Have a perforated septum, recently prescribed rhinocort aqua nasal spray, worried it'll make my condition worse. Should I be worried?

Yes. Nasal septal perforations are a problem. They crust and bleed easily. Unfortunately using a nasal spray can sometimes aggravate the situation even though you angle the spray away from the perforation. You might be better to try to get the perforation fixed. If the perforation is small fixing it is relatively easy. Seek an experienced ENT physician who will be able to advise you in more detail.
Reason for concern. You need to be careful. Your concerns are valid. Consider saline nasal wash.
Nasal spray. be sure to spray it onto your turbinates and avoid spraying your septum. Ask your doctor to instruct you in proper use of the medication.

Related Questions

Will using a salt water nasal spray help prevent developing a perforated septum?

Nasal septal perf. If you already have an issue with your nasal septum that puts you at risk for developing a septal perforation, use of saline nasal spray will not necessarily prevent the perforation from occurring. If you have not done so already, see an ENT for evaluation and treatment of the cause. This may prevent the perforation. Read more...
May. If you have a dry nose it may help to moisturize the membranes. Dry membranes can lead to septal perforation, though there are many more causes. Read more...
Perforated septum. a perforated septum can occur after nasal trauma, with drug use and after surgery. Saline sprays are neither here nor there in preventing septal perforations. Have your nose evaluated by a board certified otolaryngologist, Read more...

Rhinocort aqua nasal spray, side effects?

Mild typically. Like any nasal cortisone spray, nose bleeds are the most common side effect but these can be limited by proper nasal spray technique. Also, run-off down back of throat can lead to cough and sore throat. At usual doses, the other side effects listed for steroids are very, very uncommon. An allergist or ENT physician can assist in treatment recommendations. Read more...