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Blocked or infected tear duct

Also called: Blocked tear duct, nasolacrimal duct obstruction, dacryocystitis

A blocked tear drain causing watery, sticky eyes, common in babies. Infection causes a red, swollen bump by the nose.

BabiesUsually open by age 1
InfectionNeeds antibiotics

Overview

Tears drain through a small duct into the nose. When it's blocked, tears spill over and the eye gets sticky.

In babies the duct often opens on its own. In adults, it can come from aging, infection, or injury.

Symptoms

Common signs:

  • Watery or sticky eye

Less common

  • Red bump by the nose

When to get medical care

Call 911Swelling around the eye with fever.
Get care todayRed, painful bump near the nose.
See a doctor soonTearing past age 1.

Causes

Narrow duct.

Who is more likely to get it

  • Babies

Diagnosis

A clinician examines.

Treatment

Massage and clean.

Self-care

  • Gently massage beside the nose
  • Wipe with warm water

Medicines

Medicines that may help:

MedicineHelps withGood to know
Antibiotics
Infection

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Probing for babies past 1.

Prevention

To lower your risk or prevent problems:

  • Wash hands before touching eyes

Which doctor treats this

  • Urgent care or the ER can treat it first. For minor problems, your primary care provider can help.
  • They may send you to an ophthalmologist (eye doctor and surgeon).
  • A physical therapist can help with exercises to rebuild strength and motion.

Back to school, work, or sports

  • School or desk work is often OK within days. Jobs with lifting may need light duty for a while.
  • Go back to sports only when your doctor says it's OK and you have full motion and strength without pain.

Children, pregnancy, and older adults

  • Babies: About 1 in 20 have a blocked duct.

Outlook

Usually clears.

Most babies' ducts open by age 1.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Does my baby need a probing?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Blocked or infected tear duct

Sources

Last updated 2026-11-12.