Red fleshy bump inside nose

The appearance of red lumps in the nose can have a great impact on the human body, especially causing nasal infection, mucosal ulcers, and even the appearance of fungi, so it is necessary to use appropriate methods to adjust in normal times. Generally, some inspection skills and means are required, and after finding the cause, choose the appropriate method of treatment.

Function of nasal mucosa

The nose is part of the upper respiratory tract, connected to the throat and trachea, and warms, moisturizes and purifies the inhaled air. Among them, the nasal mucosa is connected to rich nerve fibers, has olfactory function, and can effectively induce protective reflexes (such as sneezing). In addition, the nose has a close relationship with the ears and throat, and they work together to perform multiple physiological functions such as smell, hearing, taste, ventilation and pronunciation.

Causes of nasal swelling

The stability of the internal environment of the nasal mucosa not only depends on neural regulation, but is also regulated by endocrine hormones. The nasal mucosa has a rich vascular bed and various components of mucosal immunity. At the level of the neuroendocrine immune network, changes in the levels of endocrine hormones can affect the nasal mucosa through blood circulation. Clinically, it is common for female rhinitis patients to have significantly aggravated symptoms before menstruation, and the symptoms are alleviated or disappear after menstruation. The nasal mucosa of women during menstruation and pregnancy becomes thickened and proliferates, and the glands dilate.

The above changes may result in immune or non-immune inflammation of the respiratory mucosa, leading to the formation of hyperresponsiveness of the nasal mucosa, thereby causing rhinitis symptoms such as nasal congestion, runny nose, itchy nose, and sneezing. In addition, prostaglandins can inhibit the production of antibodies by B cells and inhibit the phagocytic function of macrophages. At the same time, prostaglandins, as inflammatory factors, can cause vasodilation and aggravate the degree of inflammatory response during the onset of rhinitis. The number of prostaglandin receptors in the nasal mucosal vascular system of patients with allergic rhinitis also increases accordingly, leading to nasal mucosal vasodilation, nasal congestion, and corresponding nasal congestion and hypersensitivity reactions.

examine

Laboratory tests must be summarized and analyzed based on the objective data obtained from medical history and physical examination, from which several possible diagnoses can be proposed, and then further consideration should be given to which actual laboratory tests should be performed to confirm the diagnosis.

Basic Check:

1. Anterior rhinoscopy.

2. X-ray nasal examination to determine whether there is concurrent sinus infection.

Further inspection:

1. Nasal secretion smear detection of pathogenic bacteria.

2. Bacterial culture + drug sensitivity of nasal secretions.

3. Virus testing, when necessary, requires special culture, separation and identification.

Identification method

The symptoms of nasal mucosal swelling require the following identification.

1. Acute rhinitis: caused by acute infection, commonly known as cold or flu, may have systemic symptoms; more common in autumn and winter or winter and spring. The condition usually improves gradually after 7 to 14 days. Those with strong resistance can recover without treatment. A common acute inflammation of the nasal mucosa, caused by a viral infection, often followed by a bacterial infection. The main symptoms are nasal congestion and increased secretions. In the early stage, the nasal discharge is clear water, which later turns into mucopurulent nasal discharge. The patient may have a low fever and general discomfort. Examination showed that the nasal mucosa was congested and swollen, with secretions. Prevention is the main approach for this disease. After the onset of the disease, take heat-clearing and detoxifying drugs, drip 1% ephedrine solution into the nose, and take sulfonamides or antibiotics when necessary.

2. Chronic rhinitis: It is a common and frequently occurring disease that develops from acute rhinitis. It is related to concurrent bacterial secondary infection, incomplete treatment and recurrent attacks. It is a chronic inflammation of the nasal mucosa and submucosa. It is very common. Mild cases are called simple chronic rhinitis, and severe cases are called hypertrophic rhinitis. The main symptoms are nasal congestion, which may be intermittent or alternating in mild cases and persistent in severe cases, with increased nasal secretions. Examination showed that the nasal mucosa was congested and swollen, with a small amount of mucous secretions in the nasal passages. Severe hypertrophic rhinitis had an uneven mucosal surface due to tissue hyperplasia, the inferior turbinate showed mulberry-like changes, and the middle turbinate mucosa showed polyp-like changes. Intranasal drops of vasoconstrictors, such as 1% ephedrine, can improve nasal ventilation and drainage and reduce inflammation. In more serious cases, a sclerosing agent can be injected under the inferior turbinate mucosa, or electrocautery or cryotherapy can be performed to improve ventilation. In severe cases, the hypertrophic part of the turbinate needs to be surgically removed. Traditional Chinese medicine and acupuncture treatment have certain effects on patients with mild symptoms.