The bridge of the nose hurts: possible causes, diagnosis and treatment

It happens like this: a person is absolutely sure that he is completely healthy, but suddenly begins to experience strange sensations in the nose. Such a symptom can speak about several diseases at once. Therefore, if the bridge of the nose hurts, it is important to understand the reason why this happens. First and foremost, it is worthwhile to consult a therapist who will evaluate the accompanying symptoms and send a consultation to a specialist.

What is the bridge of the nose?

Those who do not quite understand what is at issue, a little explain. The nose is called the upper edge of the nose, which directly adjoins the forehead. There is even a medical term defining this site. In Latin it sounds like nasion. And if you ask the doctor what a nose is, then he will answer that this is the site of the intersection of the nosolobnogo suture with the median sagittal plane (ie, the one that conditionally divides the human body into equal parts).

Possible causes of pain. Injuries of nose bridge

Pain in the bridge of the nose can occur for various reasons. Often the basis for pain is a trauma that can be caused by a fight, an accidental blow, a fall. Children often get hurt during games. Trauma to the nose is:

1. Contusions localized within soft tissue. Superficial abrasions.
2. Damage to cartilaginous tissue. Most often, the nasal septum divides the nose into the right and left nasal passages.
3. Fractures of different complexity.

If after a stroke or fall a person feels that he has a nose bridge, then he should immediately see an ENT doctor or surgeon.

Neuralgia

In many cases, pain in the bridge of the nose is a symptom of neuralgia. It is, for example, the syndrome described by the Chilean doctor Charlin in the early twentieth century. More detailed name for Charlene's syndrome is the neuralgia of the nasolacaryngeal nerve. With this syndrome, the nose and the forehead hurts. Sometimes the pain extends to the eye area. In this case, there may be problems with feeding the cornea, and you will need treatment not only to the neurologist, but also to the ophthalmologist.

Neuralgia is accompanied by intense pain. There are pressing and burgeoning sensations. Most often, pain attacks begin at night. Patients are poorly falling asleep and not sleeping well. Disease of the nosoreshnichnogo nerve has "horn" points. If the patient has a slightly sore nose, pressing the "horn" point pain will become more intense.

Neuralgia can occur without additional symptoms. But in neglected cases, during an attack, nasal discharge, pulsation in the forehead, swelling of the mucous membranes in the nose, redness of the eyeballs and lachrymation begin. Pulsation in the frontal zone can be felt and in moments of calm pain. Often it does not depend on seizures.

Causes of neuralgia neuralgia

The most common cause of neuralgia, from which the bridge of the nose hurts when pressed, is complications of acute respiratory disease. And by the time of the emergence of characteristic pain in the nose bridge, there are no symptoms of a cold.

The next reason is dental problems. The innervation of tissues in the area of inflammation can relate the dental problem to the branch of the nosoremic nerve. Toothache a person can not experience, but because of the inflammation of the dental nerve begins neuralgia, and as a result, the bridge of the nose and nose hurts.

Also, a frequent cause of neuralgia associated with the nosoresnichnym nerve, are ENT diseases. Problems can be of varying degrees of complexity. But we will discuss this in more detail in the next section.

ENT diseases: runny nose

Often patients complain that the bridge of the nose hurts. Patients lose appetite, experience severe discomfort. Runny nose prevents normal breathing. Oxygen saturation worsens, which can disrupt the work of the heart and the vascular system. Due to the inhalation of air through the mouth, other respiratory organs may be affected. Runny nose can cause fluctuations in intracranial and intraocular pressure. So you can not ignore the pain in the bridge of the nose during rhinitis and the rhinitis itself.

Sinusitis and its types

Anatomy of the nose is quite complicated. Many patients suffer from nose bridge due to inflammatory processes in the nasal parts. It has several accessory sinuses: frontal, latticed labyrinth, wedge-shaped, maxillary (maxillary). The general name of the inflammatory processes of the nasal mucosa is sinusitis. Sinusitis is one of the types of sinusitis.

Inflammation can affect not only the maxillary sinuses, but also the frontal. Such a sinusitis is classified as a frontitis. In this case, the bridge of nose and nose hurts, these feelings are added to the discomfort in the interbrother zone. Most of the time, the pain is blunt, but when it is tilted or pressed, it becomes sharper.

If the mucosa is inflamed in the area of cells of the latticed labyrinth, when pressing on the bridge of the nose can also develop unpleasant sensations. This subspecies of sinusitis is called etmoiditis. The disease does not occur very often, but it is difficult to treat and most often accompanied by sinusitis and the frontitis.

Sinusitis

Many people think that rhinitis does not require special attention: "You will think, the runny nose will pass by itself ..." But this is a huge mistake. An untreated rhinitis can be the beginning of a more complex disease - sinusitis. Inflammation of the maxillary sinuses causes not only congestion of the nose, but also general weakness, fatigue, headaches. It is important to know that if the nose is laid more than 7 days, it is necessary to consult an otolaryngologist and specify where to make an x-ray of the paranasal sinuses. Without an X-ray, it is difficult for a doctor to diagnose this disease.

Gangloneusritis

This disease has a second name - ganglionitis. The problem arises from the defeat of the pterygoid node. This is the ganglion, that is, the nerve node, which consists of cells. For the first time the disease is described by an American specialist and named in his honor by the syndrome of Slader. The pterygoid node is associated with the facial and trigeminal nerves, as well as with the ear and ciliary ganglia. Therefore, the process often extends to several nodes. Ganglionitis causes puffiness, reduces reflexes. Because of him, often bruises the bridge of the nose, orbit or upper jaw. In advanced cases, the pain extends to the temporal region and to the hand. The pain is localized on one side.

Causes of Pterygoid Ganglionitis (Ganglionvrita)

Ganglionitis, in which pain in the bridge of the nose - a normal phenomenon, occurs as a result of pathologies of ENT organs, dental problems, chronic intoxications, tumors. Separately it is necessary to distinguish maxillofacial trauma.

Where to go in case of pain in the bridge of the nose?

As you have already understood, there can be many causes of pain in the bridge of the nose. If the appearance of discomfort was preceded by a runny nose, then you can immediately contact an otolaryngologist. He will conduct the examination and, according to his results, prescribe medication, washing, drops or sprays in the nose. During the examination, a blood test is taken and an X-ray is prescribed. Where to make an x-ray of the paranasal sinuses, specify at the place of treatment. In the treatment of maxillary sinusitis the optimal method is puncture. But in refusing this manipulation, the doctor tries to find another solution. Rhinitis, sinusitis, frontal sinusitis and other types of sinusitis should be treated without delay, to prevent the transition of diseases in a chronic form and not cause serious complications.

If the bridge of the nose hurts as a result of a trauma to the nose, then it is necessary to contact the surgeon-traumatologist. The best option is to go to the clinic for maxillofacial surgery. Specialists of such centers are best versed in fractures of the bones of the nose, as here it is necessary to solve not only cosmetic problems, but also to control the restoration of the nasal passage diameters and the condition of the nasal septum. With pain in the nose bridge after injuries, you need to consult a doctor no later than 10 days later. During this time, the edema subsides, and it will be possible, if necessary, to perform the operation.

If there were no injuries, and the pain in the bridge of nose was not preceded by a runny nose or ARI, then it is worth turning to a neurologist. It is this specialist who can identify the syndrome of the Slader or Charlene's syndrome.

If the bridge of the nose hurts, doctors can refer the patient to an additional dental consultation. As already mentioned, some inflammatory processes associated with teeth do not cause pain, but affect other systems and organs.

In any case, if the bridge of the nose hurts more than three days, it is necessary to seek help. Only a doctor can determine the severity of your condition. Symptoms that you did not pay attention to can signal the development of a serious pathology.