Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
170 Doctors are Online

What causes nose and lip swelling with pus like bumps under nostrils after septoplasty and rhinoplasty?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2007
Answered : 301 Questions
My daughter had septoplasty and rhinoplasty 3 months ago and has had pusuals (pus like bumps) under the nostrils and her upper lip has puffed up significantly with white lip line and swelling on and off for the 3 months. Nothing has worked, antibiotics etc-seem 3 derm doctors, lab tests blood sugar test -nothing has helped. Last evening her lip started swelling again and nose became hot along with lip. What do you suggest.
Posted Fri, 20 Dec 2013 in Ear, Nose and Throat Problems
Answered by Dr. David Okia 49 minutes later
Brief Answer: I would suggest culture and sensitivity test Detailed Answer: Hi thanks for your question. Based on my experience i would suggest pus swab is taken ,culture and sensitivity done immediately so that we know which drugs the pus is sensitive to and which drugs she is resistant too. She must be evaluated for other causes of low immunity in addition to blood sugar that have already been done. MRI of the head should be done in addition. Meanwhile if pus is evident it should be drained, she can continue with ceftriaxone 2g once day combined with corticosteroid as we wait for culture and sensitivity results. Hope i answered your question, will be happy to help you if you have other queries.
Above answer was peer-reviewed by
Follow-up: What causes nose and lip swelling with pus like bumps under nostrils after septoplasty and rhinoplasty? 57 minutes later
We did culture in the beginning-2.5 months - her blood sugar was also done...then did another culture-did yeast culture, staph culture, have done corticosteroid 2 weeks ago, did cucumber in large amounts 2 weeks ago. I have taken her to Dr Ellithourpe in Tustin CA and she put her on a no sugar diet-aand no change. She is not only recovering from the sinus/rhinoplasy, she's now trying to handle the facial scars under nose from these pusules. He doctor is reknown, no names but has written books and teaches and said he's never come accross this and has dismissed his concerns and referred to derm doctor who is down the hall from him with no answers there. Last night with the swelling - pus- fever I was going to take her to the ER- but called Dr. D one last effort...he is out of town and spoke with on-call. He prescribed dicloxacillin without looking at her- she has taken 2 doses since 11pm last night. Hot compresses was recommended...I googled the drug and found "recurrent furunculosis" looks similar...any thoughts with this added information
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures

The user accepted the expert's answer

Ask an ENT Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor