Not using coke is the first thing to do and you mentioned that. I would also see an ENT and have them check this out. They have seen this before and should be able to help you. Did you use coke on a daily basis?
Yes I did use on a daily basis
Hey besides not doing coke, you MUST stop all the picking. Everytime you pull the scab off the hole gets bigger. If you continue you will need surgery to close it.
Stop using Coke, an ENT can fix it with a "button". Stop picking it. I have a small one, not from Coke but from 3 sinus repair surgeries, that's how I got addicted to pills, go figure! Anyway, mine is not that bad, it's pretty far up and sometimes it whistles when it's dry. Stick Vaseline on a q tip, makes it stop.
I used PILES of coke back in the day.. had only one sinus infection and it was from sticking dirty straw or DIRTY fingers in my nose I went to ER the guy new exactly what was going on so I told him the truth he gave me some ointment and it worked so I was lucky. so since your off the dope try checking out a doc if you have ins. or just urgent care its 60$ most places good luck ..
Instead of vaseline on the q-tip, try a good triple antibiotic ointment.