Nasal vestibulitis (or nasal folliculitis) is a rare form of bacterial infection that occurs at the nose’s opening. It can look like a small bump or sore in the nose. It can often occur after hair follicles become infected. For example, after someone picks at their nose or pulls out their nose hairs.
Nasal vestibulitis can also be increased by certain cancer treatments. The nasal vestibule is the area between your nostrils. It is the entrance to your nasal cavity.
Nasal vestibule inflammation is caused by excessive blowing or picking at the nose. Although it is often easy to treat, severe complications can occur.
Infections are often caused by the bacteria Staphylococcus Aureus. Secondary causes of infection include chronic rhinorrhea, viral infections, and URIs. Nose picking is also a possible secondary cause.
Other infections such as folliculitis can cause pimples at the root of nasal hairs, which can lead to crust formation in the nostrils.
This article will provide information about nasal vestibulitis and the treatments available. It also includes when you should see a doctor.
Table of Contents
What is nasal vestibulitis?
The nasal vestibule is located inside your nostrils. It is the starting point of your nasal passages.
Nasal vestibulitis, also known as excessive nose picking and blowing, is an infection of the nasal vestibule. It’s usually quite easy to treat but can sometimes cause serious complications.
Continue reading for more information about nasal vestibulitis symptoms.
Nasal Vestibulitis Symptoms
The cause and severity of the infection will determine the extent of symptoms. Common symptoms are:
- The nostrils may experience redness or swelling.
- The nose is tender and painful
- An identified, pimple-like bulge within the nostril
- Folliculitis: Crusty bumps and crust around the base hair follicles
- Cress in the nostrils
- Boils on your nose
- Drain the pus from the affected region
- An increase in body temperature
What causes nasal vestibulitis
The most common reason for nasal vestibulitis is a Staphylococcus infection. This is a common cause of skin infections. A small lesion in the nasal vestibule is usually caused by:
- Plucking the hairs in your nostrils
- Blowing your nose too much
- You can clean your nose.
- Piercing of the nose (leaves nose prone for infections)
Listed below are some possible infectious causes:
- Herpes simplex virus infections and herpes zoster viral infections.
- A chronic runny nose is caused by an allergy or a respiratory infection.
- Infections of the upper respiratory tract.
A condition called nasal vestibulitis is an infection of the vestibule (or the entrance to the nose).
Staphylococcus aureus bacteria cause most infections.
While anyone can contract this infection, there are certain risk factors that increase the likelihood of someone getting it.
These risk factors are:
A weak immune system: Certain conditions like diabetes and Medicines can weaken your immune system, which increases your risk of infection.
People who clean their noses frequently can cause small cuts through the skin that can allow bacteria to enter.
Other areas such as the mouth and hands can also be infected by nose-picking.
Plucking nose hairs: Plucking nose hairs can cause irritation and tiny tears which could increase the chance of infection.
Regular wetting: may cause irritation and swelling of the nose. Blowing your nose can spread the bacteria to other parts of the nose.
Nose Piercings: The openings for infection may be created by Nosepiercings. The body treats the wound as an open wound and bacteria can get in.
Treatment for cancer: Chemotherapy weakens your immune system and makes you more susceptible to certain infections.
It can also dry out your nose, which could cause it to crack open, or bleed, which could allow infection to enter.
In 2015, it was discovered that patients who received targeted treatment drugs to treat certain cancers have a greater chance of developing nasal vestibulitis.
Bacterial Nasal Diseases
Bacteria could cause pimples or boils (furuncles), just outside each nostril’s opening (the nose vestibule).
Minor infections of the nose (called nasal vestibulitis) can cause pimples around the base of the nasal hairs (folliculitis), or crusts around your nostrils.
The most common reason is Staphylococcus bacteria. The infection could be due to excessive nose picking or nasal blowing. This causes irritation and crusts that bleed when they slough off.
Nasal vestibulitis can usually be treated by mupirocin or bacitracin. It is possible that the ointment will need to be used for several weeks.
Furuncles, which are more serious infections, can result in boils in the nasal vestibule. The nasal furuncles can spread to the skin and cause cellulitis at the tip.
This is where a doctor worries about infections. The veins that lead to the brain are located there.
Cavernous sinus thrombosis is a potentially fatal condition where bacteria can travel to the brain through the veins.
A person with a nose furuncle takes an antibiotic by the mouth and uses mupirocin to moisten hot clothes three times per day for approximately 15 to 20 min.
Large boils may need to be removed by a doctor if they are resistant to antibiotic treatment.
Nasal vestibulitis (NV), nasal furunculosis(NF), or nasal vestibular fuunculosis(NVF) refers to a localized infection in the hair-bearing nose vestibule.
Dahle suggested NVF as the name for the nasal vestibule. The acute focal symptoms are present. They can be caused by minor trauma like nose picking, hair plucking, or topical nasal steroid usage.
Mild cases may be treated with warm compresses, topical mupirocin, and/or hot compresses. Oral antibiotics are recommended if the patient does not respond.
Systemic antibiotics are recommended for severe cases such as those involving abscess formation or midfacial cellulitis.
These can lead to serious intracranial complications.
- Ophthalmic vein thrombosis
- Cavernous sinus thrombosis
- Orbital abscess
However, when taking antibiotics, we need to be very careful and follow the instructions of the doctor. O
ur noses, sinuses, and nasal passages are full of beneficial bacteria, but mainly due to the overuse of antibiotics, we have turned the colonies in our noses into more harmful bacteria.
Among these are bacteria such as Streptococcus pneumonia, Haemophilus influenza, and Staphylococcus sp., which lead to a number of common sinus and throat infections that frequently plague humans.
The “danger zone” of the face is infected. This includes the area from the corners to the bridge of the nose to the bridge.
The spread of infection is dependent on the communication between the facial and cavernous sinuses.
The course of treatment for nasal vestibulitis will depend on the severity of the condition.
You should consult your primary care doctor or ENT specialist if you have any doubts about your condition.
Most mild cases can be treated using a topical antibiotic cream such as bacitracin. These are available at most pharmacies.
Even if symptoms appear to be less severe, you may want to continue applying the cream for at least 14 consecutive days. Your doctor may also recommend an oral antibiotic if necessary.
Boils are more common with serious infections that require oral antibiotics in addition to topical antibiotics like mupirocin. A hot compress may be necessary to apply to the affected area for 15 to 20 minutes three times per day.
It may be beneficial to use a hot compress three times per day to drain large boils. This will allow you to do so for between 15 and 20 minutes. In rare cases, a large boil may need surgery to drain.
Home treatment for nasal vestibulitis
Most cases of nasal vestibulitis are treated with a warm compress applied to the affected area several times daily.
A doctor may also recommend mupirocin is an antibiotic. This can help prevent the infection from spreading further and decrease the chance of it returning.
A doctor might prescribe an oral antibiotic that a patient should take for 7-10 days if they have more serious infections. Doctors often recommend dicloxacillin.
A furuncle is a painful, infected boil that can be caused by infection.
To prevent infection from spreading, your doctor may suggest that you drain the furuncle and have it removed surgically.
Do not attempt to boil a boil at your home. This can increase the chance of infection.
It is usually a mild condition. In rare cases, however, it may spread to other parts of the body.
It is important to seek immediate treatment. The infection cannot be treated with home remedies.
One 2018 study by Source proved that rose geranium oils might help reduce side effects from certain cancer treatments.
Rose Geranium oil can be used to lower the chance of infection for patients undergoing chemotherapy. It may also speed up the healing process.
Be sure to wash your hands after using the oil. Dirty hands can spread bacteria to the area.
There are many other ways to decrease the chance of getting the infection again or spreading it. Here are some suggestions:
- Avoid plucking the nose hairs.
- Avoid picking the nose.
- Wash the hands before touching or blowing the nose.
- Only blow the nose as much as is absolutely necessary.
- Ask a doctor about strategies for minimizing nose dryness.
- Seek appropriate treatment for any other medical conditions, such as diabetes.
When to see a doctor?
The majority of cases of nasal vestibulitis can be treated, particularly if the patient seeks treatment early.
Consult a doctor if you:
- The nose may feel irritated or itchy.
- Nasal vestibulitis symptoms don’t improve even after taking antibiotics for a few more days.
- After starting antibiotics, the infection spreads to other people or the person develops a fever.
- When someone is receiving chemotherapy or takes drugs that weaken the immune systems, their nose may become dry, cracked, or itchy.
Nasal vestibulitis should not be considered an emergency. A fever is an emergency.
However, anyone with a compromised immune system should visit the emergency room immediately.
Ask your healthcare professional about any other symptoms. Chills and fatigue could be signs that the infection is spreading.
Nasal vestibulitis: What are the complications?
Nasal vestibulitis can also cause complications in more serious cases. Common complications include:
- Cellulite formation
- Cavernous sinus thrombosis
It is important to consult an ENT physician in order to prevent the development of sinus infections.
You should also wash your nose often and avoid touching it with sharp objects or your fingers.
A sinus infection or allergy can lead to severe pain.
Infections can be managed quickly by seeking medical attention within a matter of days. While not a serious condition like nasal vestibulitis, in rare cases it can cause severe complications.
Do not delay treatment as this will allow the infection to spread.
Frequently Asked Questions
How do you get rid of nasal vestibulitis?
Different treatment options are available depending on the severity of the disease. Most cases of nasal vestibulitis can usually be treated using topical antibiotic creams such as bacitracin or mupirocin. These ointments may need to be used twice daily for up to 14 days. You will be given oral antibiotics if you have any boils.
How do you know if you have nasal vestibulitis?
The severity and cause of the inflammation can influence the symptoms. Based on the appearance of your nose, if you are experiencing one or more of the following symptoms, you most likely have nasal vestibulitis:
- There is reddening and swelling around the nostrils.
- NOSE: Tenderness and pain
- Inside the nostril, there is an aimple-shaped bulge
- Folliculitis is a condition where there are crusty and bumpy areas around the hair follicles at the base.
- Crumbs in the nostrils
- Boils on the nose
- The pus should be drained from the affected area
- Temperature increases in the body
What does nasal vestibulitis look like?
The severity and underlying cause of nasal vestibulitis will determine the symptoms. Although we have photos of nasal vestibulitis, it is quite scary. We decided to not post these pictures.
To understand nasal vestibulitis, however, you can use the most common symptoms. Common symptoms include:
- There is redness and swelling in and around your nostrils
- Apimple-like bump inside your nostril
- Small bumps on the hair's follicles (folliculitis), can be found in your nostrils.
- Crusting in your nostrils
- Your nose can feel tender and painful
- Boils in your nose
Is nasal vestibulitis contagious?
Although these skin conditions are not contagious, the bacteria responsible for them is. Staph bacteria can spread from person to person or by touching contaminated objects, such as doorknobs. Your nose is the most common place for a staph infection.
Can nasal vestibulitis heal on its own?
The infection can be treated quickly with medical attention. Although it is not considered a serious condition in most cases, it can lead to severe complications in some rare cases.
Can Neosporin be used to treat nasal Vestiblitis?
Aquaphor or Vaseline petroleum jelly can be used. To moisturize your nose, you can gently apply it to each nostril 2 to 3 times per day. You can also use triple-antibiotic ointments like Neosporin and Bacitracin. All of these can be purchased over-the-counter.
Nasal Vestibulitis, Medically reviewed by Alana Biggers, M.D., MPH — Written by Adrienne Santos-Longhurst — Updated on March 7, 2019.
Retrieved from: https://www.healthline.com/health/nasal-vestibulitis
Bacterial Nasal Infections, By Marvin P. Fried, MD, Montefiore Medical Center, The University Hospital of Albert Einstein College of Medicine. Jun 2020| Content modified Jun 2020.
What to know about nasal vestibulitis, Medically reviewed by Cameron White, M.D., MPH — Written by Zawn Villines on January 7, 2020
Bacterial Nasal Infections - Ear, Nose, and Throat Disorders - Retrieved from: https://www.merckmanuals.com/home/ear,-nose,-and-throat-disorders/nose-and-sinus-disorders/bacterial-nasal-infections
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