Septoplasty corrects a deviated septum, the wall of bone and cartilage separating the nasal passages. This improves airflow, enhancing breathing and potentially alleviating chronic congestion or snoring. While the surgery focuses on improving function, some bleeding is normal during recovery.
Normal Bleeding After Septoplasty
Following septoplasty, some bleeding is normal during healing. For the first 24 to 72 hours, patients can expect mild bloody drainage or oozing from the nose. This may appear as a pinkish discharge, and it might be necessary to change a nasal drip pad frequently initially.
This discharge can continue as light spotting or crusting for several days to a couple of weeks. Some individuals may notice this type of discharge for up to four weeks, particularly when clearing their nasal passages. Internal swelling can also cause a blocked sensation, which typically subsides within two to three weeks.
Managing Bleeding at Home
To manage expected minor bleeding and discharge, several home care strategies are helpful. Avoid blowing the nose forcefully, as this can disrupt healing tissues and potentially increase bleeding. If a sneeze is unavoidable, try to do so with an open mouth to reduce pressure within the nasal passages.
Keeping the head elevated, especially while sleeping, reduces swelling and drainage. Applying a cold compress to the nose and eye area also helps with swelling and discomfort, though care should be taken to keep the nose dry. Saline nasal sprays or rinses keep passages moist and aid in clearing dried blood or debris.
For the first one to two weeks, avoid heavy lifting, straining, or strenuous physical activity that could increase blood pressure in the head. Also, very hot drinks, spicy foods, and alcohol can dilate blood vessels, increasing bleeding risk. Always follow your surgeon’s specific post-operative instructions for a smooth recovery.
When to Contact Your Doctor
While some bleeding is expected, certain signs indicate it is not normal and requires medical attention. Contact your doctor if you experience a heavy nosebleed that soaks through dressings or is continuous, especially if it does not stop after applying pressure for 15 to 30 minutes.
Other concerning symptoms include large blood clots, bleeding that worsens over time, or a constant drip of clear fluid from the nose. Additionally, seek prompt medical advice if pain increases and is not relieved by prescribed medication, or if you develop a high fever, chills, or vision disturbances.