Millions of Americans in pursuit of a remedy for stuffy nose and sinus pressure turn to over the counter (OTC) nasal sprays because of their quick action, availability and presumed safety. But did you know prolonged use of topical nasal decongestants (TNDs) often leads to addiction? Case in Point: A 32-year-old male was referred to me because of complaints of chronic nasal blockage. The patient suspected his problem was hay fever (allergic rhinitis). During the interview, he revealed that a year ago he began to have trouble sleeping because of a stuffy nose. He felt considerably better after using a TND before going to bed. Within 2 weeks he began to awaken in the middle of the night requiring another dose of his nasal spray for relief. One month later he required doses 4 times daily in order to avoid severe nasal congestion. By the time I saw him, he was going through almost a bottle of nasal spray daily. His diagnosis was Rhinitis Medicamentosa (RM) which means nasal inflammation (rhi...
Rhinitis - nonallergic; Idiopathic rhinitis; Nonallergic rhinitis
Nasal congestion (stuffy nose)
Watery nasal drainage ( rhinorrhea )
Signs and tests
The doctor will ask you about your symptoms, when they occur, and what seems to trigger them.
You will also be asked about your home and work environment. The doctor may look inside your nose and see that the tissues lining the nose are swollen due to inflamed blood vessels.
Allergy skin tests may be done to rule out allergies as a cause of your symptoms.
Blood tests to determine your total blood levels of IgE (allergic antibody) and total circulating eosinophil count (a type of white blood cell) may be ordered.
Nose emergencies include nosebleeds, an object lodged in the nose, and a broken nose.
A fractured nose is the most common facial fracture. It usually results from a blunt injury and is often associated with other facial fractures. The bruised appearance usually disappears after 2 weeks.
Nose injuries and neck injuries are often seen together because a blow that is forceful enough to injure the nose may be hard enough to injure the neck.
Serious nose injuries cause problems that require immediate professional attention. However, for minor nose injuries, the doctor may prefer to see the injured person after the swelling subsides.
Nosebleeds are very common. A nosebleed may be caused by trauma such as nose picking, forceful nose blowing, direct impact to the nose, and other actions. A nosebleed may also be caused by irritation or dryness of the lining of the nose, which may occur with low humidity and dry environment, allergic rhinitis...
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