Why one must treat rhinitis?

A nose performs some very important functions, like smelling, moistening and warming up air, mechanic protection from dust, voice resonating. If one has to breathe through the mouth and loss smelling functions, then this discomfort makes him treat coryza.

Like most other diseases rhinitis can be acute and chronic. Infections and hypothermia cause acute coryza, while chronic rhinitis is an advanced form of an untreated acute process or a result of long-lasting unfavorable environmental effects. Thus, a process can become chronic without proper treatment.

Acute rhinitis treatment

Etiologically speaking, acute rhinitis is mostly infectious. Infectious agents can be both viruses and batteries. It’s an important fact to know in order to use correct treatment. Antivirus medicine must be of limited use as it suppresses a certain virus type only. As a rule, nobody looks for a certain virus that caused a disease if a patient suffers only from coryza.

Antibiotics as nasal sprays (bioparox, isofra) are applied locally. Decongestants, vasoconstricting drugs such as otrivin, nasol, etc., are prescribed for a short time to recover nasal breathing. Such immune drugs as interferons and immunoglobulins are prescribed for the entire course of the disease in a form of applications (local usage of the medicine) and instillations (medicine in drops).

Vasomotor rhinitis treatment

Vasomotor rhinitis is a chronic type of coryza being an adverse vascular reaction to external stimulus. There are two forms – allergic and neurovegetative. Treatment of allergic rhinitis is a separate topic for discussion. Neurovegetative rhinitis is triggered by a change of weather conditions, hot food and spices, emotional and physical stress, might be hormonal changes, drugs (nonsteroidal anti-inflammatory drugs, antihypertensive drugs).

Sedative medicine, relaxing procedures are used for treating neurovegetative rhinitis in order to distress a nervous system. Then the treatment is aimed at the recovery of blood supply to the nasal mucosa and strengthening of vascular walls. If a conservative approach doesn’t work, then surgical treatment is advised.

Allergic rhinitis treatment

Allergic rhinitis can be seasonal and year-round depending on the time of contact with an allergen (hair, pollen, spores, fluff, etc.). It has such symptoms as rhinedema and mucus production causing itching and swelling.

Patients suffering from this disease prepare decongestants in advance and use them without proper supervision. However, this medicine is not the only thing needed for the treatment. The drug therapy also includes antihistaminic drugs (cetirizine, desloratidine, allergodil), glucocorticosteroids for local application (beconase, flixonase, nasonex), cromoglicic acid drugs (intal, tilade). Specific immunotherapy is used only if the allergen is known for sure. No drug therapy will help unless a contact with the allergen is eliminated.

Hypertrophic rhinitis treatment

In this form of rhinitis, a nasal mucosa gets thicker, periosteum and turbinal bones tissue are also often involved (more often – lower turbinal bone). This kind of coryza has some special symptoms – constant nasal stuffiness, puromucous production, worsening of smelling followed by occasional headaches, dryness in mouth, tearing.

Hypertrophic rhinitis is treated by resecting increased parts of the mucosa. Doctors often use attenuated lower turbinotomy (resection of a part of the lower turbinal bone) in this case. The surgery is performed under local anesthesia. Tampons are inserted in the nasal passages for 2 days. Unltrasound desintegration of lower turbinal bones can be performed for outpatients. The procedure of hypertrophic mucosa chemical treatment (lapis 30-50%, three-acetic acid) is now rarely perfromed due to its low effeciency.

Atrophic rhinitis treatment and physiotherapy

Atrophic rhinitis is caused by thinning nasal mucosa. Patients suffer from nasal dryness, nasal breathing difficulty, crusting. The treatment includes moisturizing of the nasal cavity with normal saline solutions and stimulating secretion of the mucous glands with iodine medicine. Antibiotics are sprayed into the nose in case of nasal stench (ozena).

Physiotherapy also helps to treat rhinitis along with medicine. UVI and high-frequency therapy, endonasal phonophoresis and laser treatment might be prescribed. Warming procedures have a positive impact on the nasal mucosa.

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