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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Consistent Congestion In Nostril At Night, Random Dripping Of Watery Fluid From Nose, Occasional Dizziness. Remedy?

Hello. For the past 3 months I have had congestion in my left nostril at night that prevents me from breathing . In addition to that I have watery yellow fluid that will drip from my nose all day on random days. Also, whenever I sneeze the fluid will rush out of my left nostril and start the drip again. Sometimes this is paired with a short period of dizziness . It only happens from my left nostril. I ve tried nasal rinses and nothing seems to get rid of the yellow fluid. Is there anything I can do?
Thu, 22 Aug 2013
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ENT Specialist 's  Response
hello and welcome to HCM,

A one sided discharge which comes and goes and increases when you strain is not a good sign. It may be a condition called CSF rhinorrhoea and is very likely because of the symptoms you have described especially the discharge and the giddiness. In this particular condition, because of a small defect in the roof of your nose, the brain fluid leaks out through the nose. A potentially dangerous condition as it may lead to infection of the brain.

You need to IMMEDIATELY consult your ENT and impress upon him to perform an Endoscopy examination and also a CT (preferably a contrast CT to get the site of leak)
Furthermore do not strain or rinse your nose unless the above diagnosis is either confirmed or excluded
If possible collect the fluid which is coming out in a clean (preferable a lab sterilised) bottle so that can be sent to a test called the CSF analysis

take care and get well soon

Dr Sriram Nathan
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Consistent Congestion In Nostril At Night, Random Dripping Of Watery Fluid From Nose, Occasional Dizziness. Remedy?

hello and welcome to HCM, A one sided discharge which comes and goes and increases when you strain is not a good sign. It may be a condition called CSF rhinorrhoea and is very likely because of the symptoms you have described especially the discharge and the giddiness. In this particular condition, because of a small defect in the roof of your nose, the brain fluid leaks out through the nose. A potentially dangerous condition as it may lead to infection of the brain. You need to IMMEDIATELY consult your ENT and impress upon him to perform an Endoscopy examination and also a CT (preferably a contrast CT to get the site of leak) Furthermore do not strain or rinse your nose unless the above diagnosis is either confirmed or excluded If possible collect the fluid which is coming out in a clean (preferable a lab sterilised) bottle so that can be sent to a test called the CSF analysis take care and get well soon Dr Sriram Nathan