There is a lump inside the nose and it hurts when pressed

The nose is a very sensitive part of the body and a very important organ. It is easy to detect abnormalities in the nose. Some people find that there is a foreign body sensation in the nasal cavity, and it hurts when pressed. If a lump grows inside the nose and it hurts when pressed, it is very likely that you have a nasal carbuncle, which is an acute purulent infection that is prone to recurring and needs to be treated as soon as possible. So, what should I do if a lump grows inside my nose and it hurts when pressed? How to treat it?

General treatment:

1. Be careful to avoid spicy, greasy, and irritating foods, eat more vegetables and fruits, and keep your bowel movements smooth.

2. Get rid of the bad habit of picking your nose, actively treat various nasal diseases, and keep your nose clean.

3. If boils are found on the nose, upper lip, or cheek, do not squeeze, prick, or use moxibustion, or perform early incision and drainage to prevent the spread of pus. 4. For patients with recurrent symptoms, attention should be paid to finding the cause, such as diabetes, nephritis, etc., and providing treatment.

Topical treatment:

1. If the nasal carbuncle has not formed pus, antibiotic ointment can be applied.

2. If nasal carbuncle has formed pus plug but has not ruptured, 50% silver nitrate can be used to burn it to promote rupture and pus discharge.

3. Be careful not to make incisions or drainage at this site, and do not squeeze out pus.

Systemic treatment:

1. Patients with systemic symptoms should be treated with antibiotics or sulfonamides.

2. If cavernous sinus thrombosis occurs, active treatment with large doses of antibiotics is necessary.

3. Treatment with traditional Chinese medicine.

Other treatments:

1. In the early stage of nasal carbuncle, if pus head has not formed, hot compress, physical therapy and laser irradiation treatment can be given.

2. Acupuncture treatment.

Diagnostic tests

1. Medical history

Pay attention to whether there are any triggers such as nose picking, nose hair pulling, fever, local pain, headache and recurrent attacks.

2. Inspection

(1) Whether there is redness, swelling, or tenderness in the nose, whether it is single or multiple, whether there is pus plug, and whether it has ruptured;

(2) Pay attention to the extent of swelling, whether there is facial swelling, or conjunctival edema.

3. Inspection

Count and classify white blood cells; check blood sugar in patients with recurrent episodes.

Treatment options

1. For those without abscess formation, antibiotic ointment, hot compress, physical therapy or helium-neon laser irradiation can be used for treatment.

2. If a pus plug has formed but has not ruptured, 50% silver nitrate can be used to burn it to promote rupture and pus discharge. No incision or drainage is required, and squeezing out pus is prohibited.

3. Patients with systemic symptoms should be given sulfonamides or antibiotics.

4. Patients with recurrent episodes should treat the cause.

【Treatment method】 Clear away heat, detoxify, eliminate carbuncle and relieve swelling.

【Prescription】

1. Main prescription: Wuwei Xiaodu Yin (from Wu Qian's "Yi Zong Jin Jian") with additions and subtractions

Prescription: 15 grams of honeysuckle, 15 grams of wild chrysanthemum, 15 grams of dandelion, 15 grams of Viola yedoensis, 15 grams of red peony root, 15 grams of Prunella vulgaris, and 10 grams of peach kernel. Decoction in water.

If the patient has chills and fever, add 10 grams of Schizonepeta and 10 grams of Saposhnikovia. If the pain is severe, add 10 grams of angelica root and 10 grams of peony bark. For those with fever and thirst, add 12 grams of bamboo leaves and 15-30 grams of gypsum. For constipation, add 10 grams of rhubarb (to be taken later).

2. Chinese patent medicine

(1) Niuhuang Jiedu Pills (Tablets), oral, pills (each pill weighs 3 grams), 1 pill each time, 2 to 4 tablets each time, 2 to 3 times a day.

(2) Yinhuang tablets, taken orally, 2-4 tablets each time, 3-4 times a day.

The evil toxins are raging and have invaded the blood and blood. [Symptoms] The head of the sore is dark purple, sunken on the top without pus, and scattered at the base. The nose is swollen like a bottle, the eyes are shut, the head hurts as if splitting, and there are also high fever, irritability, nausea, coma, delirium, convulsions, fainting, thirst, and constipation. The tongue is red, the tongue coating is thick, yellow and dry, and the pulse is strong and rapid.

【Treatment method】Relieve heat and detoxify, clear the blood and cool the body.

【Prescription】

1. Main prescription: Huanglian Jiedu Decoction (Wang Tao's "Wai Tai Mi Yao") combined with Xijiao Dihuang Decoction (Sun Simiao's "Bei Ji Qian Jin Yao Fang") with additions and subtractions

Prescription: 15 grams of Coptis chinensis, 15 grams of Phellodendron chinense, 15 grams of Gardenia jasminoides, 15 grams of Red Peony Root, 15 grams of Paeonia suffruticosa, 60 grams of buffalo horn (pre-boiled), and 30 grams of Rehmannia glutinosa. Decoction in water.

2. Chinese patent medicine Liushen Pills, taken orally, 10 pills each time, 3 times a day. For patients with coma and delirium, take Angong Niuhuang Pills or Zixuedan.

3. Single prescription

(1) Baixiao Pills for Carbuncle and Furuncle (Selected Clinical Experiences of Zhang Zanchen)

Prescription: 30 grams of rhubarb, 30 grams of realgar, and 9 grams of croton pulp (oil omitted). Mash all together into a paste, add appropriate amount of buckwheat flour and aged vinegar, and make into pills as big as mung beans. Take 10 pills each time with warm water.

(2) Qinlian Xiaodu Yin (from Famous Doctors’ Prescriptions by Gu Bohua)

Prescription: 10 grams of Scutellaria baicalensis, 6 grams of Coptis chinensis, 10 grams of raw Gardenia jasminoides, 9 grams of processed Coptis chinensis, 10 grams of wild chrysanthemum, 10 grams of Scutellaria barbata, 12 grams of honeysuckle, 9 grams of red peony root, 15 grams of Forsythia suspensa, 15 grams of Viola yedoensis, and 6 grams of raw licorice. Decoction in water.

If pus is formed, add Xanthium sibiricum, Platycodon grandiflorum, and Gleditsia sinensis to drain the pus and expel the poison. For those with evil heat damaging the yin, remove the bitter and cold scutellaria and coptis, and add adenophora, Ophiopogon japonicus, and Phragmites australis to clear away heat with their sweet and cold properties. For those with blurred consciousness, add 1 capsule of Shenxidan and take it with water, 4.5 grams of Zixuesan and swallow it in 3 times, or 2 capsules of Angong Niuhuang Pills and take them in 2 times. For those with severe heat toxicity, add 15 grams of Rhinoceros Horn and 60 grams of fresh Rehmannia glutinosa to cool the blood and detoxify. For those who cough up blood in sputum, add elephant fritillaria, radix trichosanthis, lotus node charcoal, and fresh imperata root. For those with high fever and convulsions, add antelope horn powder, Uncaria rhynchophylla, and dragon tooth.