Concentration of Public Welfare Questions and Answers (Otorhinolaryngology) 20200707

The time to answer questions about nasal problems once a week is up again. Without further ado, let’s take a look at these issues. See if yours is selected? Q&A rules 1. Questions: direct questions within the group (format: nickname + questions), see Zhiding Weibo for group entry 2. question time every Tuesday night 20:00-21:00 Q2 years and a half Yiyi rhinitis: girls two and a half years old, I spray Nesuna for one month continuously, and Shuna for one month the next day. The symptoms of rhinitis still exist. How do I use the medicine? In addition, there is an eight-month-old younger brother in the family who recently sneezes frequently and has no snot. How can an eight-month-old baby judge for rhinitis? What should I do if my baby is rhinitis for eight months? Dr. Oz: Hello, thank you for your trust. Two-and-a-half-year-old children: It depends on the specific symptoms of rhinitis. For example, the main symptoms are allergies, then you can add anti-allergic oral medicine, and nasal spray hormones should be used in place. Because Baoma did not provide specific symptoms, there is no way to give a specific plan, it is recommended to see a doctor again. Eight months old baby: Children less than two years old should be cautious in diagnosing allergic rhinitis. When symptoms of allergic rhinitis appear, parents can also pay attention to the environment first, such as whether there are irritating objects in the home, and whether anyone smokes , Does the child have a cold, etc. It is recommended to clean the environment first and continue to observe. Q Qiting boy is three and a half years old and has a history of allergic rhinitis and wheezing bronchitis. On May 25, he underwent adenoidectomy and tonsillectomy, and now he has 5 drops of cetirizine plus one spray per nostril every day. Shu Na’s medication controls allergic rhinitis, how long is the frequency of rechecks in the later stage of allergic rhinitis? : A 4-year-old boy with allergic rhinitis who was controlled by taking anti-allergic drugs intermittently. At the beginning of the year, one nostril was very red and left untreated. Later, both nostrils were red. There are no other obvious symptoms. May I ask the doctor, do you need medicine? If necessary, what medicine to take? Dr. Oz: Hello, thank you for your trust. There is no strict and specific review time. The severity and duration of each child’s symptoms are different. The time for review is determined according to the improvement of symptoms. If everything is improved and satisfied, it is not necessary to review. Of course, adenoids and tonsils should be reviewed according to the doctor’s requirements. Q Xiaoyu: Four-year-old girl with allergic rhinitis + adenoid hypertrophy. In the previous period, Shuna nasal spray and saline were used to wash the nose. The symptoms of allergic rhinitis were controlled. Recently, the dose was reduced to once every other day, and the reduction lasted less than a week. Rhinitis suddenly broke out again this morning, but it was better to take a nap at noon. In this case, do I need to resume taking medicine once a day? Dr. Oz: Hello, thank you for your trust. One day’s situation is not enough to change the medication regimen. Parents can observe for another 1-2 days. If allergy symptoms recur, they need to be restored to the original dose. Dr. Otis, otolaryngology doctor, attending physician, master of medicine, currently working in a top three hospital in Chongqing, is also a new father. Sina Weibo has signed a contract with the media, specializing in popular science authors on platforms such as Dr. Ai, Dr. Chun Yu, Fan Da, and Shukang. He has written more than 60 medical science articles, has 180,000 followers on Sina Weibo (@亲爱的嗏斯同学), about 6 million popular science readings, and provides nearly 10,000 online consultations.

Catalogue of “Earing and Listening to Slideshow Video Science Lectures”

“Ear Loves the Magic Video Video Science Lecture” Since&nbsp.2020.2&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.The first season&nbsp.&nbsp.Thematic lecture&nbsp.The first episode: Ears, Listening & Nbsp. Lecture Opening Attachment 1: Network Consultation Considerations Episode 2: Ear Anatomy and Auditory Vestibular Physiology Episode 3: Common Ear Disease Prevention Episode 4: Language Is So Important for Humans Episode 5: Hearing Impairment The person is a normal person. The sixth episode: Putonghua speech audiometry vocabulary. The seventh episode: Love with Ear Day. The eighth episode: Cochlear implants. The ninth episode: Putonghua seven tone-Chinese Lin’s six tone tenth episode: hearing aids &nbsp.vs&nbsp. Cochlear implants with a set of hearing aids vs. cochlear implants with a set of two &nbsp. Hearing aids vs. cochlear implants with a set of eleventh: Tinnitus Episode twelfth Audiometry technology Episode thirteenth Talking about the audiogram Episode fourteenth ancient hearing aid , Lost Art Episode 15 Talking about tympanograms Episode 16 Part Hearing Aids and Cochlear Implant Brand Introduction Episode 17 The Beauty of Hearing Aids and Cochlear Implants Episode 18 Hearing Rehabilitation Episode Nineteenth Masking&nbsp.&nbsp.&nbsp. The second season&nbsp.You ask me to answer&nbsp.The first episode is better than waiting for a medical miracle.It is better to create a miracle by yourself. The second episode of hair cell regeneration. Hope that the fourth episode of hearing aids can improve hearing? &nbsp.

Adult hoarse voice

Adult voice hoarse, did you cry as a child? —Who hasn’t been a baby before? Adult voices are hoarse and have nothing to do with crying as a child. More factors need to be considered: (1) Acute laryngitis associated with acute upper respiratory tract infection, usually recovers in about 3 weeks, which is more common; (2) Chronic laryngitis, which may be caused by improper use of throat, gastroesophageal reflux, chronic Sinusitis regurgitation, cigarette and alcohol stimulation, etc.; (3) vocal cord polyps, papilloma, etc.; (4) malignant transformation of the larynx; (5) paralysis of the vocal cord on one or both sides, the closure is not good, and the natural voice is hoarse and more Can gradually compensate to improve vocalization, but the important thing is to find the cause of vocal cord paralysis, occupy a place? ; (6) Spastic laryngeal larynx&nbsp.&nbsp.&nbsp.&nbsp. It can be seen that compared with children, adult hoarseness is also commonly caused by inflammation, external irritation, vocal cord polyps, etc. The difference is that tumors and functional disorders should be considered And other factors. Baby hoarse

Baby hoarse

[Baby voice hoarse] Children and toddlers have hoarse voice, inflammation and vocal cord mucosa problems are the most common. The nodules of the vocal cords, which occur in the epidermal layer of the vocal cord mucosa, are the most common factors of mucosal problems, and are often related to repeated crying and crying. Under the laryngoscope, the most vibrating amplitude and the most vulnerable part of the vocal cord can be seen-the symmetrical uplift of the free edge of the anterior middle third of the vocal cord. The vocal cords close the left gap and the sound quality is hoarse. The hoarseness of babies often lasts for two weeks or longer and is valued by parents. Most of them can gradually subside as they grow, generally relieving in 3-6 months. Sound training maintains a good sounding method, which helps improve sound quality. Why didn’t the clinic find so many vocal cord nodules? 1 more self-healing, reducing the need for laryngoscopy; 2 not many babies with good pictures. It should be noted that after the sound rests and improves the pronunciation habits, the hoarseness continues to progress and needs to be distinguished from other laryngeal lesions, such as laryngeal papilloma. Picture reference utd

Fully implantable Acclaim® cochlear implant

EnvoyMedical’s fully implantable Acclaim® cochlear implant received the FDA’s innovative device designation &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. June 29, 2020, located in Minnesota, USA, focusing on the entire Envoy Medical® Corporation, which provides innovative technologies in the field of hearing loss spectrum, today announced that its fully implanted Acclaim® cochlear implant has been awarded the title of Breakthrough Device Designation by the US FDA. Unlike existing conventional cochlear implants that are partially implanted and have external microphones and processors, Acclaim will be the first such cochlear implant if approved by the FDA, and will provide users with unique benefits without any external components , And is expected to increase global cochlear implant adoption and user compliance. &nbsp.&nbsp.&nbsp.&nbsp. Colin Driscoll, director of the Department of Otolaryngology at the Mayo Clinic in Minnesota, said: “Patients with severe hearing impairments want to hear better sounds, but often delay hearing or avoid cochlear implants altogether. Technology, which is partly because of the need for external components, and I’m very happy to see the progress made by EnvoyMedical on the Acclaim cochlear implant, because the fully implantable device eliminates this obstacle, and can be at any time, any time and Hearing is provided throughout the night. It is like restoring your hearing.”&nbsp.&nbsp.&nbsp.&nbsp.Esteem® osseointegrated active middle ear implant (AMEI) has been fully implanted since FDA approval for diagnosis as Envoy Medical has also celebrated 10 years since adults with moderate to severe sensorineural hearing loss. The fully implanted Acclaim cochlear implant uses the new sensor technology of Esteem bone-integrated AMEI. Over a decade of performance and reliability data continues to make Envoy Medical’s sensors the current “gold standard” for fully implantable hearing implants. To overcome the limitations of current hearing devices that rely on external devices and microphones, Envoy Medical’s new sensors use the natural anatomy of the ear to capture sound and convert it into an electrical signal that the implant uses to address hearing loss. &nbsp.&nbsp. “Our unique sensor is still a destructive platform technology that allows us to excel in the development of fully implanted hearing aids. Compared with traditional hearing aids with external components, we think it is unique Advantages and improvements,” said BrentLucas, CEO of EnvoyMedical. “Obtaining a breakthrough device title for our fully implanted Acclaim cochlear implant is an important milestone. It will help us bring the device to people as quickly and efficiently as possible. This is a strong proof for us to complete a lot of complicated work. We are small But very talented and dedicated team. We are frustrated with the opportunity to improve the lives of deaf hearing loss people, and we look forward to helping audiologists and doctors bring more people to more people in more time Hearing.”&nbsp.&nbsp.&nbsp.&nbsp. The FDA’s innovative device program was implemented to speed up the development and review process of medical devices that provide new technologies for patients who are life-threatening or debilitating. The plan aims to ensure that patients and healthcare providers can use important equipment in a more timely manner. &nbsp.&nbsp.&nbsp.&nbsp. In the US, it is estimated that only 5% of qualified candidates use cochlear implants. Potential adult recipients usually wait longer than they need to obtain existing partial cochlear implants because the most commonly cited is the visibility and quantity of external hardware. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.About finished

Net red rhinitis magic medicine Japanese rhinitis water can be used

Recently, patients often consulted the Japanese net red “rhinitis water” can be used. These patients used Japanese rhinitis water to get very good results at first, but gradually developed dependence. Once the drug is stopped, severe symptoms such as nasal congestion, dizziness, headache, and insanity will occur. So can Japan’s “Rhinitis Water” be used all the time? Contrary to the natural ingredients promoted by domestic purchasers, safe and non-irritating, this “Rhinitis Water” is actually a strong medicine. Let’s take a look at its ingredients: 1. Naphazoline hydrochloride, which belongs to the ephedrine category, can strongly constrict blood vessels, reduce nasal discharge, improve ventilation, and is effective for various types of rhinitis. Such drugs are strictly controlled in the country, and continuous medication cannot exceed one week. Long-term medication is prone to drug dependence, drug addiction, and drug-induced rhinitis. 2. Chlorpheniramine is a generation of antihistamine medicine, which is used for allergic rhinitis, such as itchy nose, sneezing, and nasal congestion. Due to its strong central sedative effect, it has been rarely used in China. 3. Phenylammonium chloride, which is a bacteriostatic preservative, is often used by surgeons to wash and disinfect their hands. With these kinds of ingredients, of course, it is effective for all types of rhinitis, it is simply “wanjin oil”, but all of them have a permanent cure, and even cause more serious drug-induced rhinitis. It is recommended that patients do not blindly worship foreign medicines, especially when they cannot understand the instructions of the medicines, they should not blindly use medicines. Rhinitis requires regular diagnosis and treatment.

What should I eat after tonsillectomy?

What should I eat after tonsillectomy? People who have undergone tonsillectomy will still remember the sore throat after the operation. The first meal after the operation is tasteless, and more importantly, the pain caused by swallowing makes the appetite disappear without a trace-how far are those delicious foods from you? According to statistics, after tonsillectomy, most children’s sore throat will last for 7-10 days. Adults and patients with repeated tonsil inflammation will last longer. Factors that aggravate sore throat: swallowing when drinking water (non-food swallowing), insufficient fluid intake, and tonsil pseudomembrane shedding (about 5-10 days after surgery). To relieve sore throat, eat as softly as possible and maintain adequate fluid intake within two weeks. Two weeks later, the pseudomembrane in the tonsil nests fell off, and the wound surface was relatively less fragile. Consider food without the risk of scratching (fried chicken wings, grilled skewers may not work). About 3-4 weeks after surgery, the diet gradually recovered.

Why is nasal spray hormone best used in the morning?

The human body has a set of physiological mechanisms to stabilize the internal environment-feedback, including positive feedback and negative feedback. There is relatively little positive feedback, such as urination. After the urination behavior begins, the body will order urination to strengthen until the urination is smooth. There are many negative feedbacks. For example, if the blood sugar has increased, the body will send a command to lower the blood sugar after receiving the information, and it cannot rise again. The physiological regulation of glucocorticoids is also negative feedback. When the concentration of glucocorticoids in the body increases, negative feedback inhibits the function of the adrenal glands, so that it no longer releases glucocorticoids. Controlled by the circadian clock, the secretion of glucocorticoids also has its day and night rules. From 3 am to 10 am, the secretion accounts for 3/4 of the secretion of the whole day. Therefore, those who use glucocorticoids for a long time and in large amounts will have a peak hormone in the morning. Give once a day to make the peaks of endogenous and iatrogenic glucocorticoids roughly overlap, avoid the secondary inhibition caused by the use of iatrogenic glucocorticoids at other times, and reduce the adrenal atrophy caused by long-term and heavy use of hormones. When the nasal spray hormone liquid flows into the throat, it is recommended to rinse the mouth to clean up and avoid the accumulation of the nasal spray for a long time. The nasal spray hormone is also a glucocorticoid, so it is recommended to use it in the morning. This is an optimized medication plan with no additional cost and only benefits.

Learning about the new coronavirus

About the learning of the new corona virus-the spread of human contact with this virus is mainly spread. Between people in close contact (within about 2 meters). Spread through the respiratory droplets that the infected person produces when they cough, sneeze, or talk. These droplets can attach to the mouth or nose of people nearby and may even be inhaled into the lungs. COVID-19 may be spread through asymptomatic people. The virus can easily spread from person to person. The difficulty of spreading the virus from person to person may vary. Some viruses are highly contagious, such as measles, while others are not easy to spread. Another factor is whether the communication is continuous, which means that the communication will continue from person to person. The virus that causes COVID-19 is very easy to spread from person to person and is sustainable. The closer the interaction between a person and others, the longer the interaction time, the higher the risk of COVID-19 transmission. The best way to protect yourself and others from disease is to avoid contact with the virus. You can take measures to slow the spread. Keep social distance more than 2 meters. Wash your hands with soapy water for at least 20 seconds, and pay attention to cleaning the faucet to avoid secondary pollution caused by closing the faucet. If it is inconvenient to die, clean and disinfect regularly with no-clean hands, such as mobile phones, computers, tables, countertops, light switches, door handles and cabinet door handles. Wear masks in public places. After going out and wearing gloves, be sure to wash your hands thoroughly. Do three simple things to stop the spread of rumors. Find reliable information from press conferences and large reliable websites. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.Only spread and share information from trusted sources. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. discourage others from sharing unverified information. Is takeout still safe? It is generally believed that coronavirus is transmitted from person to person through respiratory droplets. To avoid cross infection during meals. Before preparing to cook or eat, be sure to wash your hands with soap and water for at least 20 seconds to ensure food safety. Cultivation of cough etiquette: Use a tissue to cover every time you cough or sneeze. Always wash your hands after blowing your nose, coughing, sneezing or going to the toilet. Is there a higher risk of infection with contact lenses and contact lenses? There is currently no evidence that contact lens wearers have a higher risk of COVID-19 infection than frame eye wearers. Contact lens wearers should continue to adopt contact lens wearing and nursing hygiene habits, which are helpful to prevent the transmission of contact lens-related infections, such as always washing hands with soap and water before contacting the lens. &nbsp. Health personnel can still continue to wear and care for their contact lenses according to the instructions of professionals. What are close contacts? The definition of close contact is as follows: a)&nbsp. Long-term stay in the range of about 2 meters near the COVID-19 case; taking care of the COVID-19 case, living with it, visiting or sharing the medical waiting area or room, living area, may occur Close contact b) Direct contact with infectious secretions of COVID-19 cases (eg splashed by cough droplets) if not wearing the recommended personal protective equipment or PPE (eg protective clothing, gloves, NIOSH certified disposable N95 Breathing apparatus, goggles)

How to collect new crown nucleic acid?

New Crown Nucleic Acid Pharyngeal Swab ——Why use two cotton swabs? Pharyngeal swab collection and detection of new crown nucleic acids has become the main method of large sample screening in our population. 1. For exposed population with a higher risk of serious infection, nucleic acid positive may occur in the second to fourth times (sample size and sample distribution in the early stage of the disease) Unevenness may affect the sensitivity of nucleic acid detection) 2. Whether the specimen collection and processing are appropriate, and the sensitivity and specificity of pharyngeal swab culture is high. It is currently considered that pharyngeal swabs are the main diagnostic criteria for new crown nucleic acids, but there are several Details: a. Whether the new crown nucleic acid pharyngeal swab is properly transported (at such a high temperature, we must pay attention to the collected specimens) b. When collecting the specimens, it should be on both sides of the tonsils (the tonsil fossa in patients without tonsils) and the back of the pharynx Wipe the wall vigorously. The tongue, buccal mucosa, and hard palate are not ideal locations for culture sampling. Avoid sampling at these locations. Obtaining as many specimens as possible can increase the sensitivity of nucleic acid detection. c. From the picture above, we can see that when the examinee’s tongue is located in the mouth, it can be seen that everyone’s pharyngeal exposure is different. Type I: palate tonsils are visible, hanging Free edge of uvula and soft palate for easy collection. Type II, the free edge of the soft palate and the root of the uvula are relatively good. Type III: the soft palate is visible, but the free edge of the soft palate is not visible, and the collection is relatively difficult. Type IV: only the hard palate is seen, it is relatively difficult to collect the type III~IV in life. It is a group of people with circumstantial snoring and sleep snoring. Therefore, it is recommended to collect nasopharyngeal pharyngeal swabs in patients with narrow breaths in a widely collected group, or under the direction of light, trained by a person who has trained to use a tongue depressor to correctly collect pharyngeal swabs Responsible for collection, more accurate results have been obtained. References: 1. KurtzB, KurtzM, RoeMetal. Importanceofinoculumsize and samplingeffectinrapidantigendetectionfordiagnosisofStreptococcuspyogenespharyngitis.[J].J.Clin.Microbiol., 2000, 38:279-81.2.AnthonyWChow, MD, FRCPC, FACP, FACP, FACP, FACP ME,Ulusoy,S.,Dalgic,A.,Ozdemir,C.,&amp.

Focused Q&A (Otorhinolaryngology) 20200616

The time to answer questions about nasal problems once a week is up again. Let’s take a look at these issues. See if yours is selected? Answering rules 1. Questioning method: a. Direct questions within the group (format: nickname + question), the more detailed the better 2. The questioning time is 20:00-21:00 every Tuesday night Q Qiting: Boy three and a half years old, history of allergic rhinitis (House dust mite class 3 allergy, dust mite class 2 allergy), adenoids blockage two thirds, tonsils second degree, history of wheezing bronchitis, total adenoids and tonsils have been done on the 25th of last month Partial excision surgery, and today, there is no nasal congestion and sleep snoring under the condition of medication. May I ask whether I should go to the otolaryngology department or the respiratory department for follow-up standard treatment? Dr. Oz: Hello, thank you for your trust. The operation of adenoid and tonsils does not mean that allergic rhinitis and bronchitis will not recur. The future treatment is mainly based on the symptoms of the child, such as the symptoms of allergic rhinitis, depending on the ear, nose and throat Department, mainly on the symptoms of bronchitis, see the respiratory department. But no matter how, it is very important to avoid the dust mite environment in life. Q Feng Xia: Male, 3 weeks and 3 months, runny nose for 7 days, no cough, insist on washing the nose every day, has not been good, is it a sinusitis attack, do you need to take antibiotics plus Nesuna treatment? Have done adenoid ablation before. Dr. Oz: Hello, thank you for your trust. If it is a recently completed adenoid ablation operation, it is recommended that the surgical hospital be revisited. If the adenoid operation has been performed for more than one month, it can be treated as sinusitis. If it is the latter, the yellow snot has not alleviated when I received my reply. It is recommended to add antibiotics and Nesuna. Q Xiaoyuan: Male, two Tuesdays ago, had acute sinusitis before, and had not relapsed for several months. There was a snot on 6.5, which was cleaned daily with sea salt water and sucked out with a nasal aspirator. Every morning, there is a lot of snot, with a little light green, no other symptoms, and no nasal congestion during sleep. 6.12 Began spraying with hypertonic sea salt water, the amount of snot has decreased in recent days, but some light yellowish green snot will be sucked out every morning. Generally not in the afternoon and evening. Is sinusitis recurring? What should I do next? Dr. Oz: Hello, thank you for your trust. If the symptoms do not worsen, nor affect the child’s eating and sleeping, I suggest continuing to follow the current plan of care. However, if the yellow snot in the morning continues to increase, or the green snot is more obvious at other times of the day, then it may be necessary to give appropriate antibiotic treatment according to bacterial sinusitis. Q Xiaoyu Mom: Girl, 4 years old, these two days, I feel that my baby will runny nose when he touches cold air. When the cold air passes, the nose will disappear. Is it allergic to cold air? Need to deal with it? Dr. Oz: Hello, thank you for your trust. Do you mean the cool air means the cool air conditioner? If it appears after turning on the air conditioner, you need to clean the air conditioner filter. Q Xiaokuaiai: My daughter had an adenoidectomy in April last year. Since the beginning of this year, I have been sneezing and sleeping at night, sometimes accompanied by nasal congestion. About ten sneezes a day. After two months to the end of April this year, the medicine was stopped. About a week ago, my daughter started sneezing madly every day. The frequency was at least once an hour during the day. Every time it was two or three. I didn’t say itchy nose (basically I didn’t rub my nose but sometimes rubbed my eyes), and I didn’t cough. I had nosebleeds in the last month or two. I bleed nose three times a day yesterday, but I don’t need much amount each time drop. May I ask the doctor: 1. Will the stuffy nose be adenoid hyperplasia? 2. Will sneezing be allergic rhinitis? 3. Is nosebleed related to Penesuna? I am all facing Dr. Nose: Hello, thank you for your trust. 1. Nasal congestion is not necessarily caused by recurrence of adenoids, but may also be caused by rhinitis itself and turbinate hypertrophy. After adenoid surgery, there is a certain chance of recurrence of adenoid, but few operations need to be performed again, so no matter whether it is nasal congestion caused by turbinate hypertrophy and swelling of the turbinate, or nasal congestion caused by adenoid recurrence, only symptomatic treatment, such as the use of nasal Spray hormones. However, your child currently has nosebleeds, so topical nasal sprays are temporarily not used. 2. Frequent sneezing and nasal congestion, suggesting the possibility of allergic rhinitis. 3. The use of Nesuna may cause nosebleeds, but such nosebleeds generally occur during medication. And currently

Eight military rules for the recovery period of patients after rhinoplasty

Dr. Li’s eight military regulations during the recovery period of patients undergoing rhinoplasty were affected by the epidemic. Many people chose this period for rhinoplasty. After checking a lot of information on the Internet and reading many cases, they will soon choose surgery. Here I want to emphasize that care for a few days after the operation is essential to ensure you get the best results, especially nasal and facial surgery. &nbsp.&nbsp. Rhinoplasty is one of the operations with the highest recovery rate (from 5% to 15%); careful postoperative care can reduce the chance of complications and also reduce the possibility of our repair. The early recovery period after surgery is about 1 to 3 months, but most of them need a year’s nose to fully recover, so you must guide how to carry out postoperative care in 1 year. I made a few military rules to share with my patients. The first military rule is not to wear any kind of glasses.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Myopia, strong summer sun, wear a pair of sunglasses or a pair Glasses may feel very necessary, but within 6 weeks after the operation, I advise my patients to avoid any form of glasses sliding on the bridge of the nose. Because the nasal bones did not heal in the new location within six weeks after rhinoplasty. The heavy glass-framed eyes on the bridge of the nose will squeeze the tissue to twist and heal, causing dents or lumps. The second military rule &nbsp. Don’t dig nostrils &nbsp.&nbsp.&nbsp.&nbsp. No matter how tempting the scab area in the nostrils is, you should not pick your nostrils by hand. This is a lesson for many patients to repair blood after surgery. So it is absolutely necessary to quit this habit after surgery. Early in the postoperative period, we will prevent the hemostatic gauze from compressing, shaping, and stopping bleeding in the nostrils. After removing the gauze, the resident will carefully clean up your nostrils. If scabs are not easy to fall off after the operation, it is recommended to return to the hospital in time. Scab, instead of digging out at will. The third military regulation nasal rinsing&nbsp.&nbsp.&nbsp.Rinse the nasal cavity. From the second day after the operation, we advocate the nasal irrigation with sea salt water. , Promote nasal mucous cilia activity and increase the removal rate of nasal scab, improve the local microenvironment of the nasal cavity, and improve the quality of life. The fourth military rule does not kiss&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.Kissing can make people feel the sweetness brought by love and affection, many girls think this daily operation looks like Not too dangerous. But within 6 weeks after the operation, do not kiss infants or your dog! ! ! Believe it or not, I have a client whose nose was fractured three times by their baby. Finally, his nose finally crooked. So an accidental impact, the sensitive part may break, and eventually need to undergo revision surgery, so keep the mouth in 6 weeks. Article 5 The first week after the operation of the military head high position, keep the head slightly raised by 15~30°, and try to sleep on your back. Either lie on a recliner or lean on two or three pillows to keep the head above the heart; this can cause fluid accumulation in the early surgical area, stimulate the formation of scars, and even affect the shape of the nose, which is also conducive to postoperative recovery . Article 6 Early ice application after the military regulations: Apply ice packs to the bridge of the nose for 20 minutes every hour for the first two days after the operation to help reduce the aggravation of bruising and swelling. Generally, this period is when bruising and swelling are most severe. Once the swelling and bruises form, the recovery period will be extended, so using ice cubes after 48 hours can actually slow down the process. Article 7 Military Regulations Quitting Smoking and Drinking Smoking and drinking are prohibited after surgery-Smoking and drinking will affect the results of surgery and prolong the healing process, so it is necessary to resist the temptation after surgery. Smoking will reduce the blood flow of the skin, which will definitely affect the healing of postoperative incisions, especially for the second repair customers. We recommend starting smoking cessation 2 to 4 weeks before surgery. On the other hand, drinking alcohol dilates blood vessels, which increases the chance of bleeding and bruising after surgery. Affect the final nasal morphology. In addition, if antibiotics are still being applied at this time, there may even be safety risks. The eighth military regulation: avoid early running, yoga and other sports&nbsp.&nbsp

Concentrated Q&A (Otorhinolaryngology) 20200609

The time to answer questions about rhinos once a week is up. Let’s take a look at these issues. See if yours is selected? Q&A rules 1. Questions: direct questions within the group (format: nickname + questions), the more detailed the better 2. The question time is 20:00-21:003 every Tuesday night, join the group see Zhiding Weibo Q Xiaoyu: male, 5 year old. There was a snot on the night of 6.4, and there was more yellow snot on 5.6. I had sinusitis before and had not relapsed for several months. I don’t know if this is a relapse of sinusitis? These days I washed my nose in the morning and evening, sprayed him with Shuliang during the day and loratadine at night. It has been going on for four days, and there has been less snot in these four days, but occasionally yellow nose has been washed out. What should I do next? Does loratadine still need to be eaten. thank you very much! Dr. Oz: Hello, thank you for your trust. As for the symptoms you provide, your child’s symptoms are alleviated by nasal washing and medication, so consider the possibility of viral sinusitis, so there is no need to add other drugs, and loratadine is not necessary to continue to use. Next, you can continue to wash your nose + Fushuliang treatment, pay attention to observe whether the symptoms are aggravated, or whether there are other symptoms such as fever, and if so, you must consider bacterial sinusitis. Q point mother: The girl was diagnosed with allergic rhinitis at two months and one month (a physical examination said the nasal mucosa was pale and swollen). I have tried several times before nasal congestion, sleep at night, snot back and cough, two months It’s not good. This time from January to the present, I have previously taken cetirizine and shunnirin, and the effect is not good. According to the previous doctor’s recommendation, I wash my nose every day (use a neilmed children’s nasal pot to wash my nose, and wash it once an hour before going to bed. The intensity is gentle, less than 120ml each time, the snot is washed and I don’t wash it), I had a nasal congestion when I slept some time ago, and recently I have basically no nasal congestion. Nose rinsing resumed in two days. I’m very worried about the nasal congestion caused by sleep. You said that you do not advocate “nasal washing” for children under 3 years old, why? Is there any other way to relieve her stuffy nose? Dr. Oz: Hello, thank you for your trust. Any large-capacity nasal washer may cause complications such as otitis media. Especially for young children, children will not cooperate, and the eustachian tube is shorter and straighter than adults, so the risk of complications is greater. However, when considering a treatment option, we need to combine its pros and cons to determine, for example, your child’s symptoms have improved significantly after using the nasal washer, and no other discomfort has occurred. Of course, you can be under the guidance of your doctor Used, but pay attention to avoid risks. Children under 2 years old need to be cautious in diagnosing allergic rhinitis. It is recommended to actively look for possible allergens according to the doctor’s idea and avoid them. This is the most important step. QTabao: Male, 3 weeks 10 this year. Have allergic rhinitis. The following picture is the result of allergen detection. The child has intermittent dry cough at night from January 22 this year, which does not affect sleep, and it lasts for about 5 months. During the period, the sea salt water was sprayed every day. Nesuna sprayed the left and right nostrils once for 5 months. There was still a coughing at night. Cough a few times during the day. Starting on March 9th, taking carretam syrup every night before going to bed, during which Xian Teming has been used until now. Nesuna took one nostril in the morning. Oral antihistamines have been around for 2 months. Occasionally snot in the morning. Is the child’s cough at night related to rhinitis? Can antihistamines be taken for a long time? Is the effect of Nesuna not obvious? Need to replace other nasal spray hormones? Dr. Oz: Hello, thank you for your trust. It is recommended to stop all the current drugs and only keep the sea salt spray to observe whether the symptoms have worsened. If the symptoms are significantly worse after the drug is stopped, then consider that the cough is related to the nose. If the symptoms do not get worse after the drug is stopped, you can make symptoms Severity, choose pediatric treatment or continue to observe. If your doctor recommends to continue to use nasal spray hormones, you can replace Nesuna with Wenshi. Q Xiaoyu mom: Girl, 4 years old, allergic rhinitis + postnasal drip + adenoid hypertrophy, got a cold during the treatment of rhinitis, there is a yellow nose and cough caused by the runny nose, in this case saline nose and nose Can the spray continue? Do I need to take cetirizine and other allergy medicines? Dr. Oz: Hello, thank you for your trust. There is no conflict between the treatment of colds and allergic rhinitis, both saline nasal washing and nasal spray can be

How to treat chronic rhinitis (on)

The incidence of chronic rhinitis is very high, and it can occur in a year and a century. Many people are suffering from chronic rhinitis. The outpatient clinic found that children over eight years old can also be sick. In fact, chronic rhinitis is preventable and curable, and understanding and learning about chronic rhinitis is very important in daily life. 1. What is chronic rhinitis? Chronic rhinitis is a non-infectious disease of unknown etiology with repeated nasal congestion as the main symptom. Chronic rhinitis can cause a white sticky snot to blow out when the nasal congestion is severe. Chronic rhinitis is prone to attack after getting cold or when the temperature changes. 2. The etiology of chronic rhinitis is unknown, and it can be extended from acute rhinitis. It is also related to the anatomy of the nasal cavity, such as nasal septum deviation, chronic sinusitis is accompanied by chronic rhinitis, and it is also related to the living and working environment, such as long-term exposure to dust or Irritant gas, long-term stay up late is prone to chronic rhinitis, low immunity is also a susceptible factor for chronic rhinitis. 3. The main manifestations of chronic rhinitis are frequent nasal congestion and discomfort, which affects sleep. The supine nasal congestion is obvious, and the lateral lying is relieved. When lying on the ground, nasal secretions easily flow back into the throat, causing frequent spitting. When the nasal congestion is severe, the symptoms of white sticky nasal discharge can be relieved. The nasal congestion is not obvious in a warm environment. The nasal congestion becomes worse when the temperature drops suddenly or after blowing. A small number of patients have symptoms of tinnitus, ear occlusion, and decreased sense of smell. 4. Chronic rhinitis under nasal endoscopy. Symptoms are not necessarily problematic. Under nasal endoscopy, you can see bilateral inferior turbinate congestion and edema, but some patients have no abnormalities, and some patients show deviated nasal septum, and the lower turbinate mucosa is pale. Yes, sometimes a white sticky snot can be seen in the lower nasal passages. Patients with chronic hypertrophic rhinitis can see mulberry-like changes in the lower mucosa of both lower turbinates.

Causes of earaches and ways to avoid them

The ear has always been a very important organ of the human body. It can collect a variety of sound information for the human brain, but the ear is also an organ that is very vulnerable to damage. The ear is affected by various noises and some harmful substances in reality, so it is more or less said that there is ear pain. If it is not handled properly, the serious person will also cause hearing loss and even deafness. The causes of ear pain include the following: 1. Ear barotrauma or suppurative otitis media. Ear pain in most people is accompanied by a sense of blockage because of ear barotrauma, especially when the aircraft is taking off or landing or when taking a high-rise elevator. There have been major changes that have caused this problem. Suppurative otitis media is caused by inflammation of the middle ear mucosa. The patient will have ear pain and yellow-green discharge. The patient will have tinnitus and headache, accompanied by severe ear pain, hearing loss, persistent fever and tinnitus. 2. External ear canal boils, some inflammation of the skin or subcutaneous tissue of the external ear canal, usually caused by drug stimulation, infection with bacteria, or damage when digging the ear, the patient will not only have ear pain, but also accompanied by purulent secretion There is tenderness and swelling around the ears. 3. Acute otitis media. If your ears are often painful, you must consider whether it is acute otitis media. People with acute otitis media have symptoms of bacterial infection in the ear cavity. This symptom can increase the amount of pus in the ear and cause ear pain. 4. Earwax is also one of the causes of ear pain. The so-called earwax is a secretion of the glandular glands under the ear and skin. Assuming that it will not be treated for a long time, when the accumulation of earwax reaches a certain level, it will cause hearing loss; avoid ears. What are the methods of pain? 1. Avoid pulling out your ears. Do not use dirty or sharp objects to pull out your ears. After these things are pulled out of your ears, your ears will become infected. In addition, go to a massage shop or beauty salon to do ear picking. If there is no disinfected tool, the eardrum may be damaged. 2. To prevent colds, there are many people suffering from otitis caused by colds, so we must pay attention to keep warm and prevent colds in life, so as to effectively prevent problems such as otitis and avoid ear pain. 3. As far as possible, do not let water enter the ear canal. If water enters the ear, it is recommended to absorb water with a dry and clean cloth to keep the ear cavity dry.

Focused Q & A (Otorhinolaryngology) 20200519

The time to answer questions about rhinos once a week is up. Let’s take a look at these issues. See if yours is selected? Q & A rules 1. Questions: direct questions within the group (format: nickname + questions), the more detailed, the better 2. The question time is 20: 00-21: 003 every Tuesday night, join the group (see Zhiding Weibo) 1, Zhuo CY: The boy was 4 years old with allergic rhinitis and mild adenoid hypertrophy. The main symptom was cough, mainly dry cough, and more cough at night. I recently discovered that children often rub their noses, pouting from time to time, their mouths crooked to the left and right. I want to ask if the child’s dry cough and more nights are caused by rhinitis? Is the child’s crooked mouth related to rhinitis? Dr. Oz: Hello, thank you for your trust. At present, the child’s symptoms are all related to rhinitis, but also need to pay attention to whether there may be foreign bodies in the nasal cavity. It can be treated according to the plan of allergic rhinitis first, and if it is invalid, it must be checked. 2. Qing Qing: The girl was 4 years old and began to have unilateral nasal congestion in October last year. The normal saline spray will flow out of a large piece of concentrated booger. Recently, the nasal congestion has been repeated for 4 days a week. The nasal congestion has flowed twice a week. Lateral nasal cavity underwent endoscopic examination, see: & nbsp. Nasal cavity: mucosal hyperemia, erosion and hyperemia of the left anterior nostril mucosa, no deviation of the nasal septum, no swelling of the bilateral inferior turbinates, no secretions and new organisms, and nostril vasodilation Nasopharynx: Mild swelling with orange-like changes, clear pharyngeal recesses, normal eustachian tube opening, and no swelling of the round pillow. May I ask the doctor what is the cause of nasal congestion and mucosal erosion? The doctor in the hospital prescribed furan nasal drops and recombinant bovine basic fibroblast growth factor. Can these two drugs be used? Dr. Oz: Hello, thank you for your trust. Judging from the nasal endoscopy report, there is no mention of the cause of unilateral nasal congestion, so it is impossible to determine the cause of nasal congestion based on symptoms alone. The erosion of the nasal mucosa may be related to the presence of rhinitis in the child. Parents should pay attention to observe whether the child has the habit of frequently picking and rubbing the nose, and if necessary, correct it. Furan nasal drops are generally not used for children under 6 years of age. If the doctor prescribes this medicine, it can be used as appropriate, but note that the continuous use time cannot exceed 5 days. The other medicine is to promote mucosal repair and can be used. & nbsp. & nbsp. & nbsp. & nbsp.3, Rui Rui: 5 and a half years old, the nose is very good for half a year, but only occasionally sneezes, almost every day to wash the nose, a few days ago suddenly found something like bubbles on the back wall of the pharynx What is it? Do you want to deal with it? Dr. Oz: Hello, thank you for your trust. The most common posterior pharyngeal wall is lymphoid follicular hyperplasia. It is best to provide pictures for such questions. Without pictures, it may not be possible to give a more accurate judgment, so it is impossible to give treatment suggestions. Parents can take their children to see the doctor if they are not at ease. 4. Yan Jun: At the age of five and a half, why do I have a cough with a runny nose and do not cough when I sleep at noon, mainly because I cough at night? Is it the cause of allergies? Dr. Oz: Hello, thank you for your trust. May be related to allergies, sinusitis, etc. You need to combine other symptoms to find the cause. 5. Mango side dish: 6 years old, with a history of sinusitis, allergic rhinitis. Recently, I wake up every morning and sneeze. If I sneeze too much, I will run my nose. I sneeze this way throughout the morning, sometimes more, sometimes less. I do not sneeze in the afternoon and evening, and do not sneeze when I go out to play. No coughing, no other symptoms of rhinitis, sneezing and runny nose. At home, there is no air conditioner at all, that is, sneezing from the time of getting up to the morning. 1. What should we pay attention to? Do you use medicine or spray? Why do you sneeze in the morning and be okay at other times? 2. What should I do if my child’s nose is sensitive? Dr. Oz: Hello, thank you for your trust. You can add rifastatin or acepine on the basis of nasal cavity flushing. Spraying the nasal cavity once when sneezing is frequent can generally improve symptoms. Because the diagnosis of allergic rhinitis is clear, it is more sensitive to external stimuli. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. Q & A guest doctor Dr. Otto, doctor of otolaryngology, attending physician, master of medicine, currently working in a top three hospital in Chongqing, is also a new father. Sina Weibo has signed a contract with the media and special authors of popular science on platforms such as Dr. Ai, Dr. Chun Yu, Fan Da, and Shukang. Authored more than 60 medical science articles on Sina Weibo (@ 亲爱 的 喏 斯 同学)

About 20% of people will experience tinnitus without knowing it

About 20% of people will experience tinnitus. The so-called tinnitus refers to a very single sound that the human body perceives without any external sound source. Some people even have a voice similar to cicadas. What kind of tinnitus needs treatment? Seven methods of self-testing tinnitus 1. Does the ear buzz for more than 3 days? 2. Is there a continuous and stable noise in the ear, with windy cries, machine-like rumble, and cicada-like sounds? The chirps, or some worms, bird calls, running water, whistle, bells. 3. Is there tinnitus accompanied by ear itching, ear pain, ant crawling or ear plugging? 4. Is there any onset dizziness, accompanied by nausea, vomiting, tinnitus, ear stuffiness or pressure, etc., single Lateral hearing loss? 5. Does the sense of hearing become worse and worse, tinnitus, ear tightness and other symptoms appear, if the water enters the external auditory meatus, the symptoms worsen and cause earache? 6. Does the headache often cause irritability, which affects work and Sleeping, very painful? 7. Does the binaural hearing loss gradually, accompanied by tinnitus, dizziness, hearing loss in both ears such as deafness, the symptoms are more obvious in the afternoon and night? Because the tinnitus time is too long will affect hearing and psychology, plus tinnitus Trouble caused, difficulty concentrating, difficulty falling asleep at night, affecting social activities, work and life. In severe cases, the mood is low, anxiety, insecurity, even despair. Therefore, in order to prevent and relieve tinnitus, in addition to going to a specialist hospital for treatment, you can also try the following methods. Often eat soy products to maintain enough iron to expand the body’s microvessels, so that the ear Normal blood supply can effectively prevent hearing loss. Drink more milk Milk is rich in minerals, and is mainly alkaline, which can effectively adjust the body’s acid-base balance. Stability of the acid-base environment in the body is the basis of health and the basis of delaying aging. Eat more fish food Fish meat is rich in unsaturated fatty acids, which can make fat and cholesterol out of the blood vessel wall, avoid the production of high blood lipids, prevent the formation of blood clots, and thus achieve the effect of preventing and controlling tinnitus.

8-year-old boy snoring 331 times overnight

& nbsp.Children snoring, the words that Bao moms often say are: “Look, how sweet I sleep.” Baby is the happiest thing for Bao Mom when he can eat and sleep. That is a child. A symbol of health, thinking that the child snoring is to go to sleep deeply, but he is approaching the baby without knowing the danger. & nbsp. In the inpatient department of our hospital, there is a fat boy. Doctors and nurses like him very much. The lovely Xiaohan is only 8 years old and has a weight of 120 pounds, which can be regarded as a “small fat puddle”. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp.Xiaohan only looks a little fat on the surface, and looks bloated when walking, but in fact Xiaohan is a cerebral palsy, but grandpa and grandma love this grandchild especially. Growing up slowly, grandpa and grandma discovered that Xiaohan was not only a cerebral palsy child, but also suffered from epilepsy. This made grandma worry about it. How could a well-behaved fat baby be a “sick baby” who was sick all over. The apnea was up to 331 times a night. From the age of 6, Xiao Han always had repeated nasal congestion symptoms. She also started snoring every day when she was sleeping. Grandma thought, snoring proved that my baby was sleeping soundly. However, something unexpected happened. Two months ago, Xiao Han suddenly had difficulty breathing and severe suffocation in her sleep, which really surprised Grandma. Grandma took Xiaohan to the hospital as soon as possible. The doctor told her that he might not be able to treat him because he had many diseases. Grandma took Xiaohan to run to four or five hospitals in succession, which was the result. Some of my heart was cold … At this time, a relative told my grandmother: “Take Xiaohan to Chengdu Renpin Otolaryngology Specialist Hospital to see if it might be saved.” Grandma took Xiaohan to our hospital for treatment, After a systematic examination, it was confirmed that “tongue hypertrophy, chronic tonsillitis”, combined with Xiaohan’s symptoms, was suffering from “snoring” in children. & nbsp. This condition is due to sleep and respiratory diseases caused by adenoid hypertrophy and tonsil hypertrophy. When the disease progresses to a certain degree, the patient may repeatedly suffer from suffocation at night, apnea, or even sudden death at night. To further confirm the diagnosis, we are Xiaohan conducted a night’s sleep monitoring. Xiaohan really had a serious breath-hold situation. There were 331 apnea cases in one night, and the longest apnea was as high as 105 seconds. For ordinary people, the normal blood oxygen saturation is not less than 95%. The minimum blood oxygen saturation of Xiaohan is only 48%, which has reached a state of severe hypoxia, which is already a very dangerous situation. & nbsp. & nbsp. Lucky! Multi-disciplinary joint surgery, “little fat” becomes “little cute”. Because Xiaohan’s epilepsy, cerebral palsy, obesity and other basic diseases are more, before the operation, the doctor will check Xiaohan’s basic diseases one by one to ensure the stability of other diseases, Xiaohan Anesthesia for a mentally retarded child with cerebral palsy also brings a lot of risks, and the low blood oxygen content makes the operation very difficult. After me and Liu Xiaobo, director of the Department of Anesthesiology, and Zhao Min, the attending physician in the Department of Throat Head and Neck Surgery, in conjunction with multidisciplinary consultations such as cardiology, and in close cooperation with the anesthesiology department and the operating room, we successfully performed “adenoidectomy + bilateral tonsillectomy Surgery “surgery. The operation was very successful, Xiaohan’s nasal congestion, difficulty breathing, snoring and other symptoms disappeared. Xiaohan needs to clean the mouth frequently after the operation, but Xiaohan, who is mentally impaired, cannot independently gargle daily. The nurse nurse cleans the mouth for Xiaohan intimately To promote wound repair. In terms of nutrition, Xiaohan needs to eat high-protein, low-fat foods to supplement nutrition. The nurse specially went to the ward to guide Xiaohan ’s grandma ’s post-operative recipes. The medical staff often brought him nutritional supplements. Everyone regarded Xiaohan as himself. Children generally think of it. & nbsp. & nbsp. “Snoring patients with unexplained headaches, head tightness, daytime sleepiness, unresponsiveness, breathlessness at night, etc., even in the case of adequate sleep at night, they should seek medical treatment in a timely manner. Science popular classroom: 1. & nbsp.Child evening What to do when snoring while sleeping? Children snoring when sleeping is usually caused by hypertrophy of tonsils, adenoid hypertrophy, or both. It is recommended that you go to the ear, nose, and throat specialist for a clear diagnosis and symptomatic treatment. 2. & nbsp .Does tonsil / adenoid hypertrophy require surgery? Tonsils are often inflamed, more than 3-5 times a year; cause open mouth breathing and sleep

Focused Q & A (Otorhinolaryngology) 20200512

The time for answering questions about the nose once a week is up again. Let’s take a look at these issues. See if yours is selected? Answering rules 1. Questioning method: a. Direct questions within the group (format: nickname + question), the more detailed the better 2. The questioning time is 20: 00-21: 003 every Tuesday night, join the group see Zhiding Weibo 1. Yiyi sauce: The girl is two and a half years old, woke up in the morning and sneezed and cleared his nose for half a year What about? What medicine can I use? Dr. Oz: Hello, thank you for your trust. The first is to check for possible allergens around you. It is not necessary to check allergens by drawing blood. Parents also observe, such as common dust mites, pollen and pets, whether these factors exist. Secondly, the nasal spray hormones need to be used in a standardized manner, and should not be stopped. Children are younger and need to pay attention to nasal cavity management, control symptoms, and prevent other complications such as asthma. 2. NEWYEER: Boy, 6 years old, allergic rhinitis, tonsils and adenoids removed in April 19th. Recently moved, the child coughed often in the middle of the night. Not only did he cough last night, but also felt difficult to breathe. The doctor let aerosolized salbutamol to drink budesonide. Today, the wheezing sound is less, but the wheezing sound can still be heard when it is quiet. Did allergic rhinitis cause acute asthma? Will it continue to be atomized? Dr. Oz: Hello, thank you for your trust. Judging from the description of the parents, there is the possibility of asthma, but parents should pay attention to not describe the breathing sound as wheezing, which is different from the breathing sound. It is recommended to use nebulization under the guidance of the doctor on the face consultation, because the child’s diagnosis cannot be determined, so no advice can be given. But there is certainly no need to “always” atomize. & nbsp. & nbsp. & nbsp. & nbsp.3, viki: boy, 5 years old, allergic rhinitis, last year ’s adenoid and tonsil surgery, less than half a year, these days I was awakened by nasal congestion at night, I could n’t sleep, just blocked Nose, no other discomfort, spray sea salt is useless, normal during the day, is it allergic to spring? Do you need to check allergens again? Dr. Oz: Hello, thank you for your trust. It may be related to allergies, but it is not necessary to check allergens. The purpose of checking allergens is to clarify what allergies are and then avoid them in a targeted manner. Parents can check for themselves, for example, pollen is more common this season, and it is to find allergens according to the local environmental climate, for example, mold in a humid environment may easily breed. When the use of sea salt alone is not effective, it should be combined with drugs to relieve nasal congestion. 4. US dollar mother: Girl, just turned five years old, entered the park in the 18th year, just sneezed and sneezed her nose and eyes, began to think that she had a cold, and then began to understand the symptoms of allergic rhinitis, and then she was diagnosed with allergic rhinitis. About a month improved. In the autumn of 19th, I was thinking about the prevention of cetirizine in advance. The result was earlier than last year. Every time I do n’t want to take medicine, I may be a little delayed. Then I actively spray medicine and take medicine, but it is always repeated. I still cough after coughing pneumonia infusion in December. , The nose has been repeated, and another nose piece was taken to diagnose sinusitis and adenoid hypertrophy (without opening the mouth and snoring), oral Oral Horse, nasal spray hormone and oxymetholone, 19 years was significantly longer than 18 years It was long, and it was repeated until the spring of 20 years (the masks worn when going out during the epidemic were still allergic), and sometimes coughed. After eating the thunder, he must have improved. I would like to ask why the doctor will last longer, how should the above drugs be used in a standardized way, and can they be used sustainably? What should we pay attention to and prevent in the future? Thank you! Dr. Oz: Hello, thank you for your trust. The child’s symptoms have a certain seasonality, then the possibility of pollen allergy is relatively large, and the duration of symptoms is related to the prevalence of pollen in the season and his own protective measures. The suggestion is to first check the allergens and make clear what allergies are, so that the next year will be better protected. The drug selection for allergic rhinitis is limited, and the key to the treatment effect is the rational combination of drugs. Generally, ladder-type medication is required. There is no fixed prescription. Drug recommendations. In the future, it is mainly to find and avoid allergens, which is the most important option in the prevention and treatment of allergic rhinitis. 5. Dollar Mom

Be careful with nasal spray

I often meet some patients who come to the hospital with “pure natural” magic medicine from all over the world. They say they have rhinitis, and after getting the medicine through various channels, they were really refreshed at the time, and the nasal cavity was very smooth. Later, the effect became worse and the duration of the drug effect became shorter and shorter. I looked at the patient’s medicine bottles, which are all in foreign languages, or the ingredients are plant names, etc., and there is no very detailed content, and there are even three no products. So what is it that makes their noses ventilate quickly? It is a “decongestant” mixed in. How do nasal decongestants work? The nasal mucosa blood vessels are composed of volume blood vessels and resistance blood vessels, forming venous sinuses. When the nasal decongestant arrives, it can reduce the volume of blood vessels and promote the emptying of blood sinuses, thereby reducing the volume of the turbinate, expanding the ventilation space of the nasal cavity, and alleviating nasal congestion. The first decongestant was extracted from plants containing ephedrine. Since then, ephedrine drugs have been widely used in clinics in the form of nasal drops, oils, sprays, injections, etc. It has a hundred years of history. Nasal decongestant is a hero. However, long-term incorrect use of nasal decongestants comes at a price. In 1931, Dr. Fox first reported the long-term use of decongestants to damage the nasal mucosa; in 1944, Dr. Feinberg reported the patient ’s “nasal congestion rebound phenomenon” after using nasal decongestants; in 1946, Dr. Lake first proposed the drug properties Rhinitis (rhinitismedicamentosa, RM) concept. Today’s definition of RM is the non-allergic inflammatory reaction of the nasal mucosa caused by long-term, excessive or abuse of nasal decongestants. It has become a well-known disease with ICD code (international Classification of diseases, ICD, international disease classification). Its pathogenesis is not completely clear, and it may be related to the long-term application of decongestants, the release of norepinephrine is suppressed, and the sympathetic nerves cannot maintain vasoconstriction; nasal mucosa may appear damaged cilia, goblet cells, squamous cells Pathological changes such as metaplasia. Moreover, the severity of drug-induced rhinitis is positively correlated with the concentration of decongestants and the duration of medication. The main symptom of drug-induced rhinitis is persistent nasal congestion, so the patient may have secondary symptoms such as snoring, mouth breathing, dry mouth, sore throat, and insomnia. Due to impaired nasal ciliary motor function, patients are more likely to be associated with sinusitis and other related diseases. Drug-induced rhinitis severely affects the quality of life. Patients often drink thrush to quench their thirst, and further use decongestants to relieve discomfort. The vicious cycle worsens the condition. If the instructions are unclear or not mentioned, it can be judged as follows: nasal decongestants have a rapid onset of action, and nasal sprays that can obtain a clear sense of ventilation within 2 minutes after use can basically be inferred. Contains a decongestant. It is recommended that patients continue to use decongestants for more than 7 days, and the duration of drug withdrawal should be as long as possible. What if a decongestant has been used for a while? Stop medicine! Even if you have obvious symptoms such as nasal congestion after stopping the drug, you must stop the drug! Then go to the hospital as soon as possible for professional treatment. It should be emphasized that you should not waste food because of choking. After reading this article, you will be full of hatred for decongestants. It has its own unique clinical application value. Drugs such as decongestants are not terrible in themselves. What is terrible is not knowing that it is contained and using it incorrectly. All medicines have “side effects”, and they can only be used safely if they know where the danger is.