Atrophic Rhinitis & Homoeopathy

- It is chronic inflammatory disease which is characterised by progressive atrophy of the mucuos membrane and turbinates.
-It is associated with the foul smell eliminating from nose. Hence it is also called as "Ozaena".
-It often begins at puberty and may occur between the ages of 15 and 40 yrs.
- Coccobacillus of perez, Klebsiella and diptherenoid organism are present but they are supposed responsible for secondary infection.
- Atrophic changes may be occur due to wide space in the nose, which leads to drying of the mucous by strong blast of air in the nose.
- Pathological changes is characterised by atrophic changes of all parts of nose:
1. Mucosa and submucosa
2. Turbinates undergo atrophy producing a wide roomy nasal cavity.
3. Blood vesseles and nerves.
4. Olfactory nerves
- Clinical features includes
Foul smell
Anosmia
Dryness
Crusting
Epistaxis
Blocking of nose.
- The bridge of the nose is sometimes depressed due to atrophy of nasal septum.
- Mucosa of the nose is pale and atrophic.
- Sinusitis , Middle Ear infection, Atrophic pharyngitis and maggots may occur due complication of atrophic Rhinitis.
- In homoeopathy Arsenic , Hepar sulph, Kali bichrom, Pulsatilla, Sepia, sabadilla silicea should be given according to the symptoms.

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