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Sinus condition, blood and mucus from nose after sneezing. Family history of nasopharyngeal cancer. Treatment?

Hi, I am 29, married guy with two daughter. I am a social smoker. Since kids i always has sinus problem. I will easily sneeze especially in the morning. But for the past half years, i found out my sneeze has strong smell, it like blood smell. After i sneeze, the room full the smell and my family member cant stand on it. Yesterday when i sneeze hardly, i saw some blood clot come together with the mucus . I am worry.. For your info, my dad is a nasopharynl cancer patient and passed away after struggle with cancer for about 2 years.
Asked On : Sat, 8 Dec 2012
Answers:  2 Views:  142
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General & Family Physician 's  Response
Dear Concerned.,
Thanks for writing to us.
You may be having exacerbations and remissions of Chronic sinusitis due to repeated infections and also aggravated by your smoking habit.Do you also have loss of weight/ loss of weight and evening rise in temperature?
Pls investigate with routine Blood counts/blood chemistry/urinalysis/sputum for microscopy and routine/AFB Test for Sputum /PAP Smear test of Sputum sample.
In addition Radiologiocal Tests for Paranasal Sinuses such as X-Ray PNS and CT as required.
Consult an ENT Surgeon for endoscopic lavage of the sample and analysis for its pathology for a definitive diagnosis and institution of therapy.
Taking empirical treatment without proper investigations will only lead to postponement of definitive diagnosis. So please follow the above protocol.
Wishing you a quick recovery.,
Best Regards.,
Dr Lt Cdr ASN Bhushan,
Answered: Sat, 8 Dec 2012
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General & Family Physician Dr. Himanshu Pandey's  Response
Hi cheachea ! Don't you think you need check up. You are saying blood and bad smell. just smoke less, take mouth wash. Take warm water put menthol drop in it and inhale. Use nasal drop for infection. If all effort will be useless then consult the medic . Bye.
Answered: Sat, 8 Dec 2012
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