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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Nose And Forehead After Drinking Cold Things?

My 11 year daughter was hit in the nose by a softball two days ok. There is a little swelling and bruising along with some discomfort and headache. My question is when she drinks something cold it hurts her nose and forehead. This has only happened since the accident. Is this normal?
Tue, 23 Sep 2014
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Pediatrician,  's  Response
Thank you for posting your question.

Local pain and soreness after injury to the nose can easily be explained. However, reaction to cold drinks in the form of pain in nose and headache is an uncommon complaint. The only explanation that can be thought of is that the injury must have left some sore area in and around the nose and the nasal sinuses. Thus anything that is too cold when ingested, the effervescence might be causing irritation of the teeth roots, nasal mucosa and the sore sinus mucosa leading to pain, irritation and headache.
The management should be symptomatic which includes avoiding cold drinks for a while, pain killers if the pain is very severe and local cold fomentation.
The soreness will take its time to resolve following which there should be no issues in ingesting cold liquids.
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What Causes Pain In Nose And Forehead After Drinking Cold Things?

Thank you for posting your question. Local pain and soreness after injury to the nose can easily be explained. However, reaction to cold drinks in the form of pain in nose and headache is an uncommon complaint. The only explanation that can be thought of is that the injury must have left some sore area in and around the nose and the nasal sinuses. Thus anything that is too cold when ingested, the effervescence might be causing irritation of the teeth roots, nasal mucosa and the sore sinus mucosa leading to pain, irritation and headache. The management should be symptomatic which includes avoiding cold drinks for a while, pain killers if the pain is very severe and local cold fomentation. The soreness will take its time to resolve following which there should be no issues in ingesting cold liquids.