Nasal vestibulitis

Nasal vestibulitis: Definition, Description, Causes, and Risk Factors: Nasal vestibulitis refers to diffuse and shallow inflammation of nasal vestibular skin, mostly with bilateral onset. Clinically, it is divided into two types: acute nasal vestibulitis and chronic nasal vestibulitis.

nasal vestibulitisIn the case of acute onset, the patient has red and slightly swollen nasal vestibular skin with epidermic erosion and exudation of mucus as well as accompanying symptoms of burning heat sensation, pain and itch; at the chronic stage, the patient has dry and pachynsis of nasovestibular skin, often with rhagas or lichenification as well as mycteric dryness and itch.

When the nasal vestibule is irritated by secretion from the nasal cavity or harmful dust, or when skin injury is caused as the patient picks his nose, these will result in bacterial infection, giving rise to the disease. This is the cause of the illness. There are several reasons why the nasal tract, the vestibules, and/or the sinus lining may swell up, become inflamed and discharge mucus. One is indeed a bacterial or viral infection settling on the mucosal lining of the nose causing inflammation and the other symptoms. The constant discharge and thickened lining of the nasal tract (brought about by the inflammation and over-activity) narrow the passage, and the situation can be compounded by a deviated septum (which tends to Push into one side, making it narrower), so that one nostril may become totally blocked.

Nasal vestibulitis can also be a reaction to airborne allergens, such as dust particles, house dust mites, pollen, the vapors from aerosol sprays, and chemicals such as pesticides. Additionally, the body may use the nose to expel toxins that can't pass through the kidneys' filter system. Culprits here may be gut toxins, foods to which the body is intolerant including dairy mold or fungal types of foodstuffs, and constipation, which causes excess mucus discharge.

Other Risk Factors:

  • Nose fracture from a car accident, physical fight, fall, or other traumatic cause.
  • Septum perforation due to inhaling drugs such as cocaine or methamphetamine.
  • Smoking.
  • Toxic exposure.


Symptoms include redness, swelling, and pain. Sometimes the tissue becomes raw and bleeds. Nasal vestibulitis typically develops with extended sneezing and nose blowing such as occurs with colds and allergic rhinitis.


To diagnose the underlying cause of nasal vestibulitis, your doctor or licensed health care practitioner will ask you several questions related to your symptoms. Providing complete answers to these questions will help your health care provider in diagnosing the cause of your symptoms.

Questions for diagnosing the cause of nasal vestibulitis include:

  • Do you have pain in your nose and, if so, when did it start?
  • Has there been discharge or bleeding from the nose?
  • Have you had any change in your ability to smell?
  • What medications have you been taking?
  • What other symptoms do you have?

Nasal Vestibulitis Treatment:

Treatment with antibiotics such as Dicloxacillin is needed for 7 to 10 days. A cream, such as Mupirocin, can also be used 2 to 3 times a day to help with the infection. If the problem keeps coming back, an antibiotic called Rifampin is given twice a day for 4 days to help kill the bacteria likely causing the infection. If there is a lump, this may mean that there is a deeper infection. The doctor may need to make a small cut and drain out the pus/infection. Do not try to do this at home. It must be done by a doctor.

Preventive Measures:

  • Avoid dairy foods, also citrus fruits, spicy food, excess carbohydrates (sugar, bread, pasta, etc), ice cream, chilled drinks, and bananas, which all produce excess mucus.
  • Avoid all yeast products, mushrooms, mold-related foods such as cheese, alcoholic drinks, and vinegar, and also prolonged courses of the contraceptive pill and HRT, as they tend to trigger candidiasis (overgrowth of the candida fungus), which is a cause of the leaky gut syndrome, where toxins push into fie bloodstream.
  • Make sure you are not constipated.
  • Clear your nose with two drops of sinus oil in each nostril at bedtime for one month.
  • Try the yogic method of nasal douching fill a neti pot with 250 mL of lukewarm-water. Add half a teaspoonful of table salt and stir. Tilt your head to one side and, breathing gently through your mouth only, insert the nozzle into the upper nostril and gently pour in the water. This will trickle and then flow stead if out of the lower nostril bringing mucus with it. Repeat with head tilted to the other side. Then blow your nose thoroughly. Expel any residual water by doing the cleansing breath routine.
  • To combat allergies, try a homeopathic desensitizing program.
  • Try acupuncture.

NOTE: The above information is for educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.

DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.


  1. Sam

    Why shouldn’t I make a cut and drain it myself?

    • Benjamin

      If you are trying to fight off infection you would be better off allowing a competent individual using sterilized medical instruments to so this step for you.

    • Canadian

      Nose is situated in what is called dangerous triangle of the face – bridge of the nose to corners of the mouth – which has blood supply network that freely communicates with blood supply of brain. Any infection in this area can spread to brain that can cause paralysis of eye/facial muscles, meningitis and or brain abscess.

  2. Cinda Slate

    My doctor prescribed augmentin and mupirocin 3 days ago. My nose is much better but it is still very very red and swollen. How long does swelling last? Well my nose stay red?

    • maisteri

      The redness and swelling normally should vanish until the end of your treatment (7-10 days) Avoid any further injury to the areal, touching or irritating the affected site to prevent other

  3. Charles

    I have problems my nasal vestibule be raw in bleeding. I be smelling a bad smell in my nose. I know 2 month ago I waste some bleach in the house in the smell burn my nose I don’t know that what cause the problem I need your help.

    • maisteri

      You should be examined by ENT-specialist. He will examine your nasal cavity, make a diagnosis and explain to you what is going on.

  4. Shane Brown

    This is weird but I always get these a day or two after a work out. Any ideas? It’s like clock work I workout I get them I don’t workout I’m fine for a long time. My doctor gave me that mupirocin onitment which works but I don’t want to use that forever

    • maisteri

      The workout is always a stress for the body, so it may probably cause the decreased immune protection and reactivation of the chronic infection.

  5. Nasal Sufferer

    I went to an ENT and all he did was charge me over $300 to stick his stupid camera scope up my nose and say “I don’t see anything – no polyps.” I had to pay out of pocket due to my deductible. He did ‘t Do a damn thing to make my nose better. I’ve been dealing with this for 1 yr 9 months!

    • maisteri

      We are very sorry about the situation, but we still recommend you to visit another ENT specialist to find the cause of the bothering symptoms and the appropriate treatment.

  6. Dave

    I have been on two antibiotics and using antibiotic cream for a week. It is slightly better, less pain and less redness on my nose but the wound is still weeping.
    Is this a problem ?

    • maisteri

      If there is no pus and the wound is clear it’s okay. It takes some time for the lesion to heal. If there is some pus and you experience fever and any other symptoms of intoxication – consult with your doctor as soon as possible.

  7. liepap

    Hi, please can someone help me. Over a year ago I had cold, which left my nose vestibulitis very dry, crusty and painful. I’ve been given antibiotic cream Mupirocin, fucidin, antibiotics Amoxillin, flucloxacillin, anticlivir tablets, steroid sprays and steroid tablets, used saline sprays and Vaseline with no improvement. I had a camera up my nose and ENT doctor said everything looks fine. But it’s not fine. I’m in a constant pain, I can’t sleep, basically cannot live normal live as nothing is helping. It feels that inside my nose membranes are hardened and thickened and none of the moisturisers help. Please can someone help me…..

    • liepap

      I forgot to mention I had an allergy test done which came negative. Also had swabs taken few times and they showed no bacterial or viral infection

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