Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
Hi I'm Dr. Phil
Can I ask your first name?
HI I'm Gemma-Louise
Nice to meet you
I'm reading your post
I have had a nasal septal perforation for ages & on 3rd February 2014 I had a four hour procedure called an open septoplasty to close the nasal septal perforation. When I came round from the general anesthetic I was in agony & required regular morphine & tramadol. This was still the situation when I was discharged. I was discharged with Co-codamol & Coamoxiclav 500/125mg tablets. I was also given antibiotics in theatre. The day after discharged I phoned my general practitioner to get some stronger painkiller for, which he prescribed me Oramorph. My nose was very swollen & my eyes were shut with the swelling, this did not subside for at least a week. I had some kind of gel come out of my nose & so I phoned ENT & went back, thankfully it was what he had put in to prevent my nose bleeding. He cleaned my nose out. I went back on the following Monday, one week after my appointment & again he cleaned out my nose & removed my nasal splints. I went back this Friday just gone & my nose is still very painful & swollen. They cleaned my nose & applied a yellow cream, which was both antibiotic & steroid. I have also been put back on Co-Amoxiclav 500/125mg tablets for another week. They think that I have a perforation but they cannot tell due to the inflammation & swelling, which really should not be present. They told me to use Stenemar nasal salt wash & apply naceptin in between sprays. Today I applied Naceptin up my nose like told to do so & I noticed that my nose was bleeding. I felt my septum & I could feel air coming through the middle. On further inspection it is clear that I have a small hole. What would happen next with it being so soon after surgery? Would the hole heal on its own, could it be sown up in theatre with a minor procedure or would I need a full open septoplasty again? I have had septal buttons in the past but my body has quickly rejected them
How big was the hole prior to the procedure?
No obvious cause, never took drugs, drink etc
I think there is a chance if it is a small hole that it can heal on its own
If it doesn't, you will need another minor procedure to close the hole
you will not need another big operation
The last hole started off as quite small but it ended up growing stupidly big, I have had blood tests done & there is nothing untoward that is causing the hole.
did you get my reply?
your surgeon will address it quickly this time
before it gets big
I hope so because I'm autistic & going for operations worry me
I'm very sorry about that
I suspect a minor touch up procedure will do the trick
I was born with bilaterial congential cataracts, removed at five & a half & six months old, I have ambliopia, myopia, aphakia, nystagmus & photophobia, I developed glaucoma in my left eye at six years old & right eye at fourteen eyars old.
Oh I'm very sorry
That is hard
I have anxiety, borderline personality disorder, depression & phycosis
Thank-you for your help from Hyde, Cheshire, UK :)
you're welcome Gemma Louise
I think you will be ok
Just make sure you get back to your doctor quickly
It's raining here & we have had floods in south of UK, I hope that you are not affected by the snow
I will do thank you
did I do excellent for you?
Yes thank you
please don't forget to click excellent
I appreciate it
you were concise & put my mind at ease, a minor procedure only means a small general, not like last time