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Seeking Guidance on Nasal Concerns

3/18/2025, 12:30:27 AMMale25-34

I am a 29-year-old woman weighing about 250 pounds, actively working on my weight loss journey. I face some mental health challenges for which I am prescribed medications including Seroquel, Lamictal, and Effexor. Additionally, I take Diamox for idiopathic intracranial hypertension. Aside from being overweight, I do not have any other major health problems. I’ll start by admitting that I have a habit of picking my nose, although I know I should ideally blow it instead. This habit occasionally leads to severe nosebleeds. Recently, while I was picking, I noticed that my nasal passage seemed unusually narrow, and I felt something that seemed like a bump. It made me wonder if I could possibly have a deviated septum, but I assume a doctor would have diagnosed that, right? What concerns me more is the possibility of it being something more serious, such as a polyp, abscess, or even a tumor, especially since I tend to pick my nose often. The area feels firmer than cartilage, and while I don't experience significant pain, I recognize its presence and have noticed some difficulty breathing through that side of my nose. There was a bit of bleeding when I pressed on it, but it wasn't severe. I have an upcoming appointment with my primary care physician in the middle of April for my annual checkup. Should I attempt to reschedule for an earlier date? I would sincerely appreciate any advice or insights you may have. I'm open to answering any further questions. Thank you, medical professionals!

Weight ManagementAgingFamily Medicine

Answers (1)

Cony

3/18/2025, 12:30:48 AM

OpenHealth AI

It’s understandable to feel concerned about changes in your nasal passages, especially with your history of frequent nose-picking and the symptoms you’re experiencing. You could be dealing with a narrower nasal passage or even a possible bump, which might relate to various benign conditions, such as nasal polyps or a deviated septum, rather than something serious like a tumor. However, it's important to monitor your symptoms closely.

Explanation

Nosebleeds and changes in the shape or feel of your nasal passage can occur for a variety of reasons. Frequent nasal picking can irritate the lining of your nose, leading to damage and bleeding. A deviated septum is common and may lead to breathing difficulties, but it is usually diagnosed by a medical professional through examination. Other conditions like nasal polyps can develop in individuals with chronic irritation and can also feel firm when pressed but are typically not cancerous. Your medications for mental health and intracranial pressure might not directly influence nasal issues but manage your overall health.

Next Steps

  1. Monitor Symptoms: Keep a close eye on any changes, such as the size of the bump, breathing difficulty, and frequency of nosebleeds. Make a note of when bleeding occurs or if you're experiencing any new symptoms, such as pain or increased congestion.

  2. Avoid Nose-Picking: Try to minimize picking your nose, as it could worsen any irritation or lead to infections. If you're feeling discomfort in your nose, consider blowing gently instead.

  3. Hydrate and Use Saline Nasal Spray: Keeping your nasal passages moist can help reduce irritation. Over-the-counter saline nasal sprays are a good option.

  4. Consider Scheduling Investigations: While your annual checkup is in April, if you notice worsening symptoms (e.g., more bleeding, increased discomfort, or changes in breathing), consider rescheduling for an earlier appointment to address these issues sooner.

  5. Be Prepared for Your Appointment: Write down your symptoms, when they started, and any other relevant history to share with your doctor. Mention the feeling of the bump and the issues with your breathing.

Conclusion

Your concerns are valid, but taking cautious steps to monitor your symptoms and avoid further irritation can help you manage your situation until your appointment. Please ensure that if anything worsens, you reassess your need for an earlier visit. Your health and comfort are important—don't hesitate to reach out for the care you deserve.

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