Trauma to the nose

Very low urgency
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Injury to the nose as a result of the action of an external force or energy.

The causes may be a fall, violence, accident or blow.

The symptoms are pain, inflammation, bleeding, difficulty breathing.

In order to diagnose it, the specialist will perform a physical examination and, if considered appropriate, will request an X-ray.

Treatment is based on the usual analgesics for pain and local cold to reduce inflammation. If there is bleeding, it is recommended to sit down, lean forward, breathe through the mouth and cover the nostrils with your fingers until the bleeding stops. If it does not stop, you should see a doctor for tamponade or vessel closure. If you are taking anticoagulants or the bleeding is abundant, go immediately to the emergency department.

Bibliographic references
  1. MedlinePlus. Rockville. 2017. Fractura de nariz; [citado el 21 de junio de 2017]. Disponible en: https://medlineplus.gov/spanish/ency/article/000061.htm
  2. J. Calderón. Valoración del daño corporal en el trauma nasal. Med Leg Costa Rica. 2016; 33(1): 1-10.
  3. J. M. Iniesta, J.J. Martínez, M. Martínez. Actuación en urgencias otorrinolaringológicas. Alcalá Grupo Editorial. Segunda edición. (1): 1-414
  4. UpToDate [Internet]. Waltham. 2017. Etiologies of nasal symptoms: An overview; [citado el 21 de junio de 2017]. Disponible en: http://www.uptodate.com/contents/etiologies-of-nasal-symptoms-an-overview?source=search_result&search=traumatismo+nasal&selectedTitle=4~36
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Symptoms

    Bruising around the injury


    Pain in the nose


    Nosebleed


    Nose wound/cut


    Bleeding

Symptoms to watch out for

The bruise does not disappear and/or worsens after 1 week
Pain that does not subside with analgesics.
Continuous bleeding for 20 minutes or more
Reduction in the level of consciousness
History of anticoagulant consumption

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Apply local cold to the injured area 3 times a day to reduce inflammation.
Apply pressure to stop bleeding.