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Comment by karanbhangui | Hacker News Reader

It could be non-allergic rhinitis like in my case. USC head of sleep surgery recommended I try the “Afrin test” which is trying Afrin for a night or two (avoid more to prevent rebound effect). Lying down can engorge nasal passages. Try elevating head via pillows or bed elevation. Use humidifier and take large dose vitamin D. Mouth tape and sleep on your side

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What does the Afrin test indicate?

I have persistent rhinitis since I was a kid. Only two things I've tried so far help:

Afrin, which of course you can't use often due to rebound congestion but it's nice to get the occasional break.

Secondly, holding my nose shut then blowing hard against it, as if to pop your ears. For some reason this clears my airways for about 20-30 seconds which is enough to at least blow my nose.

Steroids, surgery (tonsils + adenoids) and sinus irrigation have not fixed it, but antihistamines do help a little.

Besides my nasal passages, inflammation is also noted in my eyes and gums by opticians and dentists respectively.

Speaking about inflammation in the gums, I feel like I get that too. Like sometimes the gums around my teeth taste kinda metallic or "raw" is the best way to describe it. I also get super itchy all over my body if I don't take an allergy pill at least once a week or so.

That sounds like mild food or pet allergies.

I've been using Afrin on and off and recently went off of it because of the rebound effect. What does the test indicate though? Afrin will clear your nose regardless of allergies or not. I don't see how this test would tell me anything.

Assuming you’re cleared for allergies, it can show that it’s positional. I wouldn't use Afrin on a regular basis, or even more than two days. Try corticosteroid like flonase instead

Also hepa air purifier, vacuuming/avoding carpets, and replacing and continuously running HVAC filter/fan has helped.

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