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Whenever a patient reports pain and tenderness in the bridge of the nose, the first thought is to look for any evidence of trauma or injury. Even if there are no obvious signs like cuts and scrapes, that area of the nose is primarily cartilage and can get damaged quite easily, sometimes without the patient even realizing it.

However, this is quite easy to rule out as an injury in this area will usually show some bleeding or bruising on inspection if not on the exterior surface then on the inside of the nose.

Sinusitis

This is the most likely cause for a tenderness of the bridge of the nose. A sudden onset of symptoms suggests that it is acute in nature. There is also a chronic form of the disease which affects a large number of people.

Symptoms

The main presenting symptom with sinusitis is pain. This pain is referred to the eyes, the head, the teeth and even the neck in some cases. One of the classic signs of sinusitis is an increase in the pain on moving the head suddenly or while blowing the nose.

Other symptoms that can be seen during a case of sinusitis are clogging of the nose, stuffiness, a change in the tone of the voice, a feeling of choking while sleeping at night (due to the post nasal drip).

Causes Of Sinusitis

The term -'itis' is added as a suffix to denote inflammation of the area. This inflammation of the sinuses is caused due to bacterial infection, viral infection or even fungal infections. Patients who have trouble clearing their sinuses are prone to getting these infections. The accumulation of mucous in the sinus cavity creates anaerobic conditions which are favorable for pathogenic micro organisms to flourish.

One reason could be a small opening of the sinuses, something that is genetic in nature. In such cases often a corrective surgery is the only option.

Investigations

There are certain investigations that need to be done to confirm the diagnosis of Sinusitis. An X ray of the sinuses and para nasal sinuses will need to be done, a mucus culture to help see what kind of infection is it and a CT scan might also be advised by your doctor.

A nasal endoscopy is also advisable and this can be both an investigative procedure as well as a treatment option in its own.

Treatment

The first line of treatment will be non invasive in nature involving the use of antibiotics (usually for around 10-14 days) and nasal decongestants. If there is no sign of improvement then a nasal endoscopy to clear out the sinuses as well as to examine the size of the sinus opening might need to be done.

Anti-allergic medication as well as a patch test to determine any underlying allergies is usually a part of the overall treatment of Sinusitis.

A reduction in the symptoms is usually seen almost immediately after clearing the sinuses, while complete remission of the infection takes around a week of antibiotic use.

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