Chapter 222- Approach to the patient with chronic nasal congestion and discharge

Question 1

What are the allergic causes of chronic or recurrent nasal congestion?

Answer 1

Seasonal allergic rhinitis (pollens)

Perennial allergic rhinitis (dusts, molds)

Question 2

What are the vasomotor causes of chronic or recurrent nasal congestion?

Answer 2

Idiopathic (vasomotor rhinitis)
Abuse of nose drops
Drugs (respirine, guanethidine, prazosin, cocaine abuse)
Psychologic stimulation (anger, sexual arousal)

Question 3

What are the mechanical causes of chronic or recurrent nasal congestion?

Answer 3

Polys 
Tumor
Deviated septum
Crusting (as in atrophic rhinitis)
Hypertrophied turbinates (chronic vasomotor rhinitis)
Foreign body (usually in children)

Question 4

What are the chronic inflammatory causes of chronic or recurrent nasal congestion?

Answer 4

Sarcoidosis
Wegener’s granulomatosis
Midline granuloma

Question 5

What are the Infectious causes of chronic or recurrent nasal congestion?

Answer 5

Atrophine rhinitis (secondary infection)

Question 6

What are the hormonal causes of chronic or recurrent nasal congestion?

Answer 6

Pregnancy

Hypothyroidism