Nose piercings, while generally safe, create an open wound that can lead to infection. Addressing an infected piercing promptly is important for proper healing and to prevent complications. This guide explains how to identify and care for an infected nose piercing, and when to seek professional medical attention.
Recognizing Infection
During the initial healing phase, mild redness, tenderness, and slight swelling around the piercing site are typical. A clear or slightly yellowish fluid, known as lymph, which may form a crust around the jewelry, is also a common part of the healing process.
Signs of infection differ from these normal healing symptoms. An infected nose piercing may exhibit increased pain, persistent redness, and noticeable swelling that does not subside. The area might feel warm to the touch, and there could be a throbbing sensation. A significant indicator of infection is the presence of yellow or green pus, which may also have an unpleasant odor, unlike clear discharge.
Home Care Steps
For mild infections, avoid removing the jewelry unless advised by a medical professional, as this can trap the infection. Always wash your hands thoroughly before touching the piercing to prevent introducing more bacteria.
Clean the piercing gently with a sterile saline solution at least twice a day. You can purchase sterile saline wound wash or prepare your own by dissolving 1/4 to 1/2 teaspoon of non-iodized sea salt in 1 cup (250ml) of warm distilled or boiled water. Allow the solution to cool to a lukewarm temperature before use. Soak a clean gauze pad or cotton swab in it and apply it to the piercing for a few minutes to help soften any crusting. Gently wipe away any softened debris, being careful not to disturb the jewelry excessively.
Applying warm compresses can help reduce swelling and encourage drainage. Soak a clean cloth in warm water and hold it against the piercing for 20 to 30 minutes. Avoid harsh products like alcohol, hydrogen peroxide, or strong antiseptics, as these can irritate the piercing and delay healing. Do not use tea tree oil unless specifically recommended by a professional, as it can cause allergic reactions.
When Professional Help is Needed
While many mild nose piercing infections can be managed at home, certain signs indicate that professional medical attention is necessary. If the redness around the piercing begins to spread significantly or streaks radiate from the site, it may suggest the infection is worsening. The development of a fever, chills, or generally feeling unwell are also serious indicators that require immediate medical evaluation, as these symptoms can point to a systemic infection.
Severe pain, the formation of a large abscess, or if the infection does not show improvement after several days of consistent home care are also reasons to consult a healthcare provider. A doctor can accurately diagnose the extent of the infection and determine if oral antibiotics or other medical interventions are required. In some cases, a reputable piercer may also be able to assess the situation and advise whether medical treatment is necessary.
Preventing Future Issues
After an infection has resolved, maintaining proper aftercare habits is important to prevent future complications. Continue to clean the piercing regularly, even after it appears healed, using a saline solution.
Choosing appropriate jewelry material is also a significant preventive measure. Hypoallergenic materials such as surgical stainless steel, implant-grade titanium, 14k or 18k gold, niobium, or platinum are recommended for piercings as they are less likely to cause irritation or allergic reactions. Avoiding swimming in unchlorinated water, such as lakes or unmaintained pools, during the healing phase can also reduce exposure to bacteria.