Rhinorrhoea, as the name implies is the excess drainage from nose, ranging from clear watery fluid to thick mucus. It can be a part of an acute infection like common cold or a chronic condition like tuberculosis. In severe cases, even a blood tinted mucus may be present. It can happen due to a lot of reasons. So, the severity and prognosis vary vividly.
Signs and symptoms
Causes
Causes of a runny nose include:
Pathophysiology
The process of allergen sensitization involves the participation of antigen-presenting cells, T lymphocytes, and B lymphocytes and depends on environmental allergen exposure. Sensitization results in the generation of allergen-specific IgE that circulates in the peripheral blood and attaches itself on the surface of all mast cells and basophils including those that home to the nasal mucosa. Subsequent nasal exposure to allergen activates these cells and, through the release of the classic mediators of the allergic reaction, produces acute nasal symptoms. Over a short period of time, these symptoms become indolent, whereas inflammatory and immune cell infiltrate, including eosinophils, basophils, neutrophils, T lymphocytes, and monocytes, characterizes the late stages of the allergic response. In parallel, and probably as a result of the development of mucosal inflammation, the nose becomes primed to allergen and reacts more vigorously to subsequent allergen exposure but also becomes hyperresponsive to irritants and to changes in atmospheric conditions.
Diagnosis
Treatments broad-spectrum antiviral drugs Nasal douching with saline, topical and oral antihistamines and topical and oral corticosteroids
Prognosis Mostly self-limiting
Complications Upper respiratory tract infections meningitis
Disease & Ayurveda Naasaaparisraava Nidana Causative factors for the vitiation of Kapha and Vaata Purvaaroopa Not mentioned Samprapti Not mentioned Lakshana Clear watery fluid discharge from nose No discolouration Excess at night time Divisions Not mentioned
Prognosis Saadhya in new cases Asaadhya in chronic & complicated cases
Chikithsa Samana Aamapaachanam Agnideepanam Lepanam with Rookshana dravyas Swedanam Sodhana Vamanam Virechanam Nasyam – with choorna Avapeeda-theekshna nasyam Dhoomapanam
Commonly used medicines Dasamoolakadutrayam kashayam Elakanadi kashayam Thaaleesapathradi vatakam
Brands available AVS Kottakal AVP Coimbatore SNA oushadhasala Vaidyaratnam oushadhasala Home remedies No home remedy is proven cure. But inhalation with basil leaves, ginger, lemon etc are beneficial in relieving discomfort. Diet
Heavy meals and difficult to digest foods – cause indigestion. Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products – increase kapha, cause obstruction in channels and obesity Curd – causes vidaaha and thereby many other diseases
Light meals and easily digestible foods Green gram, soups, honey Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Behaviour: Protect yourself from cold climate. Better to avoid exposure to excessive sunlight wind rain or dust. Maintain a regular food and sleep schedule. Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc. Avoid sedentary lifestyle. Yoga Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended. Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health. Yoga can maintain harmony within the body and with the surrounding system.
Pavanamuktasana Nadisudhi pranayama Bhujangasana Simple exercises for lungs and heart health All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.
Research articles https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4896656
A randomized, double-blind, placebo-controlled trial was done to assess the efficacy and safety of mepolizumab versus placebo for severe bilateral nasal polyposis. Patients aged 18 to 70 years with recurrent nasal polyposis requiring surgery were chosen. Patients received 750 mg of intravenous mepolizumab or placebo every 4 weeks for a total of 6 doses in addition to daily topical corticosteroid treatment. A significantly greater proportion of patients in the mepolizumab group compared with the placebo group no longer required surgery at Week 25. There was a significant improvement in nasal polyposis severity VAS score, endoscopic nasal polyp score, all individual VAS symptom scores, and Sino-Nasal Outcome Test patient-reported outcome score in the mepolizumab compared with placebo groups. In patients with recurrent nasal polyposis receiving topical corticosteroids who required surgery, mepolizumab treatment led to a greater reduction in the need for surgery and a greater improvement in symptoms than placebo. These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
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