There is a ball of flesh in the child's nostril

There is a ball of flesh in the child's nostril

Many babies who can't speak, when they are young, feel uncomfortable and don't know how to describe it, so they just cry blindly. When the baby keeps crying, parents should pay attention to why the baby is crying and whether it is because of illness. Some babies cry because there is a meat ball in the nostril, which is mostly due to nasal polyps. So, what should I do if there is a meat ball in the child's nostril?

Nasal polyps are growths that form on the lining of the nose or sinuses. It often occurs on the outer wall of the nasal cavity and the top of the nose. Nasal polyps are not true tumors, but are often the result of nasal mucosal edema caused by allergic reactions and chronic sinus inflammation. It is divided into three types: (1) Allergic polyps. (2) Inflammatory polyps. (3)Polyps of the posterior nasal cavity. Nasal polyps can cause nasal congestion, breathing difficulties, or valve-like opening and closing; accompanied by symptoms such as olfactory impairment, headache, and heavy nasal voice when speaking.

Nasal polyps are a common nasal disease, which are formed when extremely edematous nasal sinus mucosa gradually sags under the action of gravity. Most people believe that chronic infection and allergic reaction are possible causes of the disease. In recent years, it has been found to be closely related to systemic diseases such as aspirin intolerance and endogenous asthma.

Clinical manifestations:

1. Persistent nasal congestion. The cause of nasal congestion is the poor circulation of capillaries in the nasal cavity, which causes the capillaries to expand and cause nasal congestion, decreased sense of smell, obstructive nasal sounds, snoring during sleep and mouth breathing.

2. There may be runny nose, headache, tinnitus, stuffy ears and hearing loss. 3. Mucous polyps, which are quite similar to peeled grapes or fresh lychee flesh, have a smooth and translucent surface, are pink in color, and have thin strips mostly coming from the middle nasal meatus, which are soft and movable to the touch.

4. Hemorrhagic polyps (less common) have a smooth surface, are congested, feel soft and bleed easily. 5. Fibrous polyps are grayish white, smooth in surface, firm to the touch and less likely to bleed.

6. Multiple polyps often come from the ethmoid sinus, and single polyps often grow from the maxillary sinus and fall into the posterior nasal cavity, which is called "posterior nasal polyp." 7. If nasal polyps increase in number and become larger and are not treated for a long time, it may cause the nasal dorsum to widen and form a "frog nose."

Symptoms: persistent nasal congestion, loss of smell, blockage nasal sounds, snoring during sleep, etc. may occur, and the severity varies depending on the size and location of the polyp. Nasal polyps block the drainage of the sinuses and can cause sinusitis, in which there is a lot of nasal secretions and often headaches. Choanal polyps may cause a blocked nasal feeling when breathing out. If the pharyngeal opening of the Eustachian tube is blocked, it can cause tinnitus and hearing loss. Memory loss.

Diagnostic tests

Rhinoscopy may reveal one or more smooth, gray or reddish lychee-like, translucent masses that feel soft, painless, movable, and generally not prone to bleeding. Because of their small size, early polyps can only be discovered after the inferior turbinate is contracted using 1% ephedrine saline. Posterior rhinoscopy and nasal endoscopy are important in determining the location and extent of nasal polyps. X-ray of the sinuses is also necessary.

Classification of nasal polyps

Microscopic examination shows that the tissue structure of nasal polyps is not exactly the same and can be divided into three types:

(1) Allergic polyps

It is often bilateral and multiple. If the allergic cause cannot be eliminated, it will often recur after polyp removal. In addition to obvious edema, the lesions are infiltrated with a large number of eosinophils, the basement membrane under the mucosal epithelium is significantly thickened (hyaline changes), and the epithelium may have metaplasia.

(2) Inflammatory polyps

Unilateral or single polyp formation is mostly caused by local infection and is less likely to recur after removal. The edema was mild, and the exudative inflammatory cells were mainly neutrophils and monocytes. Epithelial metaplasia and basement membrane thickening are less common and can be distinguished from allergic polyps.

(3) Posterior nasal polyp

This is a clinical name because the polyp has a long stalk extending from the nasal cavity through the posterior foramen into the nasopharynx. In fact, irritative or allergic nasal mucosal edema does not heal for a long time. The lesions are mainly inflammatory edema and inflammatory infiltration, without interstitial degeneration and hyperplasia. Therefore, nasal polyps are inflammatory lesions. However, since nasal polyps form lumps, they are often called "tumor-like lesions", but in fact they generally do not become malignant.

Nasal polyps are sometimes very large, even up to several centimeters in size, blocking the nasal cavity and causing nasal congestion and breathing difficulties, or opening and closing like a valve. Nasal polyps are often accompanied by symptoms such as olfactory impairment, headache, and heavy nasal voice when speaking. Nasal congestion causes stagnation of secretions, which can induce sinusitis, when the secretions are abundant and purulent. Giant nasal polyps can completely fill the nasal cavity and even push the nasal bones outward, changing the shape of the nose.

Treatment principles

1. Small polyps are mainly treated with internal medicine drugs. 2. Functional endoscopic nasal sinus surgery is performed for patients who fail to respond to drug treatment. 3. Multiple or recurrent polyps are treated with conventional surgery.

Medication principles

1. Untreated small polyps can be treated with hormones if there are no contraindications. 2. Anti-inflammatory and anti-allergic treatments should be given after polypectomy to prevent recurrence of polyps.

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