Office Procedures: before and after

Most blog posts we’ve written have been in paragraph form, but this one might be more helpful in outline format for reference and ease of information access.

Balloon Sinuplasty, aka BSPIO

Beforehand: We do not recommend taking special medicines (e.g. narcotics, anxiolytics, etc.) before this procedure, although some have done that on their own accord.

Afterward: There is usually some blood, especially when blowing the nose. Some report a burning sensation on inhaling that lasts a few hours to a few days. Most people ASK about pain: severe or prolonged pain is most unusual after BSPIO, although some have taken an over the counter Rx the evening of / after the procedure to offset the potential for pain. From time to time, one might acquire low grade fever or have nasal purulent discharge, signifying an infection and/or needing an antibiotic.

Balloon airway, aka Tract

Beforehand: Eat a complete breakfast or dinner, depending on the time of day of the procedure. Drink much fluid and be hydrated to the point of needing to urinate. This will help. Taking special medicines is possible, although we do not pro-actively encourage them at this time. However, of all the procedures, Tract seems to be the most intense for patients, so anticipation of this is very helpful!

Afterward: Many have bleeding, which can be intermittently brisk, for up to a few days. Infection, fever and other symptoms are unlikely. Pain is unlikely to begin after leaving the office, but a burning sensation on inhaling through the nose might last for a few hours after the procedure.

Nasal Nerve Ablation, aka Clarifix

Beforehand: Many people do not have someone to drive them, so they would be better off not taking special medicines beforehand. But having a small dose of a special medicine (i.e. 200mg of Gabapentin) has been known to decrease the headache after this procedure.

Afterward: Infection, fever and bleeding would be unusual but not impossible. The main issue is something called “brain-freeze” or ice-cream headache, which does occur often. It is severe, but thankfully does not last beyond the evening of the procedure. If it does happen, pain Rx typically are not effective, but drinking warm beverages might lessen the quantity and quality.

Nasal cauterization for nose bleeds:

Beforehand: Most people do not know they are going to have their noses cauterized beforehand, so to take medicines or prepare in some way is a moot point. Rarely are there patients who anticipate having a nasal cautery for epistaxis and take medicines along with having a driving escort.

Afterward: Fever, purulent nasal discharge and signs of infection are unlikely. Depending on which method of cauterization, one might see black discharge from the nostril that can stain the nostril and be hard to remove. This is typical of silver nitrate, and many have found rubbing mineral oil to be an effective remedy. Prolonged pain after leaving the office is unlikely and rare. Repeat bleeding can signify many things such as bleeding disorder, hypertension / high blood pressure, excess blood thinning due to prescribed medicines, overly vigorous return to normal activities, nose-picking, infection, and the opening of a different blood vessel, among other things. These often require mechanical tamponade at the emergency room.

We perform other procedures less commonly (Drug eluting stent implantation, low-frequency valve ablation, nasal valve implants, and more) and will expand on these when time permits.

It’s fair to say we can do many procedures in the office, and without the fear of major risk or complication. In fact, one of the main risks overall might be not knowing what is available and what you might gain to improve your quality of life.

Give us a call at 845-758-1456 or email