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"I have had one blocked nostril every day for a year, and nasal rinses (like hydrasense, sinus rinse) don't help. What do you suggest?"

In a situation like this, it would be best to try Flonase™, a product that contains cortisone and can be applied in the nose without a prescription. If you see an improvement in your symptoms, it may be worth investigating the possibility of allergies or a nasal polyp with a doctor. This last step should be done by a medical professional.