Post-Biopsy Concerns: Persistent Nasal Discharge and Congestion Issues - Otolaryngology

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Issues After Biopsy Examination


After the biopsy, I returned home and have been experiencing a continuous runny nose with a slight yellowish tint that won't stop.
I also have nasal congestion after sleeping.
Prior to the biopsy, I did not have these symptoms.
During the endoscopic examination, the doctor mentioned that I had significant post-nasal drip and that the polyps were somewhat large.
Can I directly consult a doctor at a clinic regarding this nasal congestion and runny nose issue? It will take 10 days to receive the report, and this situation is causing me considerable distress in my daily life.

Hsin, 20~29 year old female. Ask Date: 2020/05/14

Dr. Li Jiaxuan reply Otolaryngology


May I ask where the biopsy was taken from? If it is a nasal biopsy and not a malignant tumor, the wound should improve within 1-2 weeks as it heals.
If you are still concerned, you can also visit a hospital for further evaluation.
Wishing you well.

Reply Date: 2020/05/14

More Info


After undergoing a biopsy, experiencing persistent nasal discharge and congestion can be concerning, especially if these symptoms were not present before the procedure. It is not uncommon for patients to have increased nasal discharge or congestion following nasal procedures, including biopsies, particularly if there was pre-existing nasal obstruction or polyps, as you mentioned.
The presence of yellowish nasal discharge may indicate a few things. It could be a sign of post-nasal drip, where mucus accumulates in the back of the throat and drips down, leading to irritation and congestion. This can happen if the nasal passages are inflamed or if there is an infection. The fact that your doctor noted significant post-nasal drip and the presence of nasal polyps suggests that your nasal passages may be obstructed, which can exacerbate these symptoms.

Given that you are experiencing these symptoms after the biopsy, it is advisable to consult with your healthcare provider sooner rather than later. While waiting for the biopsy results is important, your current symptoms may require immediate attention, especially if they are affecting your quality of life. You can certainly reach out to your ENT specialist or the clinic where you had the biopsy. They may be able to provide you with guidance on managing your symptoms in the meantime, such as recommending saline nasal sprays, decongestants, or other treatments to alleviate your discomfort.

In the meantime, here are some additional considerations that may help you manage your symptoms:
1. Saline Nasal Irrigation: Using a saline nasal rinse can help clear out mucus and allergens from your nasal passages. This can be particularly beneficial if you are experiencing congestion and discharge.

2. Hydration: Staying well-hydrated can thin mucus, making it easier to expel. Drinking plenty of fluids may help reduce the thickness of nasal secretions.

3. Humidifier: Using a humidifier in your home, especially in your bedroom while you sleep, can help keep your nasal passages moist and may reduce congestion.

4. Avoid Irritants: Try to avoid smoke, strong odors, and allergens that could further irritate your nasal passages.

5. Over-the-Counter Medications: Depending on your specific symptoms, over-the-counter antihistamines or decongestants may provide relief. However, it is best to consult your doctor before starting any new medication, especially after a recent procedure.

6. Follow-Up Appointment: If your symptoms persist or worsen, it may be necessary to schedule a follow-up appointment with your ENT specialist. They may want to perform a nasal endoscopy to assess the condition of your nasal passages and determine if further intervention is needed.

In conclusion, while it is common to experience some nasal discharge and congestion after a biopsy, it is essential to communicate these changes to your healthcare provider. They can help determine the best course of action to alleviate your symptoms and ensure that there are no complications arising from the procedure. Your health and comfort should always be a priority, and seeking timely medical advice is crucial in managing your condition effectively.

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