Is nasal swelling a secondary Symptom

My husband has RA and recently went to an ENT for his raspy voice and dry mouth. She saw a lot of sticky, thick mucus draining in the back of his throat and recommended a facial steamer to help. He also got a full face bipap mask this week as his old one was allowing his mouth to pop open and he breathed mostly through his mouth all nite. His rheumy said he is verging on sjorgens (sp?) Which sometimes accompanies RA. So, this may not help you a lot, but thought I would tell you what is going on with my RA guy. He is 74 and has other chronic illnesses and is on a lot of meds, which add to the problem.

I noticed persistent nasal congestion at the onset of my RA. It came with a gluey/crusty yellow mucous.

I also had dry eyes and a dry mouth, I was drinking sips of water constantly. There were muttering of Sjogrens, then. So from my experience I’d say yes to your question about the symptom, and also yes about methotrexate providing relief. 

I started methotrexate and Hydroxychloroquine over a year ago. It took more than 3 months and then a switch from oral to subcutaneous self administered injections for this to become most bearable and effective. I am presently almost free of pain symptoms. The nasal symptoms cleared with everything else. Dry eyes still require drops from time to time. 

Also be aware that the dry mouth/reduced saliva is altering the chemistry in your mouth, saliva is usually lubricating and buffering acid in there. I was advised by a dental surgeon to start using high fluoride toothpaste, which I now do. 

Do you have to stay on methotrexate? Yes. While it works. And judging from the damage described by insufficiently treated sufferers - we should be glad to have it!