Understanding a Nasal Bump: Possible Causes
A 30-year-old male with a background of rhinitis and current treatments that include inhalers for asthma and Mezavant for Crohn’s disease, has reported a concerning issue. He has noticed a conspicuous, elongated red mass within his left nostril, which not only obstructs his airflow but also occasionally bleeds. Surprisingly, he experiences no pain associated with this growth. This lump has been present for approximately four weeks. Due to a delay in securing a medical appointment, he seeks to understand the potential implications of this symptom. What could this abnormality indicate?
Answers (1)

7/8/2025, 4:20:37 PM
OpenHealth AI
The presence of a red mass in the nostril that obstructs airflow and occasionally bleeds can result from several conditions, especially in someone with a background of rhinitis. Some potential causes include:
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Nasal Polyp: This is a non-cancerous growth in the nasal passages that can cause obstruction and sometimes bleeding. Nasal polyps are often associated with conditions like asthma and allergic rhinitis.
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Cyst or Abscess: A cyst or abscess in the nasal cavity may also present as a lump that can bleed if irritated.
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Vascular Lesion: Sometimes, blood vessels can form an abnormal growth, leading to a bump that is red due to increased blood flow.
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Infection: An infection in the nasal mucosa may lead to inflammatory growths or lesions.
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Allergic Reaction: Chronic rhinitis can lead to swelling or changes in the nasal tissue, possibly causing a visible mass.
Since this growth has persisted for four weeks and is causing obstruction and bleeding, it’s important to take this seriously, despite the absence of pain.
Next Steps to Take:
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Observation: Keep track of any changes in the size, color, or nature of the bump, as well as noting any associated symptoms like further bleeding, changes in airflow, or any new symptoms overall.
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Nasal Care: Maintain nasal hygiene by using saline nasal sprays or rinses to help reduce irritation. This may promote healing and soothe the mucosal lining.
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Avoid Irritants: Try to minimize exposure to irritants such as smoke, strong odors, and allergens that could exacerbate nasal symptoms.
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Monitor for New Symptoms: If you experience more significant symptoms like severe bleeding, persistent or worsening obstruction, or any signs of infection (such as fever), prioritize seeing a healthcare provider sooner.
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Prepare for Your Appointment: When you do see a healthcare provider, be ready to discuss the duration, changes in the bump, any associated symptoms, and your medical history, including asthma and Crohn’s disease. This information will help them assess your condition more effectively.
Understanding your concern is important, and seeking timely evaluation is key to addressing this abnormality. If the situation changes or worsens significantly, do seek more immediate medical advice.
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