Foreign body in the nose
Something stuck in the nose; Objects in the nose
This article discusses first aid for a foreign object placed into the nose.
The nasal cavity is the first part of the respiratory system where air enters to begin the breathing process. The nasal conchae are so called for their shell-shaped structure. The conchae form the lateral walls of the nasal cavity.
Considerations
Curious young children may insert small objects into their nose in a normal attempt to explore their own bodies. Objects placed in the nose may include food, seeds, dried beans, small toys (such as marbles), crayon pieces, erasers, paper wads, cotton, beads, button batteries, and disc magnets.
A foreign body in a child's nose can be there for a while without a parent being aware of the problem. The object may only be discovered when visiting your health care provider to find the cause of irritation, bleeding, infection, or difficulty breathing.
Symptoms
Symptoms that your child may have a foreign body in his or her nose include:
- Difficulty breathing through the affected nostril
- Feeling of something in the nose
- Foul-smelling or bloody nasal discharge
- Irritability, particularly in infants
- Irritation or pain in the nose
Kids often put things up their noses besides their fingers that can get stuck up there. I'm Dr. Alan Greene and let's talk about how to get things out. One of my own children put 5 peas up his nose. If there are things that are stuck up in the nose, if you can still see them, you grab a pair of tweezers and gently try to pull them out. If you can't see them, you might have some help by closing the other nostril and having them blow out hard to get it where you can see it and then pull it with tweezers. But if they're up there, you can't see them, you can't get them out, it's time for a trip to the doctor. They have different tools that'll enable them get them out more easily. With the peas in my son, we used a little nose vacuum and got them out one by one.
First Aid
First aid steps include:
- Have the person breathe through the mouth. The person should not breathe in sharply. This may force the object in further.
- Gently press and close the nostril that does not have the object in it. Ask the person to blow gently. This may help push the object out. Avoid blowing the nose too hard or repeatedly.
- If this method fails, get medical help.
Do Not
- Do not search the nose with cotton swabs or other tools. This may push the object further into the nose.
- Do not use tweezers or other tools to remove an object that is stuck deep inside the nose.
- Do not try to remove an object that you cannot see or one that is not easy to grasp. This can push the object farther in or cause damage.
When to Contact a Medical Professional
Get medical help right away for any of the following:
- The person cannot breathe well
- Bleeding occurs and continues for more than 2 or 3 minutes after you remove the foreign object, despite placing gentle pressure on the nose
- An object is stuck in both nostrils
- You cannot easily remove an object from the person's nose
- The object is sharp, is a button battery, or two paired disc magnets (one in each nostril)
- You think an infection has developed in the nostril where the object is stuck
Prevention
Prevention measures may include:
- Cut food into appropriate sizes for small children.
- Discourage talking, laughing, or playing while food is in the mouth.
- Do not give foods such as hot dogs, whole grapes, nuts, popcorn, or hard candy to children under age 3.
- Keep small objects out of the reach of young children.
- Teach children to avoid placing foreign objects into their noses and other body openings.
References
Chi DH, Tobey A. Otolaryngology. In: Zitelli BJ, McIntire SC, Nowalk AJ, Garrison J, eds. Zitelli and Davis' Atlas of Pediatric Physical Diagnosis. 8th ed. Philadelphia, PA: Elsevier; 2023:chap 24.
Goodloe JM, Soulek J. Foreign bodies. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 51.
Haynes JH, Zeringue M. Removal of foreign bodies for the ear and nose. In: Fowler GC, ed. Pfenninger and Fowler's Procedures for Primary Care. 4th ed. Philadelphia, PA: Elsevier; 2020:chap 204.
Version Info
Last reviewed on: 11/2/2023
Reviewed by: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
