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HomeAnswersOtolaryngology (E.N.T)eye injuryI have a clogged and swollen nose after a fight. Is icing enough?

My right eye is bruised and the region between my eyebrows is swollen. Please help.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Oliyath Ali

Medically reviewed by

iCliniq medical review team

Published At September 29, 2022
Reviewed AtJanuary 30, 2024

Patient's Query

Hi doctor,

I was in a fight last night and was hit on my nose and right eye. My nose is swollen and gets clogged when I lie down. My right eye is bruised. And the region between my eyebrows is swollen. Should I go to urgent care, or will icing be enough? Just been taking Tylenol 500 mg extra strength since 2 AM last night.

Answered by Dr. Oliyath Ali

Hi,

Welcome to icliniq.com.

I understand your concern. If your nose is getting clogged, you should visit a hospital to get your nose examined. We need to rule out septal hematoma, which is a collection of blood between the cartilage and perichondrium (covering) of the nasal septum. If it is present, it needs to be urgently drained to prevent septal abscess formation, which can lead to the collapse of the nasal septum and the dropping of the nose.

The Probable causes

Trauma.

Investigations to be done

1) X-ray of nasal bone. 2) Non-contrast CT scan of nose and PNS (paranasal sinus).

Differential diagnosis

Deviated nasal septum.

Probable diagnosis

Septal hematoma.

Treatment plan

Incision and drainage.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Oliyath Ali
Dr. Oliyath Ali

Otolaryngology (E.N.T)

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