What are the best treatments for nose infection? What symptoms should you look for? Is fungal nose infection a cause for concern? You will find all this and more in just a moment.
Symptoms and Causes
A nose infection may be caused by bacteria, viruses, or fungi. It manifests in different nasal conditions, depending on the nature of the infection. The symptoms in that regard also vary widely depending on the underlying condition.
1. Sinusitis symptoms
Sinusitis (sinus infection) is the most common one. This is characterized by swelling of the tissues lining the sinuses – air-filled cavities occurring behind the nose, on the cheeks, and in the forehead.
Sinusitis affects approximately 37 million people in America every year according to the WebMD website. Among the most common sinus infection symptoms are:
- Facial pain – around the cheeks, forehead, and eyes
- Nasal blockage and discharge
- Loss of smell
- Upper teeth pain
- Bad breath (halitosis)
- Thick, yellowish-green nasal discharge
- Mucus drainage in the back of neck, i.e. postnasal drip
The following symptoms are specific to bacterial infection of the nostrils:
- Folliculitis: Painful pimples at the base of the nose hairs.
- Crusts around the nostrils
- Bleeding – especially when the crusts start peeling
- Boils inside the nostrils
2. Nose skin infection
Staphylococcus bacteria are usually to blame for most cases a skin infection. These are beneficial bacteria that are found abundantly throughout the skin. In case of injuries and cuts on the skin, they can get into the body, resulting in an infection.
This may manifest itself as furuncles (boils) and sometimes in the nasal vestibule (the part just inside the opening of the nostril.
Treatment options range from topical antibiotic creams such as Bacitracin and Neosporin to oral antibiotics and surgical drainage. Hot compresses – applying moist. Hot cloths on the affected area also help.
3. Cartilage infection after nose piercings
Nose cartilage infection is one of the most common complications due to piercings. This is usually attributed to staphylococcus bacteria that are found in abundance all over the human skin.
According to The American Academy of Family Physicians treatment involves using antibiotics that offer good coverage against the Staphylococcus bacteria. Mupirocin is one such antibiotic.
You can always avoid nasal piercing infections by taking good aftercare measures as directed by your piercing specialist. You will at the very least want to keep the piercing clean by washing it with warm, salty water 3 times every day until it has healed.
How to treat infected nose
The most appropriate treatment depends on the nature of the patient’s condition. Here is a breakdown of how to treat infected nose:
1. in case of sinusitis
About two-thirds of sinusitis cases will go away in about two and a half weeks and don’t necessarily need the attention of a doctor. You may, however, want to take care of the symptoms and hasten the healing process using the following treatment options:
a). Pain relieving medications
Taking over the counter painkillers helps to alleviate the pain and headache caused by sinus infection as well as fever.
Among the most common pain relievers are:
- Ibuprofen – available OTC as Advil, Motrin etc.
- Acetaminophen – sold as Tylenol
NB: Do not give aspirin to children aged below 16 years. It can increase the risk for Reye’s syndrome which is rare but fatal. Ibuprofen, on the other hand, should not be used by people with asthma, stomach ulcers, and heart conditions.
b). Nasal decongestants
Usually sold OTC in most drugstores, nasal decongestant medication can also help to unblock your nose and enhance your breathing. They should however not be used for more than a few days as this may end up worsening rather than improving the condition.
c. When to see your doctor
You should seek medical attention if sinusitis lasts more than a couple weeks or doesn’t seem to improve – or even worsens – after a week of treatment with the options listed above.
Your doctor may recommend one of the following treatment measures:
Antibiotics: A course of antibiotics may be prescribed for a case of severe sinus infection, especially if no improvement has been noted in a week or so. This helps to treat any bacterial infection that could be responsible or have resulted from the sinusitis.
d). Steroid sprays or drops
Steroid drops can help to lessen the inflammation (swelling) of the sinuses.
Surgery is used as the last resort for persistent sinusitis. Functional Endoscopic Sinus Surgery is preferred for treatment of sinus infection. It involves inserting an endoscope into your nose – usually under general anesthesia, although it can as well be done under local anesthesia – to allow the surgeon access to your sinuses.
The surgeon then removes any tissues that could be causing the inflammation and blockage of the sinuses e.g. nasal polyps, and then inflate a small balloon to open up the sinus drainage. A self-dissolving implant may as well be used for the purpose.
The UK National Health Service cautions AGAINST using the following as treatment options sinus infection:
- Steam inhalation
- Steroid medication
- Mucolytics – drugs that help to thin out mucus
2. External and nasal vestibule infection
- Topical antibiotic ointments e.g. Bacitracin and Neosporin
- Oral antibiotics
- Surgical drainage
- Hot compresses – Dip a washcloth in hot water, wring out excess water and pat the nose gently with it until the heat dissipates out, then repeat for 10 to 15 minutes, 2-3 times daily.
3. Fungal infection i.e. fungal sinusitis
There has been a notable increase in reported cases of fungal infection in the nose, or fungal sinusitis, over the last three decades according to The American Academy of Otolaryngology-Head and Neck Surgery.
This is attributed to three main factors, namely heightened public awareness, use of immunosuppressive therapies e.g. cyclosporine medications that are used to “fool” the immune system in order to stop organ rejection, and excessive use of antibiotics.
With the suppressed immune system, fungi kick into action and invade the body, resulting in numerous side effects. The damp cavities in the sinuses are ideal for fungal activity and because fungi require no light in order to break down food substances, they thrive very well in there, causing fungal sinusitis.
According to the American Academy of Otolaryngology-Head and Neck surgery, there are four main types of fungal sinusitis and treatment varies from one to the other as follows:
1. Mycetoma fungal sinusitis
This type of fungal infection in the nose so to speak produces fungal pore clumps, called “fungal balls”, within the sinus cavities. It often causes injury to the sinuses, resulting in discomfort.
Treatment involves scraping of the problematic sinuses.
2. Allergic fungal sinusitis
This is an allergic reaction to fungi floating in the air. This type of fungal sinusitis tends to affect immunocompetent people (possessing normal immune response) with a history of allergic rhinitis.
The condition results in huge fungal debris and mucin (a substance featuring carbohydrate-rich glycoproteins) within the sinus cavities and surgery is typically required to remove them. Medications may also be prescribed to prevent the recurrence of this condition.
3. Chronic indolent sinusitis
This type of fungal sinusitis is common in Sudan and northern India and affects people with no identifiable immune deficiency, progressing gradually over months or even years.
Symptoms of this condition include facial swelling – often resulting in impaired vision - and chronic headache. Chronic indolent sinusitis is distinguishable for nodular shaped lesions that are only visible when examined under a microscope.
Surgery coupled with Intravenous anti-fungal therapy is typically used to treat chronic indolent sinusitis.
4. Fulminant sinusitis
This form of sinusitis affects people with a compromised immune system. It typically invades the sinuses leading to continued destruction and often reaches the bony cavities that house the eyeball and brain. Aggressive surgical procedures and anti-fungal therapy (intravenous) are used to treat the condition.
Fungal nose infection is a rather rare occurrence as The Health Line website notes; bacterial and viral infections are more common.