Objects in the Nose

Young 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 more difficult.

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 difficult 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.

Review the Emergencies and Check Your Symptoms sections to determine if and when you need to see a health professional.

• Choking. Go to the topic Choking Rescue Procedure (Heimlich Maneuver). Do not perform the Heimlich maneuver if the person is still coughing or is able to speak.
• Moderate to severe difficulty breathing occurs:
  • In children.
  • In adults and older children.

If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.

Review health risks that may increase the seriousness of your symptoms.

If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.

Removing an object from the nose

Follow 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. Hold 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 hold 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, 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 nose

Some 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.
• Take an oral decongestant or use a decongestant nasal spray. Oral decongestants are not as helpful as nasal sprays in children. Do not use a decongestant nasal spray for longer than 3 days. Overuse of decongestant sprays may cause the mucous membranes to swell up more than before (rebound effect). Avoid products containing antihistamines, which dry the nasal tissue.
• 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.

Symptoms to Watch For During Home Treatment

Use the Check Your Symptoms section to evaluate your symptoms if one or more of the following symptoms occur during home treatment:

• A nosebleed cannot be stopped with home treatment. See the topic Nosebleeds.
• An infection develops.
• Symptoms become more severe or more frequent.

Small 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.

To 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 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?

• Choking Rescue Procedure (Heimlich Maneuver)
• Facial Injuries
• Facial Problems, Noninjury
• Head Injury, Age 4 and Older
• Nose Injuries
• Nosebleeds

When to See a Doctor

See significance of a disc battery in the nose if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

	Call your child's health professional immediately if you answer "Yes" to the following question.
Yes	Are you unable to quickly remove a disc battery from the nose? Note: If you are not able to reach your health professional immediately, go directly to the nearest hospital emergency department. Do not place nose drops or sprays of any kind in the nose in an attempt to remove the battery. Nose sprays can cause the battery to corrode quickly, causing severe damage to the nasal tissues.

	You may wait to see if your child's symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to the following question.
Yes	Do you continue to have mild difficulty breathing 24 hours after you have removed an intact disc battery from your nose?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of an object remaining in the nose if you need information to help you answer the question below.

Review health risks that may increase the seriousness of your symptoms.

	Call your child's health professional immediately if you answer "Yes" to the following question.
Yes	Is an object or part of an object stuck in the nose after you have tried to remove it?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of an infection if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

	Call your child's health professional immediately if you answer "Yes" to any of the following questions.
Yes	Do you have diabetes?
Yes	Do you have a disease or take medicine that causes problems with your immune system?

	Call your child's health professional today if you answer "Yes" to any of the following questions.
Yes	Do you have increased pain, swelling, redness, or warmth around your nose?
Yes	Do you have pus or a bad-smelling drainage from your nose?
Yes	Do you know or think you have a fever?

	You may wait to see if your child's symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to the following question.
Yes	Have you had swollen glands (lymph nodes) in your neck for 24 hours or longer?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of difficulty breathing after removing an object from the nose if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

	Call your child's health professional today if you answer "Yes" to the following question.
Yes	Do you have moderate difficulty breathing after removing an object from the nose?

	You may wait to see if your child's symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to the following question.
Yes	Do you continue to have mild difficulty breathing 24 hours after removing an object from the nose?

	Your child needs an appointment within the next 1 to 2 weeks if you answer "Yes" to the following question.
Yes	Do you continue to have nasal stuffiness or swelling without other symptoms 1 week after an object was removed from the nose?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.