Rhinitis vasomotor, allergic

Rhinitis vasomotor, allergic . Symptoms, course. Attacks sudden nasal congestion (tm) with abundant watery-mucous discharge, sneezing. The vasomotor runny nose is a neuro-reflex disease, observed mainly in individuals with general vegetative disorders. The slightest irritation of the nerve endings of the nasal cavity or distant reflexogenic zones (cooling, acrid smell, etc.) leads to a violent reaction of the mucous membrane of the nasal cavity. Allergic rhinitis is considered as a local anaphylactic reaction to an allergen. With the seasonal form of the common cold, the pollen of cereals (hay fever) may be such an irritant. With year-round form, irritants are the so-called household allergens (cosmetic products, house dust, hair and dandruff of domestic animals, etc.). These forms of rhinitis are also called rhinopathies, since they usually do not have inflammatory changes in the mucous membrane.

The diagnosis is based on anamnesis, rhinoscopy and laboratory data. At a rhinoscope define sharp swelling or puffiness of a mucosa of nasal concha which unlike banal inflammatory processes has pale-cyanotic color, quite often find out edematous polyps. At a microscopic examination of mucus, many eosinophils are found. Skin tests with an allergen for allergic rhinitis are often positive.

Treatment. With vasomotor rhinitis, attention is focused on tempering the body, treating common vegetative disorders of the body. Locally perform intranasal novocain blockade, if necessary - galvanocaustic of the lower shells. With an allergic rhinitis, specific desensitization is carried out. If the allergen is not found, then prescribe calcium preparations, antihistamines, etc. (diphenhydramine, pipolfen, diprazine, suprastin, pernovin, etc.). Locally, hydrocortisone is injected into the lower nasal sink. Cryotherapy and ultrasound treatment on the lower nasal shells are successfully used.