Managing Secondary Atrophic Rhinitis After Sinus Surgery - #47270

Hello, Thank you for explaining the history and the current symptoms so well. As it is after a surgical intervention with ayurveda we can manage the symptoms.I will try to answer the questions you have so clearly listed: 1. Adice on Nasyam oil: ANU THAILA(vaidyaratnam) 2 drops to each nostril at 0600AM and 2 drops at 0600PM If time becomes issue, you can instil 2 drops to each nostril just before waking up from the bed and 2 drops to each nostril in the evening once you are back home. 2. Internal herbs/ayurveda medicines with Rasayana effect as a goal: During winter(to protect sinuses)- a. Indukantham kashayam 10ml + b. Dasamoolakatutrayam kashayam 10ml + 80 ml of boiled and cooled to room temperature water 45 minutes before breakfast and 45 minutes before dinner c. Nasoallerin capsules(sagar pharma) 1-----0-----1 after breakfast and after dinner. (You can repeat this combination for 90 days during winters)

d. Chyavanaprasha(vaidyaratnam/avp) 1 teaspoon as first food in the morning with a cup of warm milk (Please take this for a long time giving a weeks gap every month)

3. Dinacharya- a. Practice steam inhalation once you are back from outside everyday so that you keep your nasal passage clean(you can instill ANTHAILAM after steam inhalation so that lubrication is maintained). b. Pranayama- anuloma viloma (practice at least for 15 minutes a day) c. If possible learn jalaneti from a learned yoga teacher and start practicing daily(till you are comfortable you may have have yoga teacher infront of you)

4. Local treatments- Consult with an ayurveda doctor who has panchakrama facility. Once a year taking nasyam will be very beneficial (Note: instilling 2 drops of medicated oil everyday to each nostril is called as pratimarsha nasyam)

Take care, Kind regards.

Hello Thanks so much for your super clear description. You’re spot on with the Ayurveda – it’s a post-surgery Vata problem, specifically with Kapha–Sneha kshaya, messing with your upper respiratory passages, especially your nose.

YOUR CONCERN

My Ayurvedic diagnosis is:

–Dry Nose / Vata Nose Problem (happened after surgery) –Low Kapha + Low Majja & Rasa Dhatu –Lack of Moisture because too much tissue was removed

How long it’s been a problem: 3–6 months How bad it is: 7–9 out of 10 What makes it worse: Cold, dry air

The main issue: You lost nasal turbinate tissue, which means less Kapha and less mucus. Now Vata is sharp, dry, and cold. Healing now is about protecting and nourishing, not trying to magically regrow tissue.

What We Can Actually Do (And What We Can’t)

Let’s be real: –No, we can’t regrow turbinate tissue –But yes, we can make your symptoms a lot better. –We can protect and soothe your nasal lining, making it work better. –We can calm Vata and seriously improve how you feel.

Think of this as long-term Vata care, similar to chronic dry nose issues.

1. NASYA (Nasal Oil)– This is THE most important part

You asked a great question about oils. The type of oil really matters.

The BEST Nasya Options (in order for you):

👉Kshirabala Taila (101 Avarti is best) This is the top choice for severe dryness and Vata. Why? The milk and Bala herb really nourish and moisturize deeply. It’s gentle, won’t irritate, and is great for post-surgery dryness.

How to use: 2 drops in each nostril Once a day (morning or evening) Warm the oil a little before using

👉Plain Cow’s Ghee (Go-Ghrita) Good if other oils bother you. Use when You have extreme dryness or a burning/sharp cold feeling. How to use: 1–2 drops in each nostril at night

👉Anu Taila Only use this if you DON’T feel any burning. Not the first choice because it has strong herbs that can irritate an already sensitive nose. If you do use it: Only once or twice a week Never daily

❌ SHADBINDU TAILA Don’t use this one. It’s too strong, hot, and drying for a nose that’s already damaged.

How to do Nasya (Important!)

1. Put a warm, damp cloth on your face for 2-3 minutes. 2. Lie down with your head tilted back a bit. 3. Put in the oil. 4. Don’t sniff hard. 5. If any oil goes down your throat, spit it out. 6. Don’t go into cold air for 30 minutes after.

2. INTERNAL MEDICATION (for your nasal lining)

You’re right – what you take internally is key for healing.

Mahatikta Ghrita - ½ tsp in the morning with warm water Plain cow ghee 1 tsp daily with food

Yashtimadhu (Licorice) ½ tsp powder Twice a day with warm milk or water (Great for healing mucus membranes)

Ashwagandha ½ tsp at night with warm milk Helps tissue repair and calms Vata.

Daily Routine & Breathing Exercises

PRANAYAMA (VERY IMPORTANT) ✅ Nadi Shodhana * 10–15 rounds * Do it slowly, gently * Twice a day

❌ Avoid: * Kapalbhati * Bhastrika * (These can dry out your nasal passages more)

PROTECTION FROM COLD AIR * Cover your nose and mouth when it’s cold. * Use a humidifier indoors. * Keep AC/heater air from blowing directly on your face. * Steam inhalation: just plain steam, 1–2 times a week (no eucalyptus).

Local Treatments / Panchakarma Support

✅ Very Helpful Things Shiro Abhyanga (Head Massage) * Warm Kshirabala or Brahmi oil * 3–4 times a week Nadi Sweda (Localized steam for the face) * Gentle, not too intense * Helps calm Vata Shirodhara * Very good if you have anxiety, discomfort, or trouble sleeping. * Helps your nose indirectly by calming your mind.

❌ What to STRICTLY AVOID * Dry powders inside your nose * Too much saline rinse * Steaming too often * Cold, dry, raw foods * Fasting or irregular meals

This is all about long-term care, not a one-time fix.

Yussuf, you already know a lot about this. This condition needs patience, gentle care, and doing things consistently.

Warm Regards Dr. Snehal Vidhate

Namaste 🙏

You have understood your condition very correctly. Secondary atrophic rhinitis after turbinate surgery fits well with Ati-Vata prakopa + Kapha-kshaya + Rasa–Mamsa dhatu kshaya in Urdhva jatrugata srotas. Cold, dry air further aggravates Vata–Sheeta–Ruksha guna, hence your sharp, painful dryness.

- AYURVEDIC PRESCRIPTION focused on long-term lubrication, protection and gentle regeneration (not aggressive cleansing).

🌿 AYURVEDA PRESCRIPTION 1️⃣ Nasya (Most Important) Kshirabala Taila (101) – 2 drops in each nostril daily at night (Best for Vata-shamana, nerve & mucosal nourishment) In very cold days: alternate with plain cow’s ghee (2 drops each nostril). ⛔ Avoid Anu tailam / Shadbindu for now (they are Ushna & Teekshna → can worsen dryness).

2️⃣ Internal Rasayana - Yashtimadhu churna – ½ tsp twice daily with warm milk - Ashwagandha churna – ½ tsp at night with warm milk 👉 Supports mucosal regeneration, reduces Vata, improves tissue strength.

3️⃣ Sneha from Inside Go-ghrita – 1 tsp daily in warm milk or food (Essential for restoring lost Kapha & lubrication)

4️⃣ Local Swedana Mild steam inhalation (plain water or with a pinch of Yashtimadhu powder) → 5 minutes before Nasya

5️⃣ Pranayama (Gentle Only) Anulom-Vilom – 5–7 min Bhramari – 5 rounds ⛔ Avoid Kapalbhati (increases dryness)

6️⃣ Cold Protection Cover nose with cotton/muffler in cold air Use humidifier at night if possible

7️⃣ Dietary Pathya Warm, unctuous foods (soups, milk, ghee, rice) Avoid excess dry, cold, fasting, caffeine

8️⃣ Optional External Therapy Nadi Sweda to face & neck – 2–3 times/week ✔️ Shirodhara only if anxiety, insomnia or severe Vata symptoms are present.

🌸 Expected Improvement Reduction in sharp dryness: 2–3 weeks Better comfort in cold air: 4–6 weeks Mucosal resilience improves slowly over 3–6 months

Tq

Thank u for believing ayurveda

NAMASTE CLINICALLY THIS IS A CLASSIC CASE OF STRONG VATA AGGRAVATION WITH LOCAL KAPHA AND SNEHA DEPLETION CAUSED BY STRUCTURAL LOSS AFTER SURGERY IN AYURVEDIC TERMS THIS IS NOT AN INFECTION OR INFLAMMATORY CONDITION BUT A STATE OF DRYNESS FRAGILITY AND LOSS OF PROTECTIVE LINING IN THE NASAL AND NASOPHARYNGEAL REGION THAT IS WHY COLD AIR FEELS SHARP PAINFUL AND UNBEARABLE AND WHY WINTERS WORSEN SYMPTOMS

THE MOST IMPORTANT PRINCIPLE IN YOUR MANAGEMENT IS LONG TERM GENTLE OLEATION PROTECTION AND VATA PACIFICATION RATHER THAN AGGRESSIVE CLEANSING OR STRONG HERBS THIS IS A CONDITION THAT IMPROVES SLOWLY WITH CONSISTENCY

ANU TAILAM AND SHADBINDU ARE TOO SHARP AND DRYING FOR ATROPHIC RHINITIS AND MAY WORSEN IRRITATION

THE BEST OPTIONS ARE KSHIRABALA OIL PLAIN COW GHEE OR A MIX OF GHEE WITH KSHIRABALA OIL IN EQUAL PARTS

KSHIRABALA IS ESPECIALLY USEFUL BECAUSE IT NOURISHES NERVES MUCOSA AND DEEP TISSUES AND IS VERY VATA CALMING

METHOD DAILY MORNING OR EVENING SLIGHTLY WARM THE OIL PUT TWO DROPS IN EACH NOSTRIL INHALE GENTLY DO NOT FORCE LIE BACK FOR FIVE MINUTES DO THIS DAILY FOR LONG TERM

THE GOAL INTERNALLY IS TO IMPROVE TISSUE HYDRATION MUCOSAL QUALITY AND NERVOUS SYSTEM STABILITY

ASHWAGANDHA POWDER HALF TEASPOON NIGHT WITH WARM MILK YASHTIMADHU POWDER HALF TEASPOON TWICE DAILY WITH WARM WATER OR MILK GHRITA BASED RASAYANA IF AVAILABLE SUCH AS ASHWAGANDHA GHRITA OR SHATAVARI GHRITA ONE TEASPOON DAILY WITH WARM WATER OR MILK

THESE DO NOT ACT QUICKLY BUT OVER MONTHS THEY SUPPORT REBUILDING AND MOISTURE FROM WITHIN

DINACHARYA AND BREATHING AVOID FORCEFUL PRANAYAMA NO KAPALBHATI NO FAST BREATHING NO BREATH HOLDING

SLOW DEEP NASAL BREATHING ANULOM VILOM VERY GENTLE FOR TEN MINUTES DAILY BREATHING THROUGH NOSE AS MUCH AS POSSIBLE BUT WITHOUT STRAIN

ALWAYS PROTECT YOUR NOSE FROM COLD AIR USE A SOFT COTTON SCARF AVOID DIRECT AC OR HEATER AIR ON FACE USE HUMIDIFIER IN WINTER AVOID DRY FASTING OR SKIPPING MEALS AVOID VERY DRY FOODS CRACKERS CHIPS DRY SNACKS

DIET WARM COOKED SLIGHTLY OILY FOODS GHEE DAILY SOUPS STEWS KHICHDI AVOID VERY SPICY SOUR FERMENTED FOODS AVOID EXCESS COFFEE

NADI SWEDA TO FACE NECK AND SINUS AREA IS VERY BENEFICIAL IF DONE GENTLY MILD STEAM WITH PLAIN WATER OR MILK STEAM ONCE OR TWICE WEEKLY SHIRODHARA CAN HELP IF THERE IS ASSOCIATED ANXIETY RESTLESSNESS OR SLEEP DISTURBANCE

THIS IS A CONDITION WHERE AYURVEDA HELPS BEST WITH PATIENCE ROUTINE AND CONSISTENCY RATHER THAN FREQUENT CHANGES IN MEDICINES

From what you have described your condition following turbinate reduction surgery falls under a profound Vata aggravation with depletion of Kapha and Snehana in the nasal passages This is common after excessive tissue removal where natural lubrication is reduced and the delicate mucosa becomes dry and sensitive

For Nasya therapy the most suitable oils would be Anu Thailam and Shadbindu Thailam Both are highly nourishing and help restore mucosal moisture They can be administered i two times a day preferably in the morning and before sleep Ghee or Kshirabala can also be used especially if there is intense dryness or crust formation These help in replenishing the natural lubrication and balancing Vata in the nasal passages

Internally Rasayana herbs can help support mucosal and tissue health Triphala Chyawanprash Yashtimadhu (Licorice) and Guduchi can be taken ,These help in nourishing the tissues reducing inflammation and improving immunity

For daily routine it is important to protect your nasal passages from cold dry air You can do pranayama such as Anulom Vilom and Bhramari which help in improving circulation to the sinuses and calming Vata , avoid exposure to air conditioners or heaters directly on the face . Drink warm fluids throughout the day

Hlw yusuf ji …nice to see you for well detailed explanation of your condition:- Ayurveda can easily help your deteriorated condition of rhinitis :-

Management:-

GUDBANDI BADAM=200gm Dkhaani mirch(safed mirch)=20 gm Dhaga mishri powder=30 gm…mix all and take 1 tsp at bed time …it’s a tremendous desi formula for allergic rhinitis condition

Laxmivilas ras Tribhuvan kirti ras Sanjeevani vati=1-1-1 tab after meal thrice daily…

JYOTISMATI OIL=2-2 drop both nostrils morning and evening time…

Avoid sour/oily/fermented foods

Regular do yoga and Pranayam:- ANULOM VILOM KAPALBHATI BHRAMRI (5 min each)

Regards

Dr atul painuli Patanjali yogpeeth chikisyayala

Start with Yastimadhu churan 1tsp. Twice daily after food with water , will control sinusitis, Yastimadhu grith 2 drops in both nostril twice daily , will prevent dryness in nose Giloy ghanvati 1-0-1 after food with water, will help reduce inflammation. Chyavanprash 2tsp once daily before breakfast with water, will help improve immunity. Avoid citrus fruits, cold drink icecream sugary foods fried foods.

Your condition is classic Vata aggravation with Kapha depletion (Nasika Shosha in Ayurveda) – surgery removed too much tissue, causing dryness & loss of natural lubrication. Cold weather worsens Vata, making air feel sharp.

Ayurveda excels in restoring nasal mucosa & lubrication , 70–80% improvement possible in 3–6 months with consistency.

1. Nasya Oils (Best for Re-Hydrating Mucosa) Ksheerabala Taila – ideal for your severe Vata dryness (nourishing & lubricating). Warm 2–4 drops each nostril morning & night and lie down 5–10 min head tilted back. Start with 1–2 drops if sensitive. Daily for 60 days. Alternative to it is Anu Taila if slight congestion (less oily, good for cold trigger). Avoid plain ghee (too heavy).

2. Internal Herbs Shatavari Kalpa – 10 gm morning + night with warm milk (best for lubrication & tissue repair). Ashwagandha Lehyam – 10 gm night with warm water (calms Vata, reduces discomfort). Haritaki Churna – 3 gm night with warm water (gentle detox, supports nasal health).

3. Daily Dinacharya (Lifestyle Adjustments) Morning: Warm water sip + Anulom-Vilom pranayama 10 min (balances Vata, improves nasal flow).

Protect from Cold: Wear scarf/hat outdoors; humidifier in room (add Tulsi leaves for anti-Vata effect). Avoid: Cold drinks/food, dust exposure – use mask outdoors. Sleep 10 PM–6 AM.

4. Panchakarma (Highly Recommended) Nasya Therapy – 7–14 days with Ksheerabala Taila (professional administration – clears & lubricates deeply). Shirodhara – 7–14 days with Brahmi Taila (calms head Vata, reduces sharp air sensitivity). Nadi Sweda – steam on face/neck 10 min daily at home or clinic (relieves dryness fast).

Do at reputed Panchakarma center and you will find significant relief in 21 days.

Diet Give daily: moong khichdi + ghee, pomegranate, coconut water, thin buttermilk + roasted jeera. Avoid completely: spicy/sour, cold/raw food, dairy at night.

Regards Dr Gursimran Jeet Singh MD Panchakarma

HELLO,

WHAT ACTUALLY HAPPENED? Inside the nose there are turbinates. Their Job is to -warm the air -moisten the air -protect deeper airways During turbinate reduction surgery, too much tissue was removed. This caused -loss of natural moisture-producing lining -loss of protective oily secretion -exposure of deeper, sensitive nasal area As a result, the nose cannot hold moisture anymore, especially at the back of the nose (nasopharynx)

AYURVEDIC VIEW

1) DOSHA INVOLVEMENT

VATA IS SEVERELY INCREASED -dryness -sharp sensation -sensitivity to cold

KAPHA IS DEPLETED -loss of lubrication -loss of mucus protection

RAKTA AND MAMSA DHATU KSHAYA -surgical tissue loss -poor regeneration capacity

2) SROTAS AFFECTED -Pranavaha srotas (respiratory pathway) -Urdhva jatrugata srotas (nose-throar-head region)

3) DISEASE CORRELATION This condition resembles -vataja pratishyaya -Nasagata shosha -dhatukshaaya-janya vata vyadhi This is not infection, not allergy and not inflammation It is dryness + tissue depletion disorder

TREATMENT GOALS -reduce dryness -reduce sharp cold sensation -improve mucosal resilience -improve tolerance to cold air -prevent crusting and micro injury -improve quality of life

EXTERNAL TREATMENT

1) NASYA -Cow ghee- main medicine -2 drops is each nostril once daily In moring in winter twice =best natural lubricant, closest replacement for lost nasal secretion, deeply vata shamak, promotes healing to delicate tissues

ALTERNATIVE- KSHEERBALA TAILA = nourishes nerves and tissues, very good for chronic vata depletion, helps sensitivity and discomfort- alternate days with ghee

ANU TAILA -use only 2 times per week -purpose= protection and mild cleansing, not daily can feel drying if overused

METHOD -warm oil slightly -lie down , head slightly back -put drops -gentle inhalation -do not forcefully blow nose

WHY NASYA because nose is the direct site of disease -oil directly nourishes dried tissues -pacifies vata at its root

2) LOCAL STEAM -warm steam to face -no excess heat -follow immediately with nasya 3-4 times per week =opens channels, helps oil absorption, reduces vata stiffness

INTERNAL MEDICATIONS

1) YASHTIMADHU CHURNA= 2 gm with warm milk for 3 months I morning =best for mucosal dryness, promotes moisture retention, heals delicate lining

2) SHATAVARI GHRITA= 1 tsp with warm milk in evening =deep nourishing, supports lubrication without congestion

3) DRAKSHADI AVALEHA= 1 tsp twice daily after meals =for dryness and weakness

4) CHYWANPRASHA= 1 tsp in morning =best rejuvenator

DIET -food should be warm ,soft, moist, nourishing -ghee -milk -warm soups -rice, wheat -cooked vegetables -dates, soaked almonds

AVOID -dry snacks -cold drinks -raw foods -excess spicy food -fasting

LIFESTYLE CHANGES

Protect nose from cold -cover nose with scarf In winter -avoid cold wind exposure -avoid AC and fan directly on face

Humidity -use humidifier at night -keep bowel of water near bed

Daily oil massage -sesame or bala oil to head, neck, chest -reduces vata aggravation

YOGA AND PRANAYAM BENEFICIAL -nadi sodhana -bhramari -gentle ujjayi

AVOID -kapalbhati -bhastrika -forceful breath holding

SIMPLE HOME REMEDIES -warm mik + ghee at night -steam inhalation with plain water -apply a drop of ghee inside nostrils before going out in cold -gargling with warm sesame oil

This is a chronic but manageable condition. Ayurveda may not regrow removed tissue, but it can significantly improve comfort, protection resilience. Think in terms of daily nourishment, protection, and patience

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Start with Ksheerabala tailam 101 drops 3 Drops in both nostrils Dashamoolakatutrayadhi kashayam 20 ml twice a day after food Indukantha gritham 10ml melted ghee daily morning in empty stomach as shamana sneha