Persistent Nasal Pain and Swelling After Surgery: What to Do Next? - Otolaryngology

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Persistent nasal pain and swelling after surgery can be a frustrating and concerning experience, especially following procedures like polypectomy or sinus surgery. It’s important to understand that while some discomfort is expected after such surgeries, persistent pain, swelling, and other symptoms like sneezing or pressure in the forehead and eyes can indicate complications or the need for further evaluation.

After nasal surgery, it is common for patients to experience some degree of swelling and discomfort as part of the healing process. However, if you are experiencing ongoing symptoms such as a feeling of dryness, persistent pain, and nasal congestion, it may suggest that your recovery is not proceeding as expected. The fact that you have undergone two surgeries in a relatively short time frame raises the possibility of underlying issues that need to be addressed.

One potential cause of your symptoms could be the presence of residual nasal polyps or inflammation that has not resolved. Even after surgical intervention, nasal polyps can recur, leading to similar symptoms as before. Additionally, if there is any infection or inflammation in the sinuses, this could contribute to the pain and discomfort you are experiencing.
You mentioned that you have been using nasal sprays and that they have not provided sufficient relief. It is important to use these medications as directed, but if they are not effective, it may be necessary to explore other options. For instance, corticosteroid nasal sprays can help reduce inflammation, but they may take time to show effects. If you are experiencing significant side effects from medications, such as stomach pain from oral medications, it is crucial to communicate this with your healthcare provider. They may be able to adjust your treatment plan or suggest alternative medications that are easier on your stomach.

Regarding the duration of pain after nasal surgery, it can vary widely among individuals. Generally, mild to moderate discomfort may last for a few days to a couple of weeks, but persistent pain beyond this timeframe should be evaluated. If your symptoms have not improved or have worsened over the course of several weeks, it is advisable to follow up with your ENT specialist. They may recommend imaging studies, such as a CT scan, to assess for any complications, such as sinusitis or structural issues that may require further intervention.

In terms of surgical options, if your symptoms are due to recurrent polyps or chronic sinusitis, your doctor may consider additional surgical interventions, but this typically depends on the specific findings during your follow-up examination. It is essential to have an open dialogue with your healthcare provider about your ongoing symptoms and concerns. They can provide tailored advice based on your specific situation and medical history.

In summary, while some discomfort is normal after nasal surgery, persistent pain and swelling warrant further evaluation. It is crucial to communicate openly with your healthcare provider about your symptoms, treatment side effects, and any concerns you may have. They can help determine the best course of action, whether that involves medication adjustments, further diagnostic testing, or potential additional surgical options. Your health and comfort are paramount, and addressing these issues promptly can lead to better outcomes and improved quality of life.