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What Causes Difficulty In Breathing Post A Septoplasty?

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Posted on Tue, 27 Jun 2017
Question: hi there

i made septum deviation opetation 5 days ago
i cant breath al all from my nose
i looked to mirror and i still see the septum is not streight and block all the right side is that normal ?
i use sea water nasal spray , i spray 3 time in each side should i only spray it or i must blow up my nose after using like that its written
doctor
Answered by Dr. Satvinder Bakshi (40 minutes later)
Brief Answer:
Their will be swelling inside your nose

Detailed Answer:
Hello

Generally there will be swelling of the tissues inside your nose after surgery, which is the reason why you are not able to breathe, Please dont worry as this swelling will subside by 7 to 10 days , and you will be fine after that.

Septoplasty is a surgery done to correct the nasal septum, the purpose is not to make the septum absolutely straight [ which is impossible in most of the patients]. The idea is to correct the deviation as much as possible so that the patient can breathe easily from the nose. Please dont worry about what you are seeing in the mirror, some deviation may still persist.

Its better to blow the nose at least gently as this will help clean up your nose better and also reduce the swelling.

please dont worry.
You will be fine!!

Thanks


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Satvinder Bakshi (9 hours later)
thank you so much for your reply.
so the septum i see in the mirror which still blocking the right side its swollen thats why its still big ? it will come to normal or small by time ?
doctor
Answered by Dr. Satvinder Bakshi (8 hours later)
Brief Answer:
Yes there will be a swelling

Detailed Answer:
yes

the septum still looks deviated because of edema and this should come down in a few more days.

In would like to emphasize again that it is seldom possible to make the septum absolutely straight and the main aim of surgery is to relieve the patients symptoms and not make the septum absolutely straight.

please don't worry

You will be fine!!

Take care
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Satvinder Bakshi (11 minutes later)
dr today it appear this on my nose and in that area there s the wound where they cut the septum it is a bacterial infec ? i an worried about it specially if it reach to wound
doctor
Answered by Dr. Satvinder Bakshi (10 minutes later)
Brief Answer:
It looks bit swollen, don't worry

Detailed Answer:
Hello

From the picture you have sent , it only looks bit swollen. pain , fever and yellow discharge are signs of infection and if you don't have any of these then there is nothing to worry.

In my patients I ask them to apply mupirocin ointment twice a day for a week after surgery as this prevents any infection from setting in.

for the time being just keep doing the nasal irritations.

Take care
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Satvinder Bakshi (2 days later)
from ur experience dr
it happen in ur carrier to meet with a patient that he had permanent congestion after surgery ? and never improved even after monthes or year? incase of this exist any treatment or another surgery to make the patient breeze again ?
did happen that a patient can be congested for ever for example?
doctor
Answered by Dr. Satvinder Bakshi (2 hours later)
Brief Answer:
The patient may have had an allergy

Detailed Answer:
Hello

It is possible that the patient would have also had other problems like allergy or nasal polyps which would have resulted in the nasal congestion.

Please don't worry as this is rare and can be managed with steroid nasal sprays and nasal irrigation.

get well soon

Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Satvinder Bakshi (5 hours later)
thank u alot.

can u use the nasal spray water and salt clening
doctor
Answered by Dr. Satvinder Bakshi (1 hour later)
Brief Answer:
Yes you can

Detailed Answer:
Hello

Yes you can use the spray and salt cleaning . It will help remove all the crusts and reduce the swelling.

In my patients , i advice them to continue salt cleaning for at least 4-6 weeks after surgery.

Take care!


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Satvinder Bakshi (17 minutes later)
i can use it more than 3 times per day??
doctor
Answered by Dr. Satvinder Bakshi (5 minutes later)
Brief Answer:
yes you can use it more than 3 times a day

Detailed Answer:
Hello

I would normally advise my patients to do the irrigation 3 times a day for the first 2 weeks and then twice a day after that. However, if you feel comfortable then you can even do it more than 3 times a day. There is no harm in using it.

Thanks
Brief Answer:
yes it is normal

Detailed Answer:
Hello

It is normal to have blood tinged secretions for 7-10 days after surgery and most of this is old bleeding which would have occred during surgery and would slowly come out, dont worry about it.

However i would also like you to resist blowing the nose too hard as it may cause fresh bleeding and delay the wound healing.

Gentle irrigation and gentle blowing of the nose should be sufficient.

Take care
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Satvinder Bakshi (37 minutes later)
i dont blow it down . i try to blow up .
incase of bleeding if occur blood should go out
cant happened internal bleeding ?
doctor
Answered by Dr. Satvinder Bakshi (9 minutes later)
Brief Answer:
Mild bleeding is normal

Detailed Answer:
Hello again,

Both blowing in and blowing out forcefully can cause bleeding and you should be gentle.

mild bleeding is common and you don't have to worry. if the bleeding is more or continuous then you will have to meet your doctor as soon as possible.

I normally prescribe nasal decongestants like Oxymetazoline drops to my patients which they can instill in their nose in case of bleeding. I would also advise them to pinch their nose if the bleeding is more as pinching reduces the bleeding.

Take care


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Satvinder Bakshi (7 minutes later)
but it never came out blood from my nose i refer to blood i spit everytime i blow my nose up i spit some of blood secretion . is this u call bleeding ? it can be bleeding ? or its just old blood from surgurey
doctor
Answered by Dr. Satvinder Bakshi (5 hours later)
Brief Answer:
Yes it can old blood

Detailed Answer:
Hello

Bleeding from the nose can be both from the front and back. When t is from the back then the patient spits out the blood as it goes in the throat.

irrigation and blowing the nose can cause mild bleeding or dislocated old clots. This is normal and you don't have to worry about it.

Take care
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. Yogesh D
doctor
Answered by
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Dr. Satvinder Bakshi

ENT Specialist

Practicing since :2007

Answered : 2467 Questions

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What Causes Difficulty In Breathing Post A Septoplasty?

Brief Answer: Their will be swelling inside your nose Detailed Answer: Hello Generally there will be swelling of the tissues inside your nose after surgery, which is the reason why you are not able to breathe, Please dont worry as this swelling will subside by 7 to 10 days , and you will be fine after that. Septoplasty is a surgery done to correct the nasal septum, the purpose is not to make the septum absolutely straight [ which is impossible in most of the patients]. The idea is to correct the deviation as much as possible so that the patient can breathe easily from the nose. Please dont worry about what you are seeing in the mirror, some deviation may still persist. Its better to blow the nose at least gently as this will help clean up your nose better and also reduce the swelling. please dont worry. You will be fine!! Thanks