Rediscovering Life: The Story of a Hawker’s Triumph Over Chronic Sinus Condition Through Surgery

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August 19, 2025

Singapore – For Mr. Ho Kian Thong, a purveyor of beloved prawn noodles and laksa at Sims Vista market & Food Center, a persistent nighttime cough initially seemed like a minor ailment. It wasn’t until disrupted sleep and increasing difficulty breathing prompted a visit to a respiratory specialist that the root cause was identified.

From Dismissed Symptoms to a Definitive Diagnosis

Mr. Ho’s experience is a common one. many individuals initially attribute early asthma symptoms to temporary illnesses or the effects of allergies. Though, when these symptoms-such as coughing, notably at night-persist and are accompanied by shortness of breath, it is indeed crucial to seek medical evaluation. A formal diagnosis of asthma allows for appropriate management and can significantly improve quality of life.

Understanding Asthma’s Impact

Asthma is a chronic respiratory condition affecting millions worldwide.According to recent data from the World Health Institution, approximately 262 million people suffered from asthma in 2019. The condition causes inflammation and narrowing of the airways, making it challenging to breathe. This can manifest in several ways.

Here’s a quick overview of common asthma indicators:

Symptom	Description	Severity
Coughing	Frequently enough worse at night or early morning	Mild to Severe
Wheezing	A whistling or squeaky sound when breathing	Mild to severe
Chest Tightness	A feeling of pressure or constriction in the chest	Mild to severe
Shortness of Breath	Difficulty getting enough air	Mild to Severe

Did you know? Asthma diagnoses are rising globally, linked to factors such as increased air pollution and changing lifestyles.

the Importance of Early Intervention

Delaying diagnosis and treatment of asthma can lead to meaningful health consequences,including frequent trips to the emergency room and reduced lung function over time. Pro Tip: Keep a symptom diary to help your doctor understand your condition better.

Living with Asthma: A Proactive Approach

Managing asthma effectively requires a collaborative effort between patients and healthcare providers. This frequently enough involves a combination of medication, lifestyle modifications, and regular monitoring. Understanding your triggers – such as allergens, exercise, or cold air – is key to minimizing asthma attacks.Maintaining a healthy weight, avoiding smoke, and practicing proper breathing techniques can also contribute to better control.

Are you experiencing persistent respiratory symptoms? Have you ever considered keeping a log of your triggers?

Frequently Asked Questions About Asthma

Share your thoughts on this article and how asthma awareness has impacted you! Leave a comment below.

What specific challenges did Mr. Kumar face in his work as a street food hawker that worsened his chronic sinusitis?

Understanding Chronic Sinusitis: A Persistent Challenge

Chronic sinusitis, affecting millions worldwide, is more than just a bad cold. It’s an inflammation of the sinuses lasting 12 weeks or longer, despite treatment attempts. For many, like Mr. Rajesh Kumar, a street food vendor in Mumbai, it’s a debilitating condition impacting livelihood and quality of life. Symptoms extend beyond the typical nasal congestion and facial pain to include fatigue,loss of smell,and even cognitive difficulties. Common causes include nasal polyps,deviated septum,and fungal infections. Effective sinus infection treatment often requires identifying and addressing the root cause.

mr. Kumar’s Story: Years of Suffering

Mr. Kumar, 52, had battled chronic sinusitis for over a decade. His work as a street food hawker exposed him to dust, smoke, and fluctuating whether conditions – all exacerbating his condition. Initially, he relied on over-the-counter decongestants and home remedies. However, these provided only temporary relief.

“I thought it was just a persistent cold,” Mr. kumar shared. “But it got worse. I couldn’t smell the spices I used in my food, and the constant headache made it hard to concentrate. My business suffered because I was always tired and unwell.” He described a significant decline in his income and an increasing sense of despair. He’d tried Ayurvedic treatments and multiple courses of antibiotics, all with limited success. His sinus pain was constant,and his nasal congestion made breathing difficult,especially during monsoon season.

Diagnosis and the Role of Functional Endoscopic Sinus Surgery (FESS)

After years of suffering, Mr. Kumar consulted with me at Archyde Hospital. A thorough examination, including nasal endoscopy and a CT scan of his sinuses, revealed significant inflammation and blockage due to nasal polyps and a slightly deviated septum.We discussed various treatment options, including continued medical management, but given the chronicity and severity of his symptoms, Functional Endoscopic Sinus Surgery (FESS) was recommended.

FESS is a minimally invasive surgical procedure designed to restore sinus drainage and ventilation. It doesn’t involve external incisions; instead,it utilizes an endoscope (a thin,flexible tube with a camera) inserted through the nostrils.

Here’s what FESS aims to achieve:

Polypectomy: Removal of nasal polyps obstructing airflow.

Septoplasty: Correction of a deviated septum to improve nasal passage width.

Sinus Unblocking: Widening of sinus openings to facilitate drainage.

Ethmoidectomy: Removal of diseased ethmoid tissue (when necessary).

The Surgical procedure and Post-Operative Care

Mr. Kumar underwent FESS under general anesthesia. the procedure took approximately two hours. Post-operatively, he was closely monitored for any complications.

Key aspects of his post-operative care included:

1. Nasal Saline Irrigation: Regular saline rinses to keep the nasal passages clean and moist. This is crucial for post-sinus surgery recovery.
2. Antibiotics: A short course of antibiotics to prevent infection.
3. Pain Management: Over-the-counter pain relievers to manage discomfort.
4. Follow-up Appointments: Regular check-ups to monitor healing and ensure optimal results.
5. avoidance of Irritants: Minimizing exposure to dust, smoke, and allergens.

Rediscovering Life: Mr. Kumar’s Conversion

Within weeks of surgery, Mr. Kumar experienced a remarkable improvement. His chronic nasal congestion subsided, his headaches diminished, and, most importantly, he regained his sense of smell.

“It was like a new life,” he exclaimed during a follow-up appointment. “I could smell the spices again! My business is thriving, and I have the energy to work long hours. I haven’t felt this good in years.”

He was able to return to his work as a food vendor with renewed vigor and enthusiasm. His income increased, and his overall quality of life significantly improved. He actively practices nasal saline irrigation daily,a habit he intends to maintain for long-term sinus health.

Benefits of Surgical Intervention for Chronic Sinusitis

For patients like Mr. Kumar, who haven’t found relief through conventional treatments, surgery can offer significant benefits:

Improved Breathing: Restored nasal airflow.

reduced Pain & Pressure: Alleviation of facial pain and pressure.

Enhanced Sense of Smell & Taste: Regaining lost sensory functions.

Reduced Reliance on Medication: Decreased need for antibiotics and decongestants.

Improved Quality of Life: Increased energy levels and overall well-being.

Practical Tips for Preventing Chronic Sinusitis Flare-Ups

While surgery can provide long-term relief, preventative measures are crucial:

Hydration: Drink plenty of fluids to keep nasal passages moist.

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