Suggest Treatment For Pain In The Right Nostril

Posted on Tue, 25 Apr 2017

Question: I have pain in my right nostril above the teeth and when pressed, pain results and shoots directly to my right temple like a electrical shock. Ice packs releives the pain. What do I have?

Answered by Dr. Chobufo Ditah (2 hours later)

Brief Answer:
How long does this pain lasts?

Detailed Answer:
Hi and thanks for contacting us here at healthcare magic.

I will like to know for how long this pain lasts. This is highly suggestive of trigerminal neuralgia. If this is the case, the pain is usually brief, intense and wouldn’t respond to tylenol. The drug of choice is carbamazepine.

Please, kindly provide these details to help me further fine tune your diagnosis and provide more insights.

Kind regards and waiting!

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Chobufo Ditah (14 hours later)

This pain is intense and can last to up to a minute (-+). It varies. I have been using cold packs which helps to relieve it.

Answered by Dr. Chobufo Ditah (14 hours later)

Brief Answer:
Happens when the nerve is compressed!

Detailed Answer:
Hi,

This happens when the fifth cranial nerve is compressed. This may be compressed by a blood vessel, a tumor, a cyst, etc. In some cases, no immediate cause is identified. That’s why it is better to get evaluated and maybe CT/ MRI scans gotten to see if there are any discernible causes.

I hope this helps. I wish you well. Feel free to follow up with me if need be.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Chobufo Ditah (12 hours later)

I have made an appointment with my doctor for Friday this week. I will let you know what we find. Thank you for your excellent diagnosis.

Answered by Dr. Chobufo Ditah (28 hours later)

Brief Answer:
Keep me posted!

Detailed Answer:
Hi,
I will be on the look out for your updates.

I wish you well.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Chobufo Ditah (3 days later)

Hi Dr. Ditah.
I saw my doctor and his diagnosis was exactly what you said. He prescribed carbamazepine as well. 100 mg 2x/day. He wanted me to follow up on Monday (tomorrow) to see how I'm doing.
The drug makes me drowsy during the day, but the pain is diminishing. I am so grateful.
Thank you. XXXXXXX Quinlin

Answered by Dr. Chobufo Ditah (34 hours later)

Brief Answer:
Drowsiness is a recognized side effect of carbamazepine!

Detailed Answer:
HI,

It is a recognized side effect of carbamazepine. This will regress as you continue with the medication. Keep me posted on your evolution on this treatment.

I wish you well.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T