Help Needed After Accidentally Removing a Wart from My Nostril
For the past two years, I’ve had a tiny wart positioned just inside my nostril, roughly the same size as a goosebump. It’s only visible in the mirror when I tilt my head back, and being quite short, I’ve been hoping it would disappear on its own since I figured it wasn’t noticeable to anyone else. Today, however, I noticed a bit of dry skin protruding from it. In an attempt to remove the skin, I inadvertently ripped out the entire wart, resulting in immediate bleeding. Determined to complete the removal, I used tweezers to grab the remaining pieces, but I’m uncertain if I’ve managed to get everything, as the bleeding persists. It’s been bleeding steadily for about half an hour now, albeit at a slow pace. I’ve been applying pressure with tissues, and each time I take them away, a droplet of blood forms before dripping from my nose. Thankfully, it doesn’t seem to be a severe flow. Now, I’m at a loss regarding how to care for this area after the accidental removal. I’ve come across various recommendations online, such as using salicylic acid or hydrogen peroxide, but those don’t seem safe for use inside my nostrils. Bandaging the area isn't an option because of its location either, leaving me unsure of the best course of action. I'm particularly concerned about the risk of spreading since cleaning inside my nose is quite challenging and I can’t follow typical treatment methods due to where it’s located. Moreover, I’ve heard horror stories about the so-called "triangle of death," where popping zits in the nasal area could lead to severe infections, potentially affecting the brain. The thought of this adds to my anxiety about my situation. Does anyone have advice on what steps I should take moving forward? It doesn’t feel severe enough to justify a visit to a doctor, and even if I did go, I doubt there would be much they could offer aside from aftercare tips. My doctor is also located several hours away, and securing an appointment could take weeks. Any suggestions would be greatly appreciated!
Answers (1)
8/1/2025, 2:20:54 PM
OpenHealth AI
It sounds like you’re understandably concerned after accidentally removing your wart and experiencing ongoing bleeding. Your main priorities right now are managing the bleeding effectively and ensuring proper care for the wound to reduce the risk of infection.
Immediate Steps to Take:
-
Control the Bleeding:
- Continue applying gentle pressure with a clean tissue or gauze for longer periods (10-15 minutes at a time) without looking to see if the bleeding has stopped. Avoid peeking too soon, as this might disrupt any clot formation.
- If bleeding persists for more than an hour, or if it increases in intensity, seeking medical care would be necessary despite your distance from a doctor.
-
Clean the Area Gently:
- After bleeding has stopped, you can gently clean the inside of your nostril with saline solution (a mix of salt and water) or a saline nasal spray. This helps keep the area clean without introducing harsh chemicals.
- Avoid using salicylic acid or hydrogen peroxide inside your nostril, as these can cause irritation.
-
Apply a Topical Antibiotic:
- Once the area is clean, and if there’s no ongoing bleeding, you can apply a thin layer of a topical antibiotic ointment (like Neosporin) using a clean cotton swab. This can help prevent infection while allowing healing.
Important Considerations:
- Monitor for Signs of Infection: Keep an eye out for increased redness, swelling, pus, or fever. If you experience any of these, it’s important to seek medical attention.
- Avoid Picking or Scratching: Try not to touch the area with your fingers or any objects to minimize the risk of irritation and infection.
- Limit Irritants: Avoid using any harsh nasal sprays or chemicals in that area until it’s fully healed.
Anxiety About Complications:
It's understandable to be worried about the potential risks associated with injuries near your nose or eyes. The "triangle of death" myth highlights the importance of keeping this area clean. Following the above care steps will help mitigate those risks effectively.
If bleeding continues or you notice concerning symptoms, please seek care as soon as you can. Your health and safety are the top priorities, and proper care is key in situations like these. Let me know if you need further guidance!
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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**Portocaval shunt: 9.9 mm** (no change, continues to drain directly into the inferior vena cava avoiding liver acinus) - **Arteriovenous shunt: 4.4 mm** (no alteration) - **Three nodular cystic lesions** in perivascular space, maximum size 11.6×20.7 mm, enhancing in the venous phase - **Portal vein: 6.1 mm** (noted during porto-venous phase) - Arteries show no filling abnormalities - Intrahepatic bile ducts remain non-dilated - Gallbladder is elongated and slightly bigger, free from stones - Pancreas: normal - Spleen: measures 66.9×38.5 mm (not enlarged), splenic vein is 3.6 mm - Kidneys: normal placements and structure - No excess fluid detected in the abdominal cavity - No visible changes in lymph nodes **MSCT ANALYSIS:** "Congenital portosystemic shunt indicative of Abernethy malformation, unlikely to be AVM, presence of focal liver lesions cannot be ruled out." **RECOMMENDATION:** Engage with an abdominal and vascular surgeon. --- ## RECENT BLOOD WORK (December 2025 - January 2026) ### Complete Blood Count (January 19, 2026): - WBC: 5.8 × 10⁹/L (SHOWS IMPROVEMENT) - **RBC: 2.93 × 10¹²/L** (IMPROVED but still low) - **Hemoglobin: 72 g/L** (SHOWS IMPROVEMENT but still low) - Platelets: 223 × 10⁹/L (BACK TO NORMAL) - Neutrophils: 30.0% - Lymphocytes: 64.8% - Monocytes: 4.6% ### Biochemistry (January 28, 2026): - Total protein level: 67 g/L (slightly deficient) - Creatinine: 20.7 μmol/L - **Total Bilirubin: 242 μmol/L** (STILL HIGH - unchanged) - **Direct Bilirubin: 142 μmol/L** (VERY HIGH) - **ALT: 50 IU/mL** (DRASTICALLY LOWER from >1000!) --- ## OVERVIEW OF PROGRESS OVER 6 MONTHS | Parameter | August 2025 | January 2026 | Change | |------------------|-------------|---------------|--------------------------| | **Hemoglobin** | 69 g/L | 72 g/L | ↗ Slight improvement | | **RBC** | 2.1 | 2.93 | ↗ Improved | | **ALT** | >1000 | 50 | ✓✓ MAJOR IMPROVEMENT | | **Bilirubin** | 245 | 242 | → Unchanged (still elevated) | | **Portal vein** | 6.1 mm | 3.9 mm (US) | ↗ Decreased | | **Platelets** | 403 | 223 | ↘ Normalized | | **Shunt size** | 9.9 mm | 9.9 mm | → No Change | --- ## CURRENT SITUATION (February 2026 - 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Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.
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