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Suggest treatment for deviated septum

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Posted on Thu, 14 May 2015
Question: Hi, When I was younger I had a problem with cocaine. I quit over 20 years ago. I deviated my septum from it. it was a small hole when I was younger, but over the years it has gotten worse. Is there continuing health dangers from this? Should I see a doctor for it? I am a healthy 48 year old woman. I haven't drank, smoked or do any drugs in over 20 years.
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Answered by Dr. Sumit Bhatti (26 minutes later)
Brief Answer:
Know complication with cocaine use. May not require treatment.

Detailed Answer:
Hi,

Thank you for your query.

1. Damage to the nasal septum and septal perforations are common with cocaine use.

2. The perforation may not require treatment if there are no symptoms.

3. Get a nasal examination and endoscopy to check the increase in the septal perforation and deviation. If the edges of the perforation are healthy and the perforation is small, no treatment is necessary. regular follow-up is advised.

4. If the septal deviation is not causing any nasal symptoms (such as obstruction, discharge, crusting, decreased smell, snoring, headaches), there is no active management required.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2652 Questions

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Suggest treatment for deviated septum

Brief Answer: Know complication with cocaine use. May not require treatment. Detailed Answer: Hi, Thank you for your query. 1. Damage to the nasal septum and septal perforations are common with cocaine use. 2. The perforation may not require treatment if there are no symptoms. 3. Get a nasal examination and endoscopy to check the increase in the septal perforation and deviation. If the edges of the perforation are healthy and the perforation is small, no treatment is necessary. regular follow-up is advised. 4. If the septal deviation is not causing any nasal symptoms (such as obstruction, discharge, crusting, decreased smell, snoring, headaches), there is no active management required. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.