Recognizing and Managing a Deviated Septum in Seniors

A deviated septum is a common condition where the thin wall between the nostrils, known as the septum, is displaced to one side, making one nasal passage smaller than the other. While many people may have a slightly deviated septum without noticeable symptoms, for seniors, this condition can lead to significant discomfort and complications. Understanding the signs of a deviated septum and knowing how to manage it is crucial for maintaining a good quality of life.

Signs of a Deviated Septum in Seniors

As we age, our bodies undergo various changes, and issues like a deviated septum can become more pronounced. Here are some signs that seniors should be aware of:

1. Breathing Difficulties: One of the most common signs of a deviated septum is difficulty breathing through one or both nostrils. Seniors might notice that they struggle more with breathing when lying down, which can disrupt sleep.
2. Frequent Nosebleeds: A deviated septum can cause the nasal passages to dry out, leading to frequent nosebleeds. Seniors who experience regular nosebleeds should consider this as a potential sign of a deviated septum.
3. Nasal Congestion: Chronic nasal congestion, particularly on one side of the nose, is another common symptom. Seniors might find themselves constantly dealing with a stuffy nose, even when they don’t have a cold or allergies.
4. Sinus Infections: A deviated septum can block the sinus openings, making it difficult for mucus to drain properly. This can lead to recurrent sinus infections, which can be particularly troublesome for seniors.
5. Snoring and Sleep Apnea: The obstruction caused by a deviated septum can contribute to snoring and, in more severe cases, sleep apnea. Seniors who notice an increase in snoring or experience symptoms of sleep apnea, such as waking up feeling unrefreshed or daytime sleepiness, should seek medical advice.
6. Facial Pain or Headaches: Some seniors may experience facial pain or headaches, particularly in the area of the sinuses. This discomfort is often caused by the uneven airflow and increased pressure in the nasal passages.

Managing a Deviated Septum

Managing a deviated septum, especially for seniors, involves a combination of medical interventions and lifestyle adjustments. Here are some strategies that can help alleviate the symptoms:

1. Consult an ENT Specialist: The first step in managing a deviated septum is to consult with an Ear, Nose, and Throat (ENT) specialist. SingHealth’s ENT helping guide can be a senior’s first step at getting a consultation.
2. Nasal Decongestants and Antihistamines: Over-the-counter nasal decongestants and antihistamines can provide temporary relief from nasal congestion and other symptoms. However, seniors should use these medications under the guidance of a healthcare professional, as prolonged use can lead to side effects.
3. Nasal Steroid Sprays: For more persistent symptoms, a doctor may prescribe nasal steroid sprays. These sprays help reduce inflammation in the nasal passages, making it easier to breathe. Seniors should follow the prescribed dosage and instructions carefully.
4. Humidifiers and Saline Sprays: Dry air can worsen the symptoms of a deviated septum. Using a humidifier in the home can help keep the air moist, reducing nasal dryness and congestion. Saline sprays can also be used to keep the nasal passages moist and help clear mucus.
5. Surgical Intervention (Septoplasty): In cases where the deviated septum causes significant symptoms that don’t respond to other treatments, a surgical procedure called septoplasty may be recommended. Septoplasty straightens the septum, improving airflow and reducing symptoms. Seniors considering this option should discuss the risks and benefits with their ENT specialist.
6. Lifestyle Adjustments: Simple lifestyle changes can also help manage symptoms. For instance, seniors should avoid smoking and exposure to irritants, as these can worsen nasal congestion. Staying hydrated and using pillows to elevate the head during sleep can also improve breathing at night.

Support and Resources for Seniors in Singapore

Seniors in Singapore have access to a range of support services to help manage health conditions like a deviated septum. Organisations such as the Agency for Integrated Care (AIC) provide resources and information for seniors and caregivers. The Silver Generation Office (SGO) also offers support services tailored to the needs of seniors, including healthcare navigation and assistance.

A deviated septum can be a source of significant discomfort for seniors, but with the right management strategies, its impact can be minimised. By recognizing the signs, seeking appropriate medical care, and making necessary lifestyle adjustments, seniors can improve their quality of life and breathe easier.