Thanks
Paediatric Allergist and Immunologist
The symptoms you describe as well as your clinical progress including gradual recurrence after nasal (turbinate) cautery suggest that you are affected by allergic rhinitis (AR, commonly known as hay fever).
Because AR is caused by the nose and/or eyes coming into contact with environmental allergens, symptoms (in your case obstructive symptoms like blocked nose, stuffiness and snoring) will likely recur each time you are re-exposed.
There are many treatments available including antihistamines, intranasal corticosteroid sprays, decongestant sprays and tablets as well as allergen immunotherapy if required.
I would recommend you visit a specialist allergist (allergy.org.au has a list of accredited allergists in australia) identify the specific allergens that affect you, minimise your exposure to those and optimise the use of intranasal medications (also control your asthma better if you have any)
Remember that intranasal steroids need to be used regularly and with careful attention to the way in which they are used. If your symptoms persist and continue affecting your quality of life, allergen immunotherapy would be the way forward. Further surgery is unlikely to be beneficial as symptoms will recur.
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