Nasal Drain (BGA) is the feeling of discharge collecting in the throat or the awareness of discharge flowing from the back of the nose. BGA can also occur due to exercise, thick secretion, or problems with the throat muscles and swallowing.
Normally, the glands lining the nose and the inside of the sinuses secrete 250-500 ml per day. produces secretion. There are small mobile hairs on the surface of this mucosa that can only be seen with a microscope. These allow the epidemic to move backwards. This is then swallowed unconsciously without realizing it. This secretion wets and cleans the membranes and fights infections. The production and clearance of this secretion depends on the relationship between nerves, blood vessels, glands, hormones, and small hairs.
NONORMAL SECRETS
Increased thin and clean secretion causes colds, flu ( upper respiratory tract viral infection), allergies, cold weather, bright light, some foods and spices, pregnancy and hormonal changes, medications including birth control pills and some blood pressure medications, and intranasal bone curvature.
Vasomotor rhinitis is a non-allergic disease that causes complaints of excessive secretion and a stuffy nose. Increased thick secretion is often seen in houses and buildings that are heated without humidification during the winter months and where the humidity decreases. In addition, it is also seen in sinus and nasal infections and allergies to poultry products. If the cold secretion thickens over time and starts to turn yellow or green, it may be a sign of an object caused by bacteria (beans, peas, a piece of paper, a part of a toy, etc.). The decrease in the epidemic may be due to one of the following reasons:
Exposure to environmental irritants for a long time can dry the nose and damage the membranes (cigarette smoke, industrial fumes, car fumes). When the secretion decreases, it is thicker than normal and gives a false feeling of increased. Structural disorders (nasal septum irregularities) change the air flow, causing the nasal membranes to dry out. (Increases or decreases the secretion depending on the structural disorder.) With advancing age, the mucus membranes shrink and dry out. This means less and thicker secretion than normal. It causes pain and the person gets the feeling of BGA. Other rare causes also cause this feeling by causing changes in the membranes. SWALLOWING PROBLEMS
Swallowing is a complex process that consists of liquid and solid foods in the mouth passing into the esophagus. This happens when the nerves and muscles in the mouth, throat and stomach work in coordination. Swallowing problems may occur when solid or liquid food accumulates in the throat and then spills into the area where the vocal cords are located, resulting in hoarseness, a feeling of clearing the throat or cough.
There are many reasons for difficulty in swallowing: With age, the swallowing muscles lose both their strength and strength. They lose their coordination abilities. For this reason, sometimes even normal secretion may not pass into the stomach.
During sleep, swallowing becomes less and the secretion accumulates in the mouth. A feeling of coughing or throat clearing may be felt when waking up.
At any age, nervousness and stress cause contraction in the throat muscles and, as a result, the feeling of having something in the throat. Frequent throat clearing increases irritation and worsens the condition. Growths or swellings on the path through which food passes slow down or prevent the passage of solid and/or liquid foods.
Swallowing disorders are defined as Gastroesophageal Reflux (GER) or Laryngopharyngeal Reflux (LPR), in which the food or acid in the stomach returns to the esophagus or throat. It may also be caused by the situation. Burning sensation, indigestion and discomfort in the throat are the main symptoms, and these are especially worse when lying down after eating. This is caused by bag-shaped hernias that occur at the junction of the esophagus and stomach.
TREATMENT
A diagnosis must be made before starting treatment. This includes a detailed Ear, Nose and Throat examination and possibly some laboratory, endoscopic and x-ray studies.
Bacterial infections are treated with antibiotics, but these provide temporary relief. Chronic sinusitis requires a surgical intervention to open the closed sinuses.
Allergy; It can be controlled by eliminating the cause. Antihistamines and decongestants, cromolyn and steroid nasal sprays, other forms of steroids, and hyposensitization (vaccine therapy) may be used for treatment. However Some antihistamines cause drying and thicken the secretion. Decongestants cause increased blood pressure and aggravation of heart and thyroid disorders. Steroid sprays can generally be used safely for years under medical supervision. However, strict control and observation must be carried out in the long-term use of steroids taken orally and given by injection, which do not have any short-term side effects. It starts with life-regulating suggestions such as banning caffeine and exercising, provided that it is not tiring. Antacids or drugs that stop stomach acid production, which are very effective in this disease, should be given under the supervision of a doctor. There are definitive diagnostic methods such as pH measurement.
Structural disorders require surgery. Septum deviation prevents the sinuses from draining normally and causes chronic sinusitis. A protrusion in the septum will cause irritation and abnormal secretion. A hole in the septum causes scabbing. Enlarged or deformed turbinates (structures on the side walls of the nose that regulate and moisten the airflow) or polyps (benign growths resulting from infection, allergy or irritation) may also cause the same complaints.
It is always possible to find a cause. It may not be. If medical treatment does not respond, the patient should decide on surgical treatment.
In some cases, no specific cause can be found. If there is no disease that can be cured, the treatment is to thin the epidemic so that it can flow more easily. This is especially true for older people with inadequate fluid intake. These patients should drink at least eight glasses of water a day, quit caffeine and, if appropriate, not use diuretics. When guaifenesin or organic iodine is used to thin the secretion, if swelling in the salivary glands or rash develops on the body, the drug should be discontinued.
Rinsing the nose with water helps to correct thick and reduced secretion. This can be applied two to six times a day with special devices made for the nose. This liquid can be made by adding baking soda or salt to hot water. Finally, simple salt solutions that do not require a prescription are used to moisturize the nose.
CHRONIC THROAT REDNESS (PHARYNGIA). T)
BGA often causes a red, irritated throat. Throat cultures are usually inconclusive, but the tonsils and other tissues can swell and cause discomfort. When BGA is treated, this will disappear.
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