Pathology of chronic secretion rhinitis

2021-01-31 12:00 AM

Chronic secretory rhinitis is characterized by diffuse congestion and extensive oedema in the nasal mucosa (sometimes purple oedema). Symptoms are almost identical to those in acute rhinitis.

Symptom

Chronic secretory rhinitis is characterized by diffuse congestion and extensive oedema in the nasal mucosa (sometimes purple oedema). Symptoms are almost identical to those in acute rhinitis.

Body

Nothing special.

In place

Infrequent stuffy, stuffy increases according to the patient's lying on his back or on his side. Usually, in these cases, there is stasis in the lower parts of the nose. The blood vessels of the cavernous organization due to loss of tone, in a dilated state, are congested, preventing breathing through the nose. When tilted to the other side, nasal congestion also changes to low nostril.

A runny nose is almost frequent.

Complications in chronic rhinitis can be in the form of decreased smell or sometimes loss of smell, often with damage to the hearing organs due to inflammatory fluid flowing from the nose through the eardrum into the eardrum.

Diagnose

Implementing the quadrants

Nasal congestion: usually bilateral, increased with weather changes or weakened body.

Continuous, plentiful runny nose, the mucus may be cloudy, but without a bad smell.

Nasal examination: the skin of the nostrils is red, the nasal mucosa is enlarged, the lower nose curls up, the redness narrows the airways, but also has good resilience with vasoconstrictors. Nasal floor and lower nasal passages are filled with mucus.

Differential diagnosis

With over productive rhinitis: shrinking the nasal mucosa with 2% -3% Ephedrine solution. If almost complete oedema of the nasal mucosa, after installation of vasoconstriction, chronic rhinitis is often indicated. If not, it proves that rhinitis is excessive. Examination of the nasal mucosa with a prison probe can give us an idea of ​​the extent of its oedema.

In most secretory rhinitis is a lot of secretion, it is necessary to exclude sinus disease as the possible source of this secretion.

Treatment

To reduce oedema and fight inflammation, use astringent or nasal occlusion medications.

Apply 1%, 2%, 3% silver nitrate solution or zinc chloride solution.

If recurrent use Naphazoline 0.5% or Ephedrine 1% with results.

Physically, it is possible to nebulize, project short-wave rays into the nasal area, electrophoresis of Novocaine solution 5%. If there is no result, it may be necessary to burn the lower nose with electric coils.