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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to treat breathing problem?

i am looking for a surgeon that can fix my sons breathing. he has had 2 nose surgery s before and still can t breathe at all he says. he is 19 years old he has a deviated perforated septum plus allergies really bad witch caused a lot of swelling and blockage. he had the surgery to correct the deviated perforated septum a few weeks before his insurance ended. this was in September 2013. he went a few months later to check up on it. the doctor said it appeared that the deviation was closed and healed. ( by the way he had the back of his right ear transplanted in his perforated septum.) but the problem is that it has never stopped bleeding ever. since all of that time. ( do you think it is because it is a transplant that it doesn t stop bleeding? ) he does not blow his nose he uses a q-tip to get the boogers out. he has used a lot of creams and oils to help the inside of his nose heal but nothing works. also the doctor said while he was in surgery he realized he could not break one of the bones behind his nose so that he could breathe on one side. i asked why not? he said because my sons skull was not shaped right from the inside. so it was odd shaped. and he feared if he did break it that since it was so deep. he might make his skull collapse. i am not sure this is even true because i never saw a picture or x-ray. but my question here is he has medicade full coverage. who can preform a difficult surgery to help him. his nose is swollen again because of allergies and he can t breathe at all. he take the allergy shots to help cure the allergies since he was 9 years old and allergy prescriptions, eye drops excreta. had 2 surgery s already and still can t breathe. he just wants to breathe. is there a highly highly highly qualified doctor the specializes in this field? that will except medicade? we have utah medicade.
Wed, 8 May 2019
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General Surgeon 's  Response
Hi,

Noted the detailed history about surgery and inability to breath properly in spite of septal surgery in your son who is 19. Also noted the incomplete removal of deviated septum for some anatomical reasons.
Hence I would advise you the following:
First of all insist on CT scan of the nose and sinuses o know the exact problems.
Consult after finding an ENT Surgeon who has done a lot of such surgeries and discuss in detail.
Yes it is possible that there is some anatomical deviation from normas but this is true in every case.
About the allergies and the nasal condition: Stop using any oils or so.
ENT Endoscopy will show what is required as per the condition of the mucosa.
Decongestants and steroid if the mucosa is edematous.
Sodabicarb nasal washes if there is a lot of scab formation.
Since the boy is 19 now all sort of surgeries will be more beneficial.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant,
ENT & General Surgeon
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