A new question is answered every 9 seconds

Uvula and soft palate not returning to normal

Resolved Question:

I have asked several doctors and had some varied responses from them. In the meantime 4 and a half weeks since the onset, there seems to be no relief or signs of normality returning to my uvula and soft palate. Have you come across something like this before? Sinuses are also a little inflamed and nose will cleanup sporadically during the day. I will take claritin and do a nasal irrigation and spray a xylitol nasal spray in as well. I gargle with salt water and aloe vera juice during the day.
I tried flonase and claritin together for a week or so but I didn't like the way flonase made me feel.
Night times I have no problem going to sleep but I tend to always wakeup a couple of hours before normal rising time due to a dryer throat and the uvula being annoying on the tongue. I do snore but have propped myself up with pillows and try to sleep on my side as much as possible. I am feeling a little distraught that this is lasting so long.
I have been taking a few natural supplements to help boost my immune system.
Allergist has done an airborne panel test revealing allergies to dust /mites, bermuda grass, and olive tree pollen. (season is low now in San Diego for pollens) I have photos of uvula and palate if needed to upload or send.
I am a little distressed at the fact that this has not subsided and do sometimes get quite anxious. What can be the problem with the uvula?


Category: ENT Specialist

Ask Your Own Question

Category: ENT Specialist
Dr. Sunil Jalan is online now

Expert:  Dr. Sunil Jalan replied 4 Days.

Hello,

Thank you for your consult at DoctorSpring.com, I can understand your problem, and will try to help you the best possible.


Let me explain the disease first ->

You are suffering from
• Elongated uvula – can be seen on picture, causing throat irritation
• OSA (Obstructive sleep apnoea). – snoring and disturbed sleep
• Allergic rhinitis – nose irritation, nasal discharge

Suggestions ->

Your throat picture is almost normal. You have elongated uvula but your palate is normal. Elongated uvula is seen in many people without any symptoms. So if is not causing any irritation we can ignore it. Symptomatic elongated uvula is quite irritating. It does occur quite frequently in diabetics, hypertensives, allergic patients, asthmatics, thyroid patients and those who are allergic to drugs.The single most common cause is the person who snores or who clears his throat by constant hawking. With improvement in allergy and sleep apnoea you will get relief from your uvula irritation, if still persist then it can be excised with a small surgery.

For OSA treatment is weight reduction by excercise or diet.

For allergic rhinitis, if you are not comfortable with flonase nasal spray, then we can change to mometasone nasal spray (metaspray nasal spray 1 puff two times for 3 months.)

You should avoid use of xylitol, and antibiotic (Claritin)

Summary of treatment:
• Weight reduction
• Using antiallergic treatment (to mometasone nasal spray )
• Avoid use of xylitol, and antibiotic (Claritin)
• If no improvement excision of uvula with palatoplasty (uvpp surgery) – you will get relief in both irritation due to uvula and snoring

Hope this helps. Feel free to ask if you have any further queries.

Thank you.
Regards
Dr. Sunil Jalan
MBBS, DLO,MS(ENT), DNB,DAA


Patient replied :

A couple of questions for you...
Can one shrink the uvula as opposed to excising it?
Calritin is an antihistamine not an antibiotic-helps with allergies. Shall I stop that?
The xylitol nasal spray is only saline with xylitol which I understand helps bind to allergens or bacteria and helps with eliminating them.
I have patanase which I haven't used yet-could that be a better alternative?


Expert:  Dr. Sunil Jalan replied 3 Days.


Thank you for using Ask a Doctor Service from Doctor Spring.

Really sorry for my information for Claritin , Xylitol. (I thought these are Clarithromycin and xylometasoline drops respectively). You can continue both of them.

Pentanase again antihistamine spray, you can use it without any side effect.

There are several procedure for uvula and soft palate reduction including radiofrequency ablation, You can meet local ENT surgeon and discuss, if any query please write to me.

Weight reduction will be first line of treatment if you are obese.



Hope this helps. Feel free to ask if you have any further queries.


Thank you.


Dr. Sunil Jalan
Category: ENT Specialist
Experience: 
DAA (Diploma in asthma and allergy) : Christian Medical College, Vellore, 2012
D.N.B (ENT), 2011
Residency - M.S. (Master post graduate degree in otorhinolaryngology),  Christian Medical College, Vellore, 2009
D.L.O. (Diploma in otorhinolaryngology) - Christian Medical College, Vellore, 2007
Medical School - M.B.B.S, S.P. Medical college, Bikaner, 2004
Dr. Sunil Jalan and 4 other Medical Specialists are ready to help you

Make informed and better medical decisions.

We believe that getting medical questions answered and getting qualified opinions from certified Doctors should be easier.



Specialists from
UK, US, Ind,
Aus & NZ


48000+ consults
in 2015


98.1% Satisfied
users


MEDNET Board,
100% Satisfaction
guarantee

How it works


  • Submit question, upload files, if any
  • Consult is assigned to a specialist
  • Doctor replies, Mean response time: 2 hours
  • Intimation by email, ask follow-ups

Recommendations based on

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in News

News

Make informed and better medical decisions.

Close x


Your account has been deleted.

PS: You can unsubscribe from emails from DoctorSpring, by going to
Unsubscribe link provided in them.