 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Sinusitis / August 2006Post Op Question
Hi all, Six days after my FESS and I'm starting to see light green mucus coming out with irrigation (along with dried blood). Is this expected or a sign of a new infection? Thanks, Frank >Hi all, > [quoted text clipped - 4 lines] >Thanks, >Frank Hi Frank, Did your surgeon prescribe any antibiotics for you to take after the surgery? If not, mention this to your doctor when you go in for your next post-op visit. If your appointment isn't coming up soon and the mucous gets worse, ask if you can be moved up. You don't want that crap getting into your chest and causing you to get bronchitis (been there, done that, not fun) When I had sinus surgery back in December, my surgeon put me on some antibiotics right away to ward off any infection. I got hit with a bad one around the end of February, right when I thought I was done with my post-op visits. Another round of antibiotics, some prednisone, and some NasocortAQ have helped keep away any further infections, with the exception of a few weeks ago when I waited too long to get a refill. I had my surgery 6 weeks ago and was put on very strong antibiotics for two weeks after surgery. Kindest personal regards, Ray The Travellin' Man.....Ray Armstrong your eyes and ears on the Tweed!! Let's Keep Music Liiiiiiiiiiiive!!!!!!! > >Hi all, > > [quoted text clipped - 20 lines] > some NasocortAQ have helped keep away any further infections, with the > exception of a few weeks ago when I waited too long to get a refill. >Hi all, > >Six days after my FESS and I'm starting to see light green mucus coming >out with irrigation (along with dried blood). Is this expected or a >sign of a new infection? It could be either one. Thsi quickly after durgery, it would not pay to guess - best call your surgeon's nurse on Monday and ask her advise..... Thanks for the advice guys. My doc put me on antibiotics and prednisone (a week's worth). I'm not experiencing any PND problems (usually a big problem with prior infections). Anyways, I will give the nurse a call asap. Thanks again! > >Hi all, > > [quoted text clipped - 6 lines] > Thsi quickly after durgery, it would not pay to guess - best call your > surgeon's nurse on Monday and ask her advise..... It might be a good idea to ask if a different antibiotic would be appropriate. I had to change antibiotics. > Thanks for the advice guys. My doc put me on antibiotics and prednisone > (a week's worth). > I'm not experiencing any PND problems (usually a big problem with prior > infections). Anyways, I will give the nurse a call asap. Thanks again! Hi again, Day 8 after FESS and my doc put me on a different antibiotic. The good news is that nasal irrigating largely seems to keep this infection under control. A new worry I have right now is the large quantity of coagulated blood still coming out in clumps with every nasal wash. It's brownish-red in color hence probably a slow oozing. I wonder if blood loss is the reason I'm feeling tired and weak? Is it normal to bleed this much (guessing at least 15ml a day of the stuff) a week after surgery? Frank P.S. I had both ethmoids cleaned out (a couple of polyps and some scar tissue). > It might be a good idea to ask if a different antibiotic would be > appropriate. I had to change antibiotics. [quoted text clipped - 3 lines] > > I'm not experiencing any PND problems (usually a big problem with prior > > infections). Anyways, I will give the nurse a call asap. Thanks again! >Hi again, > >Day 8 after FESS and my doc put me on a different antibiotic. The good >news is that nasal irrigating largely seems to keep this infection >under control. I assume that you have checked that he approves of your irrigating? If not, I would not do it for now. >A new worry I have right now is the large quantity of coagulated blood >still coming out in clumps with every nasal wash. That's normal. I had that for weeks. Most people less. > It's brownish-red in >color hence probably a slow oozing. I wonder if blood loss is the >reason I'm feeling tired and weak? Is it normal to bleed this much >(guessing at least 15ml a day of the stuff) a week after surgery? Yes. You and I may bleed a little more than most people, but its no big deal.... I assume you have checked your clotting time before surgery - it is a simple blood test - your family doctor can order it. Also increase vitamin K intake (green leafy vegetables - no need to supplement beyond that) >P.S. I had both ethmoids cleaned out (a couple of polyps and some scar >tissue). > >Hi again, > > [quoted text clipped - 4 lines] > I assume that you have checked that he approves of your irrigating? If not, I > would not do it for now. Yes, I told him I use the Grossan irrigator tip. > >A new worry I have right now is the large quantity of coagulated blood > >still coming out in clumps with every nasal wash. [quoted text clipped - 8 lines] > Yes. You and I may bleed a little more than most people, but its no big > deal.... That's comforting to hear, nevertheless a bit scary to see so much blood for so many days. > I assume you have checked your clotting time before surgery - it is a simple > blood test - your family doctor can order it. Is this standard practice before surgery? It was never suggested by my doc. What would they do with this information? > Also increase vitamin K intake (green leafy vegetables - no need to supplement > beyond that) I've been eating 2-3 servings of spinach a day for 3 days now out of fear of developing anemia :-). >Is this standard practice before surgery? In some places yes. >It was never suggested by my >doc. What would they do with this information? Postpone surgery if you clotting time was too long until it could be normalized. It may be negligent not to measure it before surgery. Someone might bleed to death during surgery if they have abnormally long votting time. But maybe they took it and did not tell you. You survived, so I would not worry about it. >> Also increase vitamin K intake (green leafy vegetables - no need to supplement >> beyond that) > >I've been eating 2-3 servings of spinach a day for 3 days now out of >fear of developing anemia :-). Excellent! Kale is the best all around too ........ > Hi all, > > Six days after my FESS and I'm starting to see light green mucus coming > out with irrigation (along with dried blood). Is this expected or a > sign of a new infection? A post-op infection, especially if you weren't put on antibiotics immediately, is not uncommon. I got a post-op infection after each of my two surgeries, despite antibiotics. Actually, if the surgery did its job, then once everything heals and drainage of the sinuses is fully restored, your immune system may be able to fight off the infection by itself. Just like lancing a boil on your skin.  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. In your opinion or anyone else for that matter, how long does it take to heal if just the ostia are opened up? I assume there would still be swelling for a while and the cilia have to be restored. There are cilia in the frontal and sphenoid sinuses aren't there??? It's been a little over 2 weeks for me this time and I'm not having as much pain, but still still a tremendous amount of pressure at times. There is still a lot of PND, but it does seem to be draining a little better. > > Hi all, > > [quoted text clipped - 15 lines] > Email: sdlitvin@earthlinkNOSPAM.net > Remove the NOSPAM before replying to me. >In your opinion or anyone else for that matter, how long does it take >to heal if just the ostia are opened up? After opening up the ostia, the air can get into the sinusus and they can drain and then, in time, heal. This is a large part of what sinus surgery is about today. This can take months to a year or two if the inflammation has progressed deep within the sinuses. You may be able to help it along with a short course of oral steroids to allow time for healing if you think you will be able to tolerate them. That would also allow you to see if the pain goes away...... > I assume there would still >be swelling for a while and the cilia have to be restored. There are >cilia in the frontal and sphenoid sinuses aren't there??? It's been a >little over 2 weeks for me this time and I'm not having as much pain, >but still still a tremendous amount of pressure at times. There is >still a lot of PND, but it does seem to be draining a little better. Thanks. I guess that means that it is going to take a while since I first had the acute sphenoid sinusitis over 10 years ago that showed on CT scan, and it was never treated properly. I've been on low dose prednisone since the beginning of November just to be able to tolerate the condition until now. I had actually been on and off it for about 3 1/2 years before because of a massive mold exposure at my school where I taught when I developed symptoms of hypersensitivity pneumonitis. I continually got much worse as I tapered off 2 years ago. That's when the sinus pain became intolerable, and I was still told I didn't have sinusitis although I knew that I did. I kept trying to explain that the pain would let up when my sinuses would start draining. I knew there had to be a connection. Unfortunately, I usually wasn't draining when I saw an ENT and since it was in the sphenoids, they assumed it wasn't there even though I've had cultures that have grown all kinds of strange bacteria and fungi. I was finally diagnosed with allergic fungal sinusitis a year and 1/2 ago, but still the sphenoids weren't addressed. IV antibiotics, antifungals and prednisone have been the only thing that have kept me able to tolerate it along with pain medication which I never took before even after surgeries. I've been trying to decrease the prednisone, but guess I will have to go back a little higher. That is what Dr. Sherris suggested too. I don't like being on it, but if that's what I have to do to be semifunctional, then that is what I will have to do. I'm just afraid that it will compromise my immune system and whatever microbes are still there will get worse, and am afraid of all the other side effects. It is a shame that we have to suffer and "doctor shop" until we can finally find someone to take us seriously, and by then sometimes it is too late to ever be cured; however, this seems to be the nature of the disease at least when it becomes chronic. Kathyw > >In your opinion or anyone else for that matter, how long does it take > >to heal if just the ostia are opened up? [quoted text clipped - 10 lines] > time for healing if you think you will be able to tolerate them. That would > also allow you to see if the pain goes away...... I know what U mean-I just couyldn't believe it after my operation when the ENT surgeon said he did not go near my sphenoid!I think that is where all my trouble is because I am STILL VERY ILL 6 weeks after surgery-extreme pressure between the eyes,dizzy,mild fever(6months now!),tinnitus in my left ear...blah blah!! -- Kindest personal regards, Ray The Travellin' Man.....Ray Armstrong your eyes and ears on the Tweed!! Let's Keep Music Liiiiiiiiiiiive!!!!!!! > Thanks. I guess that means that it is going to take a while since I > first had the acute sphenoid sinusitis over 10 years ago that showed on [quoted text clipped - 43 lines] > > time for healing if you think you will be able to tolerate them. That would > > also allow you to see if the pain goes away...... >Thanks. I guess that means that it is going to take a while since I >first had the acute sphenoid sinusitis over 10 years ago that showed on [quoted text clipped - 8 lines] >the pain would let up when my sinuses would start draining. I knew >there had to be a connection. I think you are exactly right in your analysis. People often think that increased drainage means things are getting worse. Increased dainage is good and indicates the sinuses are finally opening up and trying to drain and begin to heal! So often people try to minimize the very things that help. This does not apply to you. It is just a side comment. >Unfortunately, I usually wasn't draining >when I saw an ENT and since it was in the sphenoids, they assumed it [quoted text clipped - 12 lines] >still there will get worse, and am afraid of all the other side >effects. I would not worry in the short term. Taking it for any given limited period of time is not a problem. The long-term risks are proportional to cumulative long-term intake. So you can try easing back on it again in maybe another few months after you give yourself a break to pursue different approaches. Is the air quality nearly perfect where you live and work? If not, I would address that for sure. It makes an immense difference to me. For months after sugery, my sinuses would actually start to bleed after exposure to a smoky environment for just a few hours. And that would last for days. Are you well rested? That also makes a huge difference. > It is a shame that we have to suffer and "doctor shop" until >we can finally find someone to take us seriously, and by then sometimes >it is too late to ever be cured; however, this seems to be the nature >of the disease at least when it becomes chronic. I think you are correct to keep "shopping." If the ones you see are unreceptive, I believe that they do not necessarily really disbelieve you. They are not that stupid! It is often just that do not know what to do about it and that is their way of trying you tell you that they are not the best ones to deal wuth this difficult issue. Dr, David Kennedy and colleages have a procedure to remove almost all of the fine ethmoid bone network where sinusitis often lies dormant. You might want to look into that if you have not. He is very hard to see but there are others there too..... |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.