Sudden : Sudden onset swelling without any trauma may be due to an infection. You would need an examination but medication may be needed. If you did sustain trauma to your nose it may be that you did fracture your nose. You may not necessarily have nasal obstruction with this (though people commonly do with nasal fractures). Having your nose examined by and ENT would allow for a better diagnosis. If there is nasal bone deviation then you may want the bones to be reset.
Answered 10/3/2016
5.3k views
So, : So, the first question is, did you get hit on the nose? If so, yes, it's probably broken. Further evaluation by an ear nose and throat doctor would tell you if it requires any treatment. We sometimes like to wait 3 to 5 days for swelling to go down to figure out what to do next. If it is very tender don't wait to have it seen, as a large blood clot next to the bone of the septum needs to be drained sooner rather than later. If it is obviously crooked, we'll usually recommend surgery to straighten it. Sometimes this can be simple, and we might recommend doing it in the office. Not all patients like the idea of numbing up the nose with injections in the office, so frequently the procedure is done in surgery under general anesthesia. This also allows us to do something a little more involved if necessary, such as precisely breaking the other side so that it is straight. If you did not injure your nose, and it is swollen and tender, it might be infected. Sometimes people can have swelling of cartilages of the outer ear, nose, and windpipe that can be a difficult problem. All of these can be best taken care of by your ear nose and throat doctor.
Answered 10/4/2016
5.5k views
I : I agree with my esteemed colleagues' answers above. Just a little note about swelling of the bridge of the nose (the outer skin of the nose) without any trauma (i.e. You did not get hit in the nose). The nose is considered the center of an anatomical triangle of the face, called the danger triangle, which is defined as the area from the corners of the mouth to the bridge of the nose. Due to the special nature of the blood supply to the human nose and surrounding area, it is possible (although very rare) for infections to spread backward from the nasal area to the brain. This is possible because of a communication of veins between the vein that drains the face (facial vein) and an important group of veins in the base of the skull called the cavernous sinus. The cavernous sinus lies within the brain case, between layers covering the brain (meninges) and is a major conduit of venous drainage from the brain. This is one of the reasons why you are never supposed to pop acne located on the upper lip or nose. An example of disease that may be caused by this process is meningitis, an inflammation of the meninges, the coverings of the brain. Such bacterial infections can be caused by pus entering the brain's blood supply if pimples in the danger triangle are picked. Therefore, it is very important to identify what process is causing your pain and swelling and treat it promptly with antibiotics if it is indeed caused by infection.
Answered 12/20/2018
5.5k views
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