Ongoing Septum Wall Bleeding
**Profile:** 29-year-old male, 5'7", 69 kg, of European descent. Since December 2024, I have been experiencing continuous bleeding from both sides of my septum wall. Interestingly, there is no accompanying pain. The bleeding seems to worsen when I lie down, likely due to heightened blood pressure facilitating more bleeding in that position. At times, when the bleeding subsides, the skin along my septum peels off, almost like a layer of bloody tissue. I also wake up occasionally to find my nostrils blocked with dried blood. Throughout this challenging period, I've dealt with two staphylococcus infections in the septum area. **- Lifestyle Habits:** I consume alcohol on occasions, vape quite often, and maintain a regular exercise routine. **- Medications I Take:** I am prescribed Ritalin, Rubifen, and Adderall. **- Medical Evaluations:** Blood test results indicate: - Significant allergy to dust mites, yet I show no allergic symptoms. - No issues with blood clotting or thinning. CT Scan results reveal: - A minor deviation in the septum. Blood pressure measurements show: - Levels are within the normal range. **- Treatment Currently Underway:** I use a steroid nasal spray on a daily basis, which helps reduce the bleeding. I also apply Vaseline to the septum to alleviate the bleeding further. Topical antibiotics have been prescribed to combat the staph infections. I have undergone silver nitrate cauterization, which yielded no results. Similarly, electric cauterization also had no impact on my condition. I appreciate your time and any insights you might have!
Answers (1)
7/8/2025, 4:01:23 AM
OpenHealth AI
I'm sorry to hear about the persistent issues you're facing with septum wall bleeding. It sounds frustrating, especially given the lack of pain and the impact it has on your daily life. The fact that you have tried multiple treatments without significant results highlights the need for ongoing observation and adjustments in management.
Summary of Your Situation:
- Continuous septum wall bleeding since December 2024.
- Bleeding worsens when lying down.
- Occasional skin peeling and dried blood blocking nostrils.
- History of staph infections in the septum area and some minor anatomical deviations observed in CT scans.
- Current treatments include steroid nasal spray, Vaseline application, topical antibiotics, and cauterization methods.
Possible Explanations:
- Nasal Dryness and Irritation: Frequent vaping and alcohol use can lead to nasal mucosal irritation and dryness, which may exacerbate the bleeding.
- Blood Vessels: Some individuals have fragile blood vessels in the nasal area that are prone to bleeding, especially when lying down.
- Allergic Response: Even without symptoms, a significant allergy to dust mites may create ongoing low-grade inflammation.
Next Steps:
-
Humidity Control:
- Use a humidifier in your living space, especially in your bedroom. This can help keep your nasal passages moist and reduce irritation.
-
Nasal Care:
- Continue using Vaseline or a saline nasal spray before bed to keep your nasal passages hydrated.
- Consider discussing the potential benefits of switching from a steroid nasal spray to isotonic saline rinses (like a neti pot) or other alternatives to see if a different approach helps reduce irritation.
-
Avoiding Irritants:
- Reduce or eliminate vaping and alcohol consumption, as these can worsen mucosal damage and dryness.
-
Monitoring and Tracking:
- Keep a daily diary noting the frequency and severity of the bleeding, any new symptoms, and external factors (like stressors or environmental changes) to help identify potential triggers.
-
Follow-Up with a Specialist:
- Since conservative measures have not yielded results, it might be beneficial to consult with an ear, nose, and throat (ENT) specialist who can assess the situation more thoroughly and explore other treatment options, such as advanced cauterization techniques or surgical evaluation if necessary.
I hope these suggestions provide some helpful pathways to improve your situation. Please take care, and let me know if you have further questions or need more information.
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