Nose comes in one of the sensory organ of our body which is made up of framework of bones and cartilages, which is lined with the skin from the outside and with the mucosa within inside of the nose. Inside the nose present the small area which is highly specialized with olfactory mucosa which is responsible for the receptive to the scents and odors and is communicates with olfactory nerve. There is a largest cartilage present inside the nose which make up the nose is called as septal cartilage which divides the nasal cavity in two parts- anterior part which is also called as nasal vestibule and posterior part also called as choanae. We all are well aware with the function of the nose that it is the defence part for the respiratory tract infection, passage for the air, it warms and humidifies the inspired air, and for the olfaction. This is the normal physiology of the nose but whenever there is any alteration in the normal physiology, the function of the nose is disturbed. This can be present in case of nasal vestibulitis which is caused by staphylococcus bacteria. This diseases when appears presents with white spots inside the nose along with redness, swollen and tenderness. On examination done by doctor there is a clear picture of white spot inside the nose can be seen.
Spots Inside Nose:-
When a patient comes with white spots inside the nose than one of the cause can be small pimples which have a white punctum on its top. This is mostly the painful condition. For this the patient must consult to the doctor to know how to get rid of this pain and white spot inside the nose. This article will help you to know what can be the possible reason for the spots inside the nose with the treatment.
► Nasal Vestibulitis:-
Nasal vestibulitis is a bacterial infection which is caused due the bacteria staphylococcus. It is also called as folliculitis. This infection mostly occurs in the nasal vestibule, which is mostly caused due to excessive nose blow or pricking of the nose from inside.
Nasal vestibulitis is a medical terminology but in simple language is called as pimple inside the nose.
Causes of Nasal Vestibulitis:-
Nasal vestibulitis infection is mostly caused due to staphylococcus bacteria. This infection can be due to any type of minute injury to your nose which causes staphylococcus bacteria to proliferate in it and produces the suppuration condition. This minute injury can be due to-
- Plucking of hairs in your nasal cavity
- Blowing of the nose in an intense manner
- Constant pricking of nose from inside
- In case of nose piercing.
- Oily skin
- Any traumatic injury (minute)
These are The Common Causes. There are even Some Disease Related Causes are Present
- In case of herpes zoster
- Allergic rhinitis
- Upper respiratory tract infection
- Drug induced
- Diabetic patients
- In case of cancer (rare)
These medical conditions have the higher risk of having nasal vestibulitis.
Signs and Symptoms of Nasal Vestibulitis
There are only few signs and symptoms are present in nasal vestibulitis. All the signs and symptoms depend upon the severity and the duration of the infection present.
- Vision difficult or there may be double vision.
- Dizziness is present
- Redness of the affected part.
- Swelling of the affected part.
- Pain and tenderness inside the nose
- Crust layer inside the nose
- Painful boil inside the nose
These are signs and symptoms present in nasal vestibulitis. If these symptoms are in aggravated form than one should not wait to consult the doctor as soon as possible.
How to Diagnose Nasal Vestibulitis
Diagnosis is mostly done by physical examination to get the picture of white spots inside the nose. To rule out other associated diseases various test can be advised or CT scan or MRI can also be advised if the infection is spread to other part of the body or to the sinuses. The test may include the blood test and the fluid aspiration from the infected part to know the causative agent so that the treatment of the cause can start accordingly. With this your doctor after examination of the white spot inside the nose may ask you the various questions like-
- Duration of the starting of these white spots inside the nose.
- Area of the nose which is first affected.
- What signs and symptoms observed first?
- Any abnormal discharge if present.
If the patients observe any of the abnormal discharge like yellowish discharge or bloody discharge, than before wasting any time he/she should consult the doctor before it goes too late.
Treatment of The Nasal Vestibulitis
When coming upon the treatment most of the people in the starting tries some home remedies to get rid of the pain and swelling present due white spots inside the nose. Home remedies in some cases when the infection is in starting works good but this will not make bacteria killed. To kill the bacteria so that this infection does not reoccur one has to start with antibiotics. These antibiotics which are given are depending upon the severity of the infection. These antibiotics include bacitracin or mupirocin, commonly advised. This bacitracin come in cream form which can be apply over the nasal vestibule area for at least two weeks. If the infection is more than with antibiotic cream your doctor may advise you to have oral dose. In severe cases hospitalization may require if condition goes worse.
Complications are mostly found in cases which are not treated properly or those who had not taken any medications which result in spreading of the disease. Possible area where disease can easily spread is brain as the veins from nose can directly communicates with brain.
Following are the complications-
- Carvernous sinus thrombosis
► Nasal Furunculosis:-
It is the acute localized infection which is caused by the bacteria staphylococcus at the hair follicle of the skin. The symptoms may involve:
- Redness of the nose from inside and outside
- Swelling of the nose
- White spots like pimple inside the nose
- Small bump seen at the hair follicle
- Crust present inside the nose
- Pain and tenderness.
Treatment involve is mostly conservative which include hot fomentation. For pain analgesics are given and antibiotics are also prescribed.
► Ingrown Hair Cyst:-
This occurs when the hairs which are present inside the nose are pulled out. This leads to the formation of cyst at the place of hair follicle inside the nose. This cyst is fluid filled cavity. But when it is infected with bacteria this cyst may produce a discomfort zone for the person with pain for which the treatment is required. If it is untreated this condition may get worse. This cyst on examination gives the picture of white spots inside the nose. Treatment is mostly conservative and antibiotics.
Whenever you see the white spots inside the nose with pain and if this pain is very severe that you cannot tolerate it than you should to go your doctor for the medicine. Because ignorance of the problem will always lead to the complications in future. For the doctor they must examine the nose to get the correct picture of white spots inside the nose so than they can tell you what exactly it is and to start with the treatment.
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