deep nasal congestion
Introduction
Introduction The main symptoms of nasal foreign body disease are deep nasal congestion and purulent nasal discharge. The nasal foreign body is a substance inside and outside the nasal cavity. Nasal foreign substances can be divided into the following three types: 1 non-biological such as sugar paper, plastic plastic toys, buttons, necklace beads, glass beads, stones, soil and so on. 2 Plants such as beans, peanuts, fruit cores, etc. 3 animals, such as insects, mites, mites, leeches and so on. Children with nasal foreign bodies often have unilateral nasal flow, mucus, sputum with blood and nasal congestion, and exhaled breath has odor. In addition to the traumatic manifestations of facial traumatic foreign bodies, the symptoms vary with the size, nature, residence time and location of the foreign body. Animal foreign bodies have a lot of worms in the nose and can have sinusitis for a long time.
Cause
Cause
The foreign body can penetrate the nasal cavity wall through the anterior nares, the posterior nostrils or the trauma into the nasal cavity.
1. The child is curious, mistakenly put the toy parts or food into the nostrils and enter the nasal cavity. I dare not tell the parents, forget it for a long time, and until the infection and bleeding occur, I will be noticed.
2. When vomiting and sneezing, the food and aphids can enter the nasal cavity through the posterior nostrils. Occasionally live fish, live shrimp jump to the nasopharynx, through the back hole and reach the nasal cavity.
3. In the case of trauma, war injury or work injury, foreign matter enters the nasal cavity, often combined with sinus and eyelid foreign body.
4. During intranasal surgery, the operator accidentally fills the gauze or oil gauze into the nasal cavity and forgets to take it out, which is called iatrogenic foreign body.
5. Insects can lay eggs in the nostrils of debilitated and comatose patients, and become foreign bodies in the nose. Tropical residents drink or swim in clean water, and can cause foreign bodies such as nasal leeches.
Examine
an examination
Related inspection
Nasal examination for nasal endoscopy
Ask your medical history in detail. Aspirate the nasal vestibule and nasal secretions, use a vasoconstrictor to converge the red and swollen nasal mucosa, carefully observe with a anterior or endoscope, and if necessary, use a blunt probe to touch the size, nature and location of the foreign body. X-ray examination has diagnostic value only for metallic and mineral foreign bodies.
Depending on the size, shape, type and nature of the foreign body, the main symptoms are deep nasal congestion, purulent nasal discharge, odor and blood, sometimes due to chronic nosebleed, which can cause anemia symptoms, such as pale, weak body, fatigue , sweating and so on.
Diagnosis
Differential diagnosis
Unilateral nasal obstruction: When there are ectopic teeth, extra teeth or reverse teeth in the nasal cavity, it is called nasal cavity. Symptoms are unilateral nasal obstruction, bloody purulent sputum between the pus and odor.
Alternate nasal congestion: The nasal cavity on the underside of the lateral side often obstructs the aggravation. After lying on the other side, there was no nasal congestion or a nasal congestion on the upper side. After turning to the lower side, a nasal congestion or nasal congestion was aggravated. The nasal nasal congestion just below the lower side was alleviated. In addition, the sense of smell can be reduced to varying degrees, and the speech is an occlusive nasal sound. Because the nasal sputum flows through the nasal vestibule and upper lip for a long time, it can cause dermatitis or eczema, which is more common in children. The sinus can flow backward into the pharynx, causing symptoms such as cough and phlegm. This is one of the clinical symptoms of patients with chronic simple rhinitis. Nasal obstruction of nasal valve stenosis during inspiratory clinical manifestations are mainly nasal obstruction during inspiratory, unilateral and bilateral.
