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Sore inside nose...
Old 05-26-2012, 04:02   #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 04:09.
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Old 05-26-2012, 05:30   #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, 10:09   #3
Sarski
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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, 14:22   #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, 14:32   #5
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Quote:
Originally Posted by Sacamuelas View Post
Pedoncodoc is spot on but way too nice.
I blame my pediatric background.
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Old 05-30-2012, 14:32   #6
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Prayers out
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Old 05-30-2012, 21:04   #7
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Quote:
Originally Posted by PedOncoDoc View Post
I blame my pediatric background.
What, No Lollipop?
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Old 05-30-2012, 21:15   #8
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Roger all.
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Old 05-31-2012, 06:04   #9
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Originally Posted by alelks View Post
What, No Lollipop?
I don't think it would fit in his nose, nor do I think it will help with the sore.
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The wheels of the VA are turning...
Old 05-31-2012, 11:41   #10
Sarski
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The wheels of the VA are turning...

I went to the VA this a.m. Good news is after 12 years since my last visit I am back in the system. And they gave me 1week antibiotic (10 ml Polymixin/Trimethoprim OPH SOL ML). Bad news is that it has been 12 years since I have seen a doctor, and they term it chronic, so I need a physical first, which of course isn't the bad part, but the next open slot is Jul 24th.

I did get a number to call, on a daily basis to see if there are any cancellations, so I am certain that I will get in earlier.

So, I didn't even get to see a doctor since it is chronic. I was evaluated by the nurse, who called and spoke over the phone with the optomitrist, who had the nurse administer a vision test.

Left eye 20/60
Both 20/80
Right eye 20/80

I know we all lose our vision as we age, but this was pretty sudden. Anyways, they didn't even grab a stethiscope or scalpel, or even a lolipop to shove up my nose to even pretend to take a look. That comes with the physical.

There was a cancelation but during the time I was talking to the nurse requesting to see the doctor, who on a walk in basis was only seeing non chronics, the cancelation was filled.

So now I call for cancellations and go from there.
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Update
Old 06-14-2012, 21:05   #11
Sarski
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Update

Update:

Just recieved notice for appointment with VA Optomitrist July 11. My eyes seem to be doing better despite the fact that they just arbitrairly prescribed anti biotics w/o looking or taking any cultures to determine if it was bio or virus related. I know the puffy and stretch, or wound if you will is gone (was a stretch toward my nose). Referal based on vision test test alone. Maybe I picked up conjunctivitis from one of the kids I teach martial art to. This does not address sore in nose.

Sore in nose still there, but seems to have migrated into two locations after 8 or 9 mos. now, two sores in right nostril.

Maybe this appointment can get me into the ENT sooner...we'll see. And I still have my physical scheduled. Praying it is not cancer!
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Tabacco
Old 06-15-2012, 16:01   #12
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Tabacco

You didn't mention, are you or ever been a smoker?
Interesting symptoms. Maybe the two are unrelated. We'll hope for the best.
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Old 06-15-2012, 18:00   #13
Sarski
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Originally Posted by Boomer-61 View Post
You didn't mention, are you or ever been a smoker?
Interesting symptoms. Maybe the two are unrelated. We'll hope for the best.

Yes. 3/4 pack a day. I am hoping THAT is not related. So could it be an ingrown hair that is infected? Just trying to stay positive here.
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Old 06-16-2012, 05:22   #14
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Quote:
Originally Posted by Sarski View Post
Yes. 3/4 pack a day. I am hoping THAT is not related. So could it be an ingrown hair that is infected? Just trying to stay positive here.
Possible, but unlikely given the chroinicity of the problem - I can't recally ever seeing a 7-month sore from an infected ingrown hair, and I deal with immunocompromised patients (weak immune systems).
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Old 06-16-2012, 13:14   #15
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Quote:
Originally Posted by Sarski View Post
Update:

Just recieved notice for appointment with VA Optomitrist July 11. My eyes seem to be doing better despite the fact that they just arbitrairly prescribed anti biotics w/o looking or taking any cultures to determine if it was bio or virus related. I know the puffy and stretch, or wound if you will is gone (was a stretch toward my nose). Referal based on vision test test alone. Maybe I picked up conjunctivitis from one of the kids I teach martial art to. This does not address sore in nose.

Sore in nose still there, but seems to have migrated into two locations after 8 or 9 mos. now, two sores in right nostril.

Maybe this appointment can get me into the ENT sooner...we'll see. And I still have my physical scheduled. Praying it is not cancer!
Hope you have gotten closer to, or actually seen your/a doc by now. An Optomitrist is not an MD. They specialize in refractions and do not have the knowledge and training depth you will need to get a diagnosis for the nasal lesion(s).

You are praying it is not cancer, as do we. The faster your get a diagnosis, the faster you will find a treatment; time is ticking away sarski.

Let us know what you learn, but get an MD to take a look ASAP. Best of luck.

RF 1
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Last edited by Red Flag 1; 06-16-2012 at 13:16. Reason: clarity
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