increased nasal discharge
Introduction
Introduction Increased nasal secretions are caused by bacterial and viral infections in the nose, which cause a large amount of secretions in the nasal mucosa, which is one of the common symptoms of the nose. Common pathogens are pneumococci, streptococci, staphylococcus, influenza bacilli, and the like.
Cause
Cause
First, Western medicine theory
Common pathogens are pneumococci, streptococci, staphylococcus, influenza bacilli, and the like. Tooth-derived people are often anaerobic bacteria, such as E. coli, and the secretions are stinky.
1, secondary to colds and colds: the nasal cavity usually has a lot of bacteria, but not onset, only when the body is tired, cold, and the resistance is reduced, the bacteria will take the opportunity to multiply, causing acute inflammation of the nasal mucosa, sinus mucosa and nasal mucosa They are connected to each other, so acute rhinitis can cause sinusitis;
2, adjacent lesions spread: such as the occurrence of root abscess can penetrate the maxillary sinus floor caused by maxillary sinusitis called "dental maxillary sinusitis", tonsillitis and chronic inflammation of the pharyngeal lymphatic tissue can sometimes cause sinusitis;
3, direct factors: such as swimming directly into the sinus or trauma through the nasal cavity after swimming, so that bacteria directly invade the infection and become inflamed;
4, systemic factors: such as excessive fatigue, malnutrition, excessive alcohol and tobacco, especially suffering from chronic diseases such as diabetes, tuberculosis, chronic nephritis and other patients with poor systemic resistance, easy to get sinusitis symptoms, such as light and heavy, such as fear of cold fever, body Discomfort, lack of energy, loss of appetite, etc. Children with severe symptoms, high fever, convulsions, vomiting, cough, etc., such as nasal congestion, purulent sputum, or headache, etc. Acute maxillary sinusitis: headache, morning light, morning and severe side cusp The tenderness of the cheeks is so swollen that the lower eyelids are swollen and the affected side has pain or pain during chewing.
Second, Chinese medicine theory
This disease is equivalent to the category of "noseness" in Chinese medicine. The disease is caused by exogenous cold, lung heat, biliary stagnation, spleen and dampness, lung and spleen qi deficiency. Common clinical syndromes are:
1, the lungs through the wind-heat type: the card sees the plug, the nose is yellow or sticky white, the amount is more, fever, aversion to cold, headache, throat is not good, the tongue is reddish, the fur is white or yellowish, the pulse is floating.
2, biliary stagnation type: the card sees nasal congestion, nasal sputum yellow turbid thick as pus-like, smelly, poor sense of smell, headache and severe pain in the affected area, and fever, mouth bitter throat, irritability, red tongue, yellow coating , the number of pulse strings.
3, spleen through damp heat type: the card sees the nose and yellow, the amount is large, the nasal congestion is heavy and persistent, the smell is poor and sees fever, the head is as heavy as the wrap, the body is tired, the chest is stuffy, the appetite is weak, the urine is yellow, the tongue is red, the yellow is yellow. Thick and greasy, the number of pulses or the number of slips.
4, lung spleen qi deficiency type: the card is more serious, the nose is sticky white or yellow thick, the smell is poor, dizziness, head swelling, shortness of breath, coughing white, eating less bloating, loose stools, pale red tongue, Moss white, weak veins.
5, hot and cold junction type: the card sees a stuffy nose, turbidity, sputum, odor, multi-color yellow, do not smell odor, with headache, dry mouth do not want to drink, yellow greasy tongue coating, slippery pulse.
Examine
an examination
Related inspection
Nasal examination of nasal mucosa and nasal secretions
Therefore, patients with clinically increased nasal secretions should be examined:
First, physical examination
Taking a medical history gives us a first impression and revelation, and also guides us to a concept of the nature of the disease.
Second, laboratory inspection
Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis. Such as: X-ray film diagnosis, on the line of sinus puncture to assist in diagnosis.
Diagnosis
Differential diagnosis
The snoring is due to the formation of nasal secretions. Therefore, there will be no illness, but when you are sick, there will be more nasal secretions and more nasal discharge.
Runny nose is one of the common symptoms of nasal diseases, which can flow out through the anterior nares or into the nasopharynx. After flowing into the nostrils, the nasopharynx and the oral cavity are said to have a runny nose. There is only a small amount of mucus in the normal nasal cavity, which is in a wet state to maintain normal physiological functions. Changes in the nature and amount of nasal secretions can occur when there is a lesion in the nasal cavity. When the nasal secretions overflow, it is called a runny nose.
The nasal congestion is persistent and is still caused by congestion and swelling of the nasal mucosa. The retention of purulent secretions in the nasal cavity can aggravate the symptoms of nasal congestion.
Odoral dysfunction due to swelling of the nasal mucosa, so that the olfactory substance particles can not reach the olfactory area, temporary olfactory disorders may occur. After the mucosal swelling is eliminated, the sense of smell can be restored. The ethmoid sinusitis often causes the sense of smell to be significantly reduced or even lost.
Increased secretion of nasal secretions is purulent or purulent, and the amount is large. The anterior group of sinusitis is easy to discharge into the nasal nostrils, and some of them flow to the posterior nostrils; the posterior group of sinusitis flows to the nasopharynx. Secretions sometimes become thick into pus, often need to be pumped with force to rule out, patients often have a lot of feeling. In odontogenic maxillary sinusitis, secretions often have rancid smell.
