Paroxysmal nasal congestion
Introduction
Introduction Paroxysmal nasal congestion is a nasal congestion caused by rhinitis and is paroxysmal. The local cause is mostly recurrent or acute treatment of acute rhinitis and evolved into chronic rhinitis. Due to long-term stimulation or malformation of adjacent chronic inflammation, nasal ventilation or drainage obstruction, such as chronic sinusitis, nasal septum deviation, chronic tonsillitis or adenoid hypertrophy. Nasal medication is inappropriate or excessively long to form rhinitis medicamentosa, which can cause paroxysmal nasal congestion after long-term use of nasal drops.
Cause
Cause
Wide and narrow lesions that affect the respiratory passages of the nasal cavity can be caused.
Examine
an examination
Related inspection
Nasal function test nasal examination external nasal examination
The patient's symptoms can be diagnosed.
Diagnosis
Differential diagnosis
Paroxysmal nasal congestion needs to be identified as follows.
1. The nasal congestion of acute rhinitis develops very quickly, usually reaches a climax within a few days, and can resolve itself within a week or so, may be accompanied by fever, dizziness and other systemic symptoms. Acute rhinitis is what we usually call a cold.
2, chronic simple rhinitis mostly paroxysmal or alternating, day and night heavy, often affected by the receptor position, in the lying position, the lower nasal nasal congestion is heavier. After the nose is clean, the nasal congestion can be improved for a long time after the ephedrine potion.
3, chronic hypertrophic rhinitis mostly persistent nasal congestion, on the ephedrine, nasal drops are not sensitive, or after the use of nasal congestion improved only a few minutes later, and soon appeared. Hypertrophic rhinitis can be treated with surgery, or use microwaves, lasers, etc. to reduce the turbinate.
4, drug-induced rhinitis is usually caused by ephedrine in general rhinitis, manifested as insensitive to nasal drops, or the duration of nasal congestion improved. Stop using these drugs as soon as possible.
5, allergic rhinitis is accompanied by sneezing, clear water sputum, nasal itching, perennial seizures, but also seasonal attacks. Patients with allergic rhinitis can be associated with asthma, especially in children.
6, atrophic rhinitis can be accompanied by nasal mucosa dry, bloody nose, more molting.
7, nasal congestion of chronic sinusitis can occur nasal discharge of yellow pus, can be accompanied by headache, dizziness, memory loss, etc., can occur after a cold, nasal flow, purulent sputum is not good. Sinusitis can coexist with nasal polyps.
8. The nasal congestion of nasal polyps is mostly progressive and progressive, and can be unilateral or bilateral. There may be symptoms of allergic rhinitis.
9. The nasal congestion caused by sinus cysts is progressively aggravated, and symptoms of nasal discharge of yellow water can occur. Dizziness and the like can also occur.
10, nasal congestion caused by sinus tumors are progressive, unilateral or bilateral, other complications may occur, such as nasal bleeding at the same time need to be alert to the possibility of malignant tumors, such as ear nausea, neck mass, posterior iliac crest In the middle of the blood, you should pay attention to the possibility of nasopharyngeal cancer, but you can confirm it after going to the hospital for examination.
11. The nasal congestion caused by the deviation of the nasal septum is mostly unilateral, and it can also be bilateral, which is more common in young people. It is often characterized by persistent nasal congestion, which may have symptoms of sinusitis, and may also be associated with other nasal diseases such as allergic rhinitis.
12, some patients with nasal congestion may also be narrowed in the nasal valve area, caused by the collapse of the nose.
13, congenital nasal congestion consider the posterior nostril atresia, children with mouth breathing, sleep snoring may be adenoid hypertrophy, unilateral nasal congestion or accompanied by purulent sputum should pay attention to whether there is a foreign body in the nasal cavity.
The patient's symptoms can be diagnosed.
