Managing Post-Surgery Nasal Septum Issues: When to Seek Help - Otolaryngology

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Nasal septum deviation with fluid discharge?


Hello, doctor.
Last week, I underwent surgery for a deviated septum, and it seems that the wound is slightly oozing, but it doesn't hurt.
Is there any way I can manage this at home, or do I need to return to the hospital for you to check it?

AS, 20~29 year old female. Ask Date: 2016/06/07

Dr. Zheng Jueyi reply Otolaryngology


Hello: Most of it is a normal phenomenon.
If you are concerned, you may schedule an earlier follow-up appointment for examination.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/06/07

More Info


After undergoing a nasal septum surgery, it is not uncommon to experience some post-operative symptoms, including mild bleeding, swelling, and nasal congestion. These symptoms can be concerning, especially for patients who are eager to return to their normal routines. Here’s a comprehensive overview of how to manage these issues and when to seek further medical assistance.


Understanding Post-Surgery Symptoms
1. Bleeding: It is normal to have some blood-tinged discharge in the days following surgery. This can be due to the healing process as the tissues in the nasal cavity recover. If the bleeding is minimal and not accompanied by significant pain or other alarming symptoms, it may not be a cause for concern. However, if you notice a sudden increase in bleeding or if it becomes heavy, you should seek medical attention immediately.

2. Swelling: Swelling in the nasal passages is also a common occurrence after surgery. This can lead to feelings of congestion and pressure in the face, particularly around the eyes and cheeks. Swelling typically peaks within the first week and gradually subsides. To help manage swelling, you can use saline nasal sprays to keep the nasal passages moist and promote healing.

3. Nasal Discharge: A clear or slightly blood-tinged nasal discharge is expected. However, if the discharge becomes thick, yellow, or green, it may indicate an infection, and you should consult your doctor.

4. Pain Management: While you mentioned that you are not experiencing pain, it’s important to monitor for any discomfort. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage any mild discomfort that may arise.


Self-Care Strategies
- Rest: Ensure you get plenty of rest to aid the healing process. Avoid strenuous activities that could increase blood flow to the nasal area and exacerbate bleeding or swelling.


- Hydration: Stay well-hydrated to help thin mucus and promote drainage. Drinking plenty of fluids can also help keep your throat moist, especially if you are breathing through your mouth due to nasal congestion.

- Humidification: Using a humidifier in your home can help keep the air moist, which can ease nasal congestion and promote healing.

- Avoid Irritants: Stay away from smoke, strong odors, and allergens that could irritate your nasal passages. This includes avoiding blowing your nose forcefully, which can disrupt healing.


When to Seek Help
It is crucial to know when to reach out to your healthcare provider. You should consider seeking medical attention if you experience any of the following:
- Heavy Bleeding: If you notice a significant increase in bleeding or if it does not stop after applying gentle pressure for 10-15 minutes.


- Severe Pain: If you develop severe pain that is not relieved by over-the-counter medications.

- Signs of Infection: Symptoms such as fever, chills, or a change in the color and consistency of nasal discharge may indicate an infection.

- Persistent Symptoms: If your symptoms do not improve or worsen after a week, it is advisable to return to your doctor for a follow-up examination.


Communication with Your Doctor
Effective communication with your healthcare provider is essential. If you have questions or concerns about your recovery, do not hesitate to reach out. It may be helpful to prepare a list of questions or symptoms you want to discuss during your next appointment. This can ensure that you cover all your concerns and receive the guidance you need.

In summary, while some post-operative symptoms are normal after nasal septum surgery, it is important to monitor your condition closely. Utilize self-care strategies to manage mild symptoms, but do not hesitate to seek medical attention if you experience any concerning changes. Your health and comfort are paramount, and your healthcare provider is there to support you through your recovery.

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