Hi. Thanks for your query. Noted your history of being reformed substance abuser, having scabs at the base of the substnace. These scabs are indicative of reduced blood supply to this part and hence you can start the medicines to improve upon the blood supply. You can start Ginseng with multivitamins at home. Steam inhalation. Sodabicarb nasal washes to remove the scabs, never pull them. No drugs strictly as a single use can jeopardize the progress. Avoid antihistamine and cough syrups as they contain decongestants that can reduce the already precarious blood supply. Consult an ENT Surgeon for clinical evaluation, examination, investigations and further trial of medicines.