Sore nostrils
Introduction
Introduction Dry nose pain is a symptom of acute rhinitis. Acute rhinitis is an acute inflammatory disease of the nasal mucosa caused by a viral infection. Symptoms include nasal congestion, runny nose, fever, etc. The course of the disease is usually 7 to 10 days. More than 200 viruses are associated with acute rhinitis. It can be affected in all seasons, and it is more common in winter. The virus can also cause bacteria that are originally present in the nose and nasopharynx to be active and multiply, causing secondary infection of bacteria. Acute rhinitis is a sudden acute inflammatory disease of the nasal mucosa caused by the virus invading the body and growing and reproducing due to the cold, overwork, resistance, or damage to the nasal mucosal defense function. It is commonly called "cold" or "cold".
Cause
Cause
The pathogenic microorganisms are mainly viruses, and various respiratory viruses can cause the disease, and rhinoviruses and coronaviruses are the main types. When the body's resistance is reduced or the anti-unloading function of the nasal mucosa is destroyed, it can cause the virus to invade the body, grow and multiply. Pathogenic bacteria (streptococci, staphylococcus, pneumonia, influenza bacillus and other bacteria) present in the nose and pharynx of the patient also actively multiply and form secondary infections.
Common causes include systemic factors such as cold, overwork, malnutrition, excessive alcohol and tobacco, endocrine disorders (thyroid dysfunction, etc.) and chronic diseases of the whole body (heart, liver, kidney disease), etc., which can affect the normal process of metabolism, resulting in Vasospasm, tissue hypoxia, decreased nasal mucosal temperature, decreased immune function, etc., reduce the resistance of the respiratory mucosa, especially the nasal mucosa. Physical factors also have a certain relationship. Local factors are mainly due to nasal septum deviation, chronic rhinitis, nasal polyps, etc., resulting in limited nasal ventilation, affecting the physiological function of the nasal cavity. Adjacent focal diseases have an effect on the occurrence of acute rhinitis.
Examine
an examination
Related inspection
Nasal endoscopy nasopharynx MRI
1. Whether there are damage to the nostrils on both sides, crusting, tumor or other foreign matter.
2. Check the nasal septum and check for abnormal erosion of the nasal septum or complete deformity of the severe nasal septum.
3. Observe whether the nasal mucosa in the nasal cavity is congested, swollen or hypertrophy of the turbinate, and whether the turbinate is congested, hypertrophied or nasal polyps.
4. Whether there are lesions in the color or nature of secretions or secretions in the nasal cavity.
5. Check the posterior nasal orifice, nasopharyngoscopy, and nasal secretions for X-ray or CT examination.
Diagnosis
Differential diagnosis
Differential diagnosis of dry nose pain:
1, intranasal pain: intranasal pain due to dry and ruptured nasal mucosa, may be associated with nosebleeds. Intranasal pain is also one of the symptoms of nasal cancer.
2, sinus tenderness: nasal congestion, runny nose, headache and sinus tenderness. Patients with acute sinusitis may be associated with fever and general malaise. Nasal or nasal endoscopy revealed swelling of the nasal mucosa, purulent secretions in the middle nasal passage or olfactory fissure, and tenderness in each corresponding sinus area.
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