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Nostril dripping clear liquid. Had neck, face lift surgery. Had infection behind ears after surgery. Suggestions?

Hi Dr. Christensen: My right nostril is constantly dripping clear liquid. This has been going on for 5 weeks. I have tried antibiotics , nose sprays and D Allergy and Zyrtec with no results. When I m lying down it stops. I have an appointment with an ENT at the end of the week. No other symptoms. I did have a neck lift and partial face lift and this is when it seems like it started. I had a terrible infection in behind both ears after the surgery and had to stay on Levaquin for 4 weeks. Please tell me what you think? Thank you
Asked On : Fri, 1 Feb 2013
Answers:  2 Views:  62
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ENT Specialist 's  Response
Aug 2013
hello and welcome to HCM,

A one sided discharge which comes and goes and increases when you strain is not a good sign.
It may be a condition called CSF rhinorrhoea and is very likely because of the symptoms you have described especially the discharge and the clear nature of the discharge which is reminiscent of the CSF.

In this particular condition, because of a small defect in the roof of your nose, the brain fluid leaks out through the nose. A potentially dangerous condition as it may lead to infection of the brain.

You need to IMMEDIATELY consult your ENT and impress upon him to perform an Endoscopy examination and also a CT (preferably a contrast CT to get the site of leak)
Furthermore do not strain or rinse your nose unless the above diagnosis is either confirmed or excluded
If possible collect the fluid which is coming out in a clean (preferable a lab sterilised) bottle so that can be sent to a test called the CSF analysis

take care and get well soon

Dr Sriram Nathan
Answered: Thu, 22 Aug 2013
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