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Medical Forum / Diseases and Disorders / Sinusitis / August 2006Drainage ceasing, 4 weeks after surgery (septoplasty)
Had alot of improvement post surgery, at around the 2 week stage, was able to blow my nose normally and clear it when I had sinus pain. However now it feels like I've gone backwards in the last week, my nose is completely dry and barren again, and won't blow, PND is back because no mucuous is getting out my nose, and I have bad pain where I had before the op, above the left eye. Is this kind of fluctuation normal, and is it still possible I will begin to feel better? I just wonder how 4 weeks after the op my nose seems to have improved, then just gone back to normal, and fear it's all been a waste of time. I am 6weeks post surfery no better-fuzzy head,flushed face,band around the head,pressure between the eyes!! Kindest personal regards, Ray The Travellin' Man.....Ray Armstrong your eyes and ears on the Tweed!! Let's Keep Music Liiiiiiiiiiiive!!!!!!! > Had alot of improvement post surgery, at around the 2 week stage, was > able to blow my nose normally and clear it when I had sinus pain. [quoted text clipped - 8 lines] > seems to have improved, then just gone back to normal, and fear it's > all been a waste of time. Recovery after surgery may be heavily influenced by whether you are still exposed to irritants and/or allergens. These, of present, will profoundly irritate the healing sinuses and nose, and they may block and swell up all over again. This factor is likely to often be more significant than quality of the surgery. Quite frankly, if you still are exposed, then a full return to normal may not occur.. One way around this, for those who can tolerate them, may be oral steroids during the healing process of weeks or months. in my own case, I don't have any known allergens, at least I got the all clear in the skin prick test. is it still possible something is irritating the nose, and if so how do I go about finding out what, trial and error with holidays etc? I know I felt alot worse after a few days back at work, but this could be just due to the effort, not necessarily the environment. I work in a record store, very dusty but then I am not allergic to dust mites, or anything, at least officially. > Recovery after surgery may be heavily influenced by whether you are still > exposed to irritants and/or allergens. These, of present, will profoundly [quoted text clipped - 8 lines] > One way around this, for those who can tolerate them, may be oral steroids > during the healing process of weeks or months. >in my own case, I don't have any known allergens, at least I got the >all clear in the skin prick test. The test may pick up most allergies but not non-allergic sensitivities (which are common). My nose and sinuses used to actully bleed after surgery after just a few hours in an office where some people smoked in some areas (not the areas I was in). And there is no allergen (strictly speaking) in cigarette smoke remnats. >is it still possible something is irritating the nose I think very much so.. >, and if so how do >I go about finding out what, trial and error with holidays etc? Exactly right. Maybe you can take a long vacation or leave of absence for a few weeks or something and see what happens. >I know >I felt alot worse after a few days back at work, but this could be just >due to the effort, not necessarily the environment. Effort should not be a problem. Try exercise outdoors in cool weather and I'll bet it won't cause problems (unless it is hot and humid and moldy/polluted there). > I work in a record >store, very dusty but then I am not allergic to dust mites, or >anything, at least officially. It's probably the dust and mold - I can't prove it but it is my guess. My turbinates will swell up in minutes or less after entering a dusty environment. Plus coughing etc. It takes 2 or 3 *days* away to recover completely from a few hours' exposure. You can probably still get a lot of benefit from the surgery if you can get back into a near-perfect environment. But if not, your doctor may be shaking his head a little in disappointement after a while when he takes look with the endoscope. By the way, "drainage ceasing" may not be good news. It could be, but it may alos mean that that the sinuses are starting to close off..... Hey Don, Yeah drainage ceasing to me is bad news. About 2 weeks after surgery I was able to blow my nose a little for the first time in about 15 months. So to me drainage ceasing equals failure. If I finally get off my a.s and buy a the Grossan irrigator or an irrigator will this also help? I still notice large bloody clumps of mucuous which obstruct things a bit in my nasal passage so I sort of hope I am still healing but at this stage, 5 weeks, looking pretty bad. I figure it's possible the working environment is causing problems, after the op I was off for 3 weeks and was starting to feel better, that's my longest break from that workplace in the entire time I've had these problems. Sort of a tricky one to fix though obviously. Thanks for the advice. > >in my own case, I don't have any known allergens, at least I got the > >all clear in the skin prick test. [quoted text clipped - 44 lines] > By the way, "drainage ceasing" may not be good news. It could be, but it may > alos mean that that the sinuses are starting to close off..... >Hey Don, > >Yeah drainage ceasing to me is bad news. Right that is my exerience. I find that I can often get it going again though by a combination of rest and allegen/irritant avoidance (mainly staying away from a certain office). Lots of sleep alone will bring inflammation way down in my case. >About 2 weeks after surgery I was able to blow my nose a little for the >first time in about 15 months. Exactly the same with me. > So to me drainage ceasing equals >failure. If I finally get off my a.s and buy a the Grossan irrigator or >an irrigator will this also help? I think it can , especially in the area of recovery from allergen/irritant exposure. I'm not sure that it should be necessary when one again has a flow going and all of the irritants are cleared away from the nose and sinus. I have doubts that it will actually cure the inflammatory response that is the underlying problem, but it may help limit the damage deeper in the sinuses if it can help drain them and keep them open after irritation, which I think it can. I do not irrigate but I swim a lot and the drainage in the hours after swimming is sometimes remarkable..especially after prior irritant exposure, as the sinuses open up again. >I still notice large bloody clumps of mucuous which obstruct things a >bit in my nasal passage so I sort of hope I am still healing but at >this stage, 5 weeks, looking pretty bad. No I don't think so. I bled for a couple of months. The bedding will go away eventually but you do not want that to be at the expense of thickened sinus linings. >I figure it's possible the working environment is causing problems, >after the op I was off for 3 weeks and was starting to feel better, >that's my longest break from that workplace in the entire time I've had >these problems. Sort of a tricky one to fix though obviously. Right. The most important think is to get a thorough understaneding from trial and error etc. etc. of what makes a big difference and what does not. >Thanks for the advice. To make isotonic saline One tsp of salt to 16 ounces or 500 cc Some persons like to add 1/2 tsp of baking soda to the above. You can experiment with making the solution more salty, hypertonic but I recommend not going beyond 3 tsp to the 16 ounces or 500 cc. Potassium chloride at certain concentrations can be toxic and I don't recommend trying to "find" a right mix. Which water? Tap water is fine, if your area is good. You don't need distilled water for sinus irrigation - any bottled water without chlorine is fine For whatever reason, 99% of my patients prefer isotonic saline for hydro pulse irrigation > Which water? Tap water is fine, if your area is good. You don't need > distilled water for sinus irrigation - any bottled water without chlorine is > fine Murray, you don't share the concerns of those docs who think it's a bad idea to irrigate with the microbes that are present in public water? Or do you mean it should be boiled first? I use distilled only because it's cheap and more convenient than boiling my own water for saline solution, not because I think it must be distilled. Susan Interesting you mention sleep Don, when I told my ENT I'd been feeling tired/weak occasionally, he suggested my sinuses could be causing some mild sleep apnoea. This is a suggestion I'm still keen to pursue, whenever I can afford it, though I do wonder if a large degree of tiredness or fatigue brought on by sleep apnoea could actually cause sinus inflammation? Is it possible to be caught in a catch 22 situation here, where blocked nose is causing problems for sleep and these are causing the inflammation? Just a thought I had, another thing to check out anyway. > x-no-archive: yes > [quoted text clipped - 9 lines] > > Susan >Interesting you mention sleep Don, when I told my ENT I'd been feeling >tired/weak occasionally, he suggested my sinuses could be causing some [quoted text clipped - 3 lines] >it, though I do wonder if a large degree of tiredness or fatigue >brought on by sleep apnoea could actually cause sinus inflammation? Yes I believe that it can and will in pre-disposed individuals. Sinusitis very often (maybe even usually) has more than one cause, and if you can eliminate one cause you may be in good shape. > Is >it possible to be caught in a catch 22 situation here, where blocked >nose is causing problems for sleep and these are causing the >inflammation? Absolutely. Losing some weight may help with the sleep apnea. >Just a thought I had, another thing to check out anyway. This is what I've read, about weight, tho I am actually pretty slim, perhaps a beer belly, but do you think nonetheless losing any excess weight might improve it? I guess I have a little excess skin around the neck, where it may count. Sorry for so many questions, it's just quite interesting, sinusitis really is a long long process of narrowing things down isn't it? > >Interesting you mention sleep Don, when I told my ENT I'd been feeling > >tired/weak occasionally, he suggested my sinuses could be causing some [quoted text clipped - 19 lines] > > >Just a thought I had, another thing to check out anyway.
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