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care after cauterization
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yogi156 posted:
I had my nose chemically cauterized 5 days ago, but it didn't really help, as it has bled again the last few days. This morning I called the Dr, and he had me come in and used electric to cauterize it this time. He stuck a grounding pad on my leg and used some kind of electric device to burn my nose. My question is what to expect? how long till I can blow my nose. how do I clean nose in the meantime. Will there be nasty stuff draining from the wound. I am supposed to use saline solution, + afrin, + carmex. I'm afraid that if I put the carmex directly on the wound, it will start bleeding again. I wish I had a flier that explained what to expect after the procedure. Thank you
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Rod_Moser_PA_PhD responded:
I typically only use the chemical cautery....not the electric (Bovey) device. Either one can really irritate the nose and form a scab.

You really shouldn't "clean" your nose if you can help it. This may dislodge the scab and re-start the bleeding. You can use saline nasal spray to moisturize the nose, and GENTLY blow. If you don't want to use Carmex, you can use some plain vaseline, or even a vaseline-based antibacterial ointment (like Bacitracin). As the days progress, your nose should feel better...and soon, normal.
 
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amed17 replied to Rod_Moser_PA_PhD's response:
I recently had my nose cauterized. Is it normal to feel pressure on my gums and teeth and how long should these side effects last? Are there any recommendations for treating these symptoms like orajel. Also, is it normal to have a little bleeding after the procedure?
 
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Rod Moser, PA, PhD responded:
I don't use electrocautering in the nose. I would just have used the chemical cautery again (silver nitrate) or use Gelfoam (a special dressing that will stick to this wound and stop the bleeding). Sometimes, the anterior part of the nose needs to be packed to stop the flow of blood. Was this done by an ENT, or your primary care provider?

I really have no way of specifically advising you in this matter since I cannot see the site of the bleeding, the extent of the trauma caused by the cautery, etc. Since I don't know your particular case, I really can't recommend any treatment modalities. I can say that I don't use Carmex in the nose....I do recommend Vaseline for the moisture, or saline gel. I don't think that blowing your nose would be a good idea for a while since you may break open any scab that is surely forming. If it starts to bleed again, use firm compression...if it doesn't stop, go back to your doctor again, or the ER.
 
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An_262826 responded:
Having frequent unexpected nosebleeds I was done with the mess, the towels the wipes to clean up. I was getting them at work, at restaurants, anywhere, they were controlling my lifestyle. I was done and saw my Internist so we could rule out medications, HBP, etc... he recommended a ENT Doctor. After that visit , I had it done 3 days ago May 4, 2015. All the pain and swelling of teeth etc I read I had NONE of those symptoms. It was over and done in 5 minutes. My Doc numbed the inside of my nose with a cotton containing some type of liquid. Left me alone for about 10 min came back and inserted those long looking match sticks in my nose and touched every vessel in my nose and said "i found the artery that is causing you the bleeds" I was so excited when she said that. I felt some intense pressure and some stinging but it was very minor.
It was over so quick. Not painful at all !! No packing up the nose nothing like that. All I had the first day afterwards was allot of clear fluid dripping and second day the same. My nose is very stuffed up. Today is day 3 and I can feel the inside of my nose starting to crust and scab. It has been difficult to breathe as you CAN NOT blow your nose or touch it. It needs to heal. I would put some AYR saline nasal gel at the base of my nose NOT the inside. I would breathe much better. You CAN NOT for the first couple of days bend your head down or lift anything heavy. You need the cauterization to heal and get to the scab stages to CLOSE.
Otherwise if you don't you will be right back in that chair doing this all over again. My Doctor said some people go back to work the next day or take the week off. That's the max needed. I took 5 vacation days. I found that from the lack of breathing well I was very tired and slept allot. I would not recommend going back to work right away, you do need time to relax and let the healing process go well. that's my opinion some of you having it done may not be as lucky. The nostril they cauterize has a dark red color that shows from the outside. Not pretty if you have a job that you have to be around people. I see my ENT Dr today for a follow-up. I go back to work on Monday. I am so happy and relieved that this was done . DONT waste your time with nosebleeds get this procedure done.
 
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pebbles1963 replied to An_262826's response:
Thanks for the suggestions, very helpful. I'm having mine done tomorrow.


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