Sinus surgery is a common medical procedure for conditions like chronic infections, nasal polyps, or structural issues. Patients often have questions about recovery, particularly regarding post-operative bleeding. Understanding typical patterns and management can help individuals feel more prepared during healing.
Typical Bleeding Patterns
Following sinus surgery, some bloody discharge is a normal part of recovery. Initially, patients may experience light, bright red oozing for the first one to two days. Bleeding usually lessens significantly after 24 to 48 hours.
Over the next few days, discharge may change color, becoming pinkish, brown, or dark brown as old blood and mucus clear. This discolored discharge can persist for several days to a week or more. If nasal packing was used, its removal might cause a temporary increase in light bleeding or spotting. Sinus irrigations, often recommended post-surgery, can also lead to some bloody discharge during the first few days as they help clear debris.
Tips for Managing Bleeding
To minimize and manage normal post-operative bleeding, several actions can be taken at home. Keep the head elevated, especially during the first few days and while sleeping, to reduce blood flow to the nasal area. Applying a cold compress or ice pack to the bridge of the nose or cheeks can also help constrict blood vessels and reduce oozing.
Avoid activities that increase pressure in the head and nose. Refrain from nose blowing for at least 10 days to two weeks after surgery. Strenuous activities, heavy lifting exceeding 20 pounds, and bending over at the waist should also be avoided for one to two weeks to prevent increased bleeding. If sneezing, do so with an open mouth to lessen pressure on the nasal passages. Hot showers and hot, spicy foods may also increase bleeding and should be limited during initial recovery.
Identifying Problematic Bleeding
While some bleeding is expected, certain signs indicate it is not normal and requires medical attention. Excessive bleeding is a steady, brisk flow of bright red blood that saturates multiple tissues quickly and does not stop with gentle pressure or prescribed nasal sprays. Large, continuous blood clots can also signal problematic bleeding.
Other warning signs include a fever higher than 101 degrees Fahrenheit, severe pain not controlled by prescribed medication, or sudden changes in vision. Swelling around the eyes or neck stiffness should prompt immediate contact with the surgeon’s office or emergency care. If bleeding is extensive and does not subside, seek emergency medical care.