Scab inside of left nose not healing
Hello All,
I have a scab inside my left nose for the last couple of months that won't heal. It's on the mucous membrane. I reached out to my doctor who later referred me to an ENT, but their treatment is not working, so I'm looking for someone who experienced this before and could perhaps help me out. They think it's just dry nose.
At first I noticed the scab when I was blowing my nose and saw dried blood and felt stinging. When I looked inside my nose with an otoscope, I saw the attached pictures, which I sent to my doctor. He said it's an infection and put me on a 10 day Mupirocin ointment with instruction to keep it moist for a week after that antibiotics course is done. So I applied saline gel every two hours for a week straight, but as you can see from the pictures the scab is back at full force, so I don't think it's related to dryness, but I'm not a doctor.
Here is a description of the pics:
Pic 1: before the Mupirocin treatment started
Pic 2: halfway through the treatment
Pic 3: after the Mupirocin treatment ended
Pic 4: now
Any help would be appreciated.
Thank you.
Interested in more discussions like this? Go to the Ear, Nose & Throat (ENT) Support Group.
Connect

Have you found any answers yet?
Welcome to Connect @alicoleman84
Reading through this thread it appears that this is a common issue that is not easily resolved. I have not experienced this problem myself, but will share my opinion after 40 years as a veterinarian and 12 years with ENT experience battling Head and Neck cancer.
The commonly prescribed antibiotic Mupirocin is used because the doctors are assuming that the bacteria causing a small localized infection may be susceptible to it. Many of us, even when healthy, carry MRSA in our nasal cavities. It doesn't cause a problem until maybe there is a break in the skin or mucous membrane that allows it to penetrate deeper, creating a chronic infection there. This organism can be susceptible to Mupirocin but needs long term use to conquer it.....like weeks to months.
As a side note, I have had good luck with using medical grade Manuka Honey on animals with chronic skin lesions. It is not only antibacterial but it stimulates healing. Medical grade is different from the honey we buy in the store. I get it via Amazon. and Manuka Honey comes from New Zealand. It can be messy to use but I have seen great results in otherwise unhealing cases.
I would recommend that any chronic sore be checked by your physician, as skin cancers can present as a lesion that will not heal. Have you consulted your PCP or an ENT about this issue?
-
Like -
Helpful -
Hug
5 ReactionsI’m here looking for guidance too. The spot on the inside of my right nostril suddenly developed as a sharp stinging sensation in Feb. this year. At the same time, I had a runny nose, ear ache and sore throat. It was a Sunday and I called the telehealth doctor, who said to apply a little antibacterial ointment, warm compresses and allergy med for head congestion. I did and things improved. However, a couple of weeks later the sharp needle like sensation returned. I showed it to the PA at my primary office because I was there for something else , who said it was likely allergies and to do the same thing. Except, I can’t take antihistamines any more due to drying my eyes out, And Flonase causes me blurred vision. I do have seasonal allergies and my nose runs water most of the time. Plus, I have post covid syndrome diagnosed by ENT, prior to the nose pain.
The nostril has never been red or swollen. No bleeding. No real symptoms of the needle sticking in me sensation now, just a little sore. I have continued with OTC antibacterial ointment, which helps, but returns when I stop. It’s quite concerning. I have an appointment with my dermatologist soon, I hate it when something small causes so much worry. I’ll ask her to take a biopsy.
-
Like -
Helpful -
Hug
1 ReactionHello. I recommend a follow up with your ENT regarding the ongoing nose issues & scab/ sensation; etc.
I’ve had 2 uncontrollable bloody noses in the last 6 months! One sent me to the ER where I got a Rapid Rhino shoved up there & taped to my face for 3 days until ENT could remove; & the other I was able to have my ENT cauterize. I live with a rare spinal disease & after reviewing the very few things I can take for it; I realized that the combination of my 1Tbsp of daily liquid Fish Oil AND my 500mg Naproxen was “Thinning my Blood too much!
I mention that because “medications” can often be the culprit to causing/ creating other issues or affecting different parts of the body.
Also, I mention another visit with your ENT because mine has been Amazing with ALL things nasal; including using Aquaphor (2x daily) to heal the cauterized scabs but ONLY for 2 weeks because it can cause LUNG issues! So; I use AYR now for the dryness; which is a safer alternative to keeping things moist & comfortable. I use a Q-tip to apply the ointment and to clean any debris instead of digging with anything else now & potentially scratching the inside!
I hope you find this helpful & get some answers/ relief soon. Best wishes ❤️
-
Like -
Helpful -
Hug
2 ReactionsBless you! I'm sure that is miserable. I wonder if an ENT could do a culture of the place. I know Mupirocin has been mentioned, but, it is a strong topical antibiotic that could be used with a q-tip.
I have long COVID too and am I much more prone to infections....Could all of this be COVID related? I don't know.
Praying for you. I care.
-
Like -
Helpful -
Hug
1 ReactionGood points! I have a standing appointment with the ENT for my taste/smell disorder. So, I’ll mention it then. I was actually planning to move that to a different provider who has a post covid treatment program. We’ll see. I wonder if my nose is so sore due to me wiping it so much. I use soft tissue, but the water drips a lot.
It’s ironic, but my nose issues started soon after I started using Ayr nasal moisturizer! Idk, it’s confusing. I also take 2000 units fish oil daily. No other blood thinners though. I am instructed to take for my dry eyes by ophthalmologist. No bleeding from nose.
It’s been a little better the last couple of days. Yaay.
P.S. I just remembered! I had a place inside my nose years ago (BEFORE COVID) and a Dermatologist removed it and I used Polysporin on it. It healed beautifully.
That may be the route to go.....Dermatologist if the ENT cannot help you. Hugs & Prayers....
-
Like -
Helpful -
Hug
2 ReactionsI am a 42 year old male that was diagnosed with heart failure last July. I have several heart medications that I now have to take for the rest of my life, and have to use an inhaler for my lungs when I have never had asthma or any other kind of breathing issue. About three or four months after I initially got released from the hospital last year, I noticed that on the very inside of my left nostril, on the inside, there was what originally just felt like a hardened booger. It was insanely hard to stop myself from picking at it. It did not inhibit my ability to breathe, and whenever I blew my nose to try and dislodge it, nothing would ever come out onto the kleenex, even though it had felt like I had loosened it off the inside of my nostril enough that even the softest blow should have forced the whole thing out.
I'm insanely stubborn, and so when blowing my nose did nothing to remove it, I used my fingernail to pry it off. It was mildly painful, but this was the first occasion, and I didn't think it was anything more than dried mucus. When I finally got a decent piece to come off, I saw that it was almost all just dried blood and scab, and when I used a tissue to blow again, there was actual blood, and it was obvious that it was only from the area where the scab I had just picked was at. I wasn't experiencing an actual bloody nose or anything. It bled lightly for a few seconds and then because I was satisfied I had actually accomplished something with that scab gone, I got bored, stopped messing with it, and moved on with my day.
It wasn't until about two months after that first experience that I started to realize I was messing with that same nostril a lot, and it was always the same thing. I felt that huge-feeling scab on the very inside edge of the left nostril against the inside. And no matter how many times I removed it and dabbed the resulting bleeding, I could feel another scab in the same spot within 48 hours.
So fast forward to today, over a year later, and I am STILL at war with this stupid nostril scab that refuses to stay gone. I have no major allergy issues.. haven't my entire adult life, and I haven't changed locations to experience different environments outside.. and so what I'm actually concerned about and wondering, is if anyone knows of or has heard anything about heart failure causing this kind of thing? That is the only thing that I can think of, because even though its a major life-changing event, nothing else in my life has been altered from what its been for over a decade with this nose thing never having been an issue.
So can heart failure cause ..nose scabbing?
I have no information about heart failure or those meds, but I did have two things similar to you. In 2022, I had a recurring, non-healing sore on my temple. I saw my dermatologist, who took biopsy and confirmed it was basal cell carcinoma. It’s very treatable if caught early. I had Moh’s surgery and it is gone completely.
Then, a few months ago, I had a recurring sore spot inside one nostril. I showed it to my dermatologist when I was there for something else and she took a swab for the lab. It was a bacterial infection and she prescribed an ointment for me to use for a couple of weeks. It went away and so far, hasn’t returned.
So, it could be anything really. I’d get it checked out though, just to be safe.
I had the same thing in both nostrils. I saw my ENT who told me just to use Vaseline in it.
I did this for quite some time and yes, it felt better, but it didn’t heal it. I read on the Internet that you should not use Vaseline in your nose because it dissolves and can leach into your lungs causing permanent damage. So I stop the Vaseline. I am seeing my GP soon and I am going to ask her what she recommends. Interestingly enough when I saw my ENT he had an assistant or someone who was training and she thought that maybe it should be operated on and removed. But he said just use Vaseline so I’m frustrated because I still have these things in my nose and they are very irritating. I will post after I see my GP and let you know what she says.