Post-Surgery Care for Deviated Septum: Can I Blow My Nose? - Otolaryngology

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Deviated septum


Hello, doctor.
I had a septoplasty two days ago and have been discharged from the hospital.
However, I still feel like there is some mucus in my nose.
Is it okay to blow my nose to get it out? Otherwise, it feels completely blocked.

Lemon, 10~19 year old female. Ask Date: 2016/09/08

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is recommended to use a tissue for any discharge; forcefully blowing your nose may lead to bleeding.
Alternatively, you may return for an earlier appointment for the physician to provide localized treatment.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/09/08

More Info


After undergoing surgery for a deviated septum, it's essential to follow specific post-operative care guidelines to ensure proper healing and avoid complications. One common concern among patients is whether they can blow their nose after such a procedure, especially when they feel congestion or the presence of mucus or blood clots in their nasal passages.

In general, it is advised not to blow your nose for at least the first week following surgery. Blowing your nose can create pressure in the nasal cavity, which may disrupt the surgical site, lead to bleeding, or even cause a shift in the newly positioned septum. Instead, here are some recommended practices to manage the sensation of congestion and promote healing:
1. Gentle Saline Irrigation: Use a saline nasal spray or a saline rinse to help keep your nasal passages moist and clear. This can help alleviate the feeling of congestion without the need to blow your nose. Saline solutions can help thin mucus and promote drainage.

2. Avoiding Nose Blowing: If you feel the need to clear your nose, try to suppress the urge to blow it forcefully. Instead, you can gently dab your nostrils with a tissue to absorb any discharge without applying pressure.

3. Elevate Your Head: Keeping your head elevated while resting can help reduce swelling and promote drainage. Use extra pillows while sleeping to maintain an elevated position.

4. Stay Hydrated: Drinking plenty of fluids can help thin mucus and keep your nasal passages moist. This can also aid in the overall healing process.

5. Follow-Up Care: Attend all scheduled follow-up appointments with your surgeon. They will monitor your healing progress and can provide additional guidance on when it might be safe to start blowing your nose gently.

6. Watch for Complications: Be vigilant for any signs of complications, such as increased bleeding, severe pain, or signs of infection (like fever or pus). If you experience any of these symptoms, contact your healthcare provider immediately.

7. Medication Management: If your doctor has prescribed medications, such as pain relievers or antibiotics, take them as directed. These can help manage discomfort and prevent infection.

In summary, while it may feel uncomfortable to have a congested nose after deviated septum surgery, it is crucial to avoid blowing your nose during the initial healing phase. Instead, utilize saline sprays, maintain hydration, and follow your doctor's post-operative instructions closely. If you have any concerns or if the feeling of congestion persists, do not hesitate to reach out to your healthcare provider for further advice. They can provide tailored recommendations based on your specific situation and ensure that your recovery progresses smoothly.

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