Nasal Issues: When to Seek Help for Symptoms - Otolaryngology

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Nasal issues


A few days ago, I had a cold with a runny nose, and then yesterday, I noticed a little blood when I blew my nose.
However, that issue seems to have resolved.
I feel like I can't breathe or smell anything through my left nostril.
What should I do? Will it get better in a few days? I'm very worried.

Xiao Rong, 10~19 year old female. Ask Date: 2015/12/06

Dr. Zheng Jueyi reply Otolaryngology


Hello: The presence of blood streaks is mostly due to bleeding from the microcapillaries in the anterior part of the nose.
If bleeding occurs frequently or if there is persistent unilateral nasal congestion that does not improve, it is advisable to seek medical evaluation.
Wishing you peace and good health.
Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare, Zheng Jue-Yi.

Reply Date: 2015/12/06

More Info


When it comes to nasal issues, particularly after experiencing symptoms like a cold, it's important to understand the potential underlying causes and when to seek medical help. Based on your description, it seems you have experienced a common cold, which can lead to nasal congestion and sometimes even minor bleeding from the nose due to irritation or dryness. Here’s a comprehensive look at your situation and advice on how to proceed.


Understanding Your Symptoms
1. Nasal Congestion: After a cold, it’s common to experience nasal congestion, which can make it difficult to breathe through one or both nostrils. This can be due to inflammation of the nasal passages, excess mucus production, or swelling of the nasal tissues.

2. Nosebleeds: The presence of blood in your nasal discharge, especially after blowing your nose, can be alarming. However, minor nosebleeds can occur due to the irritation of the nasal lining, especially if you have been blowing your nose frequently or if the air is dry. If the bleeding is minimal and stops quickly, it is usually not a cause for concern.

3. Loss of Smell: The inability to smell (anosmia) can occur with nasal congestion. This is often temporary and should improve as your nasal passages clear up.


When to Seek Medical Help
While many cases of nasal congestion and minor nosebleeds resolve on their own, there are specific situations where you should seek medical attention:
- Persistent Symptoms: If your nasal congestion lasts more than 10 days without improvement, or if it worsens, it may indicate a sinus infection or other complications that require medical evaluation.


- Severe Bleeding: If you experience frequent or heavy nosebleeds, or if the bleeding does not stop after a few minutes of applying pressure, you should consult a healthcare provider.

- Fever or Severe Pain: If you develop a fever, facial pain, or swelling, these could be signs of a more serious infection, such as sinusitis, and warrant a visit to a doctor.

- Difficulty Breathing: If you experience significant difficulty breathing or if your symptoms escalate, seek immediate medical attention.


Self-Care Measures
In the meantime, here are some self-care strategies you can implement to alleviate your symptoms:
1. Stay Hydrated: Drink plenty of fluids to help thin mucus and promote drainage.

2. Use a Humidifier: Adding moisture to the air can help soothe irritated nasal passages and reduce congestion.

3. Saline Nasal Spray: Using a saline spray can help moisturize your nasal passages and clear out mucus.

4. Avoid Irritants: Stay away from smoke, strong odors, and allergens that can further irritate your nasal passages.

5. Rest: Ensure you get adequate rest to help your body recover from the cold.


Conclusion
In summary, while your symptoms may be typical of a post-cold situation, it’s crucial to monitor them closely. If you notice any worsening or additional concerning symptoms, don’t hesitate to reach out to a healthcare professional. They can provide a thorough evaluation and determine if further treatment is necessary. Remember, it’s always better to err on the side of caution when it comes to your health.

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