have not been validated in scientific studies, there are many online chat forums where fans of these exercises describe their success in using them. The main exercises are:

  • Buteyko breathing method: This breathing therapy teaches ways to control and hold the breath. It is based on the principle that deficiency of carbon dioxide in the body is the reason for chronic disorders.31Courtney, Rosalba. "Buteyko breathing method." Recognizing and Treating Breathing Disorders E-Book (2014): 241. As such, performing breath retaining exercises can elevate the level of carbon dioxide and cure the disorder. 

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This breathing method involves 3 steps: inhalation, exhalation, and automatic pause. These breathing exercises are to be practiced for a few minutes every day. It helps treat chronic rhinosinusitis and sleep apnea.32Stark, R., & Stark, J. (2015). Buteyko. Diet and Exercise in Cystic Fibrosis, 247–257. doi:10.1016/b978-0-12-800051-9.00029-8

  • Yoga breathing techniques: Pranayama is an ancient Indian breathing exercise that involves controlling one’s breathing. Research has shown that performing yogic breathing exercises helps in treating symptoms of chronic rhinosinusitis, nasal congestion, and other breathing disorders.33Abishek K, Bakshi SS, Bhavanani AB. The Efficacy of Yogic Breathing Exercise Bhramari Pranayama in Relieving Symptoms of Chronic Rhinosinusitis. Int J Yoga. 2019;12(2):120-123. Below are some of the breathing exercises:34Singh, Ram B., et al. "Pranayam yoga breathing practices modulate the mind-body connection." Int J Disability Human Dev 2 (2009): 141-153.

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  • Bhramari pranayama: This pranayama involves producing a humming sound which creates movement of air between the nose and sinuses. This movement of air assists in opening the blocked sinus opening, allowing drainage of mucus and reducing congestion. This can be practiced for 5-10 minutes every morning and evening.
  • Kapalbhati: This pranayama includes slowly inhaling air, followed by a short and forceful exhalation.
  • Anulome and Velome: This involves slow and deep inhaling of air from one nostril and exhaling from the other. This can be performed by closing one nostril with the thumb and then inhaling followed by closing the other nostril to exhale.
  • Other useful breathing exercises include Nari shodhanam, bhastrika, and ujjayi.

Eastern Medical Techniques

There are other traditional techniques that originate from countries in Asia, notably India:

  • Ayurveda: Panchakarma in Ayurveda consists of five (panch) procedures to cleanse the body’s toxins. The procedure that involves the nose is called Nasyakarma. This therapy involves inhalation of medicated oil through the nostrils which helps eliminate mucus accumulated in the sinus, throat, nose, or head. This procedure aids in treating various chronic diseases including the deviated nasal septum, rhinosinusitis, and allergy.35Rawal M, Chudasma KM, Vyas RV, Parmar BP. Effect of Vasantic Vaman and other Panchakarma procedures on disorders of various systems. Ayu. 2010;31(3):319-324. doi:10.4103/0974-8520.77160

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    Ali, Babar & Al-Wabel, Professor Dr. Naser & Shams, Saiba & Ahmad, Aftab & Khan, Shah & Anwar, Firoz. (2015). Essential oils used in aromatherapy, A systemic review. Asian Pacific Journal of Tropical Biomedicine.2015, 5:589-598
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    Hall, Elizabeth. "Natural Rx for Sinus Infections.
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    Hardy, Mary L., and Elizabeth R. Volkmann. "2 Rhinosinusitis." Food and Nutrients in Disease Management (2016): 29.
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    Blom, Severijnen, Van Rijswijk, Mulder, Gerth Van Wijk, & Fokkens. (1998). The long-term effects of capsaicin aqueous spray on the nasal mucosa. Clinical Experimental Allergy, 28(11), 1351–1358.
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    Manohar, P. Ram. "Ayurvedic Uses."
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    Kunnumakkara, A. B., Koca, C., Dey, S., Gehlot, P., Yodkeeree, S., Danda, D., … Aggarwal, B. B. Traditional Uses of Spices: An Overview. Molecular Targets and Therapeutic Uses of Spices.2009, 1–24.
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    Charlie parker; FEELING BUNGED UP? Experts reveal how to get rid of a painful sinus infection using apple cider vinegar; The Sun; December 2,2018.
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    Bartley, J., & McGlashan, S. R. Does milk increase mucus production? Medical Hypotheses.2010, 74(4): 732–734.
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    Jiao, J., Meng, N., Wang, H., & Zhang, L. (2013). The effects of vitamins C and B12 on human nasal ciliary beat frequency. BMC Complementary and Alternative Medicine. 2013;13(1).
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     Al-Ebiary, Hassan A., et al. "Role of vitamin D in chronic rhinosinusitis: a systematic review and meta-analysis study." The Egyptian Journal of Otolaryngology 34.1 (2018): 1.
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    Johnson S. The multifaceted and widespread pathology of magnesium deficiency. Med Hypotheses. 2001;56(2):163-170.
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    Scott, John. "Nasal irrigation for allergies, sinusitis-and winter sniffles?." Foods Matter (2008): 13.
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    Jeffe, J. S., Bhushan, B., & Schroeder, J. W. (2012). Nasal saline irrigation in children: A study of compliance and tolerance. International Journal of Pediatric Otorhinolaryngology, 76(3), 409–413.
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    Farrer, Fae. "Blocked nose and sinus headaches: clinical." SA Pharmacist's Assistant 14.3 (2014): 16-18
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    Keck, T., Dürr, J., Leiacker, R., Rozsasi, A., Rettinger, G., & Rother, T. (2006). Influence of passive humidification on nasal conditioning. American Journal of Rhinology, 20(5), 430–433.
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    Best Humidifier for Sinus Problems (All Types Compared 2020);Humidity expert; August 7, 2020.
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    Raudenbush, Bryan. Stenting the nasal airway for maximizing inspiratory airflow: Internal Max-Air Nose Cones versus external Breathe Right strip. American journal of rhinology & allergy.2011,25: 249-51.
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    Dinardi RR, de Andrade CR, Ibiapina Cda C. External nasal dilators: definition, background, and current uses. Int J Gen Med. 2014;7:491-504. Published 2014 Nov 11.
  19. 19
    Corey JP, Houser SM, Ng BA. Nasal congestion: a review of its etiology, evaluation, and treatment. Ear Nose Throat J. 2000;79(9)
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    Comfortable, Unobstructed Nasal Breathing; Nasal valve support; retrieved on August 8, 2020.
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    Brehmer, D., Bodlaj, R. & Gerhards, F. A prospective, non-randomized evaluation of a novel low energy radiofrequency treatment for nasal obstruction and snoring. Eur Arch Otorhinolaryngol 2019,276: 1039–1047. 
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    Druce, H. M. (1990). Adjuncts to Medical Management of Sinusitis. Otolaryngology-Head and Neck Surgery, 103(5_suppl), 880–883
  23. 23
     Loudon I. A brief history of homeopathy. J R Soc Med. 2006;99(12):607-610.
  24. 24
    Nayak, C., Singh, V., Singh, V. P., Oberai, P., Roja, V., Shitanshu, S. S., … Mathew, G. Homeopathy in chronic sinusitis: a prospective multi-centric observational study. Homeopathy.2012; 101(2)
  25. 25
    Courtney, Rosalba. "Buteyko breathing method." Recognizing and Treating Breathing Disorders E-Book (2014): 241.
  26. 26
    Stark, R., & Stark, J. (2015). Buteyko. Diet and Exercise in Cystic Fibrosis, 247–257. doi:10.1016/b978-0-12-800051-9.00029-8
  27. 27
    Abishek K, Bakshi SS, Bhavanani AB. The Efficacy of Yogic Breathing Exercise Bhramari Pranayama in Relieving Symptoms of Chronic Rhinosinusitis. Int J Yoga. 2019;12(2):120-123.
  28. 28
    Singh, Ram B., et al. "Pranayam yoga breathing practices modulate the mind-body connection." Int J Disability Human Dev 2 (2009): 141-153.
  29. 29
    Rawal M, Chudasma KM, Vyas RV, Parmar BP. Effect of Vasantic Vaman and other Panchakarma procedures on disorders of various systems. Ayu. 2010;31(3):319-324. doi:10.4103/0974-8520.77160

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Deviated Septum Treatment Without Surgery: 9 Options to Consider

Deviated Septum Treatment: Types of Surgery, Natural Home Remedies & More…

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Do you have a deviated septum but don’t know which treatment is best for you?

You’re in luck!

Because in this complete guide to deviated septum treatments, we cover every known way to fix a deviated septum, from different types of surgery to natural treatments that you can do at home.

Table Of Contents
Deviated Nasal Septum Treatment Options
How to Fix a Deviated Septum with Surgery
Septoplasty
Turbinoplasty Surgery
Turbinoplasty Surgery
Balloon Sinoplasty Surgery
​Endoscopy Surgery
Laser Radiation
​Rhinoplasty Surgery
Frequently Asked Questions – Deviated Septum Surgery
How to Fix a Deviated Septum Without Surgery
​Herbs for a Deviated Septum
​Essential Oils for a Deviated Septum
Diet for a Deviated Septum
Supplements for a Deviated Septum
​Devices That Help a Deviated Septum
Continuous Positive Airway Pressure (CPAP)
​Eastern Medical Techniques
​Ayurveda for a Deviated Septum
​Acupuncture for a Deviated Septum

Deviated Nasal Septum Treatment Options

There are two main categories of deviated septum treatments:

  • Fix a deviated septum with surgery – various types of surgery
  • Fix a deviated septum without surgery – various natural methods, devices and more

We cover both categories of treatment in detail below…

How to Fix a Deviated Septum with Surgery

There are various types of surgery that correct a deviated septum:

  • Septoplasty
  • Turbinoplasty
  • Balloon Sinuplasty
  • Endoscopy Surgery
  • Laser Irradiation
  • Rhinoplasty

Septoplasty

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Septoplasty is the most-common surgical procedure for correcting a deviated nasal septum.


The surgery involves identification of specific areas of the deviation or where the ‘bend in the septum’ is.


These areas are then cut and removed and grafts are placed in the gaps. This results in the straightening of the septum, and freeing up of the obstructed nasal airway.1Ketcham AS, Han JK. Complications and management of septoplasty. Otolaryngol Clin North Am. 2010;43(4):897-904

Turbinoplasty Surgery

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Turbinoplasty surgery is a procedure performed to remove a part of swollen turbinates in order to improve the nasal airway.


Turbinates are small bony structures covered by a mucous membrane (inner skin) present on the inner aspect of lateral wall of the nose. They help in warming, humidifying, and cleansing the air that we breathe.


When there is infection, allergies, or irritation, the mucous membrane of these turbinates’ swell, causing nasal obstruction.2Mabry, R. L. (1988). Inferior Turbinoplasty: Patient Selection, Technique, and Long-Term Consequences. Otolaryngology-Head and Neck Surgery, 98(1), 60–66.


Turbinoplasty Surgery

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Turbinoplasty surgery is a procedure performed to remove a part of swollen turbinates in order to improve the nasal airway.


Turbinates are small bony structures covered by a mucous membrane (inner skin) present on the inner aspect of lateral wall of the nose. They help in warming, humidifying, and cleansing the air that we breathe.


When there is infection, allergies, or irritation, the mucous membrane of these turbinates’ swell, causing nasal obstruction.3Mabry, R. L. (1988). Inferior Turbinoplasty: Patient Selection, Technique, and Long-Term Consequences. Otolaryngology-Head and Neck Surgery, 98(1), 60–66.


Balloon Sinoplasty Surgery

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Balloon sinuplasty is a surgical procedure performed to treat individuals suffering from chronic rhinosinusitis (inflammation of inner lining of nose and sinus) due to blockage of the sinus opening. The blockage of the sinus opening causes accumulation of the mucus (a slimy substance produced by inner skin of sinus), obstructing the ventilation and leading to sinus infection.4Lofgren DH, Shermetaro C. Balloon Sinuplasty. [Updated 2020 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-.


This procedure uses a small, flexible balloon catheter to open up the blocked sinus opening. Using a guide, a balloon is inserted into the sinus. The balloon is then inflated using a calibrated pressure gauge, enlarging the sinus opening. This permits the drainage of the accumulated mucus from the sinus and reduces the infection.5Raghunandhan S, Bansal T, Natarajan K, Kameswaran M. Efficacy & outcomes of balloon sinuplasty in chronic rhinosinusitis: a prospective study. Indian J Otolaryngol Head Neck Surg. 2013;65(Suppl 2):314-319. doi:10.1007/s12070-011-0462-9


​This technique involves minimal intrusion and preserves the structure of the sinus, focusing only on the blocked sinus opening.6Raghunandhan S, Bansal T, Natarajan K, Kameswaran M. Efficacy & outcomes of balloon sinuplasty in chronic rhinosinusitis: a prospective study. Indian J Otolaryngol Head Neck Surg. 2013;65(Suppl 2):314-319. doi:10.1007/s12070-011-0462-9


Here’s a good video that explains balloon sinuplasty:

​Endoscopy Surgery

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Endoscopy surgery is an advanced surgical technique involving treatment of nasal and sinus-related inflammatory diseases using an endoscope.


In individuals experiencing nasal obstruction due to deviated nasal septum, septoplasty is performed to correct the deviated septum. Endoscopic surgery is one of the approaches of performing septoplasty.7Shah J, Roxbury CR, Sindwani R. Techniques in Septoplasty: Traditional Versus Endoscopic Approaches. Otolaryngol Clin North Am. 2018;51(5):909-917.


​The endoscopic septoplasty utilizes a rigid endoscope, which is a thin, flexible tube with a tiny camera. This technique provides better visualization of the deformity and tissues with enhanced illumination and magnification, allowing for an accurate removal of the segments of deviated septum.8Shah J, Roxbury CR, Sindwani R. Techniques in Septoplasty: Traditional Versus Endoscopic Approaches. Otolaryngol Clin North Am. 2018;51(5):909-917.

Laser Radiation

Laser irradiation is an alternative approach used in the correction of deviated nasal septum.


This technique involves modifying the shape of cartilage present in the septum to correct the deviated septum.


In this technique, cartilage tissue is shaped into the desired geometry by applying mechanical force with an instrument (nasal speculum). Using laser, the cartilage is heated at select sites on septum to a temperature of 65-70oC. Once the desired temperature is reached, laser is terminated. After tissues cool down, mechanical force is removed, resulting in new shape and increased cross sectional area of the septum.9Protsenko DE, Wong BJ. Laser-assisted straightening of deformed cartilage: numerical model. Lasers Surg Med. 2007;39(3):245-255.

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The use of laser in correction of deviated septum aids in reducing postoperative complications such as pain, epistaxis, and infection. Along with this, it reduces the doctor’s time and effort.10Protsenko DE, Wong BJ. Laser-assisted straightening of deformed cartilage: numerical model. Lasers Surg Med. 2007;39(3):245-255.

​Rhinoplasty Surgery

Rhinoplasty is a surgical procedure that alters the shape of the nose. Other than the cosmetic correction of the nose, it also aims at improving the nasal airway by correcting the structural defects in the nose. This procedure is also commonly known as a “nose job” or nose reshaping.


Rhinoplasty is one of the most commonly performed cosmetic procedures in the US.11Sean T. Massa MD, Scott G. Walen MD. Evidence-Based Clinical Practice in Otolaryngology, 2018, 59-71

Frequently Asked Questions – Deviated Septum Surgery

How much does it cost to fix a deviated septum?

The average cost of the conventional septoplasty procedure in the US ranges from USD $5,000 to $13,000.

The cost varies according to local standards, complexity of the nose to be operated, surgeon’s expertise, reputation, clinical experience, and operating room’s fees.12Septoplasty in Toronto - SpaMedica

How long is deviated septum surgery?

It takes 1- 1.5 hours to complete a septoplasty surgery. This may vary depending on the complexity of the procedure.

Do they break your nose to fix a deviated septum?

The short answer is yes.

Septoplasty is the most common surgical procedure performed to correct a deviated nasal septum. During the procedure, soft tissue on the septum is lifted from the surface of the nasal septum. The specific areas of the deviation or ‘bent on the septum’ are identified. These cartilaginous or bony areas are then broken or cut and removed. This is followed by stitching back the soft tissue on the septum.13Fettman N, Sanford T, Sindwani R. Surgical management of the deviated septum: techniques in septoplasty. Otolaryngol Clin North Am. 2009;42(2):241-viii.

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This animated video shows how septoplasty is performed:

Will deviated septum surgery fix a crooked nose?

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Deviated septum surgery, along with the reshaping of the nose, can fix a crooked nose. A crooked nose is considered to be a severe nasal deformity as it requires both cosmetic and functional correction. In this case, the nose appears to be C- or S-shaped or completely displaced to one side or the other.

Septorhinoplasty is a surgical procedure which can fix the appearance of the nose and correct the deviated nasal septum, clearing the nasal passage.14Boccieri A. The crooked nose. Acta Otorhinolaryngol Ital. 2013;33(3):163-168.

What doctor would I see to fix a deviated septum?

The surgery involving the correction of a deviated septum is known as septoplasty. It is mostly performed by an Otolaryngologist (ENT specialist). 

Many Otolaryngologists are also trained to conduct facial plastic surgeries which is one of the subspecialties of Otolaryngology. It includes reconstructing and re-shaping the nose, ears, jaws, and facial area to restore or enhance function and appearance.15Canadian Society of Otolaryngology - Head & Neck Surgery

Next up, we cover treatments for deviated septum that do NOT involve surgery…

Can You Fix Deviated Septum Without Surgery? 

The quick answer is “yes” – there are natural methods that don’t require surgery (we cover them below).

But keep in mind that the effectiveness of natural methods is not backed up by scientific evidence. In other words, there are no robust scientific studies that prove natural methods can permanently fix a deviated septum.

The only thing that can do that is surgery, as we described above.

With that said, there are definitely ways you can get deviated septum relief without surgery. We cover all of those methods below.

How to Fix a Deviated Septum Without Surgery

There are many home treatments for deviated septum, including devices, supplements, medicines, herbs, exercise, and more:

​Herbs for a Deviated Septum

There are several herbal oils and teas that can help with breathing problems caused by your deviated septum.

  • The use of herbal medicine Sinupret which contains powdered herbal extracts of European elder flower (Sambucus nigra), garden sorrel herb (Rumex acetosa), cowslip flower (Primula veris), European vervain herb (Verbena officinalis), and gentian root (Gentiana lutea), decreases the nasal mucous secretions and acts as an anti-inflammatory agent16Ciuman RR. Phytotherapeutic and naturopathic adjuvant therapies in otorhinolaryngology. Eur Arch Otorhinolaryngol. 2012;269(2):389-397.
  • Intake of GeloMyrtol capsules (30 mg limonene, 30 mg cineol, and 8 mg alpha-pinene), a herbal medicine product, is effective in cases of chronic rhinosinusitis (inflammation of nose and sinus lining)17Ciuman RR. Phytotherapeutic and naturopathic adjuvant therapies in otorhinolaryngology. Eur Arch Otorhinolaryngol. 2012;269(2):389-397.
  • A tea obtained by mixing Eucalyptus (Eucalyptus globulus) leaves 25 g; Scots pine (Pinus sylvestris) 25 g; Peppermint leaves (Mentha piperita) leaves 25 g; Seneca snakeroot (Polygala senega roots) 25 g acts as an effective decongestant18Ciuman RR. Phytotherapeutic and naturopathic adjuvant therapies in otorhinolaryngology. Eur Arch Otorhinolaryngol. 2012;269(2):389-397.
  • Intake of herbs such as Feverfew (Tanaceturn parthenium), Butterbur root (Petasites hybridus), Guarana (Paullinia cupana), Ginger (Zingiber oficinale), Gingko (Gingko biloba), and Valerian root (Valeriana oficinalis) may help individuals with headaches associated with deviated nasal septum19Ferrara, Lydia. (2016). Phytotherapy as a preventive and adjuvant for the rhinitis. IOSRjournal of Pharmacy. 6. 6-11.
  • Turmeric, honey, and ginger have an anti-inflammatory effect and can aid in reducing inflammation of nose and sinus20Ferrara, Lydia. (2016). Phytotherapy as a preventive and adjuvant for the rhinitis. IOSRjournal of Pharmacy. 6. 6-11.

​Essential Oils for a Deviated Septum

In addition to herbs, essential oils can help with breathing problems associated with a deviated septum:

  • External application of essential oils of eucalyptus leaf and branch (Eucalyptus globulus), peppermint leaf (Mentha piperita), and mugo pine (Pinus mugo) inhibit the growth of the microorganisms and decrease the excess the formation of mucus (slimy substance), reducing the nasal congestion and instilling relaxing effects. The oils should not be applied to infants due to the danger of bronchospasm (narrowing of airway)21Ciuman RR. Phytotherapeutic and naturopathic adjuvant therapies in otorhinolaryngology. Eur Arch Otorhinolaryngol. 2012;269(2):389-397.
  • Use of menthol, camphor and 1,8-cineol (eucalyptol) also leads to improvement in the nasal airflow22Ciuman RR. Phytotherapeutic and naturopathic adjuvant therapies in otorhinolaryngology. Eur Arch Otorhinolaryngol. 2012;269(2):389-397.
  • Inhalation of steam, combined with essential oils derived from German chamomile (Matricaria recutita), lavender (Lavandula angustifolia), Eucalyptus (Eucalyptus globulus), thyme (Thymus vulgaris), and Scots pine (Pinus silvestris) acts as a decongestant, decreases mucus in the nostrils, and has anti-inflammatory action23Ferrara, Lydia. (2016). Phytotherapy as a preventive and adjuvant for the rhinitis. IOSRjournal of Pharmacy. 6. 6-11.

Diet for a Deviated Septum

Changes to your diet can go a long way to reducing inflammation and congestion that is made worse by a deviated septum. Here are some of the foods and dietary changes you can implement at home…

  • Studies have linked certain foods such as milk, wheat, and red wine to complaints of nasal stuffiness, facial pressure, and fatigue. Reducing intake of these may be beneficial24Chester AC. Chronic sinusitis. American family physician. 1996 Feb 15;53:877-94
  • Restricting sugar consumption can be useful as studies have found an association between high consumption of sugars with increased inflammatory stress, sinus, and nasal symptoms25Sawani, A., Farhangi, M., N., C. A., Maul, T. M., Parthasarathy, S., Smallwood, J., & Wei, J. L. (2018). Limiting Dietary Sugar Improves Pediatric Sinonasal Symptoms and Reduces Inflammation. Journal of Medicinal Food, 21(6), 527–534.
  • Use of spicy foods (i.e., garlic, horseradish root, cayenne pepper) may help clear the sinuses, as they have anti-inflammatory properties26Chester AC. Chronic sinusitis. American family physician. 1996 Feb 15;53:877-94
  • Research suggests that low magnesium levels in the body can cause headaches. So, magnesium-rich foods (such as black-eyed peas, soy nuts, cooked beans, tofu, almonds, cashews, and flaxseed) can help. Riboflavin or vitamin B2 (found in milk, cheese, eggs, leaf vegetables, liver, kidneys, lean meats, and legumes) are also effective in relieving headaches27Mauskop, A. (2001). ALTERNATIVE THERAPIES IN HEADACHE. Medical Clinics of North America, 85(4), 1077–1084

Supplements for a Deviated Septum

In addition to improving your overall health, there are supplements you can take that will reduce the effect of your deviated septum:

  • Vitamin C (ascorbic acid) is an important antioxidant in the respiratory tract. It is also an effective anti-inflammatory and anti-allergic agent. Vitamin C can help in the treatment of chronic rhinosinusitis28Jiao J, Meng N, Wang H, Zhang L. The effects of vitamins C and B12 on human nasal ciliary beat frequency. BMC Complement Altern Med. 2013; 13:110. Published 2013 May 20.
  • Vitamin A and D also have anti-inflammatory properties and are known to reduce the inflammation of nose and surrounding sinuses29Linday, L. A., Dolitsky, J. N., & Shindledecker, R. D. Nutritional supplements as adjunctive therapy for children with chronic/recurrent sinusitis: pilot research. International Journal of Pediatric Otorhinolaryngology.2004; 68(6): 785–793.
  • Omega-3 fatty acid, an anti-inflammatory, can also be effective in the treatment of children with chronic and/or recurrent sinusitis30Linday, L. A., Dolitsky, J. N., & Shindledecker, R. D. Nutritional supplements as adjunctive therapy for children with chronic/recurrent sinusitis: pilot research. International Journal of Pediatric Otorhinolaryngology.2004; 68(6): 785–793.

​Devices That Help a Deviated Septum

As you would expect, where there’s a health problem, there’s a device that can help!

Here are the main nasal devices that can help a deviated septum:

External Nasal Dilators

A nasal dilator is a small plastic device which comes in various forms (in-nostril stents, in-nostril cones, and external strips) and is designed to mechanically open users’ nasal passages.


By increasing the diameter of the nostril, the dilators can enhance the airflow and reduce the impact of the deviated septum. These are known to be effective in overcoming difficulty in breathing in pregnant women and infants31Corey JP, Houser SM, Ng BA. Nasal congestion: a review of its etiology, evaluation, and treatment. Ear Nose Throat J. 2000;79(9)


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Continuous Positive Airway Pressure (CPAP)

This device includes a face mask which covers the mouth and nose and is connected to a pump. Air is continuously passed through the nose into the respiratory tract while the affected individual is sleeping. This is mainly useful for individuals suffering from sleep apnea, due to airway obstruction caused by the deviated nasal septum32Corey JP, Houser SM, Ng BA. Nasal congestion: a review of its etiology, evaluation, and treatment. Ear Nose Throat J. 2000;79(9)

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Medication for a Deviated Septum

The main medications for a deviated septum reduce inflammation in the nasal passage and help to flush it out:33Corey JP, Houser SM, Ng BA. Nasal congestion: a review of its etiology, evaluation, and treatment. Ear Nose Throat J. 2000;79(9)

  • Decongestants: Decongestants are considered first line of drugs for the treatment of nasal congestion. They are available in oral and topical (applied on surface of skin) forms
  • Antihistamines: These are anti-allergic. They are useful for relieving nasal inflammation caused due to allergic conditions
  • Steroids: These are anti-inflammatory agents. For nasal congestion, topical nasal administration is recommended as it yields better results.
  • Antibiotics: In cases of nasal and sinus infection, antibiotics are recommended. These aid in eliminating microbial growth
Exercises for a Deviated Septum

There are some intriguing exercises to help breathing problems, including problems caused by a deviated septum.  

While these exercises have not been validated in scientific studies, there are many online chat forums where fans of these exercises describe their success in using them. The main exercises are:

  • Bhramari pranayama is a yogic breathing technique which relieves anxiety; it is safe and easy to do. The vibrations produced during the humming sound may help in the ventilation and drainage of the sinuses by dislodging the mucous and reducing mucosal edema. The pranayama is to be practiced for 5 minutes twice daily35Abishek K, Bakshi SS, Bhavanani AB. The Efficacy of Yogic Breathing Exercise Bhramari Pranayama in Relieving Symptoms of Chronic Rhinosinusitis. Int J Yoga. 2019;12(2):120-123

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  • Bhrastrika and Kapalbhati pranayams are other breathing exercises that could be useful​36Abishek K, Bakshi SS, Bhavanani AB. The Efficacy of Yogic Breathing Exercise Bhramari Pranayama in Relieving Symptoms of Chronic Rhinosinusitis. Int J Yoga. 2019;12(2):120-123

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  • Sarvangasana or ‘shoulder stand’ helps in clearing the nasal blockage and enhances the nasal airflow37Abishek K, Bakshi SS, Bhavanani AB. The Efficacy of Yogic Breathing Exercise Bhramari Pranayama in Relieving Symptoms of Chronic Rhinosinusitis. Int J Yoga. 2019;12(2):120-123

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​Eastern Medical Techniques

There are other traditional techniques that originate from countries in Asia, notably India…

​Ayurveda for a Deviated Septum

According to Ayurveda, the nose is the gateway to the brain and consciousness.


Nasyakarma is a popular treatment modality in Ayurveda, which has been advocated in disorders related to nose including deviated nasal septum. The inhalation of medicated oil through the nostrils helps eliminate mucus accumulated in the sinus, throat, nose or head areas. The patient’s body is massaged from the shoulders upwards. An exact dose of the herbal medicine is poured into the nostrils as the patient inhales. During the process, the area around the nose, neck, shoulders, palm and feet are rubbed. This is highly beneficial in conditions such as sinusitis, migraine, chronic cold, and chest congestio.38Vasant L. An introduction to panchakarma. Ayurveda today. 1994; 7(1). Published by the ayurvedic Institute

​Acupuncture for a Deviated Septum

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Stimulation of certain acupuncture points has been shown to affect areas of the brain that reduce sensitivity to pain and stress.


Nasal congestion is treated by acupuncture of the "yingxiang" point, which lies just outside the nostril. This is often chosen as massage point because patients are easily able to identify the point and perform finger massage.39Takeuchi, H., Jawad, M. S. M., & Eccles, R. (1999). The Effects of Nasal Massage of the “Yingxiang” Acupuncture Point on Nasal Airway Resistance and Sensation of Nasal Airflow in Patients with Nasal Congestion Associated with Acute Upper Respiratory Tract Infection. American Journal of Rhinology, 13(2), 77–79.

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    Abishek K, Bakshi SS, Bhavanani AB. The Efficacy of Yogic Breathing Exercise Bhramari Pranayama in Relieving Symptoms of Chronic Rhinosinusitis. Int J Yoga. 2019;12(2):120-123
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    Abishek K, Bakshi SS, Bhavanani AB. The Efficacy of Yogic Breathing Exercise Bhramari Pranayama in Relieving Symptoms of Chronic Rhinosinusitis. Int J Yoga. 2019;12(2):120-123
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    Takeuchi, H., Jawad, M. S. M., & Eccles, R. (1999). The Effects of Nasal Massage of the “Yingxiang” Acupuncture Point on Nasal Airway Resistance and Sensation of Nasal Airflow in Patients with Nasal Congestion Associated with Acute Upper Respiratory Tract Infection. American Journal of Rhinology, 13(2), 77–79.

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Deviated Septum Diet: Healthy Foods to Reduce Breathing Problems (and Foods to Avoid)

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Certain foods can cause congestion and inflammation, which can be made worse by a deviated septum.

In this article we cover some of the foods and dietary changes you can follow to reduce those side effects, including foods to eat and foods to avoid. Consider it your deviated septum diet!

Deviated Septum Healthy Food

  • Cayenne Pepper\Hot Peppers:  The use of cayenne pepper in the diet helps restore the health of the nose and sinuses. Cayenne pepper contains an ingredient called capsaicin which blocks inflammation- and pain-causing chemicals (e.g., substance P). This property helps reduce the inflammation of the mucosa (inner skin) of the nose and sinuses, clearing the congestion and reducing headache.1Hatipoğlu, Umur & Rubinstein, Israel. Anti-inflammatory treatment of chronic rhinosinusitis: A shifting paradigm. Current allergy and asthma reports. 2008; 8:154-61.

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Capsaicin also has antibacterial property and is effective against chronic sinus infections.2Nagaraju, Madala & Kumar, Manoj. (2020). Hot Pepper-History-Health and Dietary Benefits & Production. International Journal of Current Microbiology and Applied Sciences. 9 number 4 Research suggests that local application of capsaicin (in the form of a nasal spray) reduces the swelling of mucosa of the nose and sinuses.3Hatipoğlu, Umur & Rubinstein, Israel. Anti-inflammatory treatment of chronic rhinosinusitis: A shifting paradigm. Current allergy and asthma reports. 2008; 8:154-61. The nasal spray may result in side effects such as irritation, sneezing, and coughing.4Gevorgyan A, Segboer C, Gorissen R, van Drunen CM, Fokkens W. Capsaicin for non-allergic rhinitis. Cochrane Database of Systematic Reviews 2015, Issue 7

  • Ginger: Ginger is extensively used in several medicinal formulations in Ayurveda. It exhibits anti-inflammatory, antimicrobial properties along with high antioxidant levels. It is a great source of vitamins A, E, C, and many essential micronutrients such as potassium, copper, and manganese which help build resistance against diseases.

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Consumption of ginger reduces the inflammation and fights against sinus and nasal infections. It also assists in drainage of accumulated mucus (sinus substance) in the blocked sinus, relieving congestion.5Bhatt N, Waly MI, Essa MM, Ali A. Ginger: A functional herb. Food as Medicine. 2013:51-71.

The use of ginger juice with honey is a common home remedy for sinusitis. Consuming ginger with jaggery also works against sinus congestion and eases the effort required to breathe.6Bhatt N, Waly MI, Essa MM, Ali A. Ginger: A functional herb. Food as Medicine. 2013:51-71.

  • Apple Cider Vinegar: Apple cider vinegar is rich in minerals such as potassium, copper, calcium, iron, chromium, and magnesium. It is also a great source of vitamins such as A, B, C, and E. Presence of vitamins, minerals, and antioxidants helps fight sinus infection and reduces the symptoms of sinus congestion. The presence of vitamin C also helps strengthen the body’s immunity against diseases.7 Brandon B. Apple Cider Vinegar for Health: 100 Amazing and Unexpected Uses for Apple Cider Vinegar. Simon and Schuster; 2014 Jun
apple cider vinegar

Apple cider vinegar can be consumed by diluting with hot water (10ml in one glass of hot water) or inhaled as vapors as after boiling 1 cup of apple cider vinegar with 4 cups of water. Clogged sinuses can also be cleared by flushing the nose with apple cider vinegar in a ‘neti pot’ (flushing of the nose using saline water in a pot).8Natural techniques to combat your allergies; Bioptimizers; January 25, 2019

  • Horseradish: Eating horseradish is known to clear congestion of the nose and sinus. Its anti-bacterial property helps fight against sinus infections.

Research suggests that horseradish is as effective as conventional antibiotics in individuals with chronic rhinosinusitis. Horseradish also has lesser adverse effects when compared to antibiotics.

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It is recommended to consume it as part of one’s diet instead of capsule or pill, as the smell and taste of the food contributes healing. 9Hardy, Mary L., and Elizabeth R. Volkmann. "2 Rhinosinusitis." Food and Nutrients in Disease Management (2016): 29.

  • Pineapple: Pineapples contain bromelain which has anti-inflammatory properties that reduce the mucosal (inner skin) swelling in the nose and sinuses. It also helps clear the mucus in clogged sinuses.10Hardy, Mary L., and Elizabeth R. Volkmann. "2 Rhinosinusitis." Food and Nutrients in Disease Management (2016): 29.

​Deviated Septum Foods to Avoid:

  • Reduce Dairy Intake: Intake of dairy products cause inflammation, aggravate mucus production, and impair sinus drainage. Dairy products also increase susceptibility to bacterial activity, causing sinus congestion. This leads to nasal stuffiness, facial pressure, and fatigue. These claims, however, are still being debated with inconclusive results.11Bartley, J., & McGlashan, S. R. (2010). Does milk increase mucus production? Medical Hypotheses, 74(4), 732–734.

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  • Refined sugars: Increased consumption of refined sugars (e.g., corn syrup, white sugar, brown sugar, white flour) is associated with increased mucus production and inflammation of the mucosa of the nose and sinuses, aggravating nasal congestion. 12Hardy, Mary L., and Elizabeth R. Volkmann. "2 Rhinosinusitis." Food and Nutrients in Disease Management (2016): 29.

Sources:

  1. 1
    Hatipoğlu, Umur & Rubinstein, Israel. Anti-inflammatory treatment of chronic rhinosinusitis: A shifting paradigm. Current allergy and asthma reports. 2008; 8:154-61.
  2. 2
    Nagaraju, Madala & Kumar, Manoj. (2020). Hot Pepper-History-Health and Dietary Benefits & Production. International Journal of Current Microbiology and Applied Sciences. 9 number 4
  3. 3
    Gevorgyan A, Segboer C, Gorissen R, van Drunen CM, Fokkens W. Capsaicin for non-allergic rhinitis. Cochrane Database of Systematic Reviews 2015, Issue 7
  4. 4
    Bhatt N, Waly MI, Essa MM, Ali A. Ginger: A functional herb. Food as Medicine. 2013:51-71.
  5. 5
     Brandon B. Apple Cider Vinegar for Health: 100 Amazing and Unexpected Uses for Apple Cider Vinegar. Simon and Schuster; 2014 Jun
  6. 6
    Natural techniques to combat your allergies; Bioptimizers; January 25, 2019  
  7. 7
    Hardy, Mary L., and Elizabeth R. Volkmann. "2 Rhinosinusitis." Food and Nutrients in Disease Management (2016): 29.
  8. 8
    Bartley, J., & McGlashan, S. R. (2010). Does milk increase mucus production? Medical Hypotheses, 74(4), 732–734.

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