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Family Medicine  (Expert Forum)
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Odd swelling on side of nose.
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.

Odd swelling on side of nose.

by E.Smith, Jan 28, 2007 12:00AM
I'm a 35 year old male and I rarely get sick. But on the 30th of December 06' I had up an unusually bad cold. Heavier congestion than I have ever experienced before, and ended up blowing my nose with such effort that air came through the area around my left eye. By the afternoon of January 2nd I felt much better, but happened to notice an unusual swelling on the left side of my nose. It's been close to 4 weeks now, and the swelling does not seem to have diminished.

There is no pain at all and no unusual symptoms. My breathing seems unaffected, though it may be slightly more difficult to breath on the left side. No congestion.

The swelling is on the left side between the nostril and tip of my nose, from the bottom edge near the nostril opening to about halfway up my nose, about the width of a pencil. Examining the inside with a q-tip, there seems to be corresponding dimple on the interior of the nose (though not large enough to account for the entirety of the swelling). It's fairly minor, but often seems wetter and spongier than the surrounding tissue.

The skin does seem to shift very slightly over the surface of the swollen area, but it is very minor. As if there was something firmer under the skin. But when I grip the swollen area from both the inside and outside, the sensation of something firm under the skin diminishes. I've tried both hot and cold compress with no lasting effect.

Any advice or theories as to what this swelling is would be greatly appreciated.

by Kevin Pho, MD, Jan 28, 2007 12:00AM
Infection, or trauma from the sneeze, may have lead to some damage causing the symptoms.

The best way to evaluate this would be some imaging.  A sinus CT scan would be appropriate as an initial evaluation.  

If negative, a referral to an ENT physician can be considered.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
Member Comments

by E.Smith, Jan 31, 2007 12:00AM
To: Forum-M.D.-KP
Thank you for the response. Unfortunately, my physical examination options are limited due to a lack of insurance.  You suggested that the swelling may have been caused by damage? If so, is this the sort of damage that would heal over time? Is it possible that this might be caused by something as innocuous as an ingrown hair?

by Goodchappy, Mar 01, 2007 12:00AM
To: Please reply !
I have just read your post with utter amazement as I have EXACTLY the same symptoms. Please please let me know what the condition is and how you are fairing now a month later. I was intially very confused and was upset that it might be the onset of rhinophyma. Can you let me now how you got on and any advice ??
my email is ***@****
Please please reply.
All the best
Paul.

by MSD508, Nov 03, 2009 12:05PM
A related discussion, Swelling in Nose was started.

by lhyn05, Dec 06, 2009 02:01AM
A related discussion, best medicine for swollen inside the nose was started.
Continue discussion
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