Indiscriminate nasal spray she has drug-induced rhinitis

2022-05-31

Now there are a wide variety of nasal sprays used to relieve nasal congestion and other symptoms on various overseas shopping platforms and online shopping platforms, some of which are even called "magic drugs" by businesses. Because of the convenience of purchase, it is favored by many patients with rhinitis. As everyone knows, indiscriminate use of nasal spray, not only can not completely eradicate symptoms, but also may suffer from drug-induced rhinitis. If drug-induced rhinitis does not heal for a long time, it may also induce atrophic rhinitis, nasal polyps, sinusitis, otitis media and other complications. Chronic rhinitis caused by medication Not long ago, a 14-year-old girl came to the clinic. When she came to see a doctor, she had a very serious nasal congestion. Her parents said that her child has had a stuffy nose for a long time. Some time ago, I heard a friend say that a "magic medicine" nasal spray is very effective, so I bought it for my child. In the early days, nasal congestion has indeed improved significantly after taking the medicine, but in the recent twoorthree months, it seems that no matter how you spray your nose, the child said that nasal congestion has become more and more serious. After our examination, it was confirmed that the child was suffering from drug-induced rhinitis and needed surgical treatment. The culprit was what they called "divine medicine" nasal spray. After listening to this, the parents were puzzled. How could they use the wrong medicine? Drug induced rhinitis is one of the common types of rhinitis. It is the result of long-term sustained effect of inappropriate nasal medication or drug side effects due to the treatment of other diseases. It belongs to a kind of chronic rhinitis. If drug-induced rhinitis does not heal for a long time, it may also induce atrophic rhinitis, nasal polyps, sinusitis, otitis media and other complications. The main causes of drug-induced rhinitis are as follows: Patients with rhinitis have poor physical quality, low resistance and immunity, and are easily induced by wind chill or exogenous factors. Air pollution intensifies, chemical allergens increase, bacteria and viruses mutate, climate worsens, etc. Long term drug abuse in order to quickly relieve symptoms, so that bacteria continue to mutate and have drug resistance. The treatment was not standardized and thorough. Six kinds of drugs can cause drug-induced rhinitis Many people like to buy some so-called "magic medicine" sprays online or from abroad. In fact, its main component is ephedrine. The more times it is used, the more serious nasal congestion will gradually develop into drug-induced rhinitis. The long-term use of hormone drugs such as weight loss hormone and sex hormone drugs will lead to nasal congestion, especially the weight loss tea with hormone components. Cardiovascular contractile drugs long-term use of cardiovascular dilators may cause nasal cardiac reflex syndrome, nasal congestion, chest tightness, palpitation, shortness of breath and other symptoms. Antidepressant drugs, such as sleeping pills, tranquilizers and perphenazine, may cause nasal congestion, irritability and other symptoms. The long-term application of aerosols to relieve symptoms of pharyngitis and asthma caused by atomized inhalation drugs resulted in nasal pulmonary reflex syndrome, nasopharyngeal obstruction, suffocation and other discomfort. Aspirin and other painkillers can also be induced by long-term use. Have these symptoms or have a stroke If these symptoms occur, you should be alert to drug-induced rhinitis and come to the door: bilateral persistent nasal congestion, nasal dryness, discomfort and burning sensation; The appearance of nasal mucosa varies from hyperemia to pale edema, and even the typical mucosa is purplish red; The inferior turbinate is swollen and dark red. There are mucinous or mucopurulent secretions in the nasal canal; Nasal drops are often used to relieve nasal congestion, but the effect is getting worse and worse. Once suffering from drug-induced rhinitis, how to remedy it? After diagnosis, stop using vasoconstrictors gradually and use normal saline for nasal washing. Saline nasal washing has a good therapeutic effect on allergic rhinitis, sinusitis and chronic rhinitis. Usually 1-2 times a day. Local corticosteroid nasal spray nasal drops are generally used to alleviate the symptoms of rhinitis. Nasal oil can alleviate the dryness of the nasal cavity. Nasal drops can treat acute and chronic rhinitis and sinusitis. Hormone nasal drops can help alleviate the symptoms of allergic rhinitis, such as sneezing, running water and runny nose. The use of drugs should be carried out under the guidance of a doctor. Oral medication for rhinitis is mainly used to treat the primary cause of rhinitis. The medication varies according to different rhinitis. Surgical treatment can be considered if the drug treatment effect is not good, and there are symptoms such as nasal septum and nasal concha mucosa hypertrophy. Tips Drug induced rhinitis patients Patients with drug-induced rhinitis in daily life should pay attention to the following matters: Observe the doctor's advice and pay attention to the principle and time of nasal medication in the treatment of primary disease; When suffering from acute rhinitis, you should pay attention to rest and active treatment, and must not use drugs blindly by yourself; Do not use nasal mucosa constrictor for a long time; Do not eat spicy food. In daily life, we should combine work with rest, have a reasonable diet, and eat more fruits. Give up smoking, drinking and other bad habits. (outlook new era)

Edit:Yuanqi Tang    Responsible editor:Xiao Yu

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