Yes we we seem to be connected. Let me ask a couple of additional questions
Would you please tell me about previous examinations you have had to determine where the clogged tear duct is actually located. Have you had an ophthalmologist examine you for the same problem. And how many times in the last month or two have you seen the blood?
Thank you for that additional information The two essential questions are where in the nasal lacrimal duct system is the blockage and what is the source of the blood you are finding. A thorough examination of the nasal lacrimal duct helps the ophthalmologist determine where the blockage is located. In an adult it is most typically in the nasal lacrimal sac. Since you have already had a surgical procedure, probably a DCR, any new blockage is probably related to the area where the surgery was performed. If you put pressure deep in the corner of your eye nearest your nose do you feel any swelling or pain?
As you say that you have noticed traces of blood in your tears previously but this time it seems to be continuous, there is the possibility that a small blood vessel just inside the lacrimal channel is ousing a small amount of blood which is leaking into your tear film. Have you noticed any blood in your nose if you give it a good blow?
Yes it sounds that way to me as well. However, I would say that DCRs are generally quite successful. Do you have the opportunity to return to the ophthalmic surgeon did your procedure. It may be something as simple as a temporary re-placement of a little silicone tube to ensure that the channel is open.
Yes I understand, however I think that is acceptable. The obvious warning would be relative to extensive bleeding which would be presenting in your nose and throat. Since you're not experiencing that, it doesn't sound like you need to do anything on an emergency basis. Does that generally makes sense to you, and do you have any other questions?
It seems that we typed over each other. Did you get the answer you wanted from the previous paragraph I typed before your last concern popped up?
The need to seekt some immediate medical assistance should be determined based on the degree of bleeding that you are experiencing. If you are beginning to notice a nosebleed or blood on the back of your throat it would be prudent to have a local emergency room checking. If the spotting you mentioned is limited to your tear film you should be okay to wait until you can get home. Does that seem like a reasonable approach to you?
"new symptoms in this bleeding which would call for immediate medical attention" would include nosebleeds, significant swelling in the area of the lachrymose site
Sorry, in the lacrimal sac or the development of an elevated temperature which might suggest an infection.
Based on having followed many patients post DCR, we do see a few who need a revision of the surgical procedure. We won't know if that would be required for you until you are checked out, but I really don't think you're going to get in any trouble between now and when you can see your ophthalmologist based on only having the blood in the tears.
Please let me know if you have any other questions. I know it's scary when something unexpected occurs when we're out of the country, but I expect you'll be just fine.