bloody mucus nasal discharge
Introduction
Introduction Sometimes when you blow your nose, you can see a sticky pus and bloodshot. The causes of blood in the nose are many and complex, and it is necessary to diagnose according to different causes.
Cause
Cause
Bloody or small blood clots in the nose are common in nasal trauma, surgery, inflammation, stones, foreign bodies, and systemic diseases. In addition, red snot may also be an early symptom of nasal malignancy. Especially in middle-aged patients, patients often have bleeding or nasal discharge of nasal discharge, and they should go to the hospital for detailed examination.
1, nasal inflammation: acute rhinitis, atrophic rhinitis, sinusitis and other non-specific inflammation of the nasal cavity and sinus is a common cause of blood stasis. General colds, due to congestion and swelling of the nasal mucosa, plus secondary infection, bloody nose caused by sputum, due to capillary rupture, with the cure of rhinitis and improvement of nasal ventilation function and disappear.
2, special working environment: long-term dry and dusty working environment can easily cause nasal mucosa to dry, rupture and easy to bleed, resulting in blood in the nose. Long-term work in the environment of volatile substances such as mercury, phosphorus, arsenic, etc., can also cause blood in the nose.
3, some specific inflammation: such as tuberculosis, syphilis, malignant granuloma and other infections, can cause small blood vessels in the nasal cavity or nasal mucosal erosion, resulting in blood in the nose.
4, systemic causes: nutritional disorders or vitamin C deficiency, cardiovascular disease and blood diseases can cause blood in the nose. Systemic diseases of coagulopathy or vascular fragility can cause blood in the nose. Such as leukemia, hemorrhagic purpura, aplastic anemia, high blood pressure, pulmonary heart disease, vitamin C, B2, P, K deficiency, rheumatic fever, liver, spleen, kidney and other chronic diseases, acute infectious diseases.
Examine
an examination
Related inspection
Nasal endoscopy nasopharynx MRI nasal examination
Foreign body in the nasal cavity: If a child has a unilateral nasal congestion and is accompanied by a bloody pus snot, it is generally considered to be caused by a foreign body in the nasal cavity. Many children, because of their curiosity, stuffed foreign objects such as beans and paper balls into their nostrils, fearing that parents would criticize them. They dare not say that they dug themselves. The results are getting deeper and deeper. Foreign bodies remain in the nasal cavity for a long time, irritating the nasal mucosa and causing nasal mucosa. Festering bleeding.
Women's menstrual period: Some women have periodic irregular nosebleeds 1 to 2 days before menstruation or menstruation, which may be associated with less menstrual flow or no menstruation, which is related to changes in estrogen secretion during menstruation in women. .
Nasopharyngeal carcinoma: Nasopharyngeal carcinoma is one of the multiple tumors in China. In the head and neck cancer, the incidence of this disease is the highest, and the age of onset is mostly between 40 and 60 years old, more men than women. Its main performance is: sucking blood in the sucking sputum or taking out the bloody nose, which is mainly caused by the collapse of the tumor surface, and the amount of bleeding is generally not much, which is more common when getting up in the morning. Because of less bleeding, sometimes no, often ignored by patients, or mistaken for respiratory inflammation for treatment.
Nasal tumors: benign tumors include nasopharyngeal angiofibroma, papilloma or polyp infection necrosis, and malignant tumors of the nasal cavity and sinus include squamous cell carcinoma, adenocarcinoma, and sarcoma. The nosebleeds caused by tumors are caused by surface ulcers of the tumor itself. A benign tumor is only blood in the nose, and the amount is small. The early manifestations of malignant tumors are unilateral progressive nasal congestion, blood in the nasal discharge, and frequent bleeding, which can cause severe nosebleed when the larger blood vessels are damaged. In the late stage, due to the destruction of bone, there may be bloody pus and nasal discharge accompanied by severe headache, and should be vigilant.
Diagnosis
Differential diagnosis
Nose sputum is a common symptom of nasal diseases. Different nasal diseases can cause nasal discharge of different colors and traits. If you pay attention to observation, you can find signs of certain diseases from the colorful snot.
1, clear watery nose: more common in the early stages of colds and colds and allergic rhinitis patients. However, patients with head trauma or nasal surgery, such as sudden outflow of watery liquid, should beware of cerebrospinal fluid rhinorrhea, need timely diagnosis and treatment.
2, white mucus snot: common in chronic rhinitis, the stimulation of certain physical and chemical substances in the living environment, white mucus sputum can also appear.
3, sticky pus nasal: common in colds and colds, with the improvement of the cold, the purulent component of the purulent nasal sputum will gradually reduce, if the course of disease for more than 10 days, still sputum pus, should consider the possibility of sinusitis .
4, yellow water snot: mostly caused by rupture of the serous cyst in the maxillary sinus, which is characterized by intermittent leakage of yellow water from one side of the nasal cavity.
5, white sputum-like nasal sputum: often caused by cheese rhinitis, and stink, such as green and have a special odor, it is a characteristic of atrophic rhinitis, stinky nose.
6, black nose: more due to the inhalation of a large amount of black dust? Such as coal dust, smoke, metal dust, etc. mixed in the nose
