How to treat a localized yellow spot on the nose?

Question

Hi doctor,

I have a yellow spot on the right nose. When something touches it like air or finger, it gets irritated and sneezing happen for at least five to six times or more. So, I captured photos to see it, and it appeared as localized yellow spot. I applied Clindamycin, but no much effect so far. It seems like a pimple from the last two months. I just ignored it, but still, it is present and irritates sometime. I was using Otrivin for a long time at bedtime for congestion of nose.

Answer 1

Hello,

Welcome to icliniq.com. Based on the images provided (attachment removed to protect patient identity), the most likely diagnosis seems to be a blocked gland, similar to a pimple that we commonly encounter on the face. The skin is covered in tiny pores, each housing a hair follicle and an oil-producing sebaceous gland underneath. These glands generate sebum, which helps maintain the skin and hair's softness. Occasionally, these pores can become obstructed by excess oil or dead skin cells, leading to the formation of a pimple.

Have you experienced any incidents involving foreign objects entering your nose? This condition could also be an inflammatory reaction to a foreign body. It appears to be benign and not a significant cause for concern. How long have you been using Clindamycin? Continued application of Clindamycin is advisable, as it might take some time to observe a response. Refrain from using steroids until the spot resolves.

Moreover, it's recommended to discontinue excessive Otrivin use and opt for Nasoclear drops administered two to three times daily for both nasal congestion and the affected area, which may aid in softening and detachment. Consulting a local ENT specialist is advisable since an in-person evaluation might provide additional insights into the diagnosis and permit removal if necessary.

Considering your background of allergic rhinitis, addressing this issue could be considered after resolving the current concern. Your health can benefit from direct medical attention, leading to an accurate diagnosis and appropriate management.

Answer 2

Hi,

Welcome back to icliniq.com. Is the spot hard to the touch or has there been any discharge or secretion from it? Please continue with Clindamycin and Nasoclear as prescribed. With time, it should naturally come off. However, if it doesn't, you might need to consider its removal, which would require a proper examination.