1 Effective homeopathy treatment for atrophic rhinitis

1.  

• Patient History:

  • Detailed questioning regarding symptoms such as nasal obstruction, crusting, foul odor, and any history of nasal trauma or surgery.
  • Inquiring about environmental exposures (e.g., occupational hazards) or previous treatments.

• Nasal Inspection:

  • Visual examination of the nasal cavity using a nasal speculum and light source.
  • Evaluation for signs of mucosal thinning, pale appearance, dryness, and crusting within the nasal passages.

• Nasal Endoscopy:

  • Use of a flexible or rigid endoscope to visualize the nasal passages, particularly the nasal turbinates, septum, and middle meatus.
  • Allows for detailed examination of the extent of mucosal atrophy, presence of crusts or debris, and signs of infection or structural abnormalities.

• Nasal Secretion Analysis:

  • Examination of nasal secretions for consistency, color (often grayish or greenish due to bacterial colonization), and odor (characteristic foul smell in cases of ozena).

• Smell Test (Olfactory Assessment):

  • Assessment of the patient’s ability to smell, as anosmia (loss of smell) can be associated with advanced cases of atrophic rhinitis.
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• History Taking:

  • Detailed patient history, including symptoms (nasal dryness, foul odor, crusting, nasal obstruction, epistaxis), duration of symptoms, previous nasal surgeries or trauma, and exposure to environmental irritants.

• Physical Examination:

  • Inspection of the nasal cavity using an otoscope or nasal speculum to observe signs of mucosal atrophy, crusting, and possible perforation of the nasal septum.
  •  

Diagnosis is based on clinical history and examination. Examination is clinical, via anterior rhinoscopyand fiberoptic, using nasal endoscopy. A CT scan can be used to confirm the diagnosis and review disease extent.

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Homeopathic Medicines for Atrophic Rhinitis:

The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy, potency and repetition of dose by Homeopathic doctor.

So, here we describe homeopathic medicine only for reference and education purpose. Do not take medicines without consulting registered homeopathic doctor (BHMS or M.D. Homeopath).

Alumen

Lupus, cancer, polypi of nose, sanious discharge, especially when ulceration is present.

Alumina

Soreness and scabs nose discharge of thick, yellow mucous or of dry, hard, yellow-green plugs; the parts, especially septum narium, swollen, red and sore to touch,
(<) evenings; point of nose cracked; WEAK OR ENTIRE LOSS OF SMELL.

Arsenicum Album

Indicated especially in Rhinitis. Cancer, ulcer on right alae nasi, burning, stinging, painful, forming a thick, hard crust, which comes off and leaves a bleeding, mattery surface soon followed by another crust; nostrils; corners of mouth also anus red and excoriated; CANNOT BREATHE THROUGH NOSTRILS WHEN ASLEEP; nose swollen, burns,
coppery-red, with desire for liquors; ichorous, sanious and foetid discharges, with marked prostration and great general debility (Ars. iod.).

Asafoetida

Offensive, greenish discharge from nose, with caries of bones and a feeling as if nose would burst; numbness of bones of face; pimple on tip of nose; small tubercles on cheeks; TEARING PAINS FROM WITHIN OUTWARD in bones of nose, (<) at night. Mercurio- syphilis and scrofula

Aurum Met

Scrofulous and syphilitic affections of bones of nose and face; caries of bones of nose and palate; PUTRID SMELL WHEN BLOWING NOSE, RECOGNIZE BY PATIENT, though olfaction impair; excessively foetid discharge; burning, itching, smarting soreness in nose which is sensitive to touch; unbearable frontal headache; caries extends into cheek-bones, with same tearing, boring pain; bony destruction of ear with Obstinate Otorrhea: Yellow, Thick discharge from nose, or dry firm pieces are blowing out, always of an offensive odor: nose sunken in, perforation of septum.

Aurum Mur

Specifically indicated medicine for Rhinitis Ozaena scrofulous with unbearable odor: Nasal cavity ulcerated deep in, with dry yellowish scruff and senses of obstruction; nostrils stuffed up with hard crusts; lupus of alae nasi, ulceration of soft parts with perforation of Septum

Calcarea Carb

Swelling of nose and upper lip in children, with acrid discharge; purulent, thick, or yellow-red discharge, making lip sore; specifically red itching pustules on upper lip and cheeks; nose swollen inside and outside; impaired smell.; Additionally, EPISTAXIS FREQUENT AND PROFUSE, ALMOST TO FAINTING; loud breathing through nose.

Calcarea Flour

Copious, offensive, thick, greenish-yellow discharge with OSSEOUS GROWTHS IN NOSE; Moreover, blowing of much mucus from nose with ineffectual desire to sneeze.

Carbo animalis

Scrofulous ozaena; swelling of nose, with pimples inside and outside, forming crusts which last a long time; vesicle at right nostril with malignant ulcerations; LITTLE BOILS INSIDE OF NOSE, WITH TENSE ALSO BURNING SENSATION, (<) during menses; saddle across nose with copper-colored eruption. Lastly, Carcinoma nasi.

Conium maculatum

Ozaena with burning in nostrils and stitching pain in septum; discharge of pus and blood from nose; additionally, boring in nostrils; smell of animals in back part of nose; fibrous polypi, hard and elastic, pricking also itching after touching or handling; EXCESSIVELY ACUTE SMELL, WITH PURULENT DISCHARGE.

Elaps cor

Offensive discharge from nose also throat, smelling like putrid herring pickle; posterior wall of throat covered with a dry greenish-yellow scab, Furthermore, extending up to nose; pains from root of nose to ears when swallowing; sense of smell; gone; NOSE BLEEDS WHEN VIOLENTLY BLOWN.

Graphitis

Indicated especially in Rhinitis. Dry scabs in nose, with sore, cracked and ulcerated nostrils; frequently discharge of thick, yellowish, fetid mucus from nose, which may form either hard masses or crusts; loss of smell dryness of noise; Besides this, discharge from nose MUCH MORE FOETID DURING MENSES, catches cold easily; oozing behind ears.

Kali Brom

NOSE FEELS UNNATURALLY DRY, Moreover, being obstruct by large clinkers of dark-greenish, fetid, hard masses, hawk up from post- nasal space, (<) morning till noon; rapid exfoliation also ulceration; loss of smell; PERFORATING ULCERS ON SEPTUM AND ELSEWHERE; desires also fulness from inflammation of frontal sinuses; ropy, tough mucous discharge from posterior nares, offensive or not; polypus nasi.

Mercurious Cor

Ozaena, discharge from nose like glue, drying up in posterior nares; perspiration of septum; NOSE STOPPED UP AND RUNS AT THE SAME TIME; rawness and smarting in nostrils.

Mercurious Iod flavus

Septum sore with sharp pain; much mucus descends into throat, causing hawking; constant inclination to swallow; thick yellow coating on back of tongue.

Nitric Acid

Mercurio-syphilis; foetid, yellow, corroding nasal discharge; generally, ozaena with ulcers; STITCHES IN NOSE AS FROM SPLINTERS; dirty, bloody mucus from posterior nares; large, soft protuberances on alae, covered with crusts; green casts from nose every morning.

Peru Balsam

Ozaena with ulceration; discharge also thick.

Sepia

Ozaena scrofulosa, catches cold easily from deficiency of vital heat; loss of smell or foetid smell before nose; blowing of large lumps of yellow-green mucus or crusts with blood from nose; painful eruption on tip of nose; goneness in epigastrium; sweat in axillae, palms of hands and soles of feet.

Silicea

Gnawing and ulcers high up the nose, with great sensitiveness of place of contact nose inwardly dry, excoriated, covered with crusts; obstructed mornings, fluent during day; intolerable itching of tip of nose; cold nose

Therideone

Chronic catarrh, discharge offensive-smelling, thick, yellow or yellowish-green; caries of nasal bones; dull, thick, heavy sensation in forehead or throbbing extending to occiput; trickling into pharynx; itching behind ears, she would like to scratch them off.

Thuja

SMELL IN NOSE AS OF FISH BRINE; painful scabs in nostrils; blows out much thick green mucus mixed with blood and pus; later brown scabs from; nose sore; red eruption on alae, often moist; skin of face greasy; watery, purulent otorrhea, smelling like putrid meat (Tell. like fish brine); persistent insomnia; sycosis 

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1. Diet Recommendations:

   1. Hydration:

      • Ensure adequate hydration by drinking plenty of water throughout the day. Proper hydration helps maintain moisture in nasal passages.

   2. Nutrient-Rich Foods:

      • Consume a balanced diet rich in vitamins and minerals, especially those that support immune function and tissue health.
      • Include plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats.

   3. Omega-3 Fatty Acids:

      • Include sources of omega-3 fatty acids, such as fatty fish (salmon, mackerel, sardines), flaxseeds, chia seeds, and walnuts. Omega-3s have anti-inflammatory properties that may help reduce nasal inflammation.

   4. Vitamin C:

      • Foods rich in vitamin C, like citrus fruits, strawberries, kiwi, bell peppers, and broccoli, can support immune function and tissue repair.

   5. Probiotics:

      • Probiotic-rich foods such as yogurt, kefir, sauerkraut, and kimchi may help maintain a healthy balance of gut bacteria, which can influence overall immune health.

   6. Avoid Irritants:

      • Limit or avoid spicy foods, alcohol, caffeine, and tobacco smoke, as these can irritate nasal passages and exacerbate symptoms.

What is Atrophic Rhinitis

It is a chronic inflammation of nose characterized by atrophy of nasal mucosa and turbinate bones.

Homeopathic Medicines used by Homeopathic Doctors in treatment of Atrophic Rhinitis

• Alumina
• Arsenicum Album
• Calcarea Carb

• Graphitis

• Kali Brom
• Mercurious Cor
• Nitric Acid
• Silicea
• Thuja

What are the causes of Atrophic Rhinitis

Hereditary factors

• Endocrinal disturbance
• Deficiency of vitamin A, D or iron
• Infective (e.g. Klebsiella, Diphtheroids, Proteus vulgaris)
• Autoimmune process
• Specific infections (e.g. syphilis, lupus, leprosy)

What are the symptoms of Atrophic Rhinitis

• Foul smell from the nose
• Anosmia
• Nasal obstruction
• Epistaxis
• Nasal mucosa pale
• Septal perforation
• Dermatitis of nasal vestibule

• Cough also hoarseness

• Hearing impairment

[1] Diseases_of_Ear_Nose_and_Throat_6Edition

[2] Homoeopathic Therapeutics by Lilienthal

[3]https://www.healthline.com/health/atrophic-rhinitis

[4]https://www.wikidoc.org/index.php/

Rhinitis_physical_examination

[5]https://my.clevelandclinic.org/health/diseases/22886-atrophic-rhinitis#management-and-treatment