Objects In The Nose

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Topic Overview

Young children are more likely than older children or adults to put small objects—such as beads, dried beans, popcorn, plastic toy pieces, foam rubber, or small batteries—up their noses. If the child doesn't tell you about it, your first clue may be a bad-smelling green or yellow discharge or blood (epistaxis) from one of the child's nostrils. The child's nose may also be tender and swollen.

Some objects in the nose cause more problems than others. Disc batteries (also called button cell batteries) are more dangerous than other objects and should be removed immediately. The moist tissue in the nose can cause the battery to release strong chemicals (alkali) quickly, often in less than 1 hour. This can cause serious damage to the sensitive mucous membranes lining the nose. Seeds, such as beans or popcorn, can swell from the moistness of the nasal tissue, making removal more difficult.

An object in the nose may cause some irritation and swelling of the mucous membranes inside the nose. This swelling can cause a stuffy nose, making it difficult to breathe through the nose.

Infection can develop in the nose or in the sinuses following the insertion of an object. The longer the object is in the nose, the more likely it is that an infection will develop. The first sign of infection is usually increased drainage from the nose. It is usually from only one nostril. The drainage may be clear at first but turns yellow, green, or brown. The drainage may have an unpleasant odor. As the infection progresses, symptoms of sinusitis or another infection will develop.

An object inserted in the nose may cause a nosebleed if the object irritates the tissues in the nose. The nasal tissue can be damaged from pressure against the object. This is called pressure necrosis.

Older children and adults can also inhale objects while working closely with small objects. Nose rings and metal studs from nose piercings can also cause nose problems. A piece of glass may enter the nose during an automobile accident. You may be unaware of this because of other injuries that occur during the accident.

Review the Emergencies and Check Your Symptoms sections to determine if and when you need to see a health professional.

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Last updated:	April 20, 2007
Author:	Jan Nissl, RN, BS
Reviewed By:	William M. Green, MD - Emergency Medicine, Charles M. Myer, III, MD - Otolaryngology
Editors:	Susan Van Houten, RN, BSN, MBA, Tracy Landauer