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Suggest Treatment For Very Dry Nostrils And Dry Blood In Mucus

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Posted on Wed, 26 Aug 2015
Question: I have really dry nostrils and dry bloody crusty boogers when I wake up. This has never happened in the summer. Last week it felt like my nostrils were popping

It is very uncomfortable when breathing because it feels so dry inside my nose .
doctor
Answered by Dr. Shafi Ullah Khan (26 minutes later)
Brief Answer:
Atrophic rhinitis. needs work up and management. Talk to ENT

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Dry nose with crusts in it and difficulty breathing indicates atrophic rhinitis likely and needs symptomatic remedies like nasal hygiene, irrigation, surveillance rhinoscopy and antibiotics if need be.

But before labelling it a confirmed atrophic rhinitis we need a little work up to rule out other differentials. A good start is complete blood count, complete metabolic profile, rapid plasma regain, HIV, antineutrophil cytoplasmic antibody, C-reactive protein, urine analysis, computed tomogram of the sinuses, and a chest X-ray be obtained as part of the initial action. Nasal cultures don't help much as mucus is almost always colonised by E coli strains.

Nut shell it needs to be correlated for the cause whether primary or secondary. it will likely be secondary and the likely possibility of this will come up once complete clinical correlation is done.

Meanwhile Lavage and lubrication of your nasal cavity is the goal. Lavage your noses with warmed isotonic saline at least twice daily. We recommend using a Water Pik device with a Grossan tip. Other devices, such as bulb syringes, bottle sprayers, and nebulizers are also effective, provided they deliver an adequate volume of solution (>200 ml per side) into the nose.
After lavage, we use one of several agents to lubricate the mucosa. Acceptable products include petroleum jelly or personal lubricants such as KY Liquid .

talk to your otorhinolaryngologist and let them help you in this regard any further.

I hope it helps. take good care of yourself and dont forget to close the discussion please.

regards
Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (13 minutes later)
I am breathing fine thats what is so weird. My nose is not clogged at all. It just feels so dry when breathing .
doctor
Answered by Dr. Shafi Ullah Khan (2 minutes later)
Brief Answer:
Hope for the best, It could be mere allergic

Detailed Answer:
Thank you for getting back to me

That makes it less severe and all it needs is some lubrication and moisturization as mentioned and advised in earlier cases. The crusty dry nose needs care symptomatically and work up a little to sort out the cause. It could be allergic as well. Only a complete clinical correlation will tell. Do as directed and see what comes up. let's hope for the best.

i hope it helps.
Regards
Khan
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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Suggest Treatment For Very Dry Nostrils And Dry Blood In Mucus

Brief Answer: Atrophic rhinitis. needs work up and management. Talk to ENT Detailed Answer: Thank you for asking I read your question and i understand your concern. Dry nose with crusts in it and difficulty breathing indicates atrophic rhinitis likely and needs symptomatic remedies like nasal hygiene, irrigation, surveillance rhinoscopy and antibiotics if need be. But before labelling it a confirmed atrophic rhinitis we need a little work up to rule out other differentials. A good start is complete blood count, complete metabolic profile, rapid plasma regain, HIV, antineutrophil cytoplasmic antibody, C-reactive protein, urine analysis, computed tomogram of the sinuses, and a chest X-ray be obtained as part of the initial action. Nasal cultures don't help much as mucus is almost always colonised by E coli strains. Nut shell it needs to be correlated for the cause whether primary or secondary. it will likely be secondary and the likely possibility of this will come up once complete clinical correlation is done. Meanwhile Lavage and lubrication of your nasal cavity is the goal. Lavage your noses with warmed isotonic saline at least twice daily. We recommend using a Water Pik device with a Grossan tip. Other devices, such as bulb syringes, bottle sprayers, and nebulizers are also effective, provided they deliver an adequate volume of solution (>200 ml per side) into the nose. After lavage, we use one of several agents to lubricate the mucosa. Acceptable products include petroleum jelly or personal lubricants such as KY Liquid . talk to your otorhinolaryngologist and let them help you in this regard any further. I hope it helps. take good care of yourself and dont forget to close the discussion please. regards Khan