What Is The Bump Next To My Nose Ring?

Nostril piercings are one of the most common facial piercings available, possibly second only to the earlobe in terms of popularity. Healing is relatively easy, if sometimes slow--about three to four months on average. But every piercing can develop complications at any time during the healing process, even if well-cared for. If you have a bump near the site of your nostril piercing, it could be caused by one of several different conditions. Fortunately, most are minor, if unsightly.

Leave Jewelry in Place

If you're having any sort of trouble with your piercing, your first impulse may be to take your jewelry out--and if you see a doctor, he may tell you to remove your ring. But the Association of Professional Piercers suggests that removing jewelry should be a last resort, as it can cause further complications down the line, including scarring and even abscesses. Most piercing complications can be resolved with the jewelry in place.

Complications Without Infection

Most likely, the bump next to your nostril piercing is a granuloma. Elayne Angel, author of "The Piercing Bible," describes granulomas as looking "like raw hamburger"--red and raw. Granulomas are benign overgrowths of regular body tissue. They bleed easily but are often not particularly tender; they may drain clear or yellow fluid. A buildup of scar tissue could also cause a bump near the site of a nostril piercing. Some people are prone to keloids, which are a type of raised scar. They tend to run in families, and black and Asian populations have a higher incidence of keloids than other groups. If you had trouble with infections or trauma to your piercing earlier, and the bump isn't tender or draining any fluid, it might be a keloid scar.

Complications With Infection

There's also the possibility that a bump next to your nose ring is a pustule or abscess. If the bump looks pink and feels tender or looks like a pimple, then it's a pustule--a localized pus-filled sore or "piercing pimple," quite similar to a regular pimple in form and treatment. Very occasionally, a piercing may become infected and, if left untreated, may lead to the formation of an abscess--a hard marble-like lump beneath the skin caused by the body's attempt to encapsulate and isolate a chronic infection.

Home Treatment

Granulomas and pustules can be treated at home. The first step for both conditions is a saline soak. Follow the directions given by your piercer in his aftercare instructions, but instead of soaking once a day, soak your piercing up to three times a day. Granulomas often respond well to a topical application of hydrocortisone cream or tea tree oil. Pustules, because they are essentially a very tiny localized infection, may be resolved with topical use of an antibiotic cream or gel. Keloids and other scar tissue formations, unfortunately, are harder to resolve--it's probably best to consult a dermatologist. An abscess is a serious medical condition that warrants a doctor's care.

When To See A Doctor

Seek medical assistance if you've tried home treatment with no improvement after two or three weeks or if the lump seems to be getting larger instead of smaller. If you're running a fever, see your doctor as soon as possible. Do the same if there are dark read streaks emanating from the piercing site or if there is a copious amount of thick, smelly discharge.