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What Causes Crusty Scab Inside Nostril, Heavy Breathing And Bleeding After Cocaine Usage?

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Posted on Wed, 7 Oct 2015
Question: I have been taking cocine for over 10 years at first socially but now probably four times a week, my nose is crusted, heavy breathing, sore and bleeding I think I have damaged my nose, help
doctor
Answered by Dr. Pavan Kumar Gupta (2 hours later)
Brief answer...yes your nose definitely appears to be damaged
Detailed answer...
Hello,
Thanks for the query.
I have read your query and understand your concern.
One f the most common and significant effects of  longterm use of  cocaine is damage to the nose resulting in septal perforation. This is a hole in septum.
Nose has a very delicate and fragile blood supply which gets shut off on continued use of cocaine. This results in death of tissues of your septum.
Once the tissues and lining of septum dies,then it can no longer support the underneath cartilage resulting in its death. This results in development of hole in septum which in turn can result in collapse of your nose.
Nose bleeds,nasal congestions ,nasal discharges are the most initial signs of imminent septal perforation.
If perforation has not occurred,then  simple stoppage of cocaine would heal your nose but if perforation has occurred,then only a surgery can fix it.
Stop using cocaine immediately and consult an ENT specialist immediately.
I hope it helps,however you are most welcome to revert to me for any further query.
Best of luck
Thanks
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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What Causes Crusty Scab Inside Nostril, Heavy Breathing And Bleeding After Cocaine Usage?

Brief answer...yes your nose definitely appears to be damaged Detailed answer... Hello, Thanks for the query. I have read your query and understand your concern. One f the most common and significant effects of  longterm use of  cocaine is damage to the nose resulting in septal perforation. This is a hole in septum. Nose has a very delicate and fragile blood supply which gets shut off on continued use of cocaine. This results in death of tissues of your septum. Once the tissues and lining of septum dies,then it can no longer support the underneath cartilage resulting in its death. This results in development of hole in septum which in turn can result in collapse of your nose. Nose bleeds,nasal congestions ,nasal discharges are the most initial signs of imminent septal perforation. If perforation has not occurred,then  simple stoppage of cocaine would heal your nose but if perforation has occurred,then only a surgery can fix it. Stop using cocaine immediately and consult an ENT specialist immediately. I hope it helps,however you are most welcome to revert to me for any further query. Best of luck Thanks