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...
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...
Although most people immediately think "headache" when they think of a Migraine, there are many times when some of the accompanying symptoms are as severe and debilitating as the headache, if not more so.
One of those symptoms can be neck pain. Until fairly recently, neck pain was often overlooked as a Migraine symptom. In 2010, a study showed that it's more common in Migraine than nausea. You can find more information about this in Neck Pain as a Migraine Symptom .
Beyond the obvious pain, when neck pain occurs during a Migraine, it impacts Migraineurs in other ways:
Its presence on the day preceding Migraine is associated with treatments not working as well.
Neck pain is predictive of Migraine-related disability, regardless of Migraine frequency and severity.
Presence of neck pain during a Migraine is associated with delayed treatment of Migraine attacks.
You can read more about this in Migraine Treatment Delayed by Neck Pain .
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