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					| Objects in the Nose
		
			| Topic OverviewYoung children are more likely than older
		children or adults to put small objects-such as beads, dried beans, popcorn,
		plastic toy pieces, foam rubber, or small batteries-up their noses. If the
		child doesn't tell you about it, your first clue may be a bad-smelling green or
		yellow discharge or blood (epistaxis) from one of the child's nostrils. The
		child's nose may also be tender and swollen.  Some objects in the
		nose cause more problems than others.
		Disc batteries (also called button cell batteries) are
		more dangerous than other objects and should be removed immediately. The moist
		tissue in the nose can cause the battery to release strong chemicals (alkali)
		quickly, often in less than 1 hour. This can cause
		serious damage to the sensitive mucous membranes lining the nose. Seeds, such
		as beans or popcorn, can swell from the moistness of the nasal tissue, making
		removal harder. An object in the nose may cause some
		irritation and swelling of the mucous membranes inside the nose. This swelling
		can cause a stuffy nose, making it hard to breathe through the
		nose. Infection can develop in the nose or in the sinuses following
		the insertion of an object. The longer the object is in the nose, the more
		likely it is that an infection will develop. The first sign of infection is
		usually increased drainage from the nose. It is usually from only one nostril.
		The drainage may be clear at first but turns yellow, green, or brown. The
		drainage may have an unpleasant odor. As the infection progresses, symptoms of
		sinusitis or another
		infection will develop.  An object
		inserted in the nose may cause a
		nosebleed if the object irritates the tissues in the
		nose. The nasal tissue can be damaged from pressure against the object. This is
		called pressure necrosis. Older children and adults can also inhale
		objects while working closely with small objects. Nose rings and metal studs
		from nose piercings can also cause nose problems. A piece of glass may enter
		the nose during an automobile accident. You may be unaware of this because of
		other injuries that occur during the accident.  Check your symptoms to decide if and when you should see a doctor.Check Your SymptomsDo you have a problem caused by an object in the nose? Yes Problem from an object in noseNo Problem from an object in noseHow old are you? Less than 12 years Less than 12 years12 years or older 12 years or olderAre you having trouble breathing  (more than a stuffy nose)?Yes Difficulty breathing more than a stuffy noseNo Difficulty breathing more than a stuffy noseWould you describe the breathing problem as severe, moderate, or mild? Severe Severe difficulty breathingModerate Moderate difficulty breathingMild Mild difficulty breathingIs there a disc battery  stuck in the nose?The battery needs to be removed right away-within 1 hour if possible.Is an object stuck in the nose, and you can't remove it ?Yes Object stuck in nose despite efforts to remove itNo Object stuck in nose despite efforts to remove itYes Possible infection of noseNo Possible infection of noseDo you think you may have a fever?Do you have diabetes or a weakened immune system? What weakens the immune system in an adult or older child  may be different than in a young child or baby .Yes Diabetes or immune problemNo Diabetes or immune problemDo you still have symptoms more than a week after the object was removed? This could include symptoms such as a stuffy nose or swelling in the nose. Yes Symptoms 1 week after object was removed from noseNo Symptoms 1 week after object was removed from noseMany things can affect how your body responds to a symptom and what kind
	 of care you may need. These include: Your age. Babies and older
		adults tend to get sicker quicker.Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart
		disease, you may need to pay closer attention to certain symptoms and seek care
		sooner.Medicines you take. Certain
		medicines, herbal remedies, and supplements can cause symptoms or make them
		worse.Recent health events, such as surgery
		or injury. These kinds of events can cause symptoms afterwards or make them
		more serious.Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug
		use, sexual history, and travel. 
Try Home TreatmentYou have answered all the questions. Based on your answers, you may be
		able to take care of this problem at home. Try home treatment to relieve the
		  symptoms. Call your doctor if symptoms get worse or you have any
		  concerns (for example, if symptoms are not getting better as you would expect).
		  You may need care sooner.
Symptoms of difficulty breathing can range from mild to severe. For example: You may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).It may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you’re at rest (severe difficulty breathing).
Severe trouble breathing means:
	  You cannot talk at all. You have to
		work very hard to breathe.You feel like you can't get enough
		air.You do not feel alert or cannot think clearly. 
 Moderate trouble breathing means: It's hard to talk in full
		sentences.It's hard to breathe with activity. 
 Mild trouble breathing means: You feel a little out of breath but can still talk.
		It's becoming hard to breathe with activity. 
Severe trouble breathing means: The child cannot eat or talk because he or she is
		breathing so hard. The child's nostrils are flaring and the belly
		is moving in and out with every breath.The child seems to be
		tiring out. The child seems very sleepy or confused. 
 Moderate trouble breathing means: The child is breathing a lot faster than
		usual.The child has to take breaks from eating or talking to
		breathe. The nostrils flare or the belly moves in and out at times
		when the child breathes. 
 Mild trouble breathing means: The child is breathing a little faster than usual.
		The child seems a little out of breath but can still eat or talk.
		
Symptoms of infection in the nose may
	 include: Increased pain, swelling, warmth, or redness around the nose.Pus or smelly
		drainage from the nose.Fever.
Disc batteries are small, round
	 batteries used in toys, cameras, watches, and other devices. Because of the
	 chemicals they can release, they can cause serious problems if they are
	 swallowed or get stuck in an ear or the nose. Small magnets used in household items and objects that contain a lot of lead (such as bullets, buckshot, fishing weights and sinkers, and some toys) also can cause problems if
	 swallowed. If a disc battery is stuck in the ear or nose: 
		The battery needs to be removed right
			 away—within 1 hour if possible.Use tweezers to try to remove the
			 battery. If you can't remove it, get medical help.
 If you have swallowed a disc battery, magnet, or lead object: 
		Get medical help right away.Do not try to
			 vomit.Do not eat or drink anything.
There are a couple of ways to remove an object from the nose: On the side that does not contain that object,
		press the nostril closed. Then blow hard through the nostril on the other
		side.If your child can stay calm and you can see the object and grasp it, try to remove the object with tweezers. Do not try to grasp round objects because you could push the object farther back into the nostril. (Be careful not to
		hurt the inside of the nose with the tweezers.)
 To remove an object from a child's nose, you can also try the "kiss" technique: On the side that doesn't contain the object, press the nostril closed with your finger. (Or have the child do it, if he or she is old enough.)Then blow a puff of air into the child's mouth. You may need to repeat this several times. The pressure will help push the object out of the nose.
 Don't try this if it makes you nervous or if the child gets upset or says it hurts.Certain health conditions and medicines weaken the immune system's ability to fight off infection and
	 illness. Some examples in adults are: Diseases such as diabetes, cancer, heart disease,
		and HIV/AIDS.Long-term alcohol and drug
		problems.Steroid medicines, which may be used to treat a variety
		of conditions.Chemotherapy and radiation therapy for
		cancer.Other medicines used to treat autoimmune
		disease.Medicines taken after organ transplant.Not
		having a spleen.
Certain health conditions and medicines weaken the immune system's ability to fight off infection and
	 illness. Some examples in children are: Diseases such as diabetes, cystic fibrosis, sickle
		cell disease, and congenital heart disease.Steroid medicines,
		which are used to treat a variety of conditions.Medicines taken
		after organ transplant.Chemotherapy and radiation therapy for
		cancer.Not having a spleen.
Seek Care TodayBased on your answers, you may need care soon. The
		problem probably will not get better without medical care.Call your doctor today to discuss the symptoms
		  and arrange for care.If you cannot reach your doctor or you don't
		  have one, seek care today.If it is evening, watch the symptoms and
		  seek care in the morning.If the symptoms get worse, seek care
		  sooner.
Call  911  NowBased on your answers, you need
		emergency care.Call911or other emergency services now.Seek Care NowBased on your answers, you may need care right away. The problem is likely to get worse without medical care.Call your doctor now to discuss the symptoms and
		  arrange for care.If you cannot reach your doctor or you don't have
		  one, seek care in the next hour.You do not need to call an
		  ambulance unless: 
		  You cannot travel safely either by driving
				yourself or by having someone else drive you.You are in an area
				where heavy traffic or other problems may slow you down.
Make an Appointment Based on your answers, the problem may not improve without medical
		care.Make an appointment to see your doctor in the
		  next 1 to 2 weeks.  If appropriate, try home treatment while you
		  are waiting for the appointment.If symptoms get worse or you have
		  any concerns, call your doctor. You may need care sooner.
Home TreatmentRemoving an object from the noseFollow these steps
		  to remove an object from the nose: Breathe through your mouth since the nose is
			 blocked.Pinch closed the side of the nose that doesn't have the
			 object in it, and try to blow the object out of the blocked side. You may need
			 to help a child pinch his or her nose.Blow your nose forcefully
			 several times. This may blow the object out of the nose.If the
			 object is partially out of the nose, you may be able to remove it. Stay still,
			 and remove the object with your fingers or blunt-nosed tweezers. Be careful not
			 to push the object farther into the nose. If a child resists or is not able to
			 stay still, do not attempt to remove the object.Some minor
			 bleeding from your nose may occur after the object is removed. This usually is
			 not serious and should stop after firmly pinching your nose shut for 10
			 minutes. See
			 how to stop a nosebleed.
 You may be able to remove an object from a child's nose
		  using the "kiss technique." Do not try this if you are uncomfortable with it,
		  if your child says it hurts, or if your child becomes upset by your
		  attempts: Apply pressure to close the child's unaffected
			 nostril. You can do this, or the child can help by holding his or her finger on
			 the unaffected side of the nose.Blow a puff of air into the
			 child's mouth. The positive pressure of this puff will help push the object out
			 of the child's nose. You may need to repeat this activity several times.
 Home treatment after removing an object from the noseSome tenderness and nasal stuffiness are common after removing an object
		  from the nose. Home treatment will often relieve a tender, stuffy nose and make
		  breathing easier. Drink extra fluids for 2 to 3 days to keep
			 mucus thin.Breathe moist air from a humidifier, hot shower, or
			 sink filled with hot water.Increase the humidity in your home,
			 especially in the bedroom.Use a saline nasal spray to help loosen mucus.Check the back of your throat for postnasal
			 drip. If streaks of mucus appear, gargle with warm water to prevent a sore
			 throat. Elevate your head at night by sleeping on an extra pillow.
			 This will decrease nasal stuffiness.If your nose is still stuffy, you can try a decongestant or a steroid nasal spray. But be careful with these medicines. They may not be safe for young children or for people who have certain health problems, so check the label first. If you do use these medicines, always follow the directions about how much to use based on age and weight. Avoid products containing antihistamines, which
			 dry the nasal tissue.
 Medicine you can buy without a prescription| Try a nonprescription
			 medicine to help treat your fever or pain: | 
|---|
 | Talk to your child's doctor before switching back and
				forth between doses of acetaminophen and ibuprofen. When you switch between two
				medicines, there is a chance your child will get too much medicine. |  Safety tips| Be sure to follow these
				safety tips when you use a nonprescription medicine: | 
|---|
 | Carefully read and follow all directions
					 on the medicine bottle and box.Do not take more than the
					 recommended dose.Do not take a medicine if you have had an
					 allergic reaction to it in the past.If
					 you have been told to avoid a medicine, call your doctor before you take
					 it.If you are or could be pregnant, do not take any medicine other
					 than acetaminophen unless your doctor has told you to.Do not give aspirin to anyone younger than age 20 unless your doctor tells you to.
 |  Symptoms to watch for during home treatmentCall your doctor if one or more of the following symptoms occur during
		  home treatment: An
			 infection develops.Symptoms become more
			 severe or more frequent.
PreventionSmall children love to explore their
		surroundings. They are also curious about their bodies. To prevent children
		from inserting objects into their noses: Caution children not to put any object into a
		  body opening.Supervise young children, especially children younger
		  than age 4, to reduce the risk that they will put objects in their noses or
		  other body openings. Keep all objects small enough to be swallowed
		  or inserted into body openings away from small children.Store all
		  disc batteries in a safe place out of the reach of children. Properly dispose
		  of used disc batteries out of the reach of children.
 Older children or adults should be cautious when working with
		small objects or if they have nose piercings.Preparing For Your AppointmentTo prepare for your appointment, see the topic Making the Most of Your Appointment. You can help your
		health professional diagnose and treat your condition by being prepared to
		answer the following questions: What object is in the nose?How long
		  has the object been in the nose?Has the object been removed from
		  the nose? If the object has been removed: 
		  Was it all in one piece?Is there
				a chance that part of the object is still in the nose?How long was the
				object in the nose?What method did you use to remove the
				object?Take the object with you to your appointment.
What measures have been tried to remove the
		  object?Since the object was inserted, what symptoms have developed
		  or cleared up?Do you have any
		  health risks?
CreditsByHealthwise StaffPrimary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine
 Adam Husney, MD - Family Medicine
Current as ofMarch 20, 2017Current as of:
                March 20, 2017 Last modified on: 8 September 2017  |  |  |  |  |  |