Skip to main content
Ask the DoctorsNew York Sinus Center

What is causing fluid to flow from my nostril?

Question:
Once on the first of Oct and again on the 25th of December 2014, I was sleeping and I woke up both times with this fluid gushing out of my left nostril.  In June 2014 I fell and had quite a serious fall on my left side.
I had a huge lump on my head and had a J/C shoulder separation.
I would like to know what causes this fluid problem?
Answer:
It is possible that the fluid coming from your nostril could be cerebral spinal fluid. This could result from a fracture of the skull base which is the thin bone between the roof of the nose and sinuses and brain.
You should see an otolaryngologist who will most likely ask you to collect the fluid so it can be analyzed in a lab, get CT scan and/or MRI scan and perform a nasal endoscopy.
Good luck.

I hope this clears things up.

Scott D. Gold, MD

C0-Director NY Sinus Center

Frequently Asked Questions

Fluid gushing from the nostril after a head injury may be cerebrospinal fluid leak resulting from a fracture at the base of the skull. This occurs when the thin bone separating the brain and nasal cavity is damaged, allowing fluid to escape through the nose.

Fluid leaking from the nose after a serious fall can indicate a cerebrospinal fluid leak caused by a skull base fracture. This condition requires prompt medical evaluation to prevent complications such as infections and to confirm the diagnosis through imaging and laboratory tests.

An otolaryngologist may recommend collecting the nasal fluid for laboratory analysis, performing CT or MRI scans to detect skull base fractures, and a nasal endoscopy to visually inspect the nasal passages and sinuses.

You should consult an otolaryngologist (ear, nose, and throat specialist) who can properly evaluate the symptoms, perform necessary diagnostic tests, and recommend appropriate treatment.

A shoulder injury itself is unlikely to cause nasal fluid leakage. However, if you experienced a serious fall affecting multiple areas, the fluid leak is more likely related to head trauma rather than the shoulder injury.

Dr Robert Pincus

sinus,head-neck