Differential diagnosis of dry nostril pain

Dry and painful nostril is a symptom of acute rhinitis. It often occurs during the season of variable climate change and is caused by virus transmission through droplets. It can be triggered by cold, overexertion, malnutrition, excessive smoking and alcohol, and other causes that can cause a decrease in the resistance of the body. The virus can also cause secondary infection by activating and multiplying the bacteria originally present in the nose and nasopharynx.

Initially, patients with dry nostril pain have dryness, burning and itching sensation in the nose, followed by sneezing, running a lot of clear nasal mucus, nasal congestion and loss of sense of smell. Systemic symptoms include fever, dry throat, tiredness of limbs, and general malaise. The nasal mucosa is diffusely red and swollen, and a large amount of watery or mucus-like secretion flows (later it can be purulent secretion). In clinical diagnosis dry nasal pain should be differentiated from intra-nasal pain and sinus pressure pain.

1.Intranasal pain: Intranasal pain is caused by dry rupture of nasal mucosa, which can be accompanied by nasal bleeding. Intranasal pain is also one of the symptoms of nasal cancer.

2. Sinus pressure pain: nasal congestion, runny nose, headache and sinus pressure pain appear in sinusitis. Patients with acute sinusitis may be accompanied by fever and general discomfort symptoms. The examination with rhinoscope or nasal endoscope shows congestion and swelling of nasal mucosa, purulent secretion in middle nasal passage or olfactory fissure, and pressure pain in each corresponding sinus area.