Post-Sinus Surgery: Should You Continue Treatment for Green Mucus? - Otolaryngology

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Post-sinus surgery, particularly for chronic sinusitis, can often lead to lingering symptoms such as green mucus. This can be concerning for patients who have undergone surgery, as they may wonder if this indicates a recurrence of their condition or if further treatment is necessary.
Firstly, it’s important to understand that the presence of green mucus does not automatically signify an infection or a failure of the surgery. Green mucus can be a result of several factors, including the body's natural response to inflammation, the presence of bacteria, or even environmental irritants. After sinus surgery, it is common for patients to experience changes in their nasal discharge as the sinuses heal and adjust.
In your case, since you have experienced green mucus intermittently without accompanying symptoms such as facial pain, swelling, or fever, it may not be a cause for immediate concern. Chronic sinusitis can be a persistent condition, and while surgery can alleviate many symptoms, it does not guarantee that all symptoms will resolve completely.
The advice from your local clinic physician that it is normal for chronic sinusitis patients to have green mucus is consistent with the understanding that some degree of mucus production and color change can occur post-surgery. Regular nasal irrigation can be beneficial in managing symptoms, as it helps to clear out mucus and allergens from the nasal passages, promoting better drainage and reducing inflammation.

However, if you find that the green mucus persists or worsens, or if you begin to experience new symptoms such as facial pain, pressure, or fever, it would be prudent to seek further evaluation from an ENT specialist. They may recommend additional treatments, such as a course of antibiotics if a bacterial infection is suspected, or other therapies to help manage your symptoms.

In summary, while it is generally acceptable to continue nasal irrigation and monitor your symptoms, it is essential to remain vigilant. If your symptoms change or worsen, do not hesitate to seek medical advice. Chronic sinusitis can be a challenging condition to manage, and ongoing communication with your healthcare provider is key to finding the most effective treatment plan for your situation.