Nasal Obstruction and Rhinitis Overview
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Questions and Answers

What is a common clinical feature of allergic rhinitis?

  • Severe headaches
  • Continuous cough
  • Temperature fluctuations
  • Recurrent watery nasal discharge (correct)
  • Which of the following may exacerbate allergic rhinitis during puberty?

  • Increase in pollen levels
  • Excessive physical activity
  • Hormonal imbalances (correct)
  • Irregular eating patterns
  • Which nutrient is known to stabilize cell membranes that release histamine?

  • Zinc
  • Quercetin (correct)
  • Vitamin C
  • Coenzyme Q10
  • What is a recommended first step in managing allergic rhinitis?

    <p>Avoidance of known allergens</p> Signup and view all the answers

    Which herb is used for relieving congestion in allergic rhinitis through steam inhalation?

    <p>Eucalyptus oil</p> Signup and view all the answers

    Which condition is characterized by the inflammation of the nasal mucous membrane, leading to nasal congestion and rhinorrhoea?

    <p>Acute Viral Rhinitis</p> Signup and view all the answers

    What condition results from an infection of a hair follicle in the nose?

    <p>Nasal furuncle</p> Signup and view all the answers

    Which management option is suggested if no improvement is seen in allergic rhinitis treatment?

    <p>Refer for further evaluation</p> Signup and view all the answers

    What complication can arise from long-term mouth breathing due to nasal obstruction?

    <p>Malocclusion problems</p> Signup and view all the answers

    What can cause a blocked or runny nose not related to allergies?

    <p>Vasomotor rhinitis</p> Signup and view all the answers

    What is a common clinical feature of nasal obstruction related to large adenoids?

    <p>Mouth breathing</p> Signup and view all the answers

    What management strategy is recommended for acute viral rhinitis?

    <p>Symptomatic treatment and fluids</p> Signup and view all the answers

    Which supplement has been shown to reduce the duration of a cold?

    <p>Zinc</p> Signup and view all the answers

    What potential factor might suggest the presence of nasopharyngeal tumors during an examination?

    <p>Large adenoids and tonsils</p> Signup and view all the answers

    Which symptom is NOT typically associated with allergic rhinitis?

    <p>Facial pain</p> Signup and view all the answers

    Which type of nasal obstruction is least likely to arise from recurrent infections?

    <p>Tumors</p> Signup and view all the answers

    What should a patient be advised against doing with a furuncle?

    <p>Incising the furuncle</p> Signup and view all the answers

    Which of the following is a common clinical feature of nasal polyps?

    <p>Mucoid or purulent discharge</p> Signup and view all the answers

    What condition is epistaxis frequently associated with?

    <p>Chronic hypertension</p> Signup and view all the answers

    Which of the following is NOT a local cause of epistaxis?

    <p>Liver disease</p> Signup and view all the answers

    What is the recommended position for a patient experiencing epistaxis?

    <p>Leaning slightly forward with the head tilted</p> Signup and view all the answers

    What is a common characteristic of the bleeding area in epistaxis?

    <p>Little's area usually appears red</p> Signup and view all the answers

    When should a patient with nasal polyps be referred?

    <p>If there are breathing difficulties</p> Signup and view all the answers

    What type of discharge is commonly associated with chronic ethmoiditis leading to nasal polyps?

    <p>Mucoid or purulent</p> Signup and view all the answers

    Which plant part is used from yellow gentian for medicinal purposes?

    <p>Roots</p> Signup and view all the answers

    What is a main feature of acute purulent rhinitis?

    <p>Bacterial super-infection of common cold</p> Signup and view all the answers

    Which homeopathic remedy is indicated for profuse fluent coryza with burning eyes?

    <p>Euphrasia</p> Signup and view all the answers

    What predominant symptom does Aconite treat?

    <p>Dry, swollen nose</p> Signup and view all the answers

    Which action do the flowers of black elder exhibit?

    <p>Mucolytic</p> Signup and view all the answers

    What is the recommended treatment for acute purulent rhinitis if penicillin is ineffective?

    <p>Switch to Amoxicillin or Ampicillin</p> Signup and view all the answers

    Which homeopathic remedy features sneezing and a thin, acrid coryza, particularly in changeable weather?

    <p>Gelsemium</p> Signup and view all the answers

    What characteristic excludes diagnosing a case of acute purulent rhinitis?

    <p>Profuse nasal discharge that is clear</p> Signup and view all the answers

    Which remedy is characterized by yellowish ropy and stringy nasal discharge?

    <p>Kali Bich</p> Signup and view all the answers

    Which remedy causes a feeling of sore throat accompanied by violient headaches when the discharge suddenly dries up?

    <p>Lachesis</p> Signup and view all the answers

    What symptom distinguishes Phosphorus from other remedies?

    <p>Frequent alternation of fluent and dry coryza</p> Signup and view all the answers

    Kali Mur is associated with which of the following characteristics?

    <p>Dull pain and white thick mucus discharge</p> Signup and view all the answers

    Which remedy presents with symptoms of dryness and thick, bloody slime following a burning pain in the eyes?

    <p>Sulphur</p> Signup and view all the answers

    What describes the discharge in Arg nit?

    <p>Discharge of pus with clots of blood</p> Signup and view all the answers

    Which remedy is indicated for a stuffed nose with yellow and watery discharge?

    <p>Cuprum</p> Signup and view all the answers

    What is a notable feature of Nux Vom?

    <p>Sensation of scraping in throat</p> Signup and view all the answers

    Study Notes

    Nasal Obstruction

    • Aetiology includes large adenoids, allergic rhinitis, foreign bodies, nasal polyps, recurrent sinusitis, and rare nasopharyngeal tumors.
    • Symptoms: Recurrent nasal blockage, mouth breathing, severe snoring, halitosis, palatal deformities due to mouth breathing.
    • Complications of mouth breathing: malocclusion, sleep apnoea, anoxia, pulmonary hypertension.
    • Referral needed for inadequate treatment.

    Rhinitis

    • Description: Inflammation of the nasal mucous membrane leading to congestion and rhinorrhoea.
    • Acute Viral Rhinitis: Caused by various viruses, presents with coryza, watery nasal discharge, headache, and sore throat.
    • Management: Symptomatic with vitamin supplements, saline nasal drops, decongestants, and avoidance of antibiotics as they are ineffective against viruses.

    Homoeopathic Remedies for Rhinitis

    • Aconite: Dry nose, swollen with congestion, better in open air.
    • Arsenicum Album: Watery discharge with a constant desire to sneeze.
    • Euphrasia: Profuse coryza with eye burning.
    • Allium Cepa: Sneezing and acrid nasal discharge worsening in warm rooms.
    • Other remedies include Belladonna, Gelsemium, and Kali Mur for various symptoms.

    Acute Purulent Rhinitis

    • Often results from bacterial superinfection post-common cold.
    • Features: Worse coryza, thick purulent discharge, yellow crusts.
    • Management: Saline drops, Penicillin VK or Amoxicillin for 5-7 days, with referral if no improvement.

    Allergic Rhinitis

    • Aetiology: Caused by various allergens including pollen, dust, and food. Hormonal factors may also play a role.
    • Symptoms: Recurrent watery discharge, blocked nose, sneezing, and nasal itching.
    • Management: Allergen avoidance, saline drops, potential elimination diet, and desensitization therapies.

    Nutrients and Herbal Support

    • Bromelain: Reduces inflammation.
    • Coenzyme Q10: Improves oxygenation.
    • Quercetin: Stabilizes histamine-releasing cell membranes.
    • Vitamin C with bioflavonoids: Immune-stimulant.
    • Herbs: Eucalyptus oil, Eyebright, Turmeric for inflammation relief.

    Nasal Furuncle

    • Cause: Infection of hair follicles in the nose, commonly by Staphylococcus.
    • Symptoms: Tender red swelling at the nose's anterior part.
    • Management: Incision may be needed; avoid squeezing.

    Nasal Polyps

    • Characteristics: Pedunculated, edematous mucosal masses, often bilateral, linked to nasal allergies.
    • Symptoms: Nasal blockage, mucoid/purulent discharge.
    • Referral needed for treatment failure or breathing difficulties.

    Epistaxis

    • Definition: Nosebleeds, often benign but anxiety-inducing for patients.
    • Local Causes: Rhinitis, trauma, varicosities, nasal tumors.
    • General Causes: Hematological disorders, hypertension, liver disease, drug use.
    • Management: Patient posture, nostril pinching, nasal packing, and treat underlying cause.

    Biotherapy and Tissue Salts

    • Ferrum Phos: For fever and congestion, rapid pulse.
    • Kali Mur: Thick mucus discharge and forehead congestion.
    • Nat Mur: Nasal obstruction with watery discharges.
    • Symptoms tracked for appropriate tissue salt use in treatment.

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    Description

    This quiz covers the aetiology, symptoms, and complications of nasal obstruction and rhinitis. It also discusses management strategies, including homoeopathic remedies for rhinitis. Test your understanding of these critical topics related to respiratory health.

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