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DiscussionEvery day I cough up what looks like a scab with ugly mucous and blood
Ear, Nose & Throat (ENT) | Last Active: Jul 6 8:31am | Replies (390)Comment receiving replies
Replies to "Does anyone have a deviated septum that may be causing this problem? Seems to be what..."
@hsconz About 2 years ago, I had surgery for a deviated septum and adneoidectomy, in an effort to help the problem with drainage and scab formation in the nasopharnyx. They also cleared a bone spur at the top of my nose. During the adenoidectomy, they burned the area of infection and washed it with an antibiotic rinse. It seemed to help for a while, but a few months later, I had covid and it came back.
Although I am now able to breathe better / more freely after the surgery, I still have the drainage and scab formation. There are times where I can take out the scab on a daily basis. It is on the back of my throat, above my mouth and a little below my nose - I can reach it with my fingers and get it.
Before it dislodes, I wouldn't say it's painful, just annoying. I can definitely feel it as it's growing and it becomes uncomfortable as it's dislodging. I hate the feeling of it sliding down my throat, so that's why I take it out myself.
I went to the University of Chicago for my surgery and the doctor was stumped when he saw it and it seemed like a best educated guess for suggesting the surgery. They have since recommended an mri with dye, but from reading other's experiences here, they have not found answers with that so I haven't gone through with it. Their recommendation was for a scan of the front of the sinuses - I don't think that's it. I do have bad headaches behind my left eye (especially with the change in weather) where the drainage seems to get worse. I wonder if it could be associated with the sphenoid sinus?
My local ENT basically said he has no idea what to try next. They've prescribed all the antibiotics I can have to no avail (it is staph positive, although I hear many people are staph positive in their throat but with no symptoms, so I'm not sure that's the issue). I was thoroughly tested for allergies with no significant findings. Other than the drainage, my facial sinuses feel rather clear - there is no pressure or feeling they are full on the front of my face.
I've been following this chat board off an on for a few years and it's disheartening there are so many people dealing with this with no answer about what is causing it or how to effectively treat it.