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...
Treatment - nosebleed
To stop a typical nosebleed, sit down and gently squeeze the soft portion of the nose between your thumb and finger (so that the nostrils are closed) for about 5-10 minutes. Lean forward to avoid swallowing the blood and breathe through your mouth. Wait at least 5 minutes before checking if the bleeding has stopped. Almost all nose bleeds can be controlled in this way if sufficient time is allowed for the bleeding to stop.
It may help to apply cold compresses or ice across the bridge of the nose. DO NOT pack the inside of the nose with gauze.
For more information, see nosebleeds . For other nose emergencies or nosebleed injuries, see nose emergency first aid.
It's Lupus and Rheumatoid Arthritis awareness month in May. Maybe I should be happy that I only have one month to commemorate instead of two, but right now, it all feels like too much.
And this is why I won't be walking for Lupus and/or Rheumatoid Arthritis this year.
For the past several years, I have done both walks with my aunt and sister. When my aunt asked me if we were going to do them this year, I said "I just can't." It's not that I cannot physically handle it. I can. But I can't handle it emotionally.
The last few months, I have been on health issue overload. It has been one thing after another, stopping and starting Methotrexate, and stopping it for good, starting Humira, and struggling with the transition that, that has entailed.
I feel like I'm experiencing chronic illness burn-out. So much of my life recently has been taken up with non-stop health stuff, that I just don't feel like parading around, wearing it on my sleeve, for all to see. It feels a b...
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