What causes pimples inside the nose?

Acne may refer to the development of pimples. Generally, acne inside the nose could be caused by factors such as high work stress, internal heat ("shang huo"), folliculitis, excessive liver fire, or nasal polyps. It is recommended to seek timely medical attention, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. High work stress: This may lead to hormonal imbalances due to endocrine disruption, stimulating excessive sebum production, clogging pores, and ultimately causing acne. It is advisable to relieve work-related stress through methods such as meditation or listening to music, which may help alleviate symptoms.

2. Internal heat ("shang huo"): This may be associated with consuming spicy foods or staying up late. Internal heat can lead to accumulation of heat toxins in the body, manifesting on the skin as acne. Patients are advised to take medications such as Niuhuang Qingfei Tablets, Yangyin Qingfei Pills, or Niuhuang Qingfei Tablets as prescribed by a doctor.

3. Folliculitis: This may result from poor hygiene in the nasal area or trauma to the nose. When hair follicles in the nose become infected with bacteria, inflammation may occur, leading to acne-like lesions. Early symptoms may include red papules that progress into pustules, often accompanied by mild pain. Patients should follow medical advice and use topical or oral medications such as fusidic acid cream, compound polymyxin B ointment, or cefalexin capsules.

4. Excessive liver fire: This is usually caused by improper diet or emotional depression. Excessive liver fire may disrupt the body's internal balance, triggering various skin issues, including acne inside the nose. Patients are advised to take herbal remedies such as Longdan Xiegan Pills, Danzhi Xiaoyao Pills, or Danggui Longhui Pills under a doctor’s supervision to improve symptoms.

5. Nasal polyps: These are typically related to impaired ciliary function in the nasal cavity. This condition may allow bacteria to adhere to the nasal mucosa, leading over time to severe mucosal swelling and polyp formation. Nasal polyps can block nostrils, clog pores, and promote bacterial infection, thereby contributing to acne development. Patients are advised to seek prompt medical care and consider functional endoscopic sinus surgery (FESS) as a treatment option.

In daily life, it is recommended to maintain a light diet, drink plenty of warm water, ensure adequate sleep, avoid staying up late, practice proper facial hygiene, and refrain from squeezing acne lesions, all of which can support recovery.