A nose that's always cold may seem like little more than a nuisance, and in most cases that's all it is. However, if you're wondering why your nose is always cold, even in warm weather, then there may be a greater underlying issue. A number of factors have to be taken into consideration. Carefully note any other symptoms you have that are out of the ordinary, whether you think they are related to your cold nose or not. If the issue is enough to cause you concern, then most likely it is disruptive enough to consult your doctor about a potential cause and potential management options.
Possibly the most telling aspect of why your nose is cold is what else is happening with your body at the same time. Does it feel cold year round or only during certain seasons? How are your energy level and emotional state? Are other parts of your body cold, too, such as your hands and feet? Do you notice any color changes at the time you feel cold? Are you able to sweat when it is appropriate?
If your nose is cold all the time, it's also important to determine whether it truly is cold or if that's just your perception. Either psychological coldness or actual coldness is possible, and each points at an entirely different potential cause.
Nose that’s cold to the touch
While it's common for your nose to be cold if the surrounding air is cold, it could indicate a problem if your nose is cold to the touch all the time. In order to tell whether the cold is actually due to a temperature decrease as opposed to a psychological issue, it is important to have someone else evaluate the temperature of your nose. You will likely not be able to tell the difference between psychological or physical cold.
If possible, have a trusted friend or family member, or your doctor, check your nose’s temperature by touch. While it will feel slightly cooler than your face under totally normal circumstances, this person should not be able to detect a significant difference. If they do, then your cold nose could actually be related to temperature regulation issues.
There are a number of conditions that change your reaction to cold, making you more sensitive to cooler temperatures. This is psychological cold. While it's normal to feel cold for a short time as the seasons change or if you move to a cooler climate, you should eventually acclimate to the new conditions. If you don't, and still feel cold even when those around you do not, then you may have a condition that increases your sensitivity to cold.
Medical possibilities for a cold nose
Temperature regulation issues may occur anywhere in the system that is responsible for temperature regulation. Most notably, this includes your circulatory system and the hypothalamus in your brain. Weak hearts, low blood pressure, obstructed veins and arteries and other such issues may lead to a circulation problem that will first be felt in your nose and feet. A structure within the hypothalamus regulates temperature responses, such as shivering and sweating. If these are not working properly, then you may feel cold. Hormone issues, as well as all of the complexities of brain chemistry, may also play a role in diagnosing your cold nose.