My dog was jumping on the bed when I was leaning down and hit me and pushed up the end of my nose, this happened on Sat March 14th, I finally went to the doctor on Wed, and she said I have a deviated septum on the right side and it is pretty swollen. I have a horrible head ache, and now I have a pretty dry cough, fever of 100.1, and clear almost water liquid coming out of my nose constantly. I am on antibiotics, and Motrin 800mg three times a day, are these issues common with a broken nose?
March 26, 2015
Answer: Broken nose and clear fluid Dear fwinter0724It sounds like a coincidence, broken nose and a URI at same time. I agree that at this point supportive care for your cold is first and foremost. IF your cold resolves and you still have clear runny nose, I would go back to your ENT to make you don't have a CSF leak; although very unlikely, you need to make sure that is not the case. Otherwise, you only need to fix a deviated septum if it effects your breathing. A nasal fracture only needs to be reduced if it bothers you.
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March 26, 2015
Answer: Broken nose and clear fluid Dear fwinter0724It sounds like a coincidence, broken nose and a URI at same time. I agree that at this point supportive care for your cold is first and foremost. IF your cold resolves and you still have clear runny nose, I would go back to your ENT to make you don't have a CSF leak; although very unlikely, you need to make sure that is not the case. Otherwise, you only need to fix a deviated septum if it effects your breathing. A nasal fracture only needs to be reduced if it bothers you.
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April 20, 2015
Answer: Clear nasal drainage after broken nose Thank you for your question.A broken nose combined with clear nasal discharge and fever are suggestive of two possibilities (barring some other REALLY rare possibilities) - a broken nose combined with a viral upper respiratory infection (also known as a cold), or a broken nose combined with a skull base fracture or cribriform plate fracture.While it's possible that you've got a cold simultaneously with a broken nose, the combination of fever, clear nasal discharge, and recent trauma suggest the possibility that the portion of the nose that connects to the cribriform plate (a paper-thin bony structure that separates the nasal cavity from the brain) may have cracked and may be allowing cerebrospinal fluid (the fluid that surrounds the brain and spinal cord) to leak out and bacteria or viruses to sneak into the skull and cause an infection of either the tissue surrounding the brain (meningitis) or the brain itself (encephalitis).This is VERY concerning - I recommend that you find a good ENT surgeon who can help you differentiate this - if it is, in fact, a cerebrospinal fluid (CSF) leak, you may end up needing surgery in which an ENT surgeon and a neurosurgeon would work together to help patch the hole and treat the infection. Another alternative would be to go to the emergency room.A consultation is imperative right away, and I suggest that you not delay in pursuing a more definitive diagnosis. This correspondence is not a substitute for medical care - you should construe this as a medical consultation. This information is provided for educational purposes only.Best wishes.
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April 20, 2015
Answer: Clear nasal drainage after broken nose Thank you for your question.A broken nose combined with clear nasal discharge and fever are suggestive of two possibilities (barring some other REALLY rare possibilities) - a broken nose combined with a viral upper respiratory infection (also known as a cold), or a broken nose combined with a skull base fracture or cribriform plate fracture.While it's possible that you've got a cold simultaneously with a broken nose, the combination of fever, clear nasal discharge, and recent trauma suggest the possibility that the portion of the nose that connects to the cribriform plate (a paper-thin bony structure that separates the nasal cavity from the brain) may have cracked and may be allowing cerebrospinal fluid (the fluid that surrounds the brain and spinal cord) to leak out and bacteria or viruses to sneak into the skull and cause an infection of either the tissue surrounding the brain (meningitis) or the brain itself (encephalitis).This is VERY concerning - I recommend that you find a good ENT surgeon who can help you differentiate this - if it is, in fact, a cerebrospinal fluid (CSF) leak, you may end up needing surgery in which an ENT surgeon and a neurosurgeon would work together to help patch the hole and treat the infection. Another alternative would be to go to the emergency room.A consultation is imperative right away, and I suggest that you not delay in pursuing a more definitive diagnosis. This correspondence is not a substitute for medical care - you should construe this as a medical consultation. This information is provided for educational purposes only.Best wishes.
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