In the practice of an ENT doctor, patients with a disease such as rhinitis or runny nose are quite common. Chronic runny nose can be simple (catarrhal), hypertrophic and atrophic. As a separate disease, vasomotor rhinitis is considered, the treatment of which is carried out by an allergist.
Causes of vasomotor rhinitis
Vasomotor rhinitis (rhinitis) occurs mainly in people with any vegetative disorders (dystonia, endocrine diseases, low blood pressure). In such people, even with slight irritation of the nasal mucosa, a pronounced reaction is observed in the form of its swelling and the appearance of copious discharge. Such an irritant is exposure to cold, pungent odor, chemicals, etc. Quite often, seasonal vasomotor rhinitis occurs. Its treatment basically boils down to eliminating the allergen, which is pollen from flowering plants and cereals, dust mites, pet dander and hair dander, household chemicals, medicines and much more.
Distinguish between allergic and neurovegetative vasomotor rhinitis, but most often both of these forms are combined. Allergic rhinitis is acute and chronic along its course. The acute form of the disease develops with a sharp transition from a warm room to cold or when exposed to an irritating agent. Chronic vasomotor rhinitis is more often allergic in nature. It is characterized by seasonality.
Chronic vasomotor rhinitis, treatment and prevention of the disease
The main manifestation of the disease is a sudden swelling of the nasal mucosa, its congestion and abundant clear discharge. Nasal breathing is difficult, the patient's face is often edematous, his voice is nasal. Due to edema of the lacrimal canal , lacrimation is noted. There are usually no inflammatory changes during examination. Although in young children, inflammation often joins an allergic rhinitis, which can turn into tracheitis and bronchitis. The child becomes moody, can not eat normally. Due to a violation of nasal breathing, the oral mucosa is dry, and the skin on the lips is cracked. Body temperature remains within the normal range.
Diagnostic measures come down to collecting complaints from the patient. If necessary, a general blood test is prescribed, in which, with the allergic nature of the common cold, an increased number of eosinophils can be noticed. Also, to detect a specific allergen, allergic skin tests are performed. In children, staging is performed after five years. When examining the nasal mucosa, its swelling can be noted. In contrast to the common cold, which has an inflammatory nature, with allergic rhinitis, the nasal mucosa is pale bluish in color.
If vasomotor rhinitis is diagnosed, treatment is carried out together with an allergist. Usually prescribed drugs that block the production of histamine mediators (Suprastin, Tavegil, Diazolin, Fenistil, etc.) and calcium preparations. The course of treatment is 10 days. With severe edema and difficulty in nasal breathing, vasoconstrictors are used in the form of nasal drops.
If an allergen is known, then subcutaneous administration of minimal doses of antigen is possible with a gradual increase in its concentration. This contributes to the development of their own antibodies. In more severe cases, according to indications, an intranasal blockade of novocaine is performed.
For children and adults with manifestations of dystonia, hardening and general strengthening procedures, as well as multivitamins, are useful for prophylactic purposes.
Acute vasomotor rhinitis, treatment with folk remedies
With a cold, it is advisable to rinse the nasal passages with saline. It can be sea salt or hypertonic sodium chloride solution . Due to frequent irrigation, mucus and pathogens are removed. The nose can be washed with a regular syringe or syringe. Also in the pharmacy network offers many solutions in the form of aerosols. Water should be at room temperature. Over time, the temperature can be gradually reduced, thereby hardening the nose.
A variety of aromatic oils also have a bactericidal effect. They also have a tonic effect on the nervous system. Medicinal herbs can be used only in the absence of an allergic component.
Usually a competent combination of drugs with folk remedies gives a positive result in the treatment of the disease.