Common Issues with Nasal Irrigation After Septoplasty Surgery

Questions related to nasal irrigators?

Recently, after my septoplasty follow-up appointment, the doctor advised me to use a nasal irrigator for cleaning my nose twice a day.
However, when I tried it at home, I found that the water does not flow smoothly from the other nostril, and it doesn't really flow out of my mouth either; I feel like I'm about to choke.
When I remove the irrigator, the water flows out from the side I was cleaning.
Additionally, I noticed some blood clots and debris in the irrigator after using it halfway.
I kept my mouth open and my head tilted down.
I would like to ask if I'm using it incorrectly.
Should I hold my breath while pressing the irrigator? After cleaning my nasal cavity, I experience a slight stinging sensation, but it doesn't last long.
Is this normal? I'm worried that if I don't clean it properly, it could worsen the wound.
Is that a possibility?

Dongdong, 30~39 year old female. Ask Date: 2018/04/04

Dr. Zheng Jueyi reply Otolaryngology

Hello, it may be related to the scabbing of the wound after surgery, which could still be somewhat obstructed.
It is recommended to continue cleaning and return for follow-up visits for ongoing local treatment.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/04/04

More Info

After undergoing septoplasty surgery, it's common for patients to have questions and concerns about nasal irrigation and the healing process. Let's address your concerns regarding nasal irrigation and the potential issues you might be experiencing.

Understanding Nasal Irrigation Post-Surgery
Nasal irrigation is often recommended after septoplasty to help keep the nasal passages clear of mucus, blood clots, and crusting, which can occur as part of the healing process. However, it’s essential to perform this procedure correctly to avoid complications.

1. Water Flow Issues: If you find that water is not flowing through the opposite nostril or out of your mouth, it could be due to several factors. After surgery, the nasal passages may be swollen, and there could be residual blood clots or crusting that obstructs the flow. It's crucial to ensure that you are using the irrigation device correctly. When using a nasal irrigation bottle, you should lean over a sink, tilt your head slightly to one side, and gently squeeze the bottle. The water should flow into one nostril and out the other. If it does not, try adjusting the angle of your head or the pressure you apply to the bottle.

2. Breathing Technique: You do not need to hold your breath while using the nasal irrigation device. In fact, it’s better to breathe normally through your mouth. Holding your breath can create pressure that may lead to discomfort or even force water into your ears, which is not advisable.

3. Discomfort and Pain: Experiencing a mild, transient stinging or discomfort during and after nasal irrigation can be normal, especially in the early stages of healing. However, if the pain is severe or persists, it may indicate that you are irritating the nasal tissues or that there is an underlying issue, such as an infection or improper healing.

4. Cleaning the Device: It’s important to keep your nasal irrigation device clean to prevent introducing bacteria into your nasal passages. After each use, rinse the device thoroughly with warm, soapy water and allow it to air dry.

5. Potential Complications: While nasal irrigation is generally safe, improper technique can lead to complications such as nasal irritation, bleeding, or infection. If you notice increased bleeding, persistent pain, or any signs of infection (such as fever or increased swelling), you should contact your healthcare provider immediately.

Recommendations for Safe Nasal Irrigation
- Follow Instructions: Always adhere to the instructions provided by your healthcare provider regarding the frequency and technique of nasal irrigation.

- Use Saline Solution: If you are not already doing so, consider using a saline solution for irrigation, as it can help to soothe the nasal passages and promote healing.

- Stay Hydrated: Keeping yourself well-hydrated can help thin mucus and promote better drainage.

- Monitor Symptoms: Keep track of any changes in your symptoms. If you experience worsening nasal congestion, increased pain, or any unusual symptoms, consult your doctor.

Conclusion
In summary, nasal irrigation is a beneficial practice after septoplasty surgery, but it must be performed correctly to avoid complications. If you continue to experience difficulties or discomfort, do not hesitate to reach out to your healthcare provider for further guidance. They can provide personalized advice and ensure that your recovery is on track. Remember, healing takes time, and it’s essential to be patient with your body as it recovers from surgery.

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