Nose illness
Medical information

Medical information

Nose illness

Symptoms and diseases / disease names

·Hay Fever
・Allergic rhinitis
・ Stuffy nose ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ Nasal septum deviation, chronic sinusitis, hypertrophic rhinitis
・ Smell disorder ・ ・ ・ ・ ・ ・ ・ ・ Chronic sinusitis, acute sinusitis, nasal polyp
・ Nose bleeding
・ Children's runny nose, nasal blockage, moist cough ・ ・ ・ ・ ・ ・Nasal sinusitis
・ Nose bleeding, runny nose, sneezing, etc.

allergic rhinitis

So-called hay fever is also part of allergic rhinitis. Caused by substances inhaled through the nose.
House dust, mites, various pollens, cat epithelium, etc. are abundant as antigens. It is necessary to investigate the cause.

Symptoms

Sneezing, runny nose, stuffy nose: It can be difficult to distinguish from the so-called cold.

Cause

This is because they are sensitive to substances that are inhaled through the nose. In recent years, the number of patients with allergic rhinitis has increased.
・ House dust and mites
・ Cat dandruff, dog dandruff
·Hay Fever
Sugi, Hinoki ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ Spring February-May Sugi pollen flies all year round.
Dactylis, Vernalgrass ... Summer June-August
Ragweed ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ ・ Autumn
Hay fever is also part of allergic rhinitis.
The number of patients is increasing, but exhaust gas and cigarettes are the incentives.

test

Eosinophil test for runny nose: People with allergic rhinitis are eosinophil positive
Antigen test: IgE RAST etc.

Treatment

The medicines used depend on the symptoms. Oral medicine, inhalation medicine


■ CO2 laser (insurance coverage)

CO2 laser

Effective for nasal congestion in about 80% of people Allergies are not completely cured. Causes a type of burn and weakens allergic reactions. The mucous membrane is regenerated.

■ Desensitization therapy
A treatment method in which the cause of allergies is diluted and then injected, and the cause of allergies is gradually increased to increase resistance. It takes a long time. In the future, desensitization therapy by oral administration may be performed. The effects are not so different from those of anti-allergic agents and antihistamines.


■ Lower concha mucosal resection
Remove the swollen mucous membrane of the nose. It may be a day surgery or may require hospitalization. It is said to be more effective than laser treatment. If you wish, we will introduce you to Juntendo Urayasu Hospital and you will be asked to go to the hospital for only one day.

Nasal sinusitis in children

Symptoms

Runny nose (mostly yellow runny nose), nose, moist cough (zekozeko)

Diseases that can occur due to a runny nose

  • Acute otitis media (mostly under 5 years old, especially under 2 years old, nursery school children)
    Sudden ear pain, unexplained fever, otorrhea, etc.
  • Serous glue ear Symptoms such as clogged ears, poor hearing, touching ears, shaking head, etc.
  • Bronchitis, bronchial asthma, asthma-like bronchitis A runny nose flowing from the pharynx into the trachea can cause a cough.
  • Bacterial conjunctivitis (eye oil)
    A runny nose flows back from the nose to the nasolacrimal duct to the eyes. It is also frequently associated with otitis media. Conjunctivitis-Otitis Media Syndrome Very few Japanese otolaryngologists know their existence. The same bacteria are detected at a high rate of 90% or more. The merger rate is about 60%.

Cause

A runny nose causes a variety of illnesses.


(1) The causative bacteria of nasal sinusitis and acute otitis media in infants are the same.
Otitis media develops because bacteria in the nasal discharge enter the sterile middle ear cavity through the Eustachian tube.
To cure otitis media leads to cure of nasal sinusitis.

Causes of nasal sinusitis and acute otitis media in infants

② Runny nose and conjunctivitis-Otitis media syndrome case
Resistant Streptococcus pneumoniae (PISP) and resistant Haemophilus influenzae (BLNAR) contained in nasal discharge
They are the causative agents of acute otitis media and bacterial conjunctivitis, respectively.

Runny nose and conjunctivitis-otitis media syndrome

③ If the child has a runny nose or cough, the guardian will also get sick.
I need a mask. It also infects grandfathers and grandmothers who meet only occasionally.

Illness also spreads to parents

④ When a child and mother have a runny nose or cough, 55% of parents and children have the same type of bacteria.
It is a domestic cross infection.

The same type of bacteria is found in 55% of parents and children

diagnose

X-ray machine

1. 1. Fine fiberscope
Check for runny nose in the nose or at the entrance of the pharynx and trachea
If so, where is it flowing from, the color is yellow


colour,
Observe gray, transparent, etc.


2. 2. X-ray of the nose
Determine the location and extent of the lesion


3. 3. Bacterial culture test
Investigate the causative bacteria of sinusitis and which antibiotics
To see if it works.
Many nasal bacteria are resistant to drugs that are difficult to work with.
Bacterial testing is very important.