Chronic rhinitis is a chronic inflammation of the mucous membrane and submucous layer of the nasal cavity. It manifests as chronic congestion and swelling of the nasal mucosa and is called chronic simple rhinitis. If it develops into hyperplasia and hypertrophy of the nasal mucosa and turbinates, it is called chronic hypertrophic rhinitis. The causes of the two are basically the same, but the latter is mostly developed from the former.
I. Symptoms 1, nasal congestion: intermittent or alternating. Intermittent nasal congestion is generally manifested as a reduction in daytime labor or exercise, and aggravated at night when sitting still or cold. Alternating nasal congestion shows that the nasal cavity located on the lower side often becomes more obstructed when lying on the side, while the upper side is better.
2.Multiple snot: often mucous, mucopurulent or purulent mostly appear after secondary infection.
Examination See bilateral nasal mucosa swelling, smooth and moist surface, generally dark red. The mucosa of the turbinates is soft and elastic, and the probe can be depressed by light pressure, but the depression is quickly recovered by removing the probe, especially in the inferior turbinates. If the nasal mucosa is contracted with 1%-2% ephedrine solution, the turbinates shrink rapidly. There is mucous or purulent discharge from the common or inferior nasal tract.
The treatment principle of chronic simple rhinitis is to eradicate the cause and restore the nasal ventilation function.
1, etiological treatment: identify the causes related to the disease and timely treatment, such as systemic chronic diseases, nasal septal deviation, sinusitis, etc. Exercise to strengthen the body’s resistance.
2, local treatment (1) intranasal nasal vasoconstrictors: 1% ephedrine, furacilin ephedrine or chloramphenicol ephedrine nasal drops, 3 times a day. Generally not more than 7 days.
(2) Short-wave or infrared physiotherapy: can improve local blood circulation to reduce symptoms.
(3) Closure therapy: nasal mound closure or inferior turbinate submucosal closure, which is now less commonly used.
The above treatment methods are not comprehensive treatment methods, and the specific situation needs to be treated according to the doctor’s diagnosis.