Nasal Vesicle

Pain in the right nostril could indicate a nasal vesicle, which is a type of bacterial infection commonly referred to as an "inflammation caused by heat." A nasal vesicle is an acute suppurative inflammation that is limited to the hair follicles, sebaceous glands, or sweat glands of the skin in the anterior nasal cavity. The pathogenic bacteria are mostly Staphylococcus aureus. Since the nasal vesicle is located in the dangerous triangular area of the nose, the facial veins lack venous valves, and the venous blood in this area can flow through the internal canthus veins and ophthalmic veins into the intracranial cavernous sinuses. Squeezing the abscess can cause bacteria and purulent emboli to flow in reverse direction through the bloodstream into the cavernous sinuses, potentially leading to severe intracranial complications such as cavernous sinus thrombophlebitis, which has a high fatality rate. Therefore, once a nasal vesicle forms, it is strictly forbidden to squeeze it, and it is advisable not to incisionally drain immature lesions to prevent the spread of inflammation.

Specific treatment methods for nasal vesicles are as follows:

1. General Treatment:

(1) Avoid spicy, greasy, and stimulating foods, consume plenty of vegetables and fruits, and maintain regular bowel movements.

(2) Quit the bad habit of picking the nose, actively treat various nasal diseases, and keep the nose clean.

(3) If abscesses are found on the nose, upper lip, or cheek, avoid squeezing, picking, moxibustion, and early incision and drainage to prevent the spread of purulent toxins.

(4) For recurrent cases, it is important to identify the underlying causes, such as diabetes or nephritis, and provide appropriate treatment.

2. Local Treatment:

(1) For nasal vesicles that have not yet formed a pustule, antibiotic ointment can be applied.

(2) For nasal vesicles that have formed purulent emboli but have not yet ruptured, 50% silver nitrate can be used for cauterization to promote rupture and drainage.

(3) Avoid incision and drainage in this area, and do not squeeze to expel purulent material.

3. Other Treatments:

(1) For initial nasal vesicles that have not yet formed pustules, hot compresses, physical therapy, and laser irradiation can be used.

(2) Acupuncture treatment.