Q: I am a 38 years old man having a blocked nostril (left one) most of the time. I am prone to throat infection, severe cold and sneeze throughout the day, which reduce only with heavy dosage of antibiotics and medicines. A septoplasy operation was done on my nose, 8 years back, but it was not useful as the doctor says that the deviation has returned once again. He says that there is deviation on one side and polyps on another side plus allergy. He had prescribed Ketasma to mitigate the allergy problem. It is effective but makes me drowsy. Is there an alternative to ketasma, which will not make me drowsy? What other steps should I take to mitigate the blocked nostril and polyps?

A:The reason for developing nasal polyps and then sneezing and obstruction is because of the allergy. So primarily, the allergy has to be treated first. If you are not happy with the tablet prescribed try other ones, which cause less sedation. But it is better to ask your own treating doctor. If the medical treatment is not helping you, then I would suggest you seek intervention by surgical management.