Nasal congestion in the lower nasal cavity when lying on the side

Introduction Alternate nasal congestion: The nasal cavity on the underside of the lateral side often obstructs the aggravation. After lying on the other side, there was no nasal congestion or a nasal congestion on the upper side. After turning to the lower side, a nasal congestion or nasal congestion was aggravated. The nasal nasal congestion just below the lower side was alleviated. In addition, the sense of smell can be reduced to varying degrees, and the speech is an occlusive nasal sound. Because the nasal sputum flows through the nasal vestibule and upper lip for a long time, it can cause dermatitis or eczema, which is more common in children. The sinus can flow backward into the pharynx, causing symptoms such as cough and phlegm. This is one of the clinical symptoms of patients with chronic simple rhinitis.

Cause

Chronic simple rhinitis is a reversible inflammation of the nasal mucosa due to local, systemic or environmental factors. The main pathological changes are neurological dysfunction of nasal mucosa, dilated blood vessels of the mucosa, increased permeability, infiltration of cells mainly composed of lymphocytes and plasma cells around blood vessels and glands, active mucinous glands and increased secretion.

an examination

Therefore, clinically, patients with nasal congestion in the lower nasal cavity should be examined when lying on the side:

First, physical examination

Taking a medical history gives us a first impression and revelation, and also guides us to a concept of the nature of the disease.

Second, laboratory inspection

Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis. Such as: otolaryngology examination: nasal mucosa swelling, smooth surface, moist, generally dark red. The turbinate mucosa is soft and elastic, and the probe can be depressed by light pressure, but the removal of the probe will quickly restore the depression, especially in the inferior turbinate. If 1-2% ephedrine solution is used for nasal mucosal contraction, the turbinate rapidly shrinks. There is mucous or purulent secretion in the total nasal passage or lower nasal passage.

Differential diagnosis

Differential diagnosis of nasal congestion in the lower nasal cavity when lying on the side:

1, female periodic nasal congestion and snoring: some women, when the menstruation is about to come, there will be a nasal congestion like a cold. But there are no other symptoms of a cold. After the menstruation is clean, the nasal cavity is ventilated. This kind of situation often occurs, so that these women have gained experience. Once they have a stuffy nose for no reason, they have not been cold, and they dont feel like a cold, they know that menstruation is coming. There is also a case where the nose bleeds when the menstrual cramps occur. This kind of snot is what the folks call "reversal." When menstruation occurs, the amount of menstruation can be reduced.

2, deep nasal congestion: the main symptoms of nasal foreign body disease is deep nasal congestion, purulent nasal discharge. The nasal foreign body is a substance inside and outside the nasal cavity. Nasal foreign substances can be divided into the following three types: 1 non-biological categories: such as sugar paper, plastic plastic toys, buttons, necklace beads, glass beads, stones, soil and so on. 2 plant categories: such as beans, peanuts, fruit cores and so on. 3 Animals: such as insects, mites, mites, leeches and so on.

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