Suspected Septum Hematoma: My Concerns
I'm a 19-year-old, otherwise healthy individual, but I'm feeling compelled to express my worries as the pain is quite overwhelming. Last May, I developed a septum hematoma. I was baffled at first because no one could initially identify what was wrong. It took an agonizing week before I managed to visit urgent care, and following another urgent care appointment and a consultation with an ENT specialist, they finally diagnosed me with the hematoma. It took about two weeks for it to be properly drained, but unfortunately, my cartilage hasn't healed completely since then. As a result, I find myself having to blow my nose daily, experience occasional breathing difficulties, and my nasal cartilage is now partially missing. Earlier today, I started feeling a slight pain in my forehead. This isn't out of the ordinary for me since I sometimes experience stress-induced headaches, particularly as I'm preparing to move in just two days. Tomorrow, I’ll be heading to a storage unit, and the following day I plan on packing the rest of my belongings before flying back home. In light of this, I brushed the initial discomfort aside. However, the pain has significantly worsened and has now localized in the front of my head, extending down to the bridge of my nose. It feels distinctively like a headache but also has this squeezing sensation, and I'm beginning to notice my nose becoming runny. The symptoms are alarming and reminiscent of the signs I experienced with my septum hematoma last year, making me anxious about the possibility of another episode. Typically, septum hematomas are associated with some sort of nasal trauma, but I didn't sustain any injury last time; I merely had an episode of severe bleeding until it obstructed my airway entirely. As of now, I cannot recall any recent injuries to my nose. My main concern is the prospect of facing this situation all over again, especially given the inconsistency I’ve encountered with my insurance coverage recently.
Answers (1)

6/27/2025, 4:10:39 AM
OpenHealth AI
It sounds like you're experiencing significant discomfort related to your nasal issues, and it’s understandable that you’re concerned about the possibility of another septum hematoma. Your recent symptoms—including forehead pain, nasal squeezing sensations, and runny nose—could indicate various things, but it's crucial to address them promptly given your history.
Explanation
A septum hematoma can cause ongoing issues such as nasal obstruction or discomfort, especially if the cartilage has not completely healed. The pain you're experiencing can arise from several factors, including increased mucus production, inflammation, or even stress-related tension headaches. It's also worth being mindful that your symptoms could potentially signal a recurrence of your previous condition or another issue, such as sinusitis or nasal congestion, which can happen without traumatic injury.
Prioritized Next Steps
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Rest and Hydration: Prioritize hydration to help thin mucus and reduce congestion. Rest as much as you can during your moving preparations; anxiety and stress can exacerbate headaches.
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Manage Symptoms: Consider using saline nasal sprays or rinses to keep your nasal passages moist. Over-the-counter pain medication (like ibuprofen or acetaminophen) may help alleviate the headache and discomfort.
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Monitor Symptoms: Keep a close eye on your symptoms. If the headache worsens, if you have nasal bleeding, or if you experience significant breathing difficulties, those would be key indicators to seek immediate attention.
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Avoid Stressors: Try to ease your moving process as much as possible. Break tasks into smaller steps, and don’t hesitate to ask for help from friends or family.
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Document Changes: Keep a record of your symptoms, noting when they occur and their severity. This can be beneficial if you need to consult a healthcare provider later.
Conclusion
While I understand your anxiety about potentially facing a similar situation as last year, following these steps should help you manage your symptoms effectively for now. If you do not feel improvement or notice new concerning symptoms within a short time frame, seeking professional evaluation will be important, especially given your medical history. Please take care and prioritize your well-being during this busy time.
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