Hello
Welcome to HCM

Cocaine is a stimulant drug and is a commonly used drug of abuse in adolescents. When it is snuffed or inhaled it may cause intense congestion of nasal mucosa and nasal irritation. Severe irritation causes inflammation in mucosa and consequent swelling and redness. Due to congestion both nostrils get blocked. Best in this case is to stop him from using cocaine again. Second take him to a general practitioner and get him evaluated. Medicines like decongestants as Antihistaminics drugs like Cetrizine, Fexofenadine will help to improve his condition.

Thanks
Dr. Seikhoo Bishnoi, MD

Hello and welcome to Healthcare Magic. Thanks for your query.

I understand your concer about your nephew. The symptoms you are describing could have resulted from 'snorting' the cocaine. Another possibility is that these symptoms could be indicative of an allergic rhinitis.

Since, you say that the symptoms are quite severe, it is advisable to see a doctor as early as possible. He will need a phsysical examination, including an ENT examination to ascertain the cause of his symptoms. Further treatment will depend on the likely cause.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist