Nosing forward

Collage of Laura post-nose bleed

A few days ago I trepidatiously did my first downward-facing dog in over a month. The last day I did downward-facing dog or any sustained forward-folding posture, I had an extreme nose bleed. The forward-folding may have contributed to a scab from the septoplasty surgery I had three weeks prior coming off, which triggered major bleeding.

On July 29, I had blood streaming from my nose and mouth for hours – more blood than I thought possible. Thankfully, Dr Nabi (the otolaryngologist who performed my septoplasty) met me at the hospital and we were able to stop the bleeding before I required a transfusion.

I was hospitalized overnight, but got to go home the next afternoon. After a night in a hospital ward, sleeping in my own bed felt incredible – even if I did have to be propped up to elevate my nose!

After five days with uncomfortable packing in my right nostril, I met Dr Nabi to have him take it out. Understandably concerned that removing the packing might trigger another massive bleed, Dr Nabi took every precaution possible – none of which ended up being necessary. The packing came out smoothly and cleanly, with almost no blood at all.

After the packing came out, recovering from the massive nose bleed was quicker and easier than recovering from surgery. While my hemoglobin levels were low and I was fighting an infection, I was in much better shape than after surgery. Eating high iron foods, taking lots of naps, and regularly rinsing my nose with saline all helped.

Laura in downward-facing dog

When I last saw my surgeon, he was very impressed with the recovery and cleared me to return to regular activity – including downward-facing dog. But even after Dr Nabi’s reassurance, I was nervous about holding my head lower than my heart for any extended period of time.

I’d seen my therapist and worked through the emotional trauma of the massive nose bleed, but couldn’t muster the courage to come into forward folds. I devised several yoga sequences without forward folds to ensure I could keep up my practice, but yoga without forward folding feels a little incomplete.

Last Friday it finally felt like it was time. It had been over a month since my nose bleed, the nasal soreness was almost entirely gone, and I’d received a clean bill of health.

Initially, downward-facing dog felt foreign and scary. I moved slowly through a sun salutation sequence, nervously approaching each repeat of downward-facing dog. By the fifth round, I felt comfortable again and was content to hang out in downward-facing dog for a couple minutes.

I’m back to a full yoga practice again, forward folds and all, and have rediscovered the joy of downward-facing dog!

While the septoplasty process was longer and more complicated than I anticipated, it was worth it and I’d unhesitatingly recommend Dr Nabi. He’s the first (and hopefully only!) otolaryngologist I’ve seen, but I can’t imagine a better ear, nose, and throat specialist.

Hopefully, this is the end of my nose saga and now I just get to enjoy the ease of breathing through both nostrils!

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