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**Mknlvi** · 8 January 2006, 01:43 AM

I have the exact same problem, suffered with it for years. In my case something is happening when I sleep, which always makes my nose swollen by the time I wake up in the morning. It is not really red at all, but always swollen.

I was prescribed Flagyl (Oral Metronidazole) last year. I was put on one 500mg and one 250mg per day.
The results were poor. It didn't help at all for the 12 days while I was taking it, but the week after my nose was less swollen for around 2 weeks. The swelling then came back just as bad as before I took it.

**lakan** · 9 January 2006, 12:32 PM

I have the same problem, swollen nose in the morning. But what seems to help me is the medication Klacid (clarithromycin). It has got a lot better since i've started eating that. Don't know why it helps though..but it does. I take 250mg in the morning and 250 in the evening.

**YankeesRtheBest** · 9 January 2006, 06:21 PM

Thanks for the info, I have high hopes for Rambazole, Dr. Nase said it can treat mild to moderate rhinophyma. I just hope that mine will stay in or below that range when it comes out. And I wonder if that means it will prevent me from ever getting to a severe stage? I sure hope so. Until then, I'm looking for the best way to stop this swelling and other symptoms of rhinophyma in its tracks. I'm still unsure about what the best laser is for this. Maybe that Roche place in NJ can make the 1 mg accutane if I get my derm to send the prescription. -Chris

**isitrosacea** · 7 January 2009, 10:03 AM

I have the same thing, my nose is swollen in the morning for an hour or so. And another thing is that my nose always gets stuffed during nights... that probably causes the swelling too. It's very damn irritating, please let me know if anything has helped you guys.

**Melissa W** · 7 January 2009, 10:48 AM

Could be partly due to allergies.
Have you tried an antihistamine like allegra or zyrtec?

Best wishes,
Melissa

**isitrosacea** · 7 January 2009, 01:13 PM

Originally posted by melissawohl View Post

Could be partly due to allergies.
Have you tried an antihistamine like allegra or zyrtec?

Best wishes,
Melissa

I don't have any allergies that I know of. But yeah, I could have some allergy that I don't know of since I got the fungus and seb. derm and all. Dunno if those conditions are related in any way, though.

**phlika29** · 7 January 2009, 01:38 PM

Do you sleep on a feather pillow. You might like to put an allergy slip cover on it.

**isitrosacea** · 7 January 2009, 03:58 PM

Originally posted by phlika29 View Post

Do you sleep on a feather pillow. You might like to put an allergy slip cover on it.

Yeah I do... I'm gonna test sleeping without a pillow for the next night.

**phlika29** · 7 January 2009, 06:45 PM

Well that sounds a little uncomfortable. You can buy special covers for pillows and buy special hypoallergenic ones. Ofcourse it might not be that....

**isitrosacea** · 8 January 2009, 11:16 AM

Originally posted by phlika29 View Post

Well that sounds a little uncomfortable. You can buy special covers for pillows and buy special hypoallergenic ones. Ofcourse it might not be that....

Yeah I didn't actually try sleeping without a pillow... but my nose got way stuffed again. It could be the excessive heating, it's like -13 in the outside now so the heaters are boiling.

**Melissa W** · 9 January 2009, 12:36 AM

We keep the heat off in the bedroom. That could be an aggravating factor.

Best wishes,
Melissa

**Stefieny** · 24 July 2009, 04:10 AM

Hi Chris,

I found your posting while searching online for information on Rhinophyma and swollen nose. I was recently diagnose with Rosacea and already experiencing your symptoms. My nose is slightly larger than before and it tends to be more swollen when I wake up in the morning. I am horrified since I am a female in my early 30's. I was curious if you tried any medication that improve your condition. I am currently using Metrogel, but its not helping at all. If anyone else is experiencing the same problem and has good advice, please feel free to drop a note.

Thanks!!!

**Melissa W** · 24 July 2009, 11:33 AM

Hi Stefieny,
I'm sorry you are dealing with this. You might find this thread helpful.
It contains helpful threads within it as well dealing with this issue.

http://www.rosaceagroup.org/The_Rosa...ght=rhinophyma

There are measures you can take so don't stress too much. Best thing to do is find a good derm who can work with you to help you find relief from your symptoms.

Welcome to the RF

Best wishes,
Melissa

**RedFaced** · 24 July 2009, 10:35 PM

I am also dealing with nose swelling and I know it can another distressing part of Rosacea.

I have done some reseach on it and here is some advice.

It has been studied and proven through biopsy that Rhinophyma and Rosacea have an overgrowth of mast cells. Mast cells play a role in the release of histamine, thus too many mast cells, too much histamine, too much histamine leads to inflammation, prolonged inflammation leads to swelling, prolonged swelling can lead to fibrosis and tissue growth. So goes the basic theory for phymatous types of Rosacea.

On top of that, Sebum and the overactive activity thereof is also said to play a role in Rhinophyma. This is one reason why it is said to be more prevelant in men then women, as androgens influence the oil glands and sebum.

This is why Dr. Nase encourages Oral Ketofin (sp?) and low dose Accutane as it covers both of these issues and on top of that, Accutane has potent anti-inflammatory effects.
However, I caution you on low dose Accutane. I did it for 8 months. It helped the nose a lot, actually reversed the swelling I had BUT it ended up making my overall facial flushing worse and once I was off for around 6 mopnths the nose swelling came back. I would only entertain this medication IF you have exhausted all other avenues and I would also go very slow and not go above 10-15mg per day, keeping a close eye on flushing.

Quercetin/Bromelian. This is a natural supplement that has anti-inflammatory effects, strengthens cappillaries and is a mast cell stabilizer. I have found it too be somewhat beneficial but in no means a cure. Has perhaps just allowed things to be less severe? I hope anyways.

Chromolyn Nose Spray. This is an OTC nose spray that is also a mast cell stabilizer. I do 3 squirts per day. Can't say how much it has really hepled, but I think it has again perhaps made things less severe. Nonethelss, I use it daily in hopes that it is helping to make things less severe. Some people respond well to this, so I have read.

Clonidine. Didn't help me but I have read reports of people having resolved nose flushing with this.

Like most aspects of Rosaea, the key to control is reducing the flushes, which reduces the overall inflammation, which reduces the swelling, wich limits or prevents the possibility of tissue growth.

Mast cells/Fibrosis and their role in Phymatous types of Rosaca as well as Rosacea in general.

http://www.find-health-articles.com/...rhinophyma.htm
http://rosacea-support.org/angiogene...volvement.html
http://www.springerlink.com/content/8mh5517688160212/
[ame="http://www.youtube.com/watch?v=eVBqMXMIFnM"]YouTube - Mast Cell[/ame]

Histopathology Skin nose--Rhinophyma on Sebacous Glands

[ame="http://www.youtube.com/watch?v=CqpaU4SU2Dk"]YouTube - Histopathology Skin nose--Rhinophyma[/ame]

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Swollen nose every morning

Swollen nose every morning

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