So I’m getting a Septoplasty next week, and I am really nervous about it. Will it hurt? Will I say something stupid under anesthesia? Will my family coddle me afterwards? There are so many concerns I have that make me want to back out.
I’ll start with the background. I’ve had terrible post nasal drip and a stuffy nose for the last three years, which started after I had a cold or sinus infection the week prior. I’ve tried every medication to try and get rid of it (Flonase, Cetrizine, Hydroxyzine, Claritin, Zyrtec, etc), nothing worked. Eventually, I went to see an ENT after turning 18, she did a nasal endoscopy and said that I most definitely have a deviated septum. I got a CT scan later on and she said my sinuses looked great, but that there is a marked narrowing and indentation on my one side. She actually suggested I don’t get surgery, since she believed it was up to me to make the decision and what I thought would be best for my quality of life. I personally had no idea what to do, as I found all of this so confusing. I asked my other doctors what they thought and they said it was a good idea for me to get it done, as they also noticed the deviation and my one doctor who helped me with TMJ issues actually noticed it in a scan I had done on my face (this was before seeing the ENT). He said there was a ton of crap in my sinuses and that’s what’s causing my postnasal drip, and that I should get surgery on it. I decided to listen to him as he has given me so much relief in the last year (he tragically died of cancer a month ago), but I’ve decided that he is the doctor I trust the most.
Anyway, my fear of this began a couple of months ago. I’ve always struggled with the feel of metal against my body, but the actual fear started when my mom was getting a blackhead out of my ear when I was a kid. Either I moved or my mom slipped, but the metal tool she was using unintentionally went far down and scratched my ear canal. There was no major damage, it just scared me because it felt like it had gone pretty deep in there and scratched the bone area of my ear. Since then, I have been really skeptical of anyone touching my ears, or any part of my body where there are bones/cartilage. While I will be put under for my Septoplasty, I am really nervous that I will feel the metal or that it will hurt.
On top of that, I have no idea how the anesthesia will make me act. I’ve heard some people are fine, while others are saying a bunch of stupid stuff. I also worry because my mom had to tell me that I might feel sick afterwards, and to make sure to get an anti nausea medication (which was already the plan lol).
The last thing, which I know I’m overreacting about, is being coddled by my family afterwards. Oftentimes, when I have a procedure or something else done, my parents have a tendency to talk to me in a baby voice, and talk to me forever afterwards, which is what annoys me the most. The other half, asking how they can pamper me and nagging me about how and when to take my medications despite the fact that I stay on top of them.
Am I overreacting? Is this surgery really not that bad and I’m just freaking out for no reason? If anyone here on the Autism spectrum has had this done and felt similar to me, I would love to know how the surgery/recovery went for you.
I’ve had general anesthesia 5 times (3-4 for surgeries) and was given ketamine for another procedure (in a vain attempt to not need the 3rd surgery). None of them were bad. The one time I requested not to use gen anesthesia but they insisted it was required, they were at least light on the dosing, so I was functional quickly and back to normal within a few hours of that.
Most of the times, my parents were there as I recovered from the anesthesia and never did I say anything I didn’t want to say (the ketamine and most recent gen anesthesia were both after I realized I was trans and hadn’t told my parents yet, but one of them had a tendency to ask prodding questions… And post-anesthesia was no exception).
I haven’t had any issues with any particular problems with my surgeries. Some of my other preexisting medical conditions may have caused some inconvenience for the doctors/nurses, but those are just my normal problems.
Thank you, this is really reassuring. And I am the same way with my normal problems lol
My wife was going under for minor surgery and wanted to ask if any of the staff were watching Game of Thrones. (which hadn’t gotten bad yet)
Apparently she crooked out Game of Thrones! and then passed out.
Whatever you do or say… you do or say. And this is their everyday job, you aren’t going to offend anyone. The worst you can do is give someone a good story.
But more to the point, those drugs remove your filter for a moment. It’s not your fault.
As for the rest, I cannot say. Some things you have to take a deep breath and accept that it’s out of your control. You cannot change the reactions of others. Will your family coddle you? Or are they going to show you that they love and care about you during a rough time? How are those necessarily different?
I hope it all goes well for you. It sounds routine, so there’s that, and then hopefully your symptoms abate.
I am on the spectrum but not diagnosed. I’ve only had anesthesia a few times in my life and have no idea what I said or did when I went under.
I worried more about the after effects and healing, and everything went smoothly. Just for what its worth from one overthinker to another.
Okay but
Intrusive thoughts and lack of filter are NOT A GOOD COMBINATIONThank you! I also worry about the healing process after as well as recovery, but I’m sure things will go well
I’ve said some wild stuff when waking up from anesthesia but the good thing is you probably won’t remember it and they’re used to it.
I can tell you how septoplasty went for me. I had a serious deviation that was causing recurring sinus infections and I got the surgery to correct it. The anesthesia was a total blackout, I remember being in the pre-op room getting anesthesia and then the next thing I was groggily waking up post-op. I think for a while after I would just say word-association nonsense as I saw colors and objects, I don’t remember anything specific and it wore off fairly quickly, and my partner doesn’t remember me saying anything specifically so I don’t think I said anything too embarrassing or memorable, I doubt they would conceal something just to spare my feelings. My nose / sinuses were sore for a while after and I took OTC painkillers to deal with it, unpleasant but not intolerable. Overall, worth the medium amount of hassle, would recommend if your septum is deviated.
TW: Gross
The worst / best / grossest part was when (after several days of healing) they took out the plastic sleeve/splint things they shove up there to keep your bones in place while they heal, they’re bigger than you think and they come out covered in bloody mucus and it feels like pulling the biggest booger you’ve ever had out and suddenly you can breathe better than you ever could before, like the nasal equivalent of putting on glasses for the first time (I assume, I’ve never worn glasses).
As for the family, it’s more down to your experience with them and how well they respect boundaries. People who care about you will naturally want to dote on you more post-surgery, which may or may not be what you want, just need to set clear guidelines about what you want the same as when you’re not recovering from surgery.
Thank you! It’s reassuring to know it’s not that bad
Happy to do so 🙂
Hi, I had my first ever surgery back in October because I somehow broke my nose and deviated my septum in the process. I am 40 and I was super nervous but was a breeze the surgery was! But let me warn you, the postop stuff is a bitch, specifically the removal of the wicks, yikes! Good luck you’ll be fine
Thank you! It makes me feel better knowing the surgery isn’t as bad as I’m making it seem. Recovery does sound difficult having the stents and stuff, but hopefully it will go well!
I don’t think it’s unreasonable to have the concerns you have at the moment, but it sounds like you’ve already weighed the pros and cons and made your decision re: surgery and it seems like a reasonable decision to me. It’s just facing the uncomfortable reality of it that you have to brace yourself for now. I think the vulnerability will be your actual biggest discomfort.
I’ve had a few surgeries and the only thing I feel you might dislike physically is the needle they put in the back of your hand to feed the anaesthetic etc into. It’s really only a slight sting but I find it unpleasant - certainly not any kind of “hitting” sensation like your ear situation. I only tell you this so you know what to expect.
There’s really only a short period after surgery where you might (and maybe won’t at all!) say something nonsensical, but it’s usually dreamlike nonsense (not confessions of inner secrets!). Your parents/other half have probably heard you talk in your sleep already - maybe that’s an easier way to think about it.
Regarding the coddling: Perhaps some pre-prepared responses could help keep it to a minimum, reassure people (who sound like they care which is nice), and make them feel useful at the same time. Some suggestions/prompts:
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Thanks (person), I’m actually quite tired at the moment, can you make sure there’s some water and (drugs) nearby and give me a call at (insert much later time) if I’m not up by then please?
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I’m a bit tender at the moment but I think it’s healing well enough, it probably looks worse than it is, don’t worry!
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I’ve got everything I need here but thanks for checking in.
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You know what, I would actually love some (ice cream, soup, whatever believable post-surgery food). If you’re in the store could you grab me some please?
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Sorry I have a bit of a short fuse at the moment, it’s just the (pain/meds) making me grouchy. Thanks for caring, I think i just need a bit of rest for now.
These are all dismissive though, don’t be too proud to ask for help if you have any concerns while you’re healing! And good luck, I hope the surgery brings you immense relief!
Edit: formatting
Thank you for this advice! It’s really reassuring. Surprisingly, I am actually ok with the IV administering the anesthesia, for some reason the mask never worked with me until they put the IV in lol.
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Okay, here’s where I can help.
So, two years ago, I had an FESS, and a septoplasty as a result of a severely deviated septum. Also on the spectrum and man, let me tell you- when I was ramping up to my surgery, I was losing my shit. Terrified of all the possible things that could go wrong! I’d also never had surgery before in my life, so I was an absolute anxiety-riddled mess. I must have copped-out like 5 times. Barely slept.
Let me tell you, it was an absolute breeze! I’d do it again in a second. Minimal discomfort.
The day of the procedure coming home I was in a daze. Then the following morning, just a little bit of discomfort. Was prescribed heavy pain relief that I really didn’t even need to take, but did… for about a day. Then it was just Tylenol after that.
Use the NeilMED nasal irrigation and you’ll be all set. It’s nothing at all! You’ll feel SO much better when it’s over.
Ask any questions, I’m glad to help.
Thank you so much for sharing this! It’s really reassuring to know someone else who was as anxious as me found this surgery to be easy.
My main questions to you would be, how old were you when you got the surgery done, and did the anesthesia affect you at all after the procedure. I am only 19, and I know a lot of people don’t get the surgery until they’re in their 30s or 40s. I just wonder how that may impact recovery. Regarding anesthesia, Do you know what type they administer and if it affected you at all when you woke up from surgery? Were you out of it or saying anything stupid? And how your family respond to you post surgery?
So, I was 51 when I had the surgery. The post-procedure anesthesia just left me feeling groggy. I remember when I woke, I was sitting in a wheelchair in a waiting room with a very nice nurse waving a cup of ice in my face. My throat was a bit sore. (Apparently from the breathing tube they inserted after I was put under).
I was told I kept asking for more, but I don’t recall.
I don’t think I fully came to until I got home but I remeber a bit of the ride home. Think of it like being a little drunk but wheee you rapidly sober up over the course of an hour or so.
I don’t know what type of anesthesia I was given, but it was GOOD!
They’ll prep you before the procedure and even give you something to calm you if you’ll like. Just ask.
The anesthesiologist should come in before the procedure to go over things with you. You can pick their brain, they’re used to it.
I’m not sure if age has a lot to do with thing regarding the anesthesia, but my guess would be your youth will be a benefit!
As far as I know, I said nothing stupid. You’re going to be very tired. Speech is a pain in the ass when you’re coming to. Those videos of people being weird aren’t common. You’ll more than likely sit there with your head tilted and a hundred yard stare, like a dog after being spayed.
Family here was just my girlfriend. She took good care of me. I was fine by morning! Just a bit sore.
Let me know if there’s anything else! And if you’d like, I’ll be happy to chat with ya the closer you get to the day and after if it’ll help!
My mom had surgery to fix a deviated septum after she’d had it for a long time. Recovery was super painful and took a long time, and the results didn’t last. She regretted having the procedure done.





