Nasal trauma

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 can be a fall, violence, accident or blow.

The symptoms are pain, swelling, bleeding and difficulty breathing.

To be able to diagnose it, the specialist will perform a physical examination and, if necessary, request an X-ray.

The treatment is based on regular analgesics for pain and local cold to lower the inflammation. If there is bleeding, it is recommended to sit, lean forward, breathe through the mouth and pinch the nostrils with the fingers until the bleeding stops. If the bleeding does not yield, you should see your doctor to pack your nostrils or close your blood vessels. If you are taking anti-coagulants or there is heavy bleeding, go to the A&E immediately.

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 doesn't disappear and/or worsens after a week
Pain that doesn't subside with analgesics
Continuous bleeding for 20 minutes or more
Reduction in the level of consciousness
History of anticoagulant use

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
Apply local cold in the area of the lesion 3 times a day to reduce inflammation.
Press to stop the bleeding.