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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...
FOR AN OBJECT LODGED IN THE NOSE:
Do not probe the nose with cotton swabs or other tools. Doing so may push the object farther into the nose.
Have the injured person breathe through the mouth and avoid breathing in sharply, which may force the object in further.
Once it is determined which nostril is affected, gently press the other nostril closed and have the victim blow through the affected nostril.
Avoid blowing the nose too hard or repeatedly.
If this method fails, get medical help.
FOR A BROKEN NOSE:
Reassure and try to calm the injured person.
Have the injured person breathe through the mouth and lean forward in a sitting position in order to keep blood from going down the back of the throat.
Apply cold compresses to the nose to reduce swelling. If possible, the injured person should hold the compress so that excessive pressure is not applied.
To help relieve pain, acetaminophen is recommended.
Getting rid of the traditional bicycle saddle and replacing it with a no-nose seat can increase erectile function, improve penile tactile sensation and reduce groin numbness, according to a study recently published in the August edition of the Journal of Sexual Medicine.
Millions of men use bicycles for recreational and work purposes. Constant cycling results in restricted vascular flow to and from the penis which can in turn influence sexual function. According to Vinnod Narqund, a consultant urological surgeon at St. Bartholomew's hospital in London, prolonged cycling causes considerable heat in the pelvic region. Mountain bike riders have a higher incidence of abnormal scrotal findings, twisting of the spermatic cord and bleeding in the scrotal sac. Less common symptoms associated with cycles include priapism, penile vein thrombosis, prostatitis and elevated serum PSA (prostate specific antigen - one of the tests used to detect prostate cancer).
In a recent stud...
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