Doctor insights on:
Nasal Potential Difference Measurement
Timing of action: Cromolyn works on certain, not all inflammatory cells to stabilize their surface and avoid release of chemicals of inflammation. It only works as a preventer of inflammation. Steroid works in all phases of inflammation and nearly all types of cells of inflammation so once there is symptom steroid works and cromolyn does not. ...Read more
Could the nasal conchae also be termed the nasal meatus? What's the difference in conchae and meatus?
Nasal/sinus anatomy: The conchae are also called turbinates- scrolls of erectile tissue and thin bone that can enlarge from allergy, inflammation, etc. There are 3-4 on each side of the nose. The meatus is a space where sinuses drain; there are 3 of those. The shape of the conchae plus other nearby structures contribute to determine the shape and area of each meatus. All are important in sinus drainage and airflow. ...Read more
Risk/benefit ratio: In general, nasal medicines are more effective with less risk of side effects. This is partly because they are applied only to the area that is a problem, the nose. However, some people don't like nasal sprays, and teaching is needed to use them most effectively. Oral medicines are quick and easy, but the medicine goes throughout the body, even to places it's not needed. ...Read moreSee 1 more doctor answer
Case and biopsy: From listening to patient, examining and visualizing the mass directly plus minus imaging study- you can have some impression whether it is a benign or cancerous one. However, ultimately, a biopsy is the one that can tell you definitively whether it is a cancer or a benign tumor/polyps etc. ...Read more
Easy answer: Nasal polyps arise from the lateral wall of the nose, lateral to the middle turbinate and represent a de novo inflammatory growth. The causes are multiple, such as bacterial infection, fungal infection, and viral infection. Although the exact etiology is still an enigma. Nasal vestibular furunculosis is an infection of the front of the nose, the nasal vestibule, and is caused by S. aureus. ...Read more
Similar: Saline (salt water) can be administered into the nose many ways. Saline nasal sprays produce a fine mist, while drops are larger. Sometimes, nasal rinse with a neti pot or nasal sinus rinse in larger volumes to rinse out the nasal cavity is useful. An allergist or ENT can assist in the type of nasal spray/treatment most effective for each individual. ...Read more
Associated symptoms: Persons with nasal allergy typically have congestion, clear nasal discharge, itchy and watery eyes. If symptoms last more than one week, a viral cold is unlikely. If the drainage changes to anything other than clear, it may be infected (sinusitis). Colored drainage suggests infection, but clear drainage does not rule it out. Many allergic symptoms are seasonal, but not pet or dust mite allergy. ...Read moreSee 2 more doctor answers
Nothing: The active ingredient and all the inactive ingredients are exactly the same. It appears the price is the same. With nasal decongestants such as these, a person can develop rebound (rhinitis medicamentosa) and essentially get "hooked" on them. It's best not to use more than a few days. If this has already happened see your doctor.... ...Read more
Had nasal endoscopy and drs said i had swollen turbinates. Can they tell the difference from this and a nasal poly?
Yes: The two different issues are as different as a car and a truck. Training lets them know what they are looking at. ...Read more
What is the difference between nasal decongestant and antihistamine ? When do you use each med ? Which one is better ?
Allergies: A nasal decongestant can be a nasal steroid, a nasal vasoconstrictor such as afrin and an oral decongestant such as pseudoephedrine. The nasal steroid is the safest long term option. The other 2 carry significant side effects. An antihistamine helps with the sneezing, runny nose and itching symptoms. ...Read more
Have had post nasal drip for years, weird taste all the time. How to tell the difference between CSF and post nasal drip?
Sinusitis : Sinusitis or inflammation of the sinuses can cause headaches. Postnasal drip causes nausea, poor appetite, and weight loss. A CSF leak leaves a salty taste in the back of the throat and/or leaks clear fluid from a single nostril. The leak is worse with straining or bending over. See an ear nose and throat physician or otolaryngologist to monitor your symptoms. ...Read more
Several kinds: Commercially available saline nasal sprays , mists, drops or nasal saline lavage solutions also contain bicarbonate (sodium bicarbonate) for pH balance . There are also many nasal sprays that are medicated with for example steroids, antihistamines , topical decongestants or even hormones and vaccines. ...Read more
A lot: Regular or over-the-counter sprays usually contain saline, decongestants (eg afrin (oxymetazoline) and generics with similar ingredients), and even capsaicin. These tend to not provide lasting effects. Prescription sprays are safer than decongestants, and more effective. These come as either steroids or antihistamine sprays. ...Read more
At 11w4d my NT measurement was 1.7mm. Is this within the normal range for this gestation? Nasal bone was also present. Waiting blood results.
Need blood: First trimester screening for genetic abnormalities such as down syndrome is done by combining the measurement of the nuchal fold (NT) and certain blood tests. The test much be interpreted together to be mathematically reliable. You can not really separate out the individual components. Fortunately that test usually comes back within 24 hours so you will not have to wait long ...Read more
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