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Sinus infection. Prescribed nasonex nasal spray, large amount of bleeding on blowing nose, loud cracking sound. Treatment?

Hey, I was recently diagnosed with a ba sinus infection and was prescribed nasonex nasal spray . I ve been usi it for a few days and I recently blew my nose and was surprised with an abnormal amount of blood in the Kleenex. After blowing my nose, there was a loud crackling sound not in my nostril but in my nose!?! It won t stop and it s painful. What shoul Ido
Asked On : Wed, 6 Mar 2013
Answers:  2 Views:  96
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General & Family Physician 's  Response
It looks like your sinusitis is still progressing. Cold and dry weather can certainly precipitate nose bleeds in already inflammed nasal mucosa. 

Bleeding from nose is not good as it may be due to ongoing infection in the sinuses or even something more.
You require a consultation with an ENT specialist and get CT scan of your sinuses done.
Along with it get nasal swab culture also done to identify any bacteria.
Once diagnosis is made treatment can be easy.
Till then,do steam inhalation and take some pain killers like ibuprofen 400 mg three times a day.
Answered: Wed, 6 Mar 2013
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ENT Specialist Dr. A.K. Srivastava's  Response
Thanks fr writing to H.C.M. for your queries.
I have gone through your clinical history and after considering all aspects of your complaints I am suspecting that you are most probably having upper respiratory tract infection including sinuses, throat and entire nasal cavity. You are worried about nasal bleeding, here I would like to say this have occurred either due to sinusitis or some times this has also being reported as side effect of steroidal nasal spray.
You are advice for these basic investigations-
(1) C.T.scan of paranasal sinuses.
(2) culture and sensitivity of nasal discharge.
(3) Blood - CBC, ESR, blood sugar - F & P.P.
(4) Urine - R & M.
After this much work thorough examination of nose and sinuses and their co-relation with inferences of investigations one can reach to a final diagnosis which is than may be plan for treatment.

With Regards.
Answered: Wed, 6 Mar 2013
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