Interval regurgitation of nasal bleeding may be related to atrophic rhinitis, maxillary sinus hemorrhagic polyp and nasopharyngeal carcinoma, etc. According to the etiology, the degree of disease and the characteristics of the lesion, we need to choose the comprehensive treatment such as general treatment, medication, surgical treatment and radiotherapy.
1. Atrophic rhinitis: it can develop slowly under the stimulation of vitamin deficiency, chronic inflammation of nasal cavity and adverse physical and chemical factors. It is mainly manifested as atrophy of nasal mucosa and glands, resulting in thinning and drying of mucosa, and intermittent aspiration of nasal bleeding. Commonly used warm saline rinse nasal cavity, compound menthol nasal drops, 50% glucose nasal drops treatment. Oral multivitamin treatment is also available.
2. Hemorrhagic polyp of maxillary sinus: this disease is a special type of chronic maxillary sinusitis, the sinus cavity is full of polyps and necrotic material, and there is often blood seepage on the surface of the sinus, which can be manifested as intermittent reflux nasal bleeding. Surgery is the only effective way to treat this disease.
3. Nasopharyngeal carcinoma: squamous cell carcinoma of nasopharynx is the main pathological type, which is often associated with heredity, viral infection, environmental stimulation and some trace elements. If the lesion is located in the posterior wall of the roof of nasopharynx, it can cause intermittent aspiration of nasal bleeding when aspirating nasal or nasopharyngeal secretion with force backward. The main treatment modalities for this disease are radiotherapy and chemotherapy, while surgical treatment is subject to specific indications.
When interstitial regurgitation nasal bleeding is found, there are other possibilities, and it is necessary to actively seek medical treatment, after systematic examination to clarify the diagnosis, and follow the doctor’s instructions to standardize the treatment.