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Warning-sign checks

Foreign body in the nose: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency care now if there is:

    • Trouble breathing, choking, blue or grey colouring, or collapse
    • A suspected or confirmed button battery in the nose
    • Two or more magnets, or magnets trapping nasal tissue
    • An object that may have moved into the airway
    • Heavy bleeding that does not stop with firm, gentle pressure
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Do not wait for symptoms after a suspected button-battery insertion.

    Tissue damage may begin before pain or discharge develops.

    Arrange prompt medical assessment if an object is visible or known to be inside the nose, even if it is not causing discomfort.

    Unexplained one-sided, bad-smelling discharge or repeated bleeding also needs assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Attend follow-up if advised.

    Return for review if pain, swelling, fever, bleeding, blockage, or foul-smelling discharge continues or worsens, as this may indicate infection, tissue injury, or material still inside the nose.

Every sign above is quoted from the sofidex article on Foreign body in the nose. If you are not sure, err upward — it is always reasonable to be checked.