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Ask Dr. P. Jyoti Your Own Question

Dr. P. Jyoti
Dr. P. Jyoti, Consultant MD
Category: Medical
Satisfied Customers: 9126
Experience:  17 yrs experience in treating OPD & Emergency patients.
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i have a sore in my nose that wont heal,just noticed a hole

Resolved Question:

i have a sore in my nose that wont heal,just noticed a hole through to other side.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. P. Jyoti replied 3 years ago.

Dr. P. Jyoti :

I am Dr. P. Jyoti, MD. I promise to use my full experience and knowledge to provide answers specific to your question. Feel free to ask me anything.

Dr. P. Jyoti :

Hello would you like to chat on this? Please type into your message box and press 'enter' or 'reply' to send the message so that we can have a live chat.

Dr. P. Jyoti :

do you use cocaine or have used it in the past?

Dr. P. Jyoti :

Please type your response and press 'enter' or 'reply' to send your message so that we can chat.

Dr. P. Jyoti :

I am an ENT specialist and can help you with this

Dr. P. Jyoti :

do you use cocaineor have you used it in the past?

Dr. P. Jyoti :

do you see my question?

Dr. P. Jyoti :

Please type your response and press 'enter' or 'reply' to send your message so that we can chat.

Dr. P. Jyoti :

I ask this because such perforations are common in cocaine users

Customer:

no never

Dr. P. Jyoti :

you need not worry as this is a confidential format

Dr. P. Jyoti :

ok

Dr. P. Jyoti :

have you had any trauma to the nose or any surgery?

Customer:

no none

Customer:

its a sore that i seem to pick at all the time

Dr. P. Jyoti :

do you use a lot of nasal drops or decongestants?

Customer:

no never

Dr. P. Jyoti :

i am ruling out the possible causes here

Customer:

thats okay

Dr. P. Jyoti :

did you have epistaxis or any other nasal problem?

Customer:

no never

Dr. P. Jyoti :

i see you are typing, I will wait for your message

Customer:

have had it for years , but only noticed the hole. it does bleed when picked the top of scab off. too embrassed to show doctor , which is silly

Dr. P. Jyoti :

well ok

Dr. P. Jyoti :

most of the common causes have been ruled out in your case

Dr. P. Jyoti :

like cocaine use, decongestant use, repeated nose bleeding, etc

Dr. P. Jyoti :

since you report a sore for several weeks and now a perforation, one possibility is Wegener's granulomatosis

Dr. P. Jyoti :

this is an autoimmune condition of the blood vessels

Dr. P. Jyoti :

it can present with a septal sore

Dr. P. Jyoti :

this is something that needs urgent medical attention

Dr. P. Jyoti :

it is treated with immunosuppressant drugs

Dr. P. Jyoti :

you need to show your doctor immediately for this

Dr. P. Jyoti :

show an ENT specialist preferably

Customer:

ok what is that Wegeners grn

Dr. P. Jyoti :

ask about Wegener's granulomatosis

Customer:

yes

Dr. P. Jyoti :

well, as I was just saying, its an autoimmune condition of the blood vessels

Dr. P. Jyoti :

show your doctor ASAP, preferably an ENT specialist

Dr. P. Jyoti :

ask about Wegener's granulomatosis

Dr. P. Jyoti :

treatment needs to be started early

Dr. P. Jyoti :

take care

Dr. P. Jyoti :

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Dr. P. Jyoti

Dr. P. Jyoti :

any further questions?

Dr. P. Jyoti, Consultant MD
Category: Medical
Satisfied Customers: 9126
Experience: 17 yrs experience in treating OPD & Emergency patients.
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