I have this hard swelling on the left side of lateral wall of my nose below my eyes at the root of the nose it is tender what it could be

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facial cellulitis sinusitis

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NHS facial swelling red flags eye swelling fever facial cellulitis sinusitis

A new hard, tender swelling beside the bridge of the nose and below the eye should be assessed in person today, ideally at urgent care or by a doctor. Because this area is close to the eye and sinuses, infections can sometimes worsen quickly.
Possible causes include:
  • A skin or soft-tissue infection, such as cellulitis or an infected cyst
  • Sinus inflammation or infection causing tenderness around the nose and eye
  • Nasal vestibule infection, especially if there is a sore, crusting, pimple, or recent nose picking/blowing
  • Injury or a nasal-bone issue if you were hit or bumped the area
  • Less commonly, a dental infection or another growth
Go to an emergency department now if you have any of these: fever or chills, redness/warmth spreading, swelling of the eyelid or around the eye, pain when moving the eye, blurred/double vision, eye bulging, severe headache, vomiting, confusion, or rapidly enlarging swelling. Eye-area cellulitis is particularly serious. The NHS cellulitis guidance advises urgent assessment for painful, hot, swollen skin.
Until seen: do not squeeze, poke, or try to drain it. You may use a cool compress and take paracetamol/acetaminophen or ibuprofen if you normally can take them safely, following the package instructions.
If you tell me when it started, whether it is red/warm, any blocked nose or tooth pain, and whether your eye is affected, I can help you judge the urgency more specifically.
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This swelling if visible

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The photo is blurry and taken at an angle, so I cannot reliably confirm the swelling or judge its severity. I do not see marked redness or obvious major eyelid swelling, but a small area of fullness beside the nasal bridge may be present.
Because you describe it as hard and tender at the root/side of the nose, please arrange an in-person examination today or within 24 hours, even if it looks subtle. A photo cannot rule out an early skin infection, sinus-related problem, inflamed cyst, or injury.
Seek emergency care now if any of these occur:
  • Fever, increasing redness/warmth, or rapid enlargement
  • Eyelid swelling
  • Eye pain, pain on moving the eye, blurred/double vision, or reduced vision
  • Severe headache, vomiting, or feeling very unwell
Do not press, squeeze, or massage it.
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