Nose injuries often occur during play, sports, accidents, fights, and falls. Pain, swelling, and bruising are common, even with minor injuries. Home treatment can usually help relieve your symptoms.
It may be hard to tell if your nose is broken. Swelling can make your nose look crooked even if it is not broken. When the swelling goes down after a few days, it is easier to tell if your nose is really crooked. Most doctors prefer to check an injured nose soon after the swelling has gone down. Sometimes, testing may be needed, such as an X-ray or computed tomography (CT) scan of the head, if other facial injuries or fractures are suspected. See a picture of a broken nose.
Whether or not your nose is broken, a nose injury is more serious when:
Most broken noses heal without problems. When problems develop, they can include:
Treatment of a simple fracture, when the bone is still in place, usually includes pain medicine and nasal decongestants. You may or may not need a nasal splint.
If your nose is broken and out of place, it may need to be set. Most doctors like to wait for any swelling to go down before setting a broken nose. Most swelling goes down after 2 or 3 days but may take as long as 7 to 14 days. After the nose is set, nasal packing may be inserted and a splint may be applied. You may be given antibiotics to help prevent infection if packing is used. Your doctor may want to recheck your nose and remove the packing in 2 to 3 days.
When you have a nose injury, it is important to look for other injuries to the head, face, and neck, such as a broken cheekbone, an eye injury, an injury to the mouth or teeth, or a cervical spine injury. If you think there are other injuries, use the topics in the Related Information section to evaluate these injuries.
Check your symptoms to decide if and when you should see a doctor.
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
Pain in adults and older children
Pain in children under 3 years
It can be hard to tell how much pain a baby or toddler is in.
To stop a nosebleed:
Symptoms of infection in the nose may include:
Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in adults are:
A nosebleed is severe if:
A nosebleed is moderate if:
A nosebleed is mild if:
You may need a tetanus shot depending on how dirty the wound is and how long it has been since your last shot.
Symptoms of a skull fracture may include:
Symptoms of difficulty breathing can range from mild to severe. For example:
Severe trouble breathing means:
Moderate trouble breathing means:
Mild trouble breathing means:
Severe trouble breathing means:
Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.
Symptoms of shock (most of which will be present) include:
Shock is a life-threatening condition that may occur quickly after a sudden illness or injury.
Symptoms of shock in a child may include:
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
Based on your answers, you need emergency care.
or other emergency services now.
Based on your answers, the problem may not improve without medical care.
First aid measures are important after a nose injury.
Talk to your child's doctor before switching back and forth between doses of acetaminophen and ibuprofen. When you switch between two medicines, there is a chance your child will get too much medicine.
Call your doctor if any of the following occur during home treatment:
While not all nose injuries can be prevented, you can take steps to help reduce your risk of a nose injury.
You can take steps to help reduce your young child's risk of a nose injury.
To prepare for your appointment, see the topic Making the Most of Your Appointment.
You can help your doctor diagnose and treat your condition by being prepared to answer the following questions:
ByHealthwise StaffPrimary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency MedicineAdam Husney, MD - Family MedicineSpecialist Medical ReviewerDavid Messenger, MD
Current as ofMarch 20, 2017
Current as of: March 20, 2017
William H. Blahd, Jr., MD, FACEP - Emergency Medicine
& Adam Husney, MD - Family Medicine & David Messenger, MD
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