Increased purulent nasal discharge and not easy to blow

Introduction Sinusitis patients with increased purulent sputum and not easy to exhaust, such as backwards into the pharynx and lower respiratory tract, stimulate the throat, throat mucosa, causing hair loss, cough and cough, and even nausea. Inflammation of the sinus mucosa. Among various sinusitis, maxillary sinusitis is the most common, followed by inflammation of the ethmoid sinus, frontal sinus and sphenoid sinus. Sinusitis can be single or multiple. The vast majority of the disease is caused by colds and colds, low body resistance, other nasal diseases often have nasal obstruction, improper swimming and diving methods, and rapid changes in air pressure (such as flying, diving, etc.) can cause this disease. The maxillary sinusitis caused by the spread of tooth root infection is called odontogenic maxillary sinusitis and is also a kind of sinusitis.

Cause

1. Reduced body resistance, such as excessive fatigue, cold and dampness, malnutrition, vitamin deficiency, and poor living environment.

2. Allergic constitution, systemic diseases such as anemia, insufficient endocrine function (such as thyroid, pituitary and gonads), acute infectious diseases such as influenza, measles, scarlet fever, diphtheria, etc. can induce this disease.

3. Some diseases of the nasal cavity, such as nasal septum deviation, middle turbinate hypertrophy, nasal polyps, allergic rhinitis, nasal foreign body or nasal tumors, can also cause sinusitis.

4. Adjacent lesions, such as tonsillitis or adenoid hypertrophy, second maxillary canine and infection of the roots of the first and second molars, injury to the maxillary sinus wall during extraction or the fall of the molar roots into the maxillary sinus can also lead to Sinusitis.

5. Others, such as sinus traumatic fractures; improper diving posture during swimming (such as taking vertical diving), or improper swimming and swimming, nose and nose, sewage into the sinus; nasal tamponade retention time is too long; high-altitude flight rapidly declines, The sinus cavity forms a relative negative pressure with the outside world, and inhalation of nasal secretions into the sinus can also cause disease.

The pathological cause of Western medicine sinusitis:

The sinus is a gas-filled cavity around the nasal cavity in the skull and facial bone, including the superior sinus, frontal sinus, ethmoid sinus, and sphenoid sinus. Sinusitis refers to suppurative inflammation caused by septicus infection of the sinus mucosa, with acute and chronic points. Acute sinusitis is an acute suppurative inflammation of the nasal mucosa. It can be caused by a single sinus, or several sinuses can be inflamed at the same time. If the treatment of acute sinusitis is inappropriate or repeated, it can cause chronic sinusitis. The vast majority of the disease is caused by colds and colds, low body resistance, other nasal diseases often have nasal obstruction, improper swimming and diving methods, and rapid changes in air pressure (such as flying, diving, etc.) can cause this disease. The maxillary sinusitis caused by the spread of tooth root infection is called odontogenic maxillary sinusitis and is also a kind of sinusitis.

The pathological cause of TCM sinusitis:

The nose is clear, the portal of the lungs, the smoothness of its breathing, the sensitivity of the sense of smell depends on Qingyang. Sinusitis belongs to the category of "noseness" and "brain leak" in traditional Chinese medicine. Sinusitis is mostly caused by qi deficiency, external evil invasion, evil into heat, burning sputum and pus, stagnation, emptying, emptying, clear turbidity, sputum occlusion, causing nasal congestion, headache, head swelling, mental dizziness, Tired and tired, often easy to feel. After the exogenous sinusitis is aggravated, so they are causal and recurrent. In this pathological mechanism, turbid pus is both a pathological product and a new cause. Therefore, removing turbid pus and eliminating the source of turbidity is the key to curing this disease. Therefore, clearing and reducing turbidity is the most effective and fundamental treatment.

an examination

Related inspection

Nasal endoscopy, otolaryngology, CT examination

1. Sinusitis is often secondary to upper sensation or acute rhinitis. At this time, the original symptoms are aggravated, and there are chills, fever, loss of appetite, constipation, and discomfort. Pediatric vomiting, diarrhea, cough and other symptoms can occur in children.

2. More can occur - side continuity, occasionally bilateral persistent nasal congestion.

3. The patient has increased purulent sputum and is not easy to exhaust. For example, when flowing backward into the pharynx and lower respiratory tract, it stimulates the pharynx and throat mucosa, causing hair loss, coughing and coughing, and even nausea.

4. Forehead pain, light in the morning, heavy in the afternoon. There may also be pain in the cheeks or pain in the upper molars, mostly maxillary sinusitis.

5. Morning feelings of forehead pain, gradually increased in Zhejiang, relieved in the afternoon, all disappeared in the evening, this may be frontal sinusitis.

6. The headache is mild, limited to the internal hemorrhoids or the base of the nose, and may also be radiated to the top of the head, caused by worm sinusitis.

7. The pain in the deep eye can be radiated to the top of the head, and the occipital headache, which is light in the morning and heavy in the afternoon, may be sphenoid sinusitis.

8. Chronic sinusitis, in addition to nasal congestion, runny nose, headache and other symptoms, there are the following characteristics:

(1) The headache is light, and it is generally dull and dull.

(2) The sense of smell is reduced or disappears.

(3) headache can be alleviated after rest, nasal drops, steam inhalation or nasal ventilation.

(4) Coughing, bowing, bending, and aggravating headaches when exerting force.

(5) Smoking, drinking, and emotional excitement can aggravate headaches.

(6) Sometimes it can cause lack of energy, sleepiness, dizziness, memory loss, inattention, and so on.

Differential diagnosis

With bloody pus snot: Sometimes when you lick your nose, you can see sticky pus and bloodshot. The causes of blood in the nose are many and complex, and it is necessary to diagnose according to different causes.

Neuropathic headache: Some patients with neurological headache can have headaches for many years, recurrent attacks, and often mistaken for sinusitis, but this patient has no nasal symptoms, so it can be identified from the performance and X-ray film.

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