Nose cartilage pain, no redness or swelling

Posted by John02445 @john02445, Jul 23, 2017

Hello. About five days ago, in the middle of the afternoon, I suddenly had pain on the lower right side of my nose. if I didn't touch this area, the pain was about a 2 out of 10, but when I would press the outside of my nose at all the pain would increase to around a 6 out of 10. I had no redness or swelling, no nasal drip, and no pain across the bridge of my nose. This pain decreased the next morning and was gone by the end of that night, without any medication.

Today, I woke up with sinus drip, though that is now gone by the evening as I type this. However, beginning a few hours ago, I now have similar pain to what I had five days go. The difference now is that it's only located on the lower left side of my nose. Again, there is no redness, no swelling and no pain around the bridge of my nose. The other difference is that today is more painful than five days ago (5 out of 10 when not touched, around an 8 when touched).

I am in good health otherwise and am not on any medications. I keep trying to search to see what I may have, but everyone I find who describes this type of pain also mentions having swelling and/or redness, which I do not have. My only change in behavior is recently I have started to use a shampoo with tea tree oil in it, which shouldn't trigger this type of response (so far as I can find).

My PCP is on vacation this week and the other doctor in his office is not someone I have had positive experiences with, to put it mildly. Any insights or recaps of similar incidents are appreciated.

Thanks!!

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@john02445

Hi @nicleelee. I have some further info since my post on my experience, and we may have something different as I had new symptoms appear, but hopefully my info helps you out.

Beginning just after my last post (six months ago) the pain went away just after I completed my regimen of Cephalexin. I wasn't sure if that was incidental or coincidental as the pain seemed to always go away after a week anyway. Sure enough, about a week later the pain returned, and during the next two months I'd get it just on the lower left side of my nose every two weeks, and it's last about one week.After this happened a few times I also began to get a small bump inside the lower left side of my nostril, close to the opening of the nose. I'd have the pain and bump for about a week, then it'd go away and appear a week or so later. I made a trip back to the doctor thinking it might possibly be a clogged pore or ingrown hair, but I had no further success as I was giving medication that didn't seem to work.

In the late fall of last year I then started to get a slight redness at the bottom of my nose on the outside each time I'd get the pain and small bump inside my left nostril. I then very amateurishly self-diagnosed myself with nasal vestibular furunculosis. I then did a little home remedy twice a day that I found online, where I'd mix a small amount of hydrogen peroxide with baking soda, which I'd then apply inside my nose with a Q-Tip. After letting this solution dry, I'd then apply a small amount of Neosporin ointment inside my nose. In a few days the problem went away. I never experienced in my head while pressing on the nose, as all discomfort remained local.

I hope you can find a solution for your issues soon!

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@john02445 - Looks like it's been nearly two years since you posted this, however, I am experiencing the exact same symptoms you outline above. Pain is local to the nose (except sometimes my teeth have a tingling sensation), the tip of my nose becomes red, and occasionally I experience a bump. I'm wondering, if you're still on here somewhere, if the issue has dissipated or if you just use the same treatment method each time it happens. Also, I'm curious to find out if it ever evolved into a diagnosis or any sort.

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@mcjames19

@john02445 - Looks like it's been nearly two years since you posted this, however, I am experiencing the exact same symptoms you outline above. Pain is local to the nose (except sometimes my teeth have a tingling sensation), the tip of my nose becomes red, and occasionally I experience a bump. I'm wondering, if you're still on here somewhere, if the issue has dissipated or if you just use the same treatment method each time it happens. Also, I'm curious to find out if it ever evolved into a diagnosis or any sort.

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I haver had a catscan and found out the bridge of my nose is crushed. Have been to ENT, and others including now with pain management. My nose, whole face around to my temples, still have the tension headaches, but no one seems to have an answer. Pain management is helping, so I am working with them to find the best place between the meds making me sleepy and managing the pain.

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I originally posted in the summer of 2017. Visits to the doctor didn't really do anything for me, and I never got a diagnosis.

By early 2018 I had self-diagnosed myself off what I'd read on the web (not ideal!) with nasal vestibular furunculosis. I then followed an online treatment for it I found where I was mixing together hydrogen peroxide with baking soda and applying it to the inside of my nose to clean the area, and then after it dried I put in some Neosporin Triple Antibiotic (it's OTC) and it did the trick, though it took a few days to work. I used this successfully maybe 3 times in a span of six months. I then had no recurrences of this issues for over a year, and then suddenly I had it twice in a span of a few months. I tried my go-to of baking soda/hydrogen peroxide and Neosporin, but it failed.

Shortly before this failure in home remedy, one of my kids had pink eye and was given a topical ointment. After his eyes cleared up, we had a mostly filled leftover tube, and I decided to use it on my nose as I'd read it was sometimes prescribed for nasal vestibular furunculosis. Using a cotton swab, I put a little bit inside my nose twice a day and in one day the issue was resolved. When the issue came back again several months later this same ointment again worked for me in a day. I've had no such recurrences for the past year, so if it ever returns I'm hoping this will work for me again.

The ointment I used was Erythromycin Ophthalmic Ointment, USP 0.5% from Bausch & Lomb. I never had any tooth pain, or headaches, or other symptoms as others on here have described. My pain and all redness was always at the top of my nose. And yes, I know the name has "Ophthalmic" in it, but it worked for me!

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For about 10-15 years I have occasionally experienced strong pain in either of nostrils in low cartilage area. The pain is mostly SUDDEN and strong. The first time it happened it was so strong and sudden that I was sure it was some insect accidently flied right into my nostril, because I was sitting by wide open window.
To keep it short, I have come to conclusion that my problems and many other people are caused by camtrails (poisons deliberately sprayed from airplaines). Here are the facts that lead me to believe so:
1) at almost all occasions pain starts immediately with high intensity.
2) pain is highly localized at one point, always the same point near the entrance in nostril.
3) pain happens after coming from outside.
4) the specialists found "absolutely nothing".
5) pain attacks either nostril.
6) Pain strongly attacks a cartilage, and after several hours the headache usually starts going from that point to the eye, then forhead and further. Sometime when the round of that pain has finished at the back of the head, the other nostril starts at the symmetric point and does the same symmetrical round.
7) I have no known medical problems, no medications. Tested without any allergies.

Simply said - we are getting poisoned probably by camtrails.

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@menio

For about 10-15 years I have occasionally experienced strong pain in either of nostrils in low cartilage area. The pain is mostly SUDDEN and strong. The first time it happened it was so strong and sudden that I was sure it was some insect accidently flied right into my nostril, because I was sitting by wide open window.
To keep it short, I have come to conclusion that my problems and many other people are caused by camtrails (poisons deliberately sprayed from airplaines). Here are the facts that lead me to believe so:
1) at almost all occasions pain starts immediately with high intensity.
2) pain is highly localized at one point, always the same point near the entrance in nostril.
3) pain happens after coming from outside.
4) the specialists found "absolutely nothing".
5) pain attacks either nostril.
6) Pain strongly attacks a cartilage, and after several hours the headache usually starts going from that point to the eye, then forhead and further. Sometime when the round of that pain has finished at the back of the head, the other nostril starts at the symmetric point and does the same symmetrical round.
7) I have no known medical problems, no medications. Tested without any allergies.

Simply said - we are getting poisoned probably by camtrails.

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@menio- I would suggest looking into the way migraine type headaches start. You are explaining the exact pattern of the Trigeminal nerve.The nasal cavity is richly intervated with blood vessels/nerves. The most important/powerful nerve in the body runs right through the nose. The trigeminal nerve. “Tri” meaning 3, runs through the forhead/eye, nasal cavity, cheek and chin. Most people exhaust their efforts focusing on the nose and make visits to the ENT, to get misdiagnosed or told they don’t see anything. The trigeminal nerve is easily triggered by stress, altitude, barometric pressure/temperature changes,scents, lights, and sounds. The trigeminal nerve which is very distal from the nose, is the nerve responsible for triggering a sneeze. It is the nerve responsible for making your nose run and congest when needed. Some people with migraine headaches only feel it in their nose.
Rather than focus on the nose area, I would speak to a headache specialist. And ask them about the trigeminal nerve. If you carry stress/tension in your jaw, this nerve is already impacted. The temperature change from inside to out, is enough to trigger this nerve, if you are more sensitive.
Hope this helps.

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@nrd1

@menio- I would suggest looking into the way migraine type headaches start. You are explaining the exact pattern of the Trigeminal nerve.The nasal cavity is richly intervated with blood vessels/nerves. The most important/powerful nerve in the body runs right through the nose. The trigeminal nerve. “Tri” meaning 3, runs through the forhead/eye, nasal cavity, cheek and chin. Most people exhaust their efforts focusing on the nose and make visits to the ENT, to get misdiagnosed or told they don’t see anything. The trigeminal nerve is easily triggered by stress, altitude, barometric pressure/temperature changes,scents, lights, and sounds. The trigeminal nerve which is very distal from the nose, is the nerve responsible for triggering a sneeze. It is the nerve responsible for making your nose run and congest when needed. Some people with migraine headaches only feel it in their nose.
Rather than focus on the nose area, I would speak to a headache specialist. And ask them about the trigeminal nerve. If you carry stress/tension in your jaw, this nerve is already impacted. The temperature change from inside to out, is enough to trigger this nerve, if you are more sensitive.
Hope this helps.

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Dear nrd1, thank you so much for mail. I cannot express my gratitude enough for such a thorough and kindly information.
You are right completely, also about migraine that I inherited from my mother. Even the jaw stress is there.
Also the factors you carefully enumerated are ALL present in my surroundings and acting to myself.
There is also high pollution in air, these years it has been the highest in the world as reported. People here having extreme problems breathing, sometimes we slept with masks on our face (without covid) and so on.
Thanks again for your letter, it really helps. All the best to yourself and your family.

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@menio

Dear nrd1, thank you so much for mail. I cannot express my gratitude enough for such a thorough and kindly information.
You are right completely, also about migraine that I inherited from my mother. Even the jaw stress is there.
Also the factors you carefully enumerated are ALL present in my surroundings and acting to myself.
There is also high pollution in air, these years it has been the highest in the world as reported. People here having extreme problems breathing, sometimes we slept with masks on our face (without covid) and so on.
Thanks again for your letter, it really helps. All the best to yourself and your family.

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@menio Welcome to Mayo Clinic Connect. May I ask if you have every been seen by a provider for migraines?

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@johnhudson922

Hi guys, I think i'm in something of a similar situation here.

In June 2019 I began feeling pain in my nose what I assumed was Sinus pain. I didn't do much until a month later in July when I went to an urgent care and they said "yeah probably sinus infection" and I got what I think was a round of antibiotics and probably a steroid. That didn't end up doing anything, and the pain got steadily worse. I did basically the same thing a month later with a different urgent care, and in Sept i finally went to an ENT. They looked at it and said "doesn't look like much, take a Zyrtec, flush with this saline solution, use some sprays, etc". I did that for a few weeks with no results. I also got a Vicks steam making thing and religiously steamed my sinuses. While that was better than nothing, it had no lasting impact, leading me to believe that it wasn't related to dryness.

After another visit with that ENT, I visited the Ohio Sinus Institute in Dublin, OH. They seemed to be a reputable place to go for what I was experiencing. The Dr. Boris Karanfilov immediately did a CT scan and walked me through it showing me that i didn't have any congested passages, etc. Nothing visible that he noticed. He then ordered an MRI which I did and that also didn't show anything.

I also went to an allergist who ruled out any obvious allergies that could be causing my pain. My PCP suggested I ask for a scope, but the Sinus doc said there would be no point as he has already seen enough from the CT scan and MRI (So I haven't had a scope yet). The Sinus doc suggested going to a Neurologist, but I haven't at this point yet either.

My primary symptoms are pain on what feels like more of the outside of the bridge of my nose than anything. I have no real congestion, no drip, no redness or swelling, just pain that feels like almost a sunburn at times, sometimes tingly, and if anything i'd say its coming from the cartilege itself, not my "sinuses" internally. It is not 100% constant, and I even had a few weeks in January where I thought it might have gone away. My wife thinks that it is sort of created by my brain - Mind Body syndrome, Dr. Cerner, that kind of thing. Maybe stress related, etc?

Here's a few other things I am suspicious of that i'd like to get ruled out:

nasal Sarcoidosis
Relapsing Polychondritis
Multiple sclerosis
Nasal furunculosis
nasl staph infection.

I'd love to hear anyone elses thoughts about what I might have and what I should ask my doctors to look at. I'm not above going to the Mayo clinic, but as I'm in Ohio, Cleveland Clinic might happen first 😉

Thanks!

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Hi John!

I’m having the EXACT same problem as you describe. I’ve been to 2 ENT’s, have had CT scan, my husband is a physician. My issue started several week after getting hit in the bottom part of my nose with an oar. It’s now become a recurrent problem, perhaps relapsing polychondritis. I’m in so much discomfort. If you e figured something out please let me know! Thank you so much!!

-Lisa

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@lmkarlov

Hi John!

I’m having the EXACT same problem as you describe. I’ve been to 2 ENT’s, have had CT scan, my husband is a physician. My issue started several week after getting hit in the bottom part of my nose with an oar. It’s now become a recurrent problem, perhaps relapsing polychondritis. I’m in so much discomfort. If you e figured something out please let me know! Thank you so much!!

-Lisa

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@lmkarlov-Hi. If you’ve been to ENTs and had CT scans etc. which show nothing, it is most likely nerves. The trigeminal nerve which is the most power nerve in the body, supplies the sensation to the nose. All of the mechanics such as sneeze response, runny nose and temperature sensation just to name a few. If these nerves were disrupted, they can cause odd sensation upon movement and temperature change.
Nerves will never show on any type of testing. Nerves can really only be described. Perhaps your nerves are just regenerating in that area. Doctors are really not helpful when it comes to nerve/pain explanations.

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@nrd1

@lmkarlov-Hi. If you’ve been to ENTs and had CT scans etc. which show nothing, it is most likely nerves. The trigeminal nerve which is the most power nerve in the body, supplies the sensation to the nose. All of the mechanics such as sneeze response, runny nose and temperature sensation just to name a few. If these nerves were disrupted, they can cause odd sensation upon movement and temperature change.
Nerves will never show on any type of testing. Nerves can really only be described. Perhaps your nerves are just regenerating in that area. Doctors are really not helpful when it comes to nerve/pain explanations.

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I have recurrent swelling especially on one side of my nose (the cartilage on the lower part of the nose). It’s not just the nerves. The area also appears blanched which means that there’s definitely a physical component to my issue. I suspect it’s polychondiritis

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