Why Do My Eyes and Nose Burn?

The simultaneous sensation of burning in the eyes and nasal passages is a common, though uncomfortable, physical response that signals irritation of the delicate mucous membranes lining these areas. These symptoms are closely linked because the eyes and nose share a connection through the tear ducts, meaning a reaction in one area frequently triggers a similar response in the other. This burning feeling often accompanies symptoms like watering eyes, sneezing, or a runny nose, as the body attempts to wash away or expel a perceived threat.

Immune Responses and Allergic Triggers

The most frequent cause of this dual burning sensation involves the immune system mistakenly identifying a harmless substance as dangerous. This overreaction is known as allergic rhinoconjunctivitis, or more commonly, hay fever, and it is triggered by microscopic particles called allergens.

When an allergen, such as pollen or pet dander, lands on the mucous membranes of the nose and eyes, specialized immune cells release inflammatory mediators. The principal mediator involved is histamine, a chemical stored in mast cells that acts rapidly on local tissues.

Histamine causes small blood vessels in the conjunctiva and nasal lining to dilate and become more permeable. This leads to signature symptoms like redness, swelling, itching, and intense burning in both areas.

Allergies are classified based on the timing of symptoms, with seasonal allergies caused by airborne substances like tree, grass, or weed pollen that fluctuate throughout the year. Perennial allergies cause year-round symptoms and are typically triggered by indoor allergens, such as dust mites, mold spores, and animal dander. Controlling these immune responses often involves using antihistamines or nasal steroids to block the effects of the inflammatory chemicals released.

Direct Irritation from External Factors

A burning sensation can also occur without an immune response when the sensitive tissues of the eyes and nose are physically or chemically damaged. This direct, non-allergic irritation is dose-dependent, meaning the intensity of the symptoms corresponds directly to the concentration and duration of exposure to the irritant. The trigeminal nerve, which provides sensation to the face, is stimulated by these harsh substances, creating the burning feeling.

Common environmental sources of irritation include air pollution, such as smog and ground-level ozone, and smoke from wildfires or tobacco products. These irritants contain fine particulate matter and volatile organic compounds that directly strip moisture and damage the protective layer of the mucosal surfaces. Strong chemical fumes from cleaning products, like bleach or ammonia, or the chlorine used in swimming pools, can cause immediate and intense burning. This reaction occurs upon inhalation and eye contact.

Another significant, non-chemical factor is extreme low humidity, which leads to a condition known as dry eye. When the air is too dry, especially indoors during winter with forced-air heating, tears evaporate too quickly, and the nasal mucosa dehydrates. This lack of lubrication and moisture leaves the nerve endings exposed and unprotected, resulting in a persistent, gritty, and burning discomfort in both areas.

Infectious Causes and Inflammation

Internal inflammation caused by pathogens is another major source of burning in the eyes and nose. Viral and bacterial infections of the upper respiratory tract can provoke a robust inflammatory response that affects the connected systems of the head. The common cold and influenza frequently begin with inflammation and a raw, burning sensation in the nose and throat.

These infections often lead to rhinitis and sinusitis, where the nasal and sinus linings become swollen and inflamed. When the infection spreads to the eyes, it can cause viral or bacterial conjunctivitis, commonly known as pink eye, which results in ocular burning and irritation. The inflammation and excessive mucus production can also lead to post-nasal drip, where mucus runs down the back of the throat, exacerbating the feeling of rawness and burning.

A distinguishing feature of infectious causes is the presence of systemic symptoms that rarely accompany allergies or irritation. These symptoms can include fever, generalized body aches, and thick, often discolored, nasal discharge.

Actionable Steps and Seeking Professional Advice

Using preservative-free artificial tears can help to re-lubricate and soothe the burning sensation in the eyes caused by dryness or irritation. For nasal passages, a saline nasal rinse or spray can flush out irritants and allergens, reducing the local inflammatory burden. Over-the-counter antihistamines or decongestants may also be helpful.

Implementing environmental controls, such as running a cool-mist humidifier to maintain indoor air moisture between 40% and 50%, can significantly relieve symptoms caused by low humidity. Additionally, avoiding known triggers, like minimizing time outdoors during high pollen counts or ensuring adequate ventilation when using household chemicals, is a practical way to manage the discomfort.

A consultation with a healthcare provider is warranted if the burning sensation persists for more than a few days despite home treatment, or if the symptoms are accompanied by more concerning signs. These signs include a fever, severe pain, changes in vision, or a thick, pus-like discharge from the eyes or nose, which may suggest a bacterial infection requiring prescription treatment. A doctor can accurately diagnose the underlying cause, distinguishing between an allergy, a non-allergic irritation, or an infection, to recommend the most appropriate course of action.