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Nasal bridge pain
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An_250421 posted:
I am a healthy woman in my 20s. I get regular exercise, eat healthy, and the only issues I have are seasonal allergies and minor anxiety for which I take prescription medication and try to stick to regular exercise. I have a somewhat stressful job, but my stress has been under control. My current problem started with an allergy flare up about 10 days ago-cleaning out the basement resulted in itchy, runny nose for a cuople of days. Not at all uncommon for me. Then woke up with pain and swelling inside nose on left side on septum. Assumed I rubbed or blew too hard, and just tried not to aggrevate it.This lasted for a couple of days then i started getting a headache with it. Nasal drainage clear, nose really runny with frequent sneezing. Seemed like allergies, so tried taking OTC allergy meds and decongestant which didn't help. Used sinus rinser 2 x day. Went to a random on call GP last week, and he indicated likely allergies and prescribed a nasal steroid which helped some with the sneezing and runny nose. Headache continued at times. Exhausted feeling on Saturday, slept all morning. Woke up and nose symptoms seemed somewhat better. Got outside for some fresh air. Headache was gone, and I thought whatever it was had resolved. Sunday was good also. Woke up this Monday with terrible headache and pain across the bridge of my nose. Pretty much right on the bone and on either side just under the bone. Still just clear drainage. No pain anywhere else except headache off and on. Looked up nose with flashlight, just looked red but no drainage. Tuesday I went back to the doctor, but saw my usual GP this time. He looked up my nose, but thought the same thing-allergy flare up. Recomemnded I continue sinus rinser twice a day, Flonase and change the allergy medication I was taking to Allegra D. He said no need for nasal swab as no colored drainage or pus was present. No need for abx. No fever, chills, nausea or anything else. He sent me home and said to call him if it got worse. Today is Wednesday, and I tried Allegra D which did nothing. Still using sinus rinser and Flonase. My nose hurts so bad. It even hurts to wrinkle my nose up as if warding off a sneeze. If I bump it on anything, it hurts. It is so tender to the touch and aches constantly. Looks slightly swollen around nasal bridge area. Drainage moderate and still clear. Hurts to blow, wipe, anything. Headache still present. What should I do? This is so uncomfortable. I am worried there is something terribly wrong with me.

Thanks very much.
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Rod Moser, PA, PhD responded:
Time to take your evaluation up a notch.....you need to see an ENT specialist for a higher-level evaluation to determine the cause of your symptoms.


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