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Medical Forum / Diseases and Disorders / Sinusitis / July 2007Nose bleeding question
I have been blowing my too hard in recent times and today there was bleeding from my right nostril after a hefty blow. I could also spit out mucus with blood in it which has never occurred before. Needless to say, I am quite anxious about this. I am currently on Flunisolide/antibiotic nasal spray twice a day. Should I be continuing this while my nose is bleeding? I am also doing nasal irrigation once a day. Should nasal irrigation be done while the nose is bleeding? Any advice would be greatly appreciated. My nose bleeds from that Benz. in the nasal rinses and nose drops. I use Simply Saline nasal rinse only. shirleyann The inside of your nose is composed of tissue much like the inside of your mouth. If a bit of your nose spray does not cause the inside of your mouth to bleed, then it is not the root cause of your nose bleed. The antibiotic is just causing a scab of bacteria to peal off revealing the raw ulcer underneath. The antibiotic does not cause the ulcer, the bacteria do. This raw patch may not be pleasant to breath over, but if you can keep it clean until it heals by using the antibiotic spray, then you will be much better. > I have been blowing my too hard in recent times and today there was > bleeding from my right nostril after a hefty blow. I could also spit [quoted text clipped - 5 lines] > nasal irrigation once a day. Should nasal irrigation be done while the > nose is bleeding? Any advice would be greatly appreciated. I never heard of an "antibiotic nasal spray." What antibiotic is it? First, to paraphrase Henny Youngman: If you get nosebleeds when you blow your nose hard, then don't blow your nose hard anymore. If you're having trouble flushing thick secretions out of your nose, irrigate your nose with saline; don't try to just force them out by blowing hard. Topical steroids like Flunisolide can indeed retard healing of bleeding wounds. I suggest you contact the physician who prescribed it and ask him for his guidance. He might suggest reducing the dose, but don't do anything till you talk with him.  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > I never heard of an "antibiotic nasal spray." What antibiotic is it? It's Tobramycin 15mg mixed with Flunisolide. > First, to paraphrase Henny Youngman: If you get nosebleeds when you > blow your nose hard, then don't blow your nose hard anymore. If you're > having trouble flushing thick secretions out of your nose, irrigate your > nose with saline; don't try to just force them out by blowing hard. Thanks Steven. I will try not blowing hard anymore. The problem is my mucus is so thick and sticky, even irrigation does not flush it out. Also, is it advisable to irrigate my nose while it's healing from the wound? The irritation from irrigation fluid might retard healing I would have thought. >> I never heard of an "antibiotic nasal spray." What antibiotic is it? > > It's Tobramycin 15mg mixed with Flunisolide. I never heard of Tobramycin Nasal Spray before. Was that compound specially mixed for you? If not, does it have a trade name? Where did you get it? >> First, to paraphrase Henny Youngman: If you get nosebleeds when you >> blow your nose hard, then don't blow your nose hard anymore. If you're [quoted text clipped - 7 lines] > wound? The irritation from irrigation fluid might retard healing I > would have thought. Not if you're gentle and don't do it all that often. I've continued to irrigate GENTLY when I had nosebleeds and it healed just fine. It's the Flunisolide steroid that could retard healing. Ask your physician. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > I never heard of Tobramycin Nasal Spray before. Was that compound > specially mixed for you? If not, does it have a trade name? Where did > you get it You are correct. I get it at a compounding chemist. It was prescribed to me by my allergist. >> I never heard of Tobramycin Nasal Spray before. Was that compound >> specially mixed for you? If not, does it have a trade name? Where did >> you get it > > You are correct. I get it at a compounding chemist. It was prescribed > to me by my allergist. In that case, maybe your allergist can prescribe a new formula with less steroid (or no steroid) till your nosebleed stops. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > I have been blowing my too hard in recent times and today there was > bleeding from my right nostril after a hefty blow. I could also spit [quoted text clipped - 5 lines] > nasal irrigation once a day. Should nasal irrigation be done while the > nose is bleeding? Any advice would be greatly appreciated. Do you have dripping nose bleed? Or minor streaks? I use Flunisolide and Lodratadine antihistamine. Have had excellent results with the combination. I stopped irrigating in May 2007 because it was causing more swelling than good. When I used Flonaise it worked for a few weeks but subsequent times had diminishing returns. The right side polyp is quite large and I spray it more often. The left side is much better and needs almost no treatment. After the first month of Flunisolide the right side had some blood mixed in with thick mucus and was a little cause for some slight anxiety but just seeing something different than (that same thick brownish yellow discharge) after a couple years was almost welcome. I ignored the blood because it wasn't pure and not free flowing and I thought that it might be because my nose was very clear and the infection was finally getting better. note: When the blood appeared the "full swelling sensation" went away on the right side for the first time in what seems an eternity. Sure enough about a week and a half latter the blood mixture stopped and my nose is still getting better. A big thanks will go to the General Practice Doctor who solved my problem (that the ENT "couldn't "or wouldn't"). Let us know what happens. The inside of the nose is very sensitive, so be gentle. Jamffer > Do you have dripping nose bleed? Or minor streaks? It was of the dripping variety. I think I'll just skip the spray for a couple of days. Maybe use some saline spray for the time being. > Let us know what happens. The inside of the nose is very sensitive, so be > gentle. Thanks Jamffer. > > Do you have dripping nose bleed? Or minor streaks? > [quoted text clipped - 5 lines] > > Thanks Jamffer. Truehawk is right about bleeding. If no major vessel is compromised it can be a sign of wound cleansing and maybe the stuff is working. Bleeding can be troubling if it's dripping as in messy, embarrassing and inconvenient at work. My bleeding was very blood red thick mucus and cleared after a week and a half. Seven days latter a chunk of flesh about an inch long came out. I think that it was a piece of polyp. All in all my condition is excellent and I continue to do two sprays in the right side per day with no irrigation. I can still feel the polyp in the right side and may need to keep on one or two sprays permanently. Sinusitis is slowly becoming a thing of the past and I thought that I would never say that. Keep us informed. Jamffer >My bleeding was very blood red thick mucus and cleared after a week and a >half. Seven days latter a chunk of flesh about an inch long came out. I >think that it was a piece of polyp. I love this group. We have an amazing threshold for "ewwwww, gross!" Also rather glad that you can't post pictures on this NG ;-) > >My bleeding was very blood red thick mucus and cleared after a week and a > >half. Seven days latter a chunk of flesh about an inch long came out. I [quoted text clipped - 3 lines] > > Also rather glad that you can't post pictures on this NG ;-) You can say that again. Not a very sexy or appetizing topic . But not as bad as alt.support.autopsy, if there is such a group. > > >My bleeding was very blood red thick mucus and cleared after a week and a > > >half. Seven days latter a chunk of flesh about an inch long came out. I [quoted text clipped - 6 lines] > You can say that again. Not a very sexy or appetizing topic . But not as > bad as alt.support.autopsy, if there is such a group. Have pictures. > > "Neil Brooks" <neil0...@yahoo.com> wrote in message > [quoted text clipped - 12 lines] > > Have pictures. I froze and sliced up one of those "peices of flesh". It did not even have squamous human cells in it. It was all a mat of fibers and microbiota gooed together. My Doc Smith once called these things pseudomembranes. They were evidently well known in the time of diphtheria, but not so much any more. > > > "Neil Brooks" <neil0...@yahoo.com> wrote in message > > [quoted text clipped - 18 lines] > pseudomembranes. They were evidently well known in the time of > diphtheria, but not so much any more. Whatever it was it stretched like a rubber band and had way too much strength to be just dried blood. About an inch long and .15-.30 inches thick. I hope it wasn't a worm aarrgghh! It didn't move so it was probably something that's been in there a long time. > > > > "Neil Brooks" <neil0...@yahoo.com> wrote in message > [quoted text clipped - 27 lines] > thick. I hope it wasn't a worm aarrgghh! It didn't move so it was probably > something that's been in there a long time. The bugs also produce alginate, the stuff of gummybears. Dead skin is not elastic, what you are discribing is Not a dead worm either, it is a biofilm, a buggy metropolisis with microscopic amyloid bungees that hold everything together , highways, water channels and many specialized citizens, a soccer team and a stadium and everything. (well one never knows). Were you to dry this thing, it would shrink to about 10% of it's size, because it is mostly water, and become very very fragile, but it will be rubbery as long is it is even slightly hydrated. > Do you have dripping nose bleed? Or minor streaks? It was of the dripping variety. I think I'll just skip the spray for a couple of days. Maybe use some saline spray for the time being. > Let us know what happens. The inside of the nose is very sensitive, so be > gentle. Thanks Jamffer. > Do you have dripping nose bleed? Or minor streaks? It was of the dripping variety. I think I'll just skip the spray for a couple of days. Maybe use some saline spray for the time being. > Let us know what happens. The inside of the nose is very sensitive, so be > gentle. Thanks Jamffer. Sorry about the repeat posts. I work on my computer all day and today's not one of those good days. > Sorry about the repeat posts. I work on my computer all day and > today's not one of those good days. Chris: Bottom line free bleeding is good progress, it means that the bugs are no longer there to manage the wound, lyse the red cells and coaglate the plasma that they were feeding on , but if the bugs have dug into a good size blood vessel, then you may need to go to you allergest or ENT or GP and have them cauterize it. Then continue with your spray antibiotic. > I have been blowing my too hard in recent times and today there was > bleeding from my right nostril after a hefty blow. I could also spit [quoted text clipped - 5 lines] > nasal irrigation once a day. Should nasal irrigation be done while the > nose is bleeding? Any advice would be greatly appreciated. It's not uncommon for steroid nasal sprays to cause bleeding. Rhinocort, did that in my case and my sister's. Early on, too, not over time. Susan |
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