stuffy nose
Introduction
Introduction Nasal congestion is a common local symptom of the nose. There are many diseases with nasal congestion symptoms. Most of the nasal congestion is local inflammation, which is alternating or intermittent. It is accompanied by phlegm and olfactory sensation. These diseases are not very serious and can be treated by themselves; if nasal congestion is found Blood stasis, headache and other symptoms, and progressive exacerbations, should be vigilant, promptly go to the hospital for medical examination.
Cause
Cause
Wide and narrow lesions that affect the respiratory passages of the nasal cavity can cause nasal congestion.
Common lesions are:
1. Nasal tumors and polyps block the respiratory passages of the nasal cavity.
2, nasopharyngeal tumors and proliferative hypertrophy.
3, after the trauma caused by nasal septum deviation.
4, the secretion of specific infection of the nasal cavity, such as nasal syphilis, nasal diphtheria, nasal tuberculosis, nasal induration and so on.
Examine
an examination
Related inspection
Nasopharyngeal MRI examination of otolaryngology CT examination
Therefore, patients with nasal congestion should be examined clinically:
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.
Diagnosis
Differential diagnosis
The general nasal congestion caused by the disease needs to be distinguished from the congenital nasal deformity. The former generally has obvious diseases such as rhinitis, while the latter is caused by congenital factors and needs to be determined by further examination.
1, nasal congestion occurs after birth, mostly nasal deformities, such as congenital posterior nostril atresia, nasal septum deviation.
2, due to nasal congestion and mouth breathing, snoring during sleep, talking with occlusive nasal sounds, mostly proliferative hypertrophy, is the main cause of childhood nasal congestion.
3, nasal congestion is very short, accompanied by nasal itching, sneezing, watery nose, and even fever and other systemic symptoms, for cold and stuffy nose.
4, nasal congestion is more serious than simple, and is persistent, not affected by the receptor position, the speech is occlusive nasal sound. Chronic hypertrophic rhinitis, nasal dryness caused by dry purulent; or nasal congestion due to nasal cavity, decreased respiratory airflow and nasal mucosal sensory nerve atrophy, exhaled gas has a stench, this is chronic simple rhinitis.
5, nasal congestion is paroxysmal, often sudden onset, similar to acute rhinitis, but no systemic symptoms such as fever, is the main symptom of chronic atrophic rhinitis.
6, allergic rhinitis nasal congestion is persistent, for general treatment is difficult to work. Drug-induced rhinitis, such as long-term application of nasal eye net, adrenaline or ephedrine nasal drops, side of the nose, often have chills, fever, headache, sinus pain and purulent sputum and other special symptoms, local sinus tenderness and even Red and swollen. Acute sinusitis has a long-term unilateral nasal congestion, which can be alleviated after the sputum is removed. It often has dizziness, headache, fatigue, lack of concentration, and memory loss.
7, chronic sinusitis is mainly characterized by progressive nasal congestion, more and more serious, and finally developed into a persistent nasal congestion. Check the nasal cavity for polyps. Nasal polyps are more common in children, and there is often a history of foreign body inhalation. Examination of foreign body incarceration sites can often be found.
8, nasal foreign body nasal vestibule and adjacent upper lip skin redness, erosion, chapped or crusted. Nasal vestibulitis is often accompanied by local pain, burning, redness, and even low heat and general malaise. The nasal vestibular fistula is progressive nasal congestion with symptoms such as nosebleeds and headache.
9, suspected malignant tumors, should be checked early, with the corresponding history or medication history / systemic diseases such as hypothyroidism, diabetes and so on.
10, nasal congestion is one of the common symptoms of otolaryngology, patients generally feel the nasal cavity has a foreign body blockage, rhinitis, nasal septum deviation, nasal polyps, sinusitis, nasal tumors and polyps obstruct the nasal respiratory channels; nasopharyngeal tumors and proliferation Body hypertrophy; nasal septum deviation after trauma; nasal secretions of specific infections, such as nasal syphilis, nasal diphtheria, nasal tuberculosis, nasal induration and other patients can feel nasal congestion symptoms.
