It happens like this: a person is absolutely sure that he is completely healthy, but suddenly he begins to experience strange sensations in the nose. A similar symptom can speak at once about several diseases. Therefore, if the nose is sore, it is important to understand the reason why this happens. First of all, you should contact the therapist, who will evaluate the accompanying symptoms and refer you to a specialist for a consultation.
What is the nose?
Those who do not quite understand what is at stake, we will explain a little. The bridge of the nose is the upper edge of the nose, which is directly adjacent to the forehead. There is even a medical term for this site. In Latin, it sounds like nasion. And if you ask the physician what the bridge of nose is, he will answer that this is the section of the intersection of the nasal seam with the median sagittal plane (that is, the one that conditionally divides the human body into equal parts).
Possible causes of pain. Nose bridge injuries
Pain in the nose can occur for various reasons. Often the basis for the pain is a trauma, the cause of which can be a fight, an accidental blow, a fall. Children often get hurt during games. Injuries to the nose are:
- Bruises localized within the soft tissue. Superficial abrasions.
- Cartilage damage. Most often, the nasal septum is injured, dividing the nose into the right and left nasal passages.
- Fractures of varying complexity.
If, after a stroke or a fall, a person feels that he has a nose ache, then he should immediately see an ENT doctor or surgeon.
In many cases, pain in the nose is a symptom of neuralgia. This is, for example, the syndrome described by the Chilean doctor Charlin in the early twentieth century. A more detailed name for Charlene’s syndrome is the nasal nerve neuralgia. With this syndrome, the person has a sore nose and forehead. Sometimes the pain spreads to the eye area. In this case, there may be problems with the nutrition of the cornea, and will require an appeal not only to the neurologist, but also to the ophthalmologist.
Neuralgia is accompanied by intense pain. There are pressing and tearing sensations. Most often, pain attacks begin at night. Patients fall asleep badly and sleep poorly. Noseptic nerve disease has trigger points. If the patient has a slight pain in the nose, when you press the kurkov point, the pain will become more intense.
Neuralgia can proceed without additional symptoms. But in advanced cases, during a seizure, nasal discharge, throbbing in the forehead, swelling of the mucous membranes in the nose, redness of the eyeballs and tearing begin. Pulsation in the frontal area can be felt in moments of calm pain. Often it does not depend on seizures at all.
Causes of Nasal Nerve Neuralgia
The most common cause of neuralgia, from which the bridge of the nose hurts when pressed, is complications of acute respiratory infections. And at the time of occurrence of the characteristic pain in the nose of the symptoms of a cold anymore.
The next reason is dental problems. Innervation of tissues in the area of inflammation can associate a dental problem with a branch of the nasal nerve. A person may not experience a toothache, but neuralgia begins due to inflammation of the dental nerve, and as a result, the nose and headache hurts.
LOR-diseases are also a common cause of neuralgia associated with the nasolabial nerve. Problems can be of varying degrees of difficulty. But more about this in the next section.
ENT diseases: runny nose
Often patients complain that the nose is sore during a cold. Patients lose their appetite, have severe discomfort. Runny nose prevents normal breathing. Oxygen saturation is worsening, which can disrupt the functioning of the heart and the vascular system. Due to inhalation of air through the mouth, other respiratory organs may suffer. A runny nose can cause fluctuations in intracranial and intraocular pressure. So you can not ignore the pain in the nose during rhinitis and the cold itself.
Sinusitis and its types
The anatomy of the nose is quite complicated. Many patients suffer from a nose bridge due to inflammatory processes in the nose. It has several paranasal sinuses: the frontal, ethmoid labyrinth, wedge-shaped, maxillary (maxillary). The common name for the inflammatory processes of the nasal sinus mucosa is sinusitis. Sinusitis is a type of sinusitis.
Inflammation can affect not only the maxillary sinuses, but also the frontal sinuses. Doctors classify such sinusitis as frontal sinusitis. In this case, the nose and head ache, to these sensations discomfort is added in the eyebrow area. Most of the time, the pain is dull, but when bending or pressing it becomes much worse.
If the mucosa is inflamed in the area of the cells of the ethmoidal labyrinth, then the pressure on the nose can also cause discomfort. This subspecies of sinusitis is called ethmoiditis. The disease does not occur very often, but is difficult to treat and is most often accompanied by sinusitis and frontal sinusitis.
Many believe that rhinitis does not require special attention: Just think, a runny nose, he will pass … But this is a huge mistake. Untreated rhinitis can be the beginning of a more complex disease – antritis. Inflammation of the maxillary sinuses causes not just nasal congestion, but also general weakness, fatigue, and headaches. It is important to know that if the nose is stuffed more than 7 days, then it is necessary to contact an otolaryngologist and clarify where to make an x-ray of the paranasal sinuses. Without X-rays, it is difficult for the doctor to diagnose this disease.
This disease has a second name – ganglionitis. The problem arises due to the defeat of the prylonebic unit. This ganglion, that is, the ganglion, which consists of cells. For the first time, the disease is described by an American specialist and named in his honor Slader syndrome. The pterygranal node is associated with the facial and trigeminal nerves, as well as the aural and ciliary ganglion. Therefore, the process often extends to several nodes. Ganglionitis causes swelling, reduces reflexes. Because of him, the nose bridge, orbit, or upper jaw often hurts. In advanced cases, pain spreads to the temporal region and to the arm. The pain is localized on the one hand.
Causes of pterygopathic ganglionitis (ganglioneuritis)
Ganglionitis, in which pain in the nose is normal, occurs as a result of pathologies of upper respiratory tract, dental problems, chronic intoxication, tumors. Separately, it is necessary to allocate maxillofacial injuries.
Where to go in case of pain in the nose?
As you already understood, the causes of pain in the nose can be many. If the appearance of discomfort was preceded by a cold, then you can immediately contact the otolaryngologist. He will conduct an examination and, based on his results, will prescribe medication therapy, rinsing, drops or sprays in the nose. During the examination, a blood test is taken and x-rays are prescribed. Where to make an x-ray of the paranasal sinuses, check at the place of treatment. In the treatment of sinusitis puncture is considered the best method. But if he refuses this manipulation, the doctor tries to find another solution. Rhinitis, antritis, sinusitis and other types of sinusitis should be treated without delay to prevent the disease from becoming chronic and not cause serious complications.
If the nose bridge hurts as a result of a nasal injury, then it is necessary to contact a trauma surgeon. The best option would be to contact the clinic of maxillofacial surgery. Experts of such centers best understand the fractures of the bones of the nose, because here it is necessary to solve not only cosmetic problems, but also to check the restoration of the diameters of the nasal passages and the condition of the nasal septum. For pain in the nose after injuries, you should consult a doctor no later than 10 days. During this time, swelling subsides, and it will be possible – if necessary – to do the operation.
If there were no injuries, and no pain in the bridge of the nose was preceded by a runny nose or acute respiratory infections, then you should contact a neurologist. It is this specialist who can identify Slader syndrome or Charlene syndrome.
If the nose is sore, doctors can refer the patient for additional dental consultation. As already mentioned, some inflammatory processes associated with the teeth do not cause pain, but affect other systems and organs.
In any case, if the bridge of pain hurts for more than three days, you must seek help. Only a doctor can determine the severity of your condition. Symptoms that you have not paid attention to may indicate the development of a serious pathology.