### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Submit answer to  YYYY@YYYY   No diagnosis yet.  Age 54, weight 168, and  medical history:  2001 lumbar and cervical degenerative discs with bulging and compromising cord with related issues; ? 2000 migraines; hysterectomy 2007; currently diagnosed with poor liver function, diabetes 2 (blood result= 95 fasting, considered boarerline.), and high cholesterol.  (Dieting resulted in ten pound loss, hoping to control solely with diet as meds negatively affect the liver). ; septoplasty 12/1998, Twelve years post septoplasty, have suffered with scabbing on septum, given topical ointments to no avail;  thick white excessive mucous; and cough.  Scabbing feels as if it is spreading further back, could possibly be in sinus and throat; C.T. shows particles in sinus cavity and throat feels dry and raw (adequate fluids consumed).Phlegm thickness felt in sinus cavity with postnatal drip, heaviness in chest and chronic cough.  Heart problems ruled out; pulmonary treatment, no avail; gastrologist ruled out stomach with endoscopy.Currently, on no medication, taking fish oil and milk thistle for one month, for diagnosis of poor liver function.  Feeling very ill, no doctor takes this seriously.  I feel my condition began with the scabbing after  septoplasty and sores remain.   I heard open sores in the nose can cause  bacteria in the blood, could this have caused all my problems?  If  not,  What could be the problem?

### output:

Dear friend, The simple answer is yes. Bacteria can migrate from infected open sore to the blood stream, a condition called Bacteremia. However, bacteremia will lead to SIRS (systemic inflammatory respond syn Chat Doctor.  These will lead to fever/chill and the patient will be very ill. This condition are often very rapidly developing and associate with high mortality. Giving your current symptoms, it is unlikely that bacteremia can explain your symptoms. There are many cause for your symptoms and a comprehensive work up is needed.