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Respiratory Disorders (Expert Forum)
nasal swelling non-allergic
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nasal swelling non-allergic
by stewy, Dec 31, 2005 12:00AM
hello i was just wondering if you could answer a couple questions for me.
1- given negative allergy tests, and negative sinus CT, what are some other things that could cause the turbines in the nose to be allways severely swolen and turn bloodred? i have discussed turbine reduction surgery or plasty with my doc however i would like to avoid this at all costs. my nose is constantly blocked and dry, and i seem to be having nasal headaches (unproven but there's no other explanation)
2- this is pretty unrelated to my main question but i wanted to ask while i could. what is are some symptoms of pulmonary hypertension that almost everyone presents with? (the gold standard symptom) ie- what makes a doctor suspect pulmoary hypertension and what is the diagnostic test for it? Also what could cause it in a person under 35?
Thanks so much for you time!
1- given negative allergy tests, and negative sinus CT, what are some other things that could cause the turbines in the nose to be allways severely swolen and turn bloodred? i have discussed turbine reduction surgery or plasty with my doc however i would like to avoid this at all costs. my nose is constantly blocked and dry, and i seem to be having nasal headaches (unproven but there's no other explanation)
2- this is pretty unrelated to my main question but i wanted to ask while i could. what is are some symptoms of pulmonary hypertension that almost everyone presents with? (the gold standard symptom) ie- what makes a doctor suspect pulmoary hypertension and what is the diagnostic test for it? Also what could cause it in a person under 35?
Thanks so much for you time!
Doctor's Answer
by National Jewish, Jan 13, 2006 12:00AM
, Jan 13, 2006 12:00AM
When the turbinates in the nose are swollen and blood red, but the sinus CT looks normal and allergy testing is negative this is called non-allergic rhinitis. It is not always possible to determine the cause. However the daily use of a prescription nasal steroid spray can often lessen the swelling and redness.
Here is a list of the possible causes of non-allergic rhinitis:
eosinophilia; hormone-related disorders; hypothyroidism; acromegaly; puberty; pregnancy; postmenopausal; medications; irritant; temperature; barometric changes; gustatory chemical exposure; animal proteins; wheat; latex; pyrethrum in the insecticide and garden industries; acid anhydrides in the adhesive industry; toluene in auto body spray paints; perfumes; exhaust fumes; pesticides; cleaning agents; room deodorizers; floral fragrances; cosmetics; irritant; air pollution; ozone; tobacco smoke; paint fumes; formaldehyde; oxides of nitrogen; toluene and xylene; corrosive; ammonium chloride; hydrochloric acid; vinyl chloride; organophosphates; acrylamide; atrophic rhinitis; cocaine abuse; surgery; aging; infectious causes; anatomic obstruction; and associated systemic disorders.
The symptoms of pulmonary hypertension are shortness of breath, chest pain and near syncope. Pulmonary arteries that look larger than usual on the chest x-ray are suggestive of this problem. An echocardiogram will tell for sure. There are many causes. Some examples are autoimmune diseases and chronic recurrent clots to the lungs called pulmonary emboli.
Here is a list of the possible causes of non-allergic rhinitis:
eosinophilia; hormone-related disorders; hypothyroidism; acromegaly; puberty; pregnancy; postmenopausal; medications; irritant; temperature; barometric changes; gustatory chemical exposure; animal proteins; wheat; latex; pyrethrum in the insecticide and garden industries; acid anhydrides in the adhesive industry; toluene in auto body spray paints; perfumes; exhaust fumes; pesticides; cleaning agents; room deodorizers; floral fragrances; cosmetics; irritant; air pollution; ozone; tobacco smoke; paint fumes; formaldehyde; oxides of nitrogen; toluene and xylene; corrosive; ammonium chloride; hydrochloric acid; vinyl chloride; organophosphates; acrylamide; atrophic rhinitis; cocaine abuse; surgery; aging; infectious causes; anatomic obstruction; and associated systemic disorders.
The symptoms of pulmonary hypertension are shortness of breath, chest pain and near syncope. Pulmonary arteries that look larger than usual on the chest x-ray are suggestive of this problem. An echocardiogram will tell for sure. There are many causes. Some examples are autoimmune diseases and chronic recurrent clots to the lungs called pulmonary emboli.
Firsty a 6 minute walk test after this an echo.
Following on for this of the doctors deem it neccessary a right heart catherisation will be performed. This is the gold standard test.
These are only done after the ususl tests to rule out the most common lung disease's ie. COPD asthma etc.
PHT is a very rare disease.