Hi,
Noted the history of a 34 year old female about bad smell from nose, big scabs from nose with greenish color and so on, took a course of antibiotic and did
sinus rinses. This is a problem that is classically known as
atrophic rhinitis wherein the blood supply to the nasal mucosa is hampered thereby causing scabbing, infection and bad smell.
This disease is most common in females of your age and can be due to
hormonal problems, genetic factors and so on. Since the disease involves the nasal mucosal changes the treatment is typical and needs a lots of care and treatment for a long time and surgery if the medical management fails. Many of the patients need iron and
folic acid replacement for the associated
anemia. Multivitamins and mineral with trace elements are needed. Local nasal cleaning with soda-bi-carbonate solution is needed. Long treatment for months is required and gives positive result in most of the cases.
Repeated courses of antibiotics only if there is evidence of infection. There is a typical surgery in failed cases wherein tone nasal passage is blocked for about a year and may find useful in many a cases.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, General Surgeon