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Does Cocaine Use Cause Stuffed Nose?

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Posted on Fri, 6 Jun 2014
Question: Hi. I have a question about my friend's SWIM's (Someone Who Isn't Me) sinuses, or nasal menbranes (pardon my english, I am not a native speaker, so I don't know some technical terms exactly) after snorting cocaine. SWIM have done coke few times in his life, but nothing regular. SWIM have also crushed his ritalin and snorted it few times (the effects come faster), a year back SWIM was snorting powdered caffeine daily 100mg for one month and two times SWIM snorted grounded mdma, but nothing regulary (except the caffeine that one time). SWIM have never had any problems with his nose, it was never hurting, nor bleeding and SWIM's friend (about as same experiences as SWIM) never had any problems too. But now they bought some cocaine to help them prepare for their final exams. It's suposed to be good quality (70% and more) acording to customers reviews etc. But after about four days of daily 200-300mg SWIM's friend said that he started to have stuffed nose, some scabs has shown up inside his nose and he even got nosebleed one time. At this time SWIM had tried the same coke as him, but just about two lines in four days without problems, but yesterday they were learning together and they were doing lines regulary for two days straight (about 300mg/day both) and SWIM got the scabs inside his nose too and it was stuffed and SWIM had to flush it with water to relief it and ease the pain. SWIM dont know what to think about that, SWIM have never had this problem before, even when SWIM did the same dosing but with different coke (even with purity over 90%) and SWIM's friend too. SWIM thought that these problems with nose starts showing after a long period of time of regular using. Is it possible that it was cut with something bad (even though all feedbacks were possitives), or is it just a coincidence that both of their noses just started showing some weaknesses at the same time? Or could it be that they cought some dissease through it (they shared a XXXXXXX to snort and SWIM thinks that his friend was sharing a XXXXXXX day before with someone else)? SWIM also have peeling skin on his fingers and a little on his palms and when SWIM was looking up causes, one of them was some imunity defficiency. Should SWIM be worried and get checked for some disseases, or is it just that his nose had enough? SWIM has immideataly stopped snorting anything since he firstly felt a little pain in his nose. Also after the first day he got this like white bulbs that cause a lot of pain and its really painful too eat with them. Only thing that eases the pain is paradoxly the cocaine, when he spread just a tiny bit of it on his tongue.


Also a month ago SWIM was prescribed antibiotics (his doctor didnt told him what was wrong with him, just gave him prescription), because he had very bad dry cough. After 10 days SWIM have taken all the antibiotics given to him, but the cough is still remaining to this day, but it's not so dry anymore and also now his backs hurt when he coughs. (SWIM is a smoker, although since he started coughing he tries to limit it to minimum) So could there be some link between this and SWIM's nose, or is it irrelevant?
doctor
Answered by Dr. Sriram Nathan (4 hours later)
Brief Answer:
get it checked

Detailed Answer:
Hello and welcome to health care magic,

I am Dr Sriram Nathan an ENT surgeon and I will try to help you out with your problem.

First of all let me appreciate your concern for your friend in that you have so much care for him or her and also have good amount of information on his or her abuse.

Cocaine is a vasoconstrictor drug which essentially means that it makes the blood vessels to the applied area small and this causes the development of scabs in your case in the nose which when removed causes bleeding. This is a perfectly natural (not normal though!) response to cocaine especially in pure forms. Of course in your friends case it is imperative that the abuse should be stopped immediately and that will be the best treatment.

For the nose problems you must also get a nasal endoscopy and CT PNS and get back to me or any ENT with the reports. Meanwhile I would generally prescribe a combination of anti histamine and nasal drops/spray for the temporary alleviation of symptoms. Your doctor will surely know about this.

It goes with saying that even smoking is bad so try to reduce the same and stop it. The tongue lesion can be explained by the smoking and cocaine both and if the lesion persists then you must ask for a simple biopsy so that you can be sure of its benign nature.

The cough seems to be due to a combination of irritation and reflux and also withdrawal from cocaine along with the smoking. A combination of antihistamine and anti reflux therapy in consultation with your doctor and cessation of smoking will solve the problem. Or else you need to take a upper GI endoscopy and get back to me or any ENT with reports.

When any problem gets solved by cocaine (paradoxically!); it is a withdrawal phenomenon which will get better in a couple of weeks or so. Your friend can try a combination of psychotherapy and meditation or other relaxation techniques for this.

Hope this helps and just remember that your support is essential for your friend so that he or she can get better.

If you have any more queries you can get back to me

regards

Dr Sriram Nathan
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sriram Nathan

ENT Specialist

Practicing since :1996

Answered : 1028 Questions

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Does Cocaine Use Cause Stuffed Nose?

Brief Answer: get it checked Detailed Answer: Hello and welcome to health care magic, I am Dr Sriram Nathan an ENT surgeon and I will try to help you out with your problem. First of all let me appreciate your concern for your friend in that you have so much care for him or her and also have good amount of information on his or her abuse. Cocaine is a vasoconstrictor drug which essentially means that it makes the blood vessels to the applied area small and this causes the development of scabs in your case in the nose which when removed causes bleeding. This is a perfectly natural (not normal though!) response to cocaine especially in pure forms. Of course in your friends case it is imperative that the abuse should be stopped immediately and that will be the best treatment. For the nose problems you must also get a nasal endoscopy and CT PNS and get back to me or any ENT with the reports. Meanwhile I would generally prescribe a combination of anti histamine and nasal drops/spray for the temporary alleviation of symptoms. Your doctor will surely know about this. It goes with saying that even smoking is bad so try to reduce the same and stop it. The tongue lesion can be explained by the smoking and cocaine both and if the lesion persists then you must ask for a simple biopsy so that you can be sure of its benign nature. The cough seems to be due to a combination of irritation and reflux and also withdrawal from cocaine along with the smoking. A combination of antihistamine and anti reflux therapy in consultation with your doctor and cessation of smoking will solve the problem. Or else you need to take a upper GI endoscopy and get back to me or any ENT with reports. When any problem gets solved by cocaine (paradoxically!); it is a withdrawal phenomenon which will get better in a couple of weeks or so. Your friend can try a combination of psychotherapy and meditation or other relaxation techniques for this. Hope this helps and just remember that your support is essential for your friend so that he or she can get better. If you have any more queries you can get back to me regards Dr Sriram Nathan