Nosing forward

Collage of Laura post-nose bleedA 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 dogWhen 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!

The nose knows

NoseSurgeryThis time last week my nose was bleeding profusely, the result of septoplasty surgery some hours before. The surgery went exceptionally well; the surgeon was delighted, I had no adverse reaction to the general anaesthetic, and a recovery room nurse even called me “bright as a berry.” Everything from waking up at 5:30am that morning and not eating to pre-op prep through to walking out of the hospital was almost effortless – much easier than I thought it would be.

The recovery, however, was not as smooth as I had anticipated.

While there wasn’t much pain, there was a lot of blood. I didn’t clot quickly and, even with the packing the surgeon left in my nose to sop up the bleeding, I spent the first couple days changing the gauze underneath my nose regularly and wishing for thicker blood.

Thankfully, the bleeding stopped after a couple days and I was left with discomfort, wooziness, and the continued joy of sleeping without fully lying down.

After a solid day without bleeding, it was time to get the packing out. The packing is great for controlling blood flow and keeping tissues separate so they don’t fuse together while healing (particularly important as the point of the procedure was to give my nasal passages more space), but it does introduce greater potential for infection and it’s damn uncomfortable.

I wasn’t sure if the crusty strings dangling from my nostrils would come out with the packing or if they were part of the stitches. Turns out “packing” is code for “tampons” and the surgeon used those strings to pull them out.

Getting the packing out was brutal. All blood and saline and mucous and Otrivin. Without the general anaesthetic of the surgery, I didn’t have the luxury of drifting off into oblivion while thinking about my favourite vacation spot and having the surgeon do all the messy work without me seeing or feeling it.

I left the hospital much less bright than after surgery and continued to ooze blood from my nose through the night. The next day I started experiencing head-splittingly painful sinus congestion, which didn’t get any better when I burst into tears. Turns out crying doesn’t make sinus congestion any less painful… but decongestants do 🙂

Equipped with Benylin (not my usual cold-fighter Advil Cold & Sinus as the ibuprofen wouldn’t play nicely with the antibiotics and also acts as a blood thinner… not helpful when I’m trying not to bleed!), plenty of fluids, saline nasal spray, and lots of naps, I’m feeling much better. I’m still tired, but my nose hasn’t bled for three whole days and the soreness is manageable.

I’m reminding myself to take it easy and not to expect that I’ll be entirely well yet – the surgery was just a week ago!

While it’s too early to say if the surgery has been a true success, I am already finding it easier to breath through my nose. Even with the congestion (along with the sutures and scabs that must still be there), there’s an ease of movement through my nasal passages. The surgeon said he took a lot of bone out of my right nostril, so it’s no surprise that things are clearer.

I’m hopeful that recovery will proceed smoothly and that within a few months I’ll be breathing easy… any that maybe I’ll even have stopped sleeping with my mouth open!