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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56946
Experience:  GP in the United States
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PHil Went to my GP swab taken form nose Friday should have

Customer Question

Hi Dr. PHilWent to my GP swab taken form nose Friday should have lab results to tomorrow.Medication given for now mupirocin nasal ointment sore improving.As said before started of sinitus 10 weeks ago 4 week ago doctor said rhinitus medicamtosaAntibiotics 2 courses Amie's steroid spray 2 weeks the Dymista ? Another nasal spray both irritated nasal wall causing more bleeding side walls nasal would open and close different ones different times.CurrentlyOne my left nose stayed open maybe 3 days now closes slightly sometimes but vitamin E on a cotton wall bud will moisturise and open again.Right nostril closed from where lower meets top. Upper part constricted.I have managed to open a few time over past few days coconut oil and vitamin E oil topically letting it seep in moisture it and slowly work it open gently with cotton wall bud.Also over the counter sudafed psh ? Used in crystal meth apparently pharmacy do not like giving it.So to some up all medication to date has what I now think is causing rebound affect.Any medication that with help me open quick when this happens I can not get my ointment in to treat when it does open very dry but before it closes it always well moisturised.Natural methods would be great but melds also if it works.I'm sure it's nasal blood supply causing hence treatments so far.Maybe ent 4 weeks away maybe longer NHS referralMy doctor does not understand or mistreatment or is no treatment can you help to stop closing or if it does re open methodsSaid before suffer dyslexia so some part might not make sense but I'll explain any questions you might have your thoughts and help would be much appreciatedKind regardsJohn
Submitted: 1 month ago.
Category: Medical
Expert:  Dr. Phil, MD replied 1 month ago.

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Expert:  Dr. Phil, MD replied 1 month ago.

this sounds like the proper course of action John

Customer: replied 1 month ago.
What sort Phil ?Not going to get ent any time some.What can I try in meantime natural ?Ask gp for ?Go hospital emergency?Why is it closing lots of recent Meds as listed
Many broken noses deviated septum ?Cocaine abuse from before ?Damage causing right now not Treated ?Al sort in my head so first help try to open when closes now ?.
Expert:  Dr. Phil, MD replied 1 month ago.

it could be a deviated septum or nasal polyp

Customer: replied 1 month ago.
But when it opens it clear as daylight no obstructions cotton wall but right to top
Customer: replied 1 month ago.
What to do treatment wise now please Phil
Customer: replied 1 month ago.
If deviated do I have to have surgery or can I treat daily and live with it or more damage ahead.If deviated what to ask gp to do
Customer: replied 1 month ago.
Started to open again as we speak used to alternate between both but now just this one last 3 days
Expert:  Dr. Phil, MD replied 1 month ago.

you may need surgery to treat it definitively

Customer: replied 1 month ago.
Oh dear what can I do for now until ent appointment is it causing long term damage while waiting?Why now has it only just deviated sinitus 10 weeks ago
Customer: replied 1 month ago.
Never any trouble before can sinus infection cause it ? Also look for away around surgery do not like the sound of what they do ?
Customer: replied 1 month ago.
Are you gone Phil?
Expert:  Dr. Phil, MD replied 1 month ago.

have you tried a saline rinse?

Dr. Phil, MD and 6 other Medical Specialists are ready to help you
Customer: replied 1 month ago.
Hi PhiYes sayline does not open had old cocanie could this be blood supply issues mixed with over use call it abuse decongestants last 5 years
When they are both open like they were this morning feels and look normal plz help with ideas to open I try every thing on line oils apple cider best it ever feel is in shower.It block now but if I was to shower it my not open but will let me blow and pass mucus this morning small amount not green mixed yellow and clear mixed maybe 5% blood but not bleeding it just look like from when the nasal closed that's what's clogged since.
Customer: replied 1 month ago.
Not closing at bottom part just in the narrow passages all since nose trauma 10 weeks agoMust be some thing to help open every day that desprate I'm even starting to condsider cocanie to unblock it that's my state of mind total fed up taken away last 10 week no enjoymentGreen sore starting to disserpear walls not bleeding but still tender all the prodding about with cotton buds not helping it but poured a small amount of vitamin E oil down last night opened it but won't today it taking my days and life over something must open it manually like vitamin Em did but took me over an hourI'm sure it blood supply but why would oil last night open it ? Does not make sense
Customer: replied 1 month ago.
Are we connected or busy ?
Expert:  Dr. Phil, MD replied 1 month ago.

It could be issues from old cocaine use yes

Customer: replied 1 month ago.
How can I treat with medication been doctors as you know blood normal but this happing what can I do do help blood if cocanie caused ?
Expert:  Dr. Phil, MD replied 1 month ago.

sometimes AFRIN nose spray helps but you can't use it every day

Customer: replied 1 month ago.
Paid extra in depth charge Phil I now you can't do surgery but must be something to help my condition now?That why I said cocanie is first message in case that is cause and asked about bone and septum hole which none are evident but worried could be on the way.You said would show Msar so swab for it.So we start again if under lying cocanie damage why these symptoms and what can I do to help them.Now I'm worried that's the cause
Expert:  Dr. Phil, MD replied 1 month ago.

If it is cocaine damage then the only treatment is surgery

you need the tissue repaired

Customer: replied 1 month ago.
I have perspiration steroids surly there better ?
For doctors told me it's product like these that got me in troule feel like I'm going round in circles.How will afrin help ? What's damage causing this closing?Real anxiety now
Expert:  Dr. Phil, MD replied 1 month ago.

the afrin just tightens the blood vessels

Customer: replied 1 month ago.
2 looks up nose by doctors seen sores seen nasal wall why have they not said cocanie damage feel very confused last night great on the mend today shut please help me make sense what cocaine damage looks like and why these symptoms you said msarHope you can help explain what's happening right now if cocanie which only just said from 4 different people so why now cocaine. New tissue? Feeling sick with worry
Customer: replied 1 month ago.
Why now ? also how would damage tissue look ? Is it only coke that does tissue damages not visible or other conditions.Why both nostrils open yesterday one closed I'm am now further away from treatment will swab taken detect tissue damage to get referred quick ?Back to first discussion we ever have is this progressive?Very short not help me answer PhilPlease would you read back many an answered need in depth what I paid for pictures of tissue damage that are visible sores caused by it explaining why my nostrils are reacting like this ?Are you to busy to do in depth that I asked for ?If so I will request customer refund as wrong first conversation and pay an ENT inspection tomorrow because I don't know how to explain other than now scared sh
Lessregards John
Expert:  Dr. Phil, MD replied 1 month ago.

John it is very hard for me to follow your posts when you fire off 10 questions at once my friend!

Lets go one question at a time here

Customer: replied 1 month ago.
Head racing sorry phi anxiety and panic issue 15 years now saw my bother killed in front of me by a London bus never been the same mam since.
Here we go
2 doctor look up nose is last 2 weeks why tissue damage not seen can it be unseen or un noticed ?
Expert:  Dr. Phil, MD replied 1 month ago.

yes it can be unnoticed

they might not have looked up far enough to see it

I'm very sorry about your brother

Can I ask at this moment in time what medicines and nasal sprays are you using

and are you using cocaine.

just list them

Customer: replied 1 month ago.
PhilWas using Amie's stoped no effect nasal wall bleed increase
Medication now
Muproion nasil ointment
Zopiclone diazapam very long time now many years
Duloxetine anti depressants 60mg daily.
Cocaine binge before sinitus Trouble never heavy before drinking was my position to forget.Yes have been using cocanie never thought it could cause this hence been to my gp.Would never go to my Gp if I thought it was that.
Already have drink related issues with them sober 5 years cocaine would make life complicated verySo yes if can not be seen low down that could explain if I thought or knew that I never in a million years go to my gp.Recent use 1 week ago did not relate any of this to it
Expert:  Dr. Phil, MD replied 1 month ago.
It could simply be the cocaine!
Customer: replied 1 month ago.
Can we've talk phone call Phil ?My dislexia makes for wrong ready also.When nose is clear I shine light up nostrils can not see light throw any holes but gp not be able tell tell has really frightened me I don't know what I can ask if we talk maybe you might have a idea how far has damage gone.My heads now saying if nose is ruined don't bother let it do it's worse but I just need you to confirm every thing I ever seen from coke damage look real bad.
I don't know what to say. Talk or not avalible ?John
Customer: replied 1 month ago.
Hi Dr PhilI shall turn off soon in the event you have finished up this eveningJohn
Expert:  Dr. Phil, MD replied 1 month ago.

can you send a picture of the nose now?

Customer: replied 1 month ago.
I send now
Customer: replied 1 month ago.
Not if you get this photo?
Customer: replied 1 month ago.
Ok some more
Customer: replied 1 month ago.
Hi
Customer: replied 1 month ago.
P
Customer: replied 1 month ago.
M
Customer: replied 1 month ago.
H
Customer: replied 1 month ago.
Hi Phil
Customer: replied 1 month ago.
Any more specific sorry to show you how haggard I look weeks of worry poor sleep
Customer: replied 1 month ago.
It's been broken at least 7 times sport rugby football so not sure if it ever look straight
Customer: replied 1 month ago.
Other side
Customer: replied 1 month ago.
Sorry can't work out how to send all at once
Customer: replied 1 month ago.
Nostrils
Customer: replied 1 month ago.
No pain tonight just blocked up but nothing comes up even with saline wash
Customer: replied 1 month ago.
Hi PhilI may look a bit rough but very stressed.I am not a coke head I had a very successful business until my brother incident.
Not in any way using that for excuse I did use alcohol for that and was wrong to.
Main point allergies for years.As said blood and pee test 3 weeks ago for liver check nothing abnormal I'll shut up nowJohnHardly any use until 2 months before sinus trouble but suffered allergies for past 5 years constantly nose drip watering eyes months at a time but nose sores never before.
Customer: replied 1 month ago.
Hi PhilAny thoughts on pictures and questions sent maybe 9!10 hours ago did you receive them and questions after ?
Expert:  Dr. Phil, MD replied 1 month ago.

please one at a time

Customer: replied 1 month ago.
Hi Phil photos ?
Expert:  Dr. Phil, MD replied 1 month ago.

those are just photos of your face?

Customer: replied 30 days ago.
Hi PhilOn my way to a and eCentral nostrils bone waving about can feel it just moving side to side lower part has snapped.Will they operate now ?It's definitely snapped or will it hold up a while ?
Expert:  Dr. Phil, MD replied 30 days ago.

Lets see what A and E says