The Symptoms of Chronic Nasal Catarrh

Similar to those of Coryza, but less acute; discharge from the nose, either through the nostri/s or throat; formation of greenish scales in the nose; mucous membrane swollen, often obstructing breathing; in some cases, diminished secretion, constituting "dry catarrh;" often offensive breath.

Chronic catarrh of the nose is so common a disease in most parts of the world that it scarcely needs description; at any rate, the above symptoms are sufficient to identify the disease.

The Cause of Chronic Nasal Catarrh

Among the most important may be mentioned "taking cold," a common coryza becoming chronic catarrh, from neglect of treatment or by being frequently repeated; errors in diet, especially the use of fats and sugar in excess, and an inactive state of the liver, in part due to their effect upon digestion. An inactive state of the liver is nearly always present in chronic nasal catarrh, which is indi cated not only by general symptoms, but by the fact that the discharge from the nose, and especially the crusts which are formed, contain quite a large amount of the peculiar poison which is excreted by the liver, known as cholesterine.

Nasal catarrh may continue for many years without greatly impairing the general health, but not infrequently patients subject to it suffer with evidences of a general decline which are properly traced to the long-continued drain upon the system resulting from this disease. The local effects of the disease are at first slight, but after it has continued some time often become much more serious. The mucous membrane which was at first only swollen and congested, becomes ulcerated. In some cases the ulceration even extends to the bones of the nasal cavity. In these cases the discharge is exceedingly foul-smelling in character, and is often more or less bloody. We have known cases in which the whole interior of the nasal cavity seemed to be in a state bordering on putrescence. Not infrequently the disease of the bony tissues extends so far as to destroy the septum between the nose and the mouth. Still more serious results arise from the extension of the disease to contiguous organs. The disease not infrequently extends upward into the frontal sinus, a cavity in the skull just above and between the eye-brows. In these cases there is persistant dull aching in this part of the head. Sometimes it extends to the cavity known as the antrum of Highmore, and produces dull, aching pain in this part. Frequently the catarrhal disease extends into the Eustachian canals, which communicate with the ears, and by extending upward reaches the ear-drum, or tympanum, which thus becomes the seat of chronic catarrh, one of the most common of all causes of deafness. When the disease extends downward from the nasal cavity, the patient suffers with chronic sore throat, or pharyngitis. As the disease progresses in a downward direction, catarrh of the larynx, or laryngitis, and finally bronchial catarrh, or bronchitis, and in some cases even consumption, are produced. Wo have met with many cases of consumption in which the history of the case clearly showed that it began with catarrh of the nasal cavity.