Practice diagnosing and treating a stuffy nose

2021-02-05 12:00 AM

In adults, there are often signs of shortness of breath when sleeping, making sleep interrupted at night, making patients often sleep a lot during the day.

Nasal congestion is a phenomenon where one or two nostrils are blocked by mucus, preventing the patient from breathing easily. Distinguishing cases of stuffy one or two nostrils usually does not help diagnose, except in the special case of a foreign object in the nose. However, it is important to distinguish between acute congestion that lasts only a few days from chronic congestion that can last up to 3 weeks.

Acute stuffy nose

Reason

Causes of acute congestion can be:

Allergic rhinitis.

Sinusitis.

Upper respiratory tract infection.

There is a foreign object in the nose.

Blood clot remaining after a nosebleed.

Injury to the nose.

Inflammation of the nasal mucosa (nasal congestion).

Diagnose

Differential diagnosis of the above causes. Pay attention to look for visible signs such as blood clots in the nose, foreign bodies, nose injuries ...

Treatment

If the cause can be found, proceed to treat the cause. In terms of symptomatic treatment, a solution of nasal drops such as sulfarhin, naphazoline, etc. can be given. In cases of congestion due to allergic rhinitis, antihistamines can be used to relieve symptoms. In some cases, oral antihistamine terfenadine can be effective. Nasal congestion caused by acute sinusitis is often associated with a yellow, green or bloody nasal discharge and is very sensitive in the face. Treat sinusitis with antibiotics or, in some cases, require x-rays to identify and indicate sinus lavage or sinus drainage.

Chronic stuffy nose

Reason

Nasal congestion that lasts for too long (more than 3 weeks) can be caused by untreated long-term causes, such as a septum, upper respiratory tract infection, or chronic sinusitis ...

Diagnose

The patient's voice has a nasal tone, which clearly shows that the nose is often stuffy.

A lot of runny nose during an upper respiratory tract infection.

In adults, there are often signs of shortness of breath when sleeping, making sleep interrupted at night, making patients often sleep a lot during the day.

Children who snore a lot while sleeping can also be a sign of chronic congestion.

VA inflammation is a very common cause of prolonged congestion in children.

Treatment

Nasal sprays, nasal drops, decongestants ... are only used to treat temporary symptoms. It is more important to identify and treat the cause of persistent congestion. Cases of deviation of the nasal septum may be congenital or due to major trauma to the nose, but if this is the cause of nasal congestion, surgery is required to reposition the septum. Sinusitis requires complete treatment with antibiotics or a combination of sinus lavage, sinus drainage surgery ... Children with VA can also be treated with antibiotics, but if they do not go away or recur many times, they need to progress. clean curettage surgery.