Two years ago I began to have blood in my postnasal drip. Over time the amount increased and after weather changes or when I am outside, it sometimes forms small clots. I do not have nosebleeds. I saw an ENT in July 2005 and she said she saw where it was bleeding in my nose before she used the scope and then cauterized. I wasn't given any diagnosis or treatment plan even when I called back. I asked if I had polyps and she said no. In December 2005 I went to another ENT, explaining the situation. He sent me for a CT scan and said I had a blocked left max sinus, and put me on Tequin 400 for 4 weeks. Another CT showed no change, so he recommended surgery to clean out the area. I do not get pain in my face, only over my eyebrows. I am 68 and have severe TMJ and macular pucker on the left side of my face, also I've had dental bone surgery at the bottom of my left nostril. I have diverticulosis and the antibiotic was very harmful to my condition. I would have to take more antibiotics for the surgery, so I am looking for any alternative. I have more blood when the weather changes or when I go outdoors. The bleeding lessens when I stay indoors. The blood always stops overnight and resumes after I am up. It is in a clear base most of the time, yellowish other times. It does not come out of my nose even when I blow my nose, always comes down in postnasal drip. I use saline and neosporin. Since the two diagnoses were so different, I am desperately seeking an alternative to surgery. Thank you for any help.
This is obviously a very difficult and confusing problem for you. It is most likely that you do, indeed, have a chronic sinus problem. It could be from a blocked cavity that needs drainage. It could also be from a chronic sinus infection due to the blocked cavity. There could be some other problem that cannot be easily determined from a forum. I would suggest, since you have two differing opinions, I would suggest seeking an opinion from yet a third ENT. This specialist can review the CT films, your current situation, and your related medical problems and give you an unbiased evaluation of what he/she finds. It is difficult to say you will or will not need surgery or even certain antibiotics without further evaluation.
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