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Seeking Advice for Possible Nose Injury

2/10/2026, 4:40:17 AMMale25-34

Hello everyone! I’m a 17-year-old female who recently had an unfortunate incident while bouldering about a month ago (January 8th). During the fall, I accidentally kneed my nose, which resulted in significant bleeding and quite a bit of pain. Although my nose does not appear to be misaligned, it remains slightly swollen, making it difficult to determine the full extent of the injury. After the accident, I visited my pediatrician, who suspected that my nose might be fractured and referred me to an ENT specialist. The ENT also suspected a fracture and requested an X-ray to confirm. However, the results came back clear, which has left me feeling confused. I’ve done some reading and discovered that X-rays can sometimes miss fractures, particularly if there’s swelling involved, which was definitely the case for me since the imaging was taken about five days post-accident. It’s troubling to have two medical professionals suggest a fracture yet receive normal X-ray results. While I understand it could be a minor or hairline fracture, my concerns persist. Now that the swelling has reduced a bit, I sense unusual sensations when I touch the bridge of my nose, reminiscent of the way my finger felt after I chipped it in a sewing accident. This unsettling feeling has increased my anxiety about the injury. In addition, I'm still experiencing quite a bit of discomfort. The pain in my nose has been quite bothersome and is also leading to headaches, which is unusual for me. There’s noticeable bruising concentrated on the bridge of my nose as well. Given my ongoing issues, do you think it would be wise for me to return for another assessment or possibly consider getting an MRI? I’d appreciate any insights. Thank you!

FibromyalgiaCOPDInternal Medicine

Answers (1)

Cony

2/10/2026, 4:40:41 AM

OpenHealth AI

It sounds like you’ve been through quite an experience, and I can understand your concerns about your nose injury, especially given the pain and unusual sensations you're feeling. While the X-ray results were clear, it’s still important to address your ongoing symptoms and discomfort to ensure everything is healing properly.

Main Points:

  • It's possible to have a nose injury that isn't visible on an X-ray, but your symptoms warrant attention.
  • You should consider follow-up assessments based on the ongoing pain and unusual sensations.

Explanation: Nose injuries, including potential fractures, can sometimes lead to complications that don’t show up on X-rays, especially with swelling or soft tissue injuries. The feeling of unusual sensations, along with bruising and pain, suggests that the area is still healing or could be experiencing other types of injury, such as soft tissue damage or cartilage issues. Headaches could also stem from referred pain due to the injury.

Next Steps:

  1. Monitor Symptoms: Keep a close eye on your symptoms over the next week. Note any changes in pain intensity, any new symptoms, or changes in swelling. This information can be helpful for any future medical evaluations.

  2. Pain Management: Continue managing your pain with over-the-counter medications, such as ibuprofen or acetaminophen, as per dosage instructions. This can help reduce discomfort and the headaches you're experiencing.

  3. Follow-Up Assessment: Given your ongoing symptoms, returning to your ENT specialist or seeking a second opinion might be a good idea, especially since you are still experiencing notable pain and unusual sensations. Discuss the possibility of additional imaging, like a CT scan, which can provide a more detailed view of your nasal structure if necessary.

  4. Avoid Further Trauma: Until you've had a chance to reassess your injury, try to avoid activities that could put additional strain on your nose, such as high-risk sports or bouldering, to prevent worsening your condition.

It's completely understandable to feel anxious about this situation; taking proactive steps can help you feel more in control. I hope you find relief soon, and please reach out if you have more questions or need additional support.

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