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enoscopic sinus surgery, deviated septum

Dec 15, 2007 03:18PM - 15 comments
Tags:

sinusitis

,

deviated septum

,

polyps



Having sinus problem most of my life, it’s the last few years that have been the worse. I’m a 28 year old male with acute sinusitis and a deviated septum and my sinus cavities are packed with polyps.  When I was younger I had an allergy test done, and I was allergic to a few things, 20 years later, same test I was so allergic to everything they put on me that they had to stop because I swelled up so much.

I don’t understand how that could happen that I could be so allergic to so many things in a few years. So the more allergies I contracted the worse my sinus infections became and so on.

A few years ago I was scheduled to have surgery; I didn’t like the doctor, well his attitude anyway. And I didn’t have a feeling of trust towards him so I cancelled.  Headaches got worse, breathing through my nose next to impossible; I have no sense of smell or taste even talking was hard as I mumbled now a sleeping was little to none.

Back again set up another surgery..  Chickened out. I did this 2 times, till finally a new doctor came to town.  I went to see him he order a CTscan and when he got the results we sat down and talked about them. He said it was the worst case of polyps he has ever seen, no wonder I was having so much pain.
So once again I scheduled a surgery.

The surgery is in 2 days and the last 2 days I have done no but read on the internet about the surgery and reading of other people that have had it done. Let me tell u I haven’t read one positive thing yet. Mostly what I read is people saying that if they knew the pain was going be that bad they would not have gotten it done, or the feel worse now, but for the majority of it was about the pain and a common thing I read was, if ur thinking about getting this surgery done DONT.

So now I am so scared to have it done I might cancel.      

Dec. 13th, 2007 is the date of the surgery

Today is the 11th. I have been taking prednisone for the last few days, I guess that’s to help with swelling and bleeding but I’m not real sure.  I take 10 pills a day (50mg) and I find they make me very moody, tired and make me want to pee.

Dec. `12th, since I’m going to be bed ridden for a few days you’d think that I would be out doing something, but nope, I’m on the computer watching videos and reading blogs on sinus surgery and septoplasty, geesh. This is making everything worse I can tell, I’m scaring myself out of doing it.

I had to call the surgical booking to see what time my surgery is, and it is 10:00 a.m. tomorrow yikes.

8:00 p.m. the night before, my stomach has been upset and I been cranky all day from reading about other people’s pain.  Few more hours and I will find out if it’s as bad as they say.

Dec 13th, In my eyes, it’s just a small procedure but I have a hard time putting trust into someone I don’t know that’s going to be working that close to my eyes and brain.  

10:00 a.m. arrive at hospital, got admitted and sent me to surgical unit to sit in bed and wait, and guess what happens, I’m there for like 45 minutes listening to everyone moan and groan that had surgery, and a guy beside who had just his sinus done yesterday was back because of excess bleeding and he was choking on it.  Yea that made me feel good.

11:00 Clumsy nurse came over and picked at me with needles,  **** she was rough 11:37 wheeled into O.R. eyes rolled back and that all I remember till  they wheeled me out about 2:10 p.m.

Waking up from the anesthetic was horrible not knowing what they did and I was shaking like crazy, didn’t help when I looked down and seen all the blood on my pillow. It took m a good hour or more to come to; thank god I didn’t throw up.

4:00 p.m. Pain set in, I know everyone handles operations differently, some say this operation is mildly uncomfortable, I say **** no, it’s painful. Once the doctor got in there he said that I was extremely packed with polyps in every cavity and my septum was very crooked. So I’m guess the pain I’m feeling is a mixture of a lot of tissues removed and a broken nose probably doesn’t help. I can’t even open my eyes, I’m so puffy and it hurts way too much to look at anything. Right now since I’m on meds I’d say the pain was similar to someone smacking you in the head with a hammer and getting kicked in the face.

5:00 p.m. A few instructions and some medication, I’m sent home. There is gauze under my nose to catch some of the blood and oozing from my stitches.

6:30 p.m. ouch I’m in so much pain I can’t talk, my throat is sore from the breathing tube, my eyes and face are swollen, my jaw and teeth felt like I got wisdom teeth pulled, all I can do is groan.

For the next 16 hours or so I got no sleep, way too much pain, I was taking 2 Tylenol 3’s, every 3 - 4 hours, they didn’t do much more then numb the pain a small amount. For some reason I was peeing a lot, every 30 min or so, but I was also drinking a lot of water as I didn’t want to be dehydrated. Popsicles became my friend, nice and cold and I couldn’t open my mouth any bigger then that,

Had to change the gauge under my nose a lot and the blood in my nostrils was clotting, it was very gross looking, every time the gauge came off inches of blood and I’m guess it’s the dissolvable packing came with it,  but it felt good cause it was blocking my breathing.  They told me not to do that but, I just cleared the very end of my nose, not right inside where the splints r, just the very tip of the nostril, and I find it helped and it didn’t make it bleed any worse.

Now it was drying and becoming crusty through the night and that was adding to the pain, I have 2 vaporizes in my bedroom, but that wasn’t helping and I knew I couldn’t pick the hardened stuff, due to bleeding and pain. So what I did  was I was helped to my bathroom, shut the door, turn on the shower, hot water and let it run for 20 min,   make a sauna and breath that in,  wow, that felt good, not only was it loosening up the hard stuff,  but it relieved a lot of pain.   I did this probably 5 more times through the night since I couldn’t sleep.

This whole time I had to be “escorted” I was so weak and I couldn’t open my eyes. The pain now for me was like, smashing ur face off a steering wheel, having all your wisdom teeth pulled, having the **** kicked out of you and having a sinus headache from hell.  . And all of this in one night. I was by the toilet alot too as the Tylenol 3 were making me sick

All day Friday, Dec 14th, one day after surgery, nothing changed, same pains, same sitting in the steam, same cant open eyes, peeing a lot..

Friday night same as before, very little sleep, I wake up every 20 min or so, because I can’t breathe through my nose and my mouth get’s very very dry, so every time I wake up I have a Popsicle, man those Popsicles feel so good. a lot of pain, eyes r still swollen and too sore to look around.  Just heating pads and ice packs and drugs

Saturday Morning, A lot better, I can watch a little tv, but wearing glass’s does put pressure on my nose, I’m still very weak and sore, but its somewhat bearable.  It’s now just the worse sinus headache u can imagine. You know the ones that make lit rooms hurt the eyes, make ur teeth ache (mine are big time), just 10 times worse.

Saturday afternoon, (while I am writing this)  As long as I am in bed not moving,  I don’t feel too bad, its when I get up,  when the pain starts and when it starts  it hurts. Food is still hard to chew as my teeth r very sore and I can’t open my mouth very wide.
          
5:20p.m. Saturday facial pain is unbearable, gone back to bed...

6:20 p.m. took 2 Tylenol 3's and for the first time, there working, i dont know why  but, im right out to lunch pain free,  finially

Sunday - tuesday  mild discomfort, but if i get up and do daily chores  its too much, get bad headache and have to take pills and lie down.  still cant laugh, hurts to much ad i finally sneeze, been holding that back for days,  but that didnt hurt at all.,

Wednesday - have infection in one sinus and the other started bleeding again, headaches r back full force,   i guess im pushing it to hard, even though im not out in the cold... tried my sinus rinse, i got a bad blockage, wouldn't budge just caused bad pressure and now--- back to bed with ice pack.

Thursday. cant breathe major sinus pressure,other then the small trickle of blood that wont stop in my right nostril time for a sinus rinse again, this time i applied more pressure and the water started to trickle from my other nostril.. then to my surprise, blood clot city.. as big as my finger, bout 5 of them.. felt so good, tried other side, and some mucus came out then more blood clots,  i can breath a little,,  but the pressure is gone, nose bleeding more now, but i feel better. just taped dressing under nose. stitches r itchy and my nose is still sore  to touch, these darn tubes gotta go.

Friday morning woke up, dry mouth and throat, from mouth breathing as my nose is blocked again.
4:00 am in bathroom doing nasal rinse to help me breathe..   the infected side, gave my mucus/blood mix.. not much these powerful antibiotics r working fast, the bloody nostril, gave me the mother of all clots,  it feels so good pulling those out, this one was thicker then pencil and as long as one.  so far both sides r clear and no bleeding.

so been 8 days, headaches still there,  only if ur up and about, nose bleeds , so on, but getting better.  i am going back to work tonight  which i don't feel im ready yet, but i wanna keep my job. monday i get my tubes out

so there you have it, that was my personal experience, everyone handles it different, but i felt it was terrible, and so far i cant tell u if it was worth it, since i have these tubes in supporting my septum. when they come out i will post again.    
Too  put a funny twist on this,  I am a correctional officer, so i work in a jail, my gf took video of me coming out of the anesthetic ,  lol  and at the end of the video, im groaning in pain and my eyes r shut..  and i said,..  " i hope he comes to jail sometime,  I'm going pepper spray the f***er  lol

December 24th 11:15 a.m.
i went and had my splints out this morning,  piece of cake, didnt hurt at all, and i could not get over the size of the darn things there huge,  and what a relief,  first time in years I can breathe,  i fel so good now,   my headaches and pressure were gone immediately after he pulled those out.  so  keep my fingers crossed and hope my polyops wont come back. keep writing me and keep me up to date,  i will write more after when i have time.    i can breathe now  so im going for a walk lol  going to enjoy life now.

Jan 9th, 2008
still have a sore nose and have nose bleeds,  i have a check up in a week.  breathing is good,  but i still get filled up and need to do 3-6 nasel rinse's a day,  but no headaches,  

Comments
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by Enoch Choi, MD, Dec 19, 2007 06:35PM
this is such a great blow-by-blow, thanks for posting it!

by ch/gh, Dec 20, 2007 06:31AM
Oh my goodness!!! that is scary to read and i am having septoplasty,turboplasty and a possible endoscopic sinus surgery now you got me scared    yikes!   today is the 20th are you glad you did it yet? i hope enoch,choi MD reads this again if he can answer my question if you dont mind names r taken    i was wondering i believe my turbs are swelling because i think i still have infection in my nose from my adenoid surgery in aug 06  so if the surgeon cuts my turbs because they are swelling because of my deviated septum then they hopefully get rid of the infection then will i get  empty nose syndrome  i know you will get that if the surgeon cuts too much turbinate out  but will you get empty nose if they cut my turbs because they think its because of my deviated septum  i know i am not a doctor but if the swelling is coming from the infection then maybe i dont need the turbs cut   i hope the point im trying to make makes sense.   i would like to know more about how you are feeling keep us posted...   if interested i tell you my horrible adenoid operation story..... p.s   i dont sleep either!    take care.

by ch/gh, Dec 21, 2007 04:42PM
You said tubes are coming out do you mean the splints in your nose they told me they are taking the splints out in 3 days for me. if interested i will tell you my adenoid story. did they cut your turbinates?

by names_r_all_taken, Dec 21, 2007 08:01PM
yes the splints r coming out, if of course the bleeding stops,  which i think i have under control now,  went bacl to work today,  definitly wasnt ready for tha  my head is pounding,  i had to leave my splints in for 10 days  as far as i know i didntr get me turbinates cut,  i'll let u know more monday,  yes i want to hear ur story,  where do u live

by ch/gh, Dec 22, 2007 10:55PM
I live in Pennsylvania --  My adenoid story well for the longest time i would bring up the greenish hardish smelly stuff and i went to several doctors who gave me several nose sprays, some said i had gerd note this came from my sinus area because i had to snort to try to get this stuff out of me and also note i cant count on one hand how many times in my life i have had heart burn i dont eat spicy stuff never had a problem in this field but i went along and took the antiacid medicines and of course nothing worked---then finally after years of different doctors this one doctor said  i had a staph infection on my adenoids so he put me on strong levaquin 750mg for 3 weeks and eventually after stopping the antibiotic the greenish stuff would come back and this doctor that was finally on to something decided that taking my adenoids out woulnt make a difference pretty much sending me on my way to yet another doctor and went to him briefly he was no help  then i go to another doctor another year later so in aug o6 he suggested to remove only my adenoids no throat problems so i still have my tonsils plus i am in my mid 30's so took adenoids out  well when i came to from surgery the back of my head hurt so bad i couldnt even lift it and i was very very dizzy and i was throwing up i was in recovery for 6 hours for an adenoid surgery.  then home for weeks and weeks i did not sleep my head was killing me then about a week after surgery i starting throwing up this black stuff and there was a horrible odor from my nose so bad on my way to the appt in the car my husband had to roll down the windows because the smell from my nose was so bad so i had surgery and there was all this yellow stuff also bringing up and it was thick i was actually worse then before the surgery and then 2 weeks after the surgery i was trying to bring up this infection stuff and blood starting pouring out of my nose and mouth went to the emergency room they gave me a stronger antibiotic went back to the ent and when they stuck the scope thing up my nose there was a camera screen and my husband saw all this black stuff in the adenoid area and the doctor commented that it was worse then he thought but didnt put me on a stronger antibiotic so then i suffered another month and when i went back again he said he needed to cut a piece of granulated tissue out that didnt heal  oh i forgot the visit before that one a different doctor saw me and they were using the suction thing to get some dangling stuff out of my nose then a week or so after the granulated tissue was cut out i started having trouble breathing out of the left side of my nose so several and months later after he seemed like this not breathing thing was all in my head and i note he had no bedside manner at all  did not care to pursue why i couldnt breathe very very congested in the spring of 07 i went to a different doctor which i think is great but i didnt have my surgeries yet either my fear is having empty nose syndrome.  have a nice holiday  heel well.  

by names_r_all_taken, Dec 24, 2007 10:54AM
Penn.  i use to go to Carilse alot for car shows,  i liked it.. well ur problems do not sound very nice, at all.   but i can tell u i went and had my splints out this morning,  piece of cake, didnt hurt at all, and i could not get over the size of the darn things there huge,  and what a relief,  first time in years I can breathe,  i fel so good now,   my headaches and pressure were gone immediately after he pulled those out.  so  keep my fingers crossed and hope my polyops wont come back. keep writing me and keep me up to date,  i will write more after when i have time.    i can breathe now  so im going for a walk lol  going to enjoy life now.

by Ellie32, Jan 27, 2008 05:24PM
Im 17 and i had to get this surgery on December 20 and i was just curious, why can't you go tanning after you have had this surgery?

by names_r_all_taken, Feb 12, 2008 02:57PM
tanning??   dunno never heard of that before,  they just told me not to go on a plane

by rinio, Feb 14, 2008 03:46PM
had surgery done on monday 10/2/08 found it very sore but good thing was they kept me hospital for2 days after so got lots of drugs for pain the hardest part is is trying to breath after as your nose is blocked could anyone tell me is it sore getting splints out

by tiffyb, Apr 30, 2008 09:02AM
I had endoscopic sinus surgery on April 22nd.  It has now been a week and I still feel awful.  I still have sinus pressure and to the point that my teeth hurt.  I had tubes put in as well and they really hurt.  I have splints in my  nose but am not having them taken out.  Has anyone experienced this?  I go back for my post-op appointment next Monday and of course the doc will use the scope to check my progress but does the pain stop?!  Anyone have any advise?

by ch/gh, May 18, 2008 01:39PM
tiffyb,  sorry to hear of your pain i havent been on here forever. i never heard of them leaving splints in permantly?? are you feeling any better yet?  

by Luv2camp, May 30, 2008 12:07AM
tiffyb:

I had surgery on 4/18/08 and I, too, have splints.  One came out during the endless amount of nasal rinses but one is still there.  According to my doc, it will dissolve.  Unfortunately, I'll have to have surgery again on the side that the splint came out because the tissue has grown together already.  It's been almost 6 weeks and my nose is still tender but I finally am starting to feel better.

by IlovemydogTeague, Aug 08, 2008 01:47AM
OK you guys, you are scaring the hell out of me.
I am scheduled to have endoscopic surgery on 8/27/08. My turbinates are enlarged, I have a perforated and deviated septum, and narrowing of my maxillary sinuses. I also get killer sinus headaches where I end up vomiting or so nauseated I wish I would, lights kill me eyes, my ears feel like they are going to explode from pressure, and it just literally hurts to think.
I suffer with chronic pain from a damaged nerve in my left side as well as Fibromyalgia and chronic back pain. I have been on just about every narcotic you can think of for the past five years. Right now, I am on Morphine Sulfate and the ENT was concerned about controlling my post op pain becasue of this. She has elected to give me 30 mg of Morphine every four hours as needed. She also told me she would use self absorbing packing. When I told my mother about possibly having the surgery, she was adamantly against it. She told me that she had heard this was just about the worst surgery you could ever go through. I read on several web sites the modern advances have made the surgery a lot more tolerable but I am still very reluctant. I talked with my pain specialist today after an epidural he gave me about sinus surgery since he is an anesthesiologist. He told me of course everyone is different and if it would help, wouldn't a week or so of pain be worth it.
If anyone can offer advice, please do.
Shaking in my boots!
Amy

by niknak2008, Aug 14, 2008 05:05PM
I just had surgery this past Monday on 8-11-08 and the doc took out the splints before I left the hospital.  I have suffered from many sinus infections over the years and on top of that my allergies only got worse.  The ENT told me my deviated septum was the main cause of my problems with my allergies.  I was always having constant sinus pressure and on weekly allergy injections.  Apparently because of the deviated septum I was not breathing right and my allergies are so bad to where it would cause me to have the sinus pressure always.  My sinuses were basically not draining well.  So I decided I wanted to have the surgery done cuz enough of this suffering.  
Surgery day went good..although i was very scared as i have never had any type of surgery and I am 29.  I woke up afterwards and was coughing alot due to the breathing tube..they just kept giving me juice. then they took the packing out which was very uncomfortable but not too bad..I was sent home with gauze to catch the drainage and on vicodin and antibiotics.  Mind you I have never taken vicodin before but its my best friend right now.  Trying to sleep upright is very uncomfortable and also having to breath only thru my mouth. The first day the gauze had to be replaced like every hour because of the blood drainage but pain was ok.  Tuesday things were going good until some friends came to see me and I couldnt sit around them because them just talking was hurting me.  Wednesday was my follow up...PAINFULLLLLLLLLLLLLL!!!!!   So the doc calls me in and I go in the room...he then takes some pressured cleaners..cant remember what they look like since i didnt have my glasses on and i cant see very well without them...anyways he was just spraying in my nose with pressure and cleaning it out......i was in total pain.......had tears down my face......to me that was more painful than the day of surgery.........he then looks in my nose and says im still inflammed but everything looks good and i have to see him in a week..  he goes now u can breath thru ur nose....just not blow it and still wear a gauze.......so i get home and i have so much sinus pressure i wanted to cry but of course i cant cuz that would only cause my nose to get more clogged up......i dont feel like eating since my teeth hurt still...i know i made the right choice on having this done and i had heard recovery is not fun and i agree its not fun........i was hoping i would go back to work monday but i dont think thats gonna happen.........ill see how it goes at the doc next wednesday........
and i dont know how people go thru with cosmetic surgeries especially in the face..........gosh this is enough for me........i just want to feel better.........im getting bored at home

by niknak2008, Aug 14, 2008 05:07PM
Oh by the way I had a friend who had it done and he said he vomited when he got home becuz of the anesthesia...so i made sure the nurse gave me some acid reflux meds beforehand cuz i do suffer from it and as worse as u feel after surgery u dont want to vomit also.........just a lil info

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