Nasal Bridge Pain and Redness: When to See an ENT Specialist - Otolaryngology

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If you are experiencing pain in the nasal bridge accompanied by slight redness, it may indicate inflammation or irritation in that area. Possible causes could include sinusitis, allergic reactions, or trauma. It is advisable to consult a healthcare professional for a proper diagnosis and treatment?


Hello, I have nasal allergies and sometimes experience nasal congestion.
Recently, I haven't had a runny nose often, but my nasal discharge is clear.
When I press on the bridge of my nose, it suddenly hurts and appears a bit red.
I'm not sure if I should see an ENT specialist, as I don't recall any trauma.

Lu Lu, 20~29 year old female. Ask Date: 2021/02/26

Dr. Ji Zhaoyun reply Otolaryngology


Hello, if there is sudden pain when pressing on the nasal bridge, and it appears a bit red, it could be caused by infection, trauma, or an implant, among other reasons.
If the symptoms persist, it is advisable to consult an otolaryngologist.

Reply Date: 2021/02/26

More Info


Nasal bridge pain and redness can be concerning symptoms, especially for someone with a history of nasal allergies. Given your description of experiencing pain upon pressing the nasal bridge and the presence of redness, it is advisable to consult an Ear, Nose, and Throat (ENT) specialist for a thorough evaluation.
There are several potential causes for your symptoms. One possibility is that you may be experiencing sinusitis, which is an inflammation of the sinuses that can occur due to allergies, infections, or other irritants. Sinusitis can lead to pain in the nasal area, including the bridge of the nose, and may also cause nasal congestion or pressure. In your case, the redness and pain upon pressure could indicate inflammation in the nasal tissues or sinuses.

Another consideration is the possibility of nasal polyps or other structural issues within the nasal cavity. Nasal polyps are non-cancerous growths that can develop in the lining of the nasal passages or sinuses, often as a result of chronic inflammation due to allergies or asthma. They can cause symptoms such as nasal obstruction, reduced sense of smell, and facial pain or pressure, particularly around the forehead and nasal bridge.

Additionally, if you have a history of allergic rhinitis, your nasal passages may be more sensitive and reactive to environmental triggers, leading to inflammation and discomfort. Allergic reactions can cause the nasal mucosa to swell, which might contribute to the pain and redness you are experiencing.

It is also important to rule out any potential trauma or injury, even if you do not recall any specific incident. Sometimes, minor injuries can lead to localized pain and inflammation without significant bruising or swelling.

When you visit an ENT specialist, they will likely perform a physical examination, which may include a nasal endoscopy to visualize the nasal passages and sinuses more clearly. They may also inquire about your medical history, including any allergies, previous sinus infections, or other relevant conditions. Depending on their findings, they may recommend imaging studies, such as a CT scan, to assess the sinuses further.

In terms of treatment, it will depend on the underlying cause of your symptoms. If allergies are a significant factor, your doctor may suggest antihistamines, nasal corticosteroids, or other allergy management strategies. If sinusitis is diagnosed, they may prescribe decongestants or antibiotics if a bacterial infection is suspected. For structural issues like nasal polyps, surgical options may be considered if conservative treatments are ineffective.

In summary, given your symptoms of nasal bridge pain and redness, it is prudent to seek an evaluation from an ENT specialist. They can provide a comprehensive assessment and appropriate management to address your concerns and improve your quality of life. Early intervention can often prevent more serious complications and help alleviate discomfort.

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