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Old 05-26-2012, 03:02   #1
Sarski
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Sore inside nose...

Okay, Doctors..I have had a scabbing sore that will not heal inside my right nostril since Oct 2011...about 7 months now. I am already afraid. Whatever it may be has taken course, and perhaps moved to my eyes. Nothing gradual, but bam! One day objects at a distance that were once clear are now more than fuzzy.

Yes I know...go to m.d. and such. 7 months been planning on it...Opthimologist, m.d. and so on. Any thing as to what to expect?

PedOncoDoc? Any thoughts? I am 43, spent most my life in the sun sand and surf. Antibiotics an antiseptics via cotton swabs of no use.

What can I expect to find here? Thanks in advance for your candidness.

Last edited by Sarski; 05-26-2012 at 03:09.
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Old 05-26-2012, 04:30   #2
PedOncoDoc
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Sorry to hear about your sore - as you mentioned, you know the right thing to do is go to a doc and get evaluated. Depending on your insurance and what not, you may need to start with a primary care doc - either with a visit or a phone call - many primary docs would put in a referral based upon a 7 month sore in your nose without insisting on seeing you. If your insurance allows, you may be able to set up an appointment with a specialist without going through a primary doc. Regardless of whether you need to go through your primary care doc, I think seeing an ENT (ears, nose and throat doc) is likely in your future - not only do they have better tools for evaluating what is going on in your nose, they also would be the docs performing any surgery you might need.

Not sure what is causing your issue, but possibilities include infections (including bacteria, fungus and chronic viral infection - possibly tracking up into the sinuses to cause your vision issues), cancer, recurrent trauma (you didn't mention if you're an avid nose-picker ), a polyp (non-cancerous growth) and other things I can't think of at the moment. It is possible that your vision changes may be unrelated to the sore in your nose.

As far as what to expect - the docs are going to want to take a look in your nose (typically with the same tool we use to look in the ears at the primary care doc, perhaps with fancier tools if at the ENT), and I wouldn't be surprised if they wanted a CT scan (cat scan) of the head, focusing on sinuses and the areas around your eyes to look for any masses or signs of infection in areas that are hard to see with the tools available in the office. They may even take a tissue sample (biopsy) from the area of the sore to try to capture any infection and for pathologists (docs who look at things under the microscope) to investigate for any clues for why you have a non-healing sore.

Feel free to PM with further questions, and in follow up after talking with your docs and getting the ball rolling.

HTH.
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Old 05-26-2012, 09:09   #3
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Thank you, Doctor. Not an avid nose picker, but an average nose pickerbut the sore, though it does not hurt, can be a motivator. I'll keep you posted.
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Old 05-30-2012, 13:22   #4
Sacamuelas
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Sarski-
Pedoncodoc is spot on but way to nice. Get your butt into a doctor's office pronto. You have waited six and a half months to long. Get evaluated and treated if necessary. Enough is enough..

We will be waiting on your response, say in two weeks OR LESS!

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Old 05-30-2012, 13:32   #5
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Pedoncodoc is spot on but way too nice.
I blame my pediatric background.
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Old 05-30-2012, 20:04   #6
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I blame my pediatric background.
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Old 05-30-2012, 13:32   #7
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Prayers out
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Old 06-29-2012, 09:16   #8
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Another thought

Have not posted on here in awhile but two concerns come to mind that i have seen. The nose can be a great environment for fungal infections and MSRA.

Fungal should be easier to treat. MRSA not so much. There is a medical reason why MRSA resides there. I could look it up but this is where we tell you...go to the doctor.

Don't let it migrate elsewhere.
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Old 07-25-2012, 10:18   #9
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The wheels of the VA turn

Went for my physical yesterday. All lab work and numbers are within desired ranges, with the exception of my triglycerides. Those were double (320). I had no clue that carbs and triglycerides go hand in hand, and I eat a lot of carbs.

That should be easy to control, and they have given me 6 months to do so before they prescribe any meds for that.

As for my nose, the doctor actually took a look inside this visit!

Antibiotics were prescribed, Cephalexin 500mg, and Triamcinolone Acetonide 0.025%. If after 4 weeks the sore is still there, then the doctor will refer me to a dermatologist for biopsy.

I have been told by another health care professional that the VA is roughly 10 years behind the curve in their approach to treating patients.

I still think the VA system is great, the surgery on my knee back in 2000 has given me much faith in them, I only wish that others would share that faith, but we each come away with our own experiences and opinions.

Thanks to all who have followed this thread, and those who have replied. Thanks for the nudging and convincing me to get my butt in to see the doctors. Will update as needed.

Last edited by Sarski; 07-25-2012 at 10:21.
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Old 07-25-2012, 16:28   #10
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Originally Posted by Sarski View Post
Went for my physical yesterday. All lab work and numbers are within desired ranges, with the exception of my triglycerides. Those were double (320). I had no clue that carbs and triglycerides go hand in hand, and I eat a lot of carbs.

That should be easy to control, and they have given me 6 months to do so before they prescribe any meds for that.

As for my nose, the doctor actually took a look inside this visit!

Antibiotics were prescribed, Cephalexin 500mg, and Triamcinolone Acetonide 0.025%. If after 4 weeks the sore is still there, then the doctor will refer me to a dermatologist for biopsy.

I have been told by another health care professional that the VA is roughly 10 years behind the curve in their approach to treating patients.

I still think the VA system is great, the surgery on my knee back in 2000 has given me much faith in them, I only wish that others would share that faith, but we each come away with our own experiences and opinions.

Thanks to all who have followed this thread, and those who have replied. Thanks for the nudging and convincing me to get my butt in to see the doctors. Will update as needed.
Have you stopped smoking yet?

TR
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Old 07-25-2012, 20:17   #11
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That, sir, would be a negative.
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Old 07-26-2012, 10:20   #12
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That, sir, would be a negative.
You should stop smoking and start chewing. Chewing is easier to quit.

I've quit three times, before.
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Old 07-26-2012, 13:11   #13
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Originally Posted by Sarski View Post
Went for my physical yesterday. All lab work and numbers are within desired ranges, with the exception of my triglycerides. Those were double (320). I had no clue that carbs and triglycerides go hand in hand, and I eat a lot of carbs.

That should be easy to control, and they have given me 6 months to do so before they prescribe any meds for that.

As for my nose, the doctor actually took a look inside this visit!

Antibiotics were prescribed, Cephalexin 500mg, and Triamcinolone Acetonide 0.025%. If after 4 weeks the sore is still there, then the doctor will refer me to a dermatologist for biopsy.

I have been told by another health care professional that the VA is roughly 10 years behind the curve in their approach to treating patients.

I still think the VA system is great, the surgery on my knee back in 2000 has given me much faith in them, I only wish that others would share that faith, but we each come away with our own experiences and opinions.

Thanks to all who have followed this thread, and those who have replied. Thanks for the nudging and convincing me to get my butt in to see the doctors. Will update as needed.
e

Last edited by Red Flag 1; 03-17-2018 at 08:19.
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Old 07-30-2012, 10:31   #14
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Sarski, for what its worth, as a teen I had a similar scrabrous lump form just inside one of my nostrils and it turned out to be an allergic reaction to a parakeet.

I hope your problem turns out to be innocuous and gets resolved soon. It's no fun stressing out over these kind of medical "events."
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Old 07-30-2012, 12:02   #15
Sarski
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Sarski, for what its worth, as a teen I had a similar scrabrous lump form just inside one of my nostrils and it turned out to be an allergic reaction to a parakeet.

I hope your problem turns out to be innocuous and gets resolved soon. It's no fun stressing out over these kind of medical "events."
Thanks.

To all, it looks like the antibiotics are working just fine, especially the topical, which would probably be more noticable. Antibiotics work pretty good for me since I rarely have taken them.

Of course it could be the topical is just keeping things moist, but there does not seem to be any fluid from the sore that eventually crusted, and as a result, the picking factor has gone way down.

I'll know more after I have run the course of meds, but it really appears things are clearing up.

WHEW!
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