Beware of headaches caused by rhinitis Recently, Ms. Liu, who works in a middle school in Anshan, has a headache every afternoon and sometimes can't even work normally. She went to the hospital for a number of tests, even brain CT, and didn't find out the reason. As a result, she didn't know until the otolaryngology examination that the headache was actually caused by sinusitis. It is understood that from late summer to early autumn, it has entered a period of high incidence of rhinitis. Recently, the temperature has plummeted and the number of patients with rhinitis has increased. The reporter learned from the Otolaryngology Clinic of Anshan Women and Children's Hospital that recently, the number of patients with rhinitis has nearly doubled compared with that in summer, and patients with headache symptoms can be encountered every day, mainly students and young people. Dr. Chen said that suffering from chronic rhinitis and nasal congestion for a long time may lead to hypoxia in the brain and cause headaches. The increase of purulent secretion in sinus cavity caused by sinusitis may also cause headache. The headache symptoms of patients who have not received symptomatic treatment are often aggravated, and sometimes even affect the quality of study, work and life. Dr. Chen also said that although the headache caused by rhinitis is very common in clinic, it is easily ignored by patients, especially students. Many parents think that it is excessive brain use. But the headache caused by rhinitis and sinusitis is not exactly the same as the general headache. This kind of headache is generally accompanied by symptoms of nasal lesions, such as sneezing as usual, and purulent secretions in the nose increase. And the headache caused by sinusitis has certain regularity. For example, the headache caused by maxillary sinus lesions is easy to attack in the afternoon, while the headache caused by frontal sinus lesions is heavier in the morning, and the symptoms may gradually decrease in the afternoon. According to the doctor, the prevention of headaches caused by rhinitis should start with the prevention of colds, pay attention to climate change at ordinary times, and increase or decrease clothes in time. Once you get acute rhinitis, you should treat it in time to avoid developing into chronic rhinitis and sinusitis. Chronic sinusitis generally refers to chronic suppurative sinusitis, which is a chronic suppurative inflammation of sinus mucosa. Among them, chronic maxillary sinusitis is the most common, often coexisting with chronic ethmoiditis, mostly caused by delayed treatment of acute suppurative sinusitis. Infection and allergic rhinitis are also the main causes. In recent years, the obstruction of sinus drainage caused by nasal complex disease has attracted widespread attention, so functional endoscopic sinus surgery has been carried out. Medical guide: 1. The main symptoms are: purulent nasal discharge, stuffy nose, headache (often manifested as dull pain or heavy head feeling, heavy during the day and light at night), excessive phlegm, foreign body sensation or dry throat pain. Sometimes tinnitus and deafness can occur, and the course of disease is mostly 6-8 weeks. If the course is short, it may be acute or subacute sinusitis. 2. General treatment includes furosemide nasal drops, antibiotics and maxillary sinus puncture and washing. 3, if the general treatment effect is not good. Detailed nasal examination under nasal endoscope or CT examination of paranasal sinuses should be carried out, mainly to understand whether there are any lesions that affect paranasal drainage. The left CT film shows bilateral maxillary sinus inflammation with effusion. 4, surgical treatment, including surgical removal of the cause, (such as nasal septum high deflection for nasal septum correction; For hypertrophic or polypoid middle turbinate, partial middle turbinectomy is feasible. If there is nasal polyp, nasal polypectomy and radical maxillary sinus surgery are performed. 5. At present, the popular surgical method is functional endoscopic sinus surgery. This method has little surgical trauma, accords with normal physiological anatomy and has good effect. If possible, try this operation. References:

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