Concerns After Surgical Recovery: Infection and Exposed Structures
I am a 33-year-old woman who underwent surgery on June 25, and I initially believed that my recovery was progressing well. However, I began to notice a persistent bloody and cloudy discharge, which later transformed into a more yellowish-green mucus. Although I attempted to perform saline rinses regularly, I realized I hadn't been diligent enough. I also used a cotton swab multiple times to check inside my nostril and felt that the outer bone of my nose and the septum seemed to be uncovered. I assumed this was acceptable since my ENT surgeon probably assessed the same condition when removing the packing. My situation took a turn when, on Sunday, I expelled a large, foul-smelling piece of material from my nose. I decided it was necessary to contact my ENT, but by Monday, the discharge had ceased due to swelling, while the odor transformed into a very unpleasant smell. My ENT is currently on vacation and left me a message indicating that he could prescribe antibiotics; however, he suggested a medication I cannot take due to my pregnancy. Consequently, I visited urgent care where I was prescribed Augmentin. I have already been on it for a day without any noticeable improvement in the odor or swelling, but I understand that healing can take time. Throughout this ordeal, I have not experienced any fever and have been able to breathe relatively well. Just as I prepare for a long-awaited trip to a remote location, I find myself questioning whether this probable sinusitis presents any additional infection risks. Also, is the fact that my bone or cartilage is exposed a cause for concern? I have tried to schedule an appointment with another ENT but have faced difficulties, and I'm uncertain if this is necessary at this stage. I certainly want to avoid an ER visit if at all possible.
Answers (1)
7/30/2025, 8:50:41 PM
OpenHealth AI
It sounds like you are experiencing some concerning symptoms following your surgery, particularly the changes in discharge and the exposure of nasal structures. While it’s good that you are not experiencing any fever or significant breathing difficulties, there are some important points to address.
Main Points:
- The change from bloody discharge to yellowish-green mucus, especially after expelling foul-smelling material, raises concern for possible infection.
- Exposed bone or cartilage in the nasal area could lead to complications if there’s an ongoing infection.
- It's important to continue monitoring your symptoms closely, especially since you have a trip coming up.
Explanation: The yellowish-green mucus and foul odor can indicate an infection—possibly sinusitis, as you mentioned. The fact that you have an exposure of the bone or cartilage is also significant; this adds complexity to your recovery as it may increase the risk of further complications if not properly managed.
The Augmentin you've been prescribed is typically effective for sinus infections; however, it can take a few days to notice improvement. If after a few more days you're still not seeing positive changes or if your symptoms worsen (e.g., increased swelling, pain, or worsening odor), it may be necessary to seek further medical advice, especially from an ENT specialist.
Next Steps:
- Continue Taking Augmentin: Keep taking the antibiotic as prescribed and monitor for any changes in your symptoms.
- Nasal Care: Be diligent with saline rinses to help keep your nasal passages clear and promote healing. Avoid using cotton swabs which could irritate or damage your nasal lining further.
- Watch for Symptoms: Keep an eye out for new symptoms such as increasing pain, a return of fever, or worsening swelling. If any of these occur, consider seeking medical attention promptly.
- Consider an Appointment: If your symptoms do not improve in the next few days or if you remain concerned about the exposure, it is advisable to try again to see another ENT specialist for a more thorough examination.
- Plan for Your Trip: If your trip is approaching and you still have symptoms, assess whether travel is advisable. Having your healthcare provider's guidance will help ensure you can manage any symptoms while away.
It's understandable to feel anxious about these symptoms and their impact on your plans. Remember, being proactive about your health and addressing these issues can help you recover more effectively. If you have any further concerns, please feel free to ask.
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