What Are the Common Causes of Pus in the Nose?

Can be divided into two types of acute and chronic. Sinus mucosa is congested and swollen, inflammatory cells exudate, hypertrophy or atrophy, and inflammatory polyps may form. Sinus hyperplasia. More common in the maxillary sinus, followed by the ethmoid sinus and frontal sinus. Sphenoid sinus is rare.

Suppurative sinusitis

Sinus purulent lesions are a common disease in children and have received increasing clinical attention in recent years. Some scientists have performed sinus radiographs on children who appear to be healthy in general and find that about 50% of the sinuses have lesions. These children underwent maxillary sinus puncture irrigation, and about 1/3 of them could flush out pus. In recent years, many young children have been found to suffer from sinusitis. In addition, its incidence is also related to the different development of each sinus. The maxillary sinus and the ethmoid sinus may be infected after birth; the frontal sinus and the sphenoid sinus develop only after 2 to 3 years of age, and most children develop the frontal sinus after 7 Inflammation, and the sphenoid sinus is the deepest, bacteria are not easy to invade, and there is rarely inflammation.

Etiology and pathology of suppurative sinusitis

Clinical manifestations of suppurative sinusitis

The acute phase manifests as nasal congestion, pus, and headache, and systemic symptoms include chills, fever, fatigue, and loss of appetite. Check the nasal mucosa for congestion, swelling, and a large amount of mucus in the nasal cavity. In the chronic phase, the main symptoms are mucous pus or pus in the nasal cavity. Systemic symptoms are generally not obvious.

Imaging findings of suppurative sinusitis

X-ray plain film: the inner side wall of the paranasal sinus is lined with a thickened or wavy thickened mucosal shadow, sinus effusion (pus), air-liquid plane shadow in the sinus cavity (according to sitting position) or general density, Has hardened and turned white.

CT manifestations: sinus mucosa thickening, uniform or slightly wavy soft tissue density lining shadow, irregular surface enhancement. Sinus fluid can be soft tissue density (pus). Sinus wall bone thickened and density increased. Single or multiple round or oblong soft tissue density occupied without polyps in the sinus cavity.

MRI findings: The air in the sinus cavity disappeared and replaced with uniform turbid T1 low signal and T2 high signal shadow. The bone wall was not damaged. Vein (Gd) -enhanced T1 weights showed uniform thickening of thickened mucosa.

Differential diagnosis of suppurative sinusitis

It needs to be distinguished from non-purulent sinusitis and paranasal sinus malignancy.

Purulent sinusitis treatment

The main symptom of sinusitis is not ventilating, so you need to use a membrane shrinkage agent, such as 1% ephedrine or nasal drops, with 0.15% berberine or 0.5% chloramphenicol in the nose. The number of times a day is used to maintain ventilation as a standard. At present, Chinese medicine can be preferred for clinical treatment: Fufang Xiaoyuanling Capsule for conservative treatment with good results. If ventilation cannot be maintained after administration, surgical treatment such as turbinate resection or electrocautery is required. Sinusitis is a purulent inflammation in the sinuses. It is mainly purulent nasal discharge and headache. In addition to nasal membrane shrinkage agents, antibiotics are also used to eliminate bacterial infections in the sinuses or maxillary sinus puncture. If necessary, radical sinus surgery should be performed. In radical sinus surgery, functional endoscopic sinus surgery, due to the good illumination of the endoscope, can completely remove the lesions, and retain the normal mucosa and structure of the nasal cavity and paranasal sinuses as much as possible to form good ventilation and drainage. . Today, minimally invasive endoscopic techniques have been widely used in clinical practice.

First, the available Western medicine

Acute suppurative sinusitis:

antibiotics or sulfa drugs: sufficient to control the infection and prevent it from becoming chronic.

1% ephedrine saline: nasal drops, 1-2 drops each time, 2 times a day.

sedative pain medication: for severe headache.

Chronic purulent sinusitis:

For local treatment, nasal drops with vasoconstrictor can be used. 1% ephedrine saline and nasal drops are commonly used. Dexamethasone and betamethasone can be added to the nasal drops. It should be noted that Dinasal Net should not be used for a long time to avoid drug-induced rhinitis.

Optional Chinese patent medicines

Lung Meridian Wind-heat Type:

Chinjin rhinitis water: topical nose drops. 2-3 drops at a time, 3-4 times a day.

Zhidanxiang rhinitis tablets: 4-6 tablets per adult, 3 times a day, served with warm water, children halved.

(3) Biyuan Pills: Take 12 capsules each time, 3 times a day, and take them with warm water.

Zhicang ear rhinitis capsules: Take orally and take according to the instructions of this product.

Zhibiyan pill: 6g each time, 2 times a day, warm water for delivery.

Ageratum tablets: 2-4 times each time, 3 times a day, delivered with warm water.

Zhixin Ping granules: 1 bag per adult, 3 times a day, boiled with water, reduce the dosage for children.

Zhibitong Pill: Take 1 pill each time, 2 times a day, and take it with warm water.

Zhibiyuanshu Oral Liquid

Third, massage therapy

Massage area:

Bottom reflex zone: frontal sinus, head (brain), pituitary, cerebellum and brain stem, nose, lung and bronchus, celiac plexus, thyroid, parathyroid gland, adrenal gland, kidney, ureter, bladder, insomnia, Gonads.

Lateral foot reflex zone: gonads.

Foot reflex zone: maxilla, mandible, tonsils, larynx and trachea, thoracic lymph gland (thymus), upper body lymph node, lower body lymph node.

Common techniques?

Bottom foot reflex zone: thumb end point method, index finger joint point method, pressing method, index finger scraping method, thumb pushing method, rubbing method, fist surface tapping method, etc.

Lateral reflex zone of the plantar foot: lateral index scraping, thumb push, tapping and so on.

Reflex area of the back of the foot: Thumb end point method, index finger joint point method, index finger push method, thumb push method, etc.

In addition, massage Yingxiang Point, Shangying Xiang Point and Neiying Xiang Point 30 times a day. You can also use the mini rhinitis treatment instrument to massage the nasal acupoints. All have a therapeutic effect.

Suppurative sinusitis prevention and care

Usually pay attention to nasal hygiene.

Pay attention to howling. Those with nasal congestion and nasal discharge should press the nostril on one side of the nasal cavity and forcefully exfoliate. Alternate afterwards.

Be correct when swimming, and try to keep your head out of the water.

Patients with dental disease should be treated thoroughly.

Get more rest during an acute attack. The bedroom should be bright and maintain indoor air circulation. But avoid direct blowing and direct sunlight.

Follow the doctor's orders to take the medicine in a timely manner.

For those with chronic sinusitis, they should have confidence and perseverance in treatment, and pay attention to strengthening exercise to enhance their physique.

Smoke, alcohol and spicy food are strictly prohibited.

Keep your temperament cheerful, avoid irritation mentally, and be careful not to overwork.

Usually do nasal massage.

Purulent Sinusitis Food Therapy Recipe

Golden glutinous rice [composition] 30 grams of tender dandelion, 30 grams of tender purple diced. [Function indications] clearing heat and detoxifying, and purging. [Usage and Dosage] Wash dandelion and ground diced, put in boiling water and boil and cook.

Cocklebur Tea [Composition] 6 grams of cocklebur and 6 grams of tea. [Indications] Qufeng Tongnasao. [Usage and Dosage] Put two things in the cup, and make water for tea.

Onion white sauce [composition] Onion white 10 grams. [Function indication] Qufeng Tongqiao. [Usage and Dosage] Slightly smashed with white water, twisted juice, apply between the nose and lips, twice a day; or use boiling water to smoke the nose and nose.

[composition] 30 grams of premium longjing tea, 6 grams of Sichuan cork. [Indications] Clearing heat and purging fire, detoxifying and purging. [Usage and Dosage] Research together. Take a little medicine without smelling the sides of the nose, multiple times a day.

Gourd wine [composition] 30 grams of bitter gourd seeds. [Function Indication] Nasal Tricks. [Usage and Dosage] Gourd seeds are crushed and placed in a bottle, and 150 ml of alcoholic wine is added for 7 days. After slag removal, it is rarely incorporated into the nose. 2 to 4 times a day.

Old dry loofah [Composition] 2 grams of old dry loofah. [Indications] Huayu detoxification. [Usage and Dosage] The dry burning ash of old dried loofah is inferior. Take 15 grams each time and rinse with boiled water every morning.

Coptis chinensis and Xinyihua are 3 grams each, and 0.6 grams of borneol are ground together. Take an appropriate amount of powder into the nasal cavity, 2-4 times a day, suitable for those with acute sinusitis.

Houttuynia cordata and Dongfeng tangerine root are 30 g each, wild chrysanthemum 24 g, tempeh ginger and silk grass 15 g each. Ground taurus root 6 grams, decoction twice daily. Suitable for acute sinusitis

Each of ephedrae, Xinyi, licorice, and tea is equal in amount, filtered after decoction, and the nose is tapped 3 times a day. Suitable for those with chronic sinusitis.

Anchovy brainstone powder 9g, Xinyi 6g, Asarum 3g, Borneol O.9g. Suitable for those with chronic sinusitis.

Oatmeal asparagus and Shihao are 5 grams each, Zhimu, Scutellaria baicalensis, Zongzi, and Lily are 2 grams each, Xinyi and Loquat leaves are 2 grams each, and 1 grams of cimicifuga. Decoction twice daily. It is suitable for those with chronic sinusitis.

Deficiency

Xin flower pot eggs [composition] Xin flower 10 to 20 grams, 2 eggs. [Indications] Detoxification, nasal pass, nourishing yin. [Usage and Dosage] Boil the scallops and eggs with water and boil them properly. Eat soup and eat eggs.

Thistle root egg [composition] 60 grams of fresh big thistle root, 3 eggs. [Indications] Runfei detoxify, Yuyin to stop bleeding. [Usage and Dosage] The above 2 flavors are cooked until the eggs are cooked. Once daily for 1 week.

Bacteriology of suppurative sinusitis

During the conversion of acute sinusitis to chronic sinusitis, the bacteria in the sinuses also change. The study object was patients with acute sinusitis who did not respond to antibiotic treatment. Dynamic bacterial culture research was performed within 34 to 50 days after the first onset. The first aspiration cultures were Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. In the subsequent aspiration culture, in addition to the original bacteria, anaerobic bacteria appeared, including Fusobacterium, Pleuromonas and Streptococcus. Moreover, the resistance of aerobic bacteria to antibiotics has gradually increased. It is suggested that anaerobic infection is secondary to purulent bacterial infection. Pyogenic bacterial infections provide anaerobic conditions for anaerobic infections (retention of mucus, blockage of the sinus orifice, and hypoxia). The pathogens of chronic sinusitis vary widely, which makes it difficult to achieve effective results with anti-inflammatory drugs.

Precautions for patients with purulent sinusitis

Pyogenic sinusitis is the most common type of rhinitis. It usually occurs in adolescents and is very harmful. Clinically, the traditional Chinese medicine compound Tongqiao Zhiqiao San can be used for conservative treatment with good results. Once suffering from the disease of purulent sinusitis, it will not only affect life, but also bring various discomforts to the body. In order to reduce the harm caused by maxillary sinusitis, patients' friends must pay more attention to their lives while they seek medical treatment. So, what are the precautions for patients with purulent sinusitis?

The main points of attention for patients with suppurative sinusitis are the following:

Patients with purulent sinusitis should pay attention to nasal hygiene in their lives.

When patients need to pay attention to snot, pay attention to the method.

When patients with purulent sinusitis need to swim, they must pay attention to the correct posture, it is best to keep their head out of the water. This is also an important aspect of the precautions for patients with maxillary sinusitis.

When dental disease occurs, it must be treated thoroughly.

When purulent sinusitis occurs, pay attention to rest, and pay attention to maintaining indoor air circulation, avoid direct wind and direct sunlight.

Patients with purulent sinusitis must follow the doctor's advice, which is also one of the precautions for patients with sinusitis.

Patients should have the confidence and perseverance in treatment, and actively carry out physical exercises to enhance their physique.

taboo tobacco and alcohol, taboo spicy and other irritating food.

Nasal massage can be properly performed in life.

Recipes for purulent sinusitis

30-40 cockleburs, gently smash them, put them into a small aluminum pan, add 50 grams of sesame oil, fry the cockleburs with gentle heat, and when the cockleburs are dried up, filter the medicinal oil into a clean bottle spare. Apply a small amount of sterilized cotton ball with medicated oil and apply it to the nasal cavity. Use 2-3 times a day for two weeks as a course of treatment.

Note: When applying medicinal oil into the nasal cavity, it should be applied as far as possible deep into the nasal cavity. Use this method with perseverance, try not to be interrupted, until the cure.

30 30g of premium Longjing tea, 6g of Sichuan cork, research the fine powder, smell a little medicine powder into the nose, multiple times a day. With heat and purging fire, detoxification and purulent effect. Indications of sinusitis, nasal congestion with purulent secretions and nasal odor.

Babies tea amount, ground into fine, blowing nose, 3 times a day. With heat clearing phlegm, swelling and purulent effect. Indications for sinusitis and pus.

30 grams of bitter gourd seeds, mashed the medicine and put it in a clean bottle, soak it with 150 ml of good wine, open it after 1 week, remove the residue for use. Take a few drops into the nose when using, 4 times a day, it can be used. Indications of nasal congestion, dizziness and so on.