I have white patches and scabs inside my nose from
Patient :I have white patches and scabs inside my nose from a two week long cocaine binge. 1 to 2 grams a day each day over a 5 to 10 hour period. Will this go away? Also bad sinus headaches. Was diagnosed with a sinus infection the day after binge but this was before the white patches started turning into scabs. White on surrounding areas that cannot be removed with qtip and scabs on septum area.
Thank you for your medical query at AskTheDoctor.com
I understand your concern.
The white patches and the scabs are a result of constant irritation to the nasal mucosa which is very sensitive. Yes, this will resolve provided the area is kept clean. Since there are scabs, the chances of developing a staph infection is possible and hence you need to ensure that the area is clean. You can apply vaseline inside the nose to make sure it does not dry up.
I will advise you an antihistaminic like Levocetirizine 5 mg once daily at bedtime for 3 days. If the patches increase or turn red, it will indicate a bacterial infection warranting an antibiotic course. In such cases, amoxicillin is a good choice as it is first choice antibiotic for local infections concerning upper respiratory tract.
The scabs will take 7-10 days to completely disappear. You may require Levocetirizine for a longer duration in that case.
Hope this was helpful,
Feel free to discuss further,
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