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Suffer from blocked nose, mucus with blood. Feeling pressure in the nose. What could be the reason?

Hello for the past couple of days now whenever I wake up I blow my nose and it seems relatively fine. After about an hour or so I feel the right side of my nose get blocked up and when I go to blow it the mucus is accompanied with blood . The blood is mainly stringy and my nose does not continue to bleed afterwards but it has happened every day and I am beginning to get worried. During the night time when I blow my nose I sometimes blow out dried blood (dark dry blood) but it s nothing like when I wake up in the morning. I also have started to feel a small pressure on the top of the rise side of my nose as of today. I just don t know what to think.. Please help.
Asked On : Sun, 24 Mar 2013
Answers:  1 Views:  88
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General & Family Physician 's  Response
Hello James you seem to be suffering from acute maxillary sinusitis. Signs & symptoms of maxillary sinusitis can appear suddenly & may either resolve on its own or can become severe, necessitating treatment.
The common symptoms are headache (fullness of head), pain over the maxillary sinus & nasal bridge (facial pressure), nasal obstruction, bad smelling breadth & blood tinged nasal discharge.
Some may complain of post nasal drip ( involuntary swollowing of mucus / pus).
Sinus normally contains air. When it becomes swollen & inflamed the increased pressure in the sinus cavity causes pain.
The symptoms usually begin in the later part of the day rather than early morning & that is why you feel fine in the morning. Also the symptoms like difficulty in breathing through nose (nasal obstruction) are usually relieved while lying down.
Presence of blood indicates active infection but there will never be an active bleeding. Boring of nose with nails will aggravate bleeding. The line of treatment is
1. X - Ray of paranasal sinus to rule out polyp.
2. Macrolide antibiotics like Azithromycin.
3. Anti inflammatory drugs like Ibuprofen.
4. Anti allergy drugs like Levocetrizine .
5. Mucolytics like Ambroxol.
If nasal block is severe, then nasal drops will help.
Answered: Sun, 24 Mar 2013
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