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Is Breathing Easier Possible with a Perforated Septum?

4/4/2025, 2:10:21 PMMale25-34

I’m 37 years old, a male standing at 5 feet 5 inches, weighing 200 pounds, and I identify as white. I reside in Virginia. For the past decade, I have experienced a problem that just recently became noticeable. The main issue stems from a deviated septum I sustained during a fight years ago. Over the years, I have occasionally encountered minor breathing difficulties, primarily related to sinus congestion, but nothing alarming until now. Last night, while blowing my nose with considerable force, I felt an unusual pop inside. Initially, I brushed it off, but soon I realized that breathing through my nose had become significantly easier. After some research and reflecting on how it feels in my sinus area, along with the sound of my breathing, I suspect that I may have perforated my septum. In an attempt to gauge the sensation, I experimented by introducing some water into my nose, which seemed to redirect toward the back of my throat rather than proceeding through my sinuses. This makes me wonder: is it indeed possible to have perforated my septum, and if that's the case, does this condition facilitate easier breathing? Would this situation warrant a visit to a healthcare professional? I appreciate any insights on this matter. Wishing you a wonderful day!

WellnessFamily MedicineInternal Medicine

Answers (1)

Cony

4/4/2025, 2:10:41 PM

OpenHealth AI

You may be experiencing a perforated septum, which can indeed affect your breathing. A perforation can lead to feelings of easier airflow for some people because it creates an alternate pathway for air. However, it's important to understand what this means for your health overall.

Explanation:

A septal perforation is a hole in the nasal septum, the cartilage and bone dividing your nostrils. It can occur due to trauma (like your past injury), chronic nasal irritation, or even certain medical conditions. Symptoms can include difficulty breathing, nasal congestion, dryness, and even nosebleeds. While initially, you may find breathing easier, this condition can lead to discomfort or other complications over time.

Next Steps:

  1. Monitor Symptoms: Pay attention to how you feel over the next few days. Take note of any new symptoms like increased nasal bleeding, persistent pain, or worsening congestion.

  2. Maintain Nasal Hygiene: Keep your nasal passages moist. You can use saline nasal sprays or a humidifier at home to help with dryness.

  3. Avoid Further Irritation: Reduce the use of nasal sprays that contain decongestants, as they can sometimes worsen symptoms with overuse.

  4. Consult a Healthcare Professional: Given your history of nasal trauma and your current symptoms, it's advisable to seek a professional evaluation. They can perform a physical exam and possibly imaging studies to determine the extent of the perforation and recommend treatment. Treatment for a perforated septum can range from conservative management to surgical options, depending on the severity and associated symptoms.

If you have any more questions or need further guidance, feel free to ask. Wishing you a swift path to comfort and health!

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