[39F] Experiencing intense nasal burning and watery eyes

Patient Description

A 39-year-old female presents with a 2-day history of intense burning sensation in the nose and associated watery eyes. The pain is localized at the bridge of the nose and is described as very intense, with no relief found from any interventions. The patient has a past history of cocaine use but is not currently using. There are no known allergies or current medications. The patient's watery eyes are directly correlated with the intensity of the nasal burning sensation.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, you might be experiencing:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause pain and burning in the nose, watery eyes, and headaches. It's often caused by a viral infection and resolves on its own within a week or two.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to relieve symptoms. If symptoms persist for more than a week, or if they worsen, you should seek medical attention.
  • Allergic Rhinitis: This is an allergic response to allergens like dust, pollen, or pet dander. It can cause symptoms like a burning nose, watery eyes, and headaches.

    • Treatment involves avoiding the allergen if possible and taking over-the-counter antihistamines to relieve symptoms.
  • Cocaine-induced Rhinitis: Chronic cocaine use can cause damage to the nasal passages and sinuses, leading to symptoms like a burning sensation in the nose, watery eyes, and headaches.

    • Treatment involves stopping the use of cocaine and seeking help for addiction if necessary. You may also need medical treatment to manage symptoms and repair any damage to your nasal passages.

What you can do

  1. Rest and hydrate: These are general measures that can help your body recover from any kind of illness.
  2. Over-the-counter remedies: Decongestants can help relieve a stuffy nose, while pain relievers can help with headaches and facial pain.
  3. Avoid allergens: If you notice your symptoms get worse around certain triggers, like dust or pets, try to avoid these as much as possible.
  4. Seek help for addiction: If you're struggling with cocaine use, there are resources available to help you quit.

What you should look out for

  • If your symptoms persist for more than a week, or if they worsen, you should seek medical attention.
  • If you experience severe facial pain, a high fever, or a severe headache, you should seek immediate medical attention.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

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People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include a burning sensation in the nose, nasal congestion, facial pain or pressure, headaches, and watery eyes. It may also cause a reduced sense of smell and a cough.


How can allergic rhinitis be managed effectively?

Allergic rhinitis can be managed by avoiding known allergens, using over-the-counter antihistamines, nasal sprays, and maintaining a clean environment to reduce exposure to allergens. In some cases, allergy shots or prescription medications may be necessary.


What are the long-term effects of cocaine use on the nasal passages?

Long-term cocaine use can lead to chronic rhinitis, damage to the nasal septum, and even perforation of the nasal passages. It can also cause persistent inflammation and increase the risk of infections.


When should I seek medical attention for nasal burning and watery eyes?

You should seek medical attention if your symptoms persist for more than a week, worsen, or if you experience severe facial pain, a high fever, or a severe headache, as these could indicate a more serious condition.


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