most often due to Plendil Online some sensory disturbance, where
the patient does not feel the air Buy Cheap Plendil either because of
the involvement of the sensory nerve filaments or
because of the wide passage the current of air does
not exert Buy Plendil Online sufficient pressure on Plendil Mg the mucous mem-
brane. This is well illustrated in those cases where
the lumen in one side of the nostril is wider than
in Amlodipine Felodipine the other, in which case the trouble is more often
referred to Order Plendil Online the open side. It is doubtful whether
a sinus affection by preventing ventilation and an
interchange of air within the sinuses, an interchange
which normally occurs, should by itself be respon-
sible for this .symptom. In rarer cases the trouble
will be found to be general rather than local. Due
to a diminished alkalinity of the blood or to some
other error in metabolism, there is Purchase Plendil Generic Plendil an increased
demand for o.xygen, the lack of which may be
referred to the nose. Occasionally, too, local and
general conditions are both apparently normal and
we are obliged to use such terms as nasal neurosis
or nasal neurasthenia. Whatever opinion one may
have Felodipine 10 Mg as to the causes of this symptom it is iinportant
to remember that in this type the obstruction com-
plained of is apparent and not real.
\ more frequent condition is an obstruction due
to the abnormal action of the nasal mucous mem-
brane. To perform its function of warming,
moistening, filtering, and Buy Plendil perhaps regulating the
amount of the inspired air, this membrane expands'
and contracts, thus varying constantly the lumen
of the nose. The causes responsible for this varia-
tion in dimension of the mucous membrane are
often obscure, and to some extent depend on the
function that is to be performed. Changes in the
atmosphere, chemical and mechanical irritants, and
mental emotions- — all affect this highly susceptible
membrane and cause it to expand and contract.
This expansion is due to an increase in the blood
supply, which distends the venous sinuses not unlike
the erectile tissue elsewhere in the body and with
little or no inflammatory reaction. The Felodipine 5 Mg term func-
tional obstruction is suggested for this type of cases.
There are few individuals who have not occasionally
experienced a sudden change from opening to
closure and reversely occurring in both nostrils or
more Order Plendil often alternating from one nostril to the other
without any apparent cause.
Inflammation of the nasal mucous Plendil Tablets membrane is
another condition that is Felodipine Er frequently responsible for Cheap Plendil
obstruction. Functional disturbance may occur in a
normal mucous membrane ; more often it occurs in
one that has undergone inflammatory changes.
Clinically, a chronically inflamed mucous meinbrane
is either hyperthrophied or atrophied or without
change in size and it loses its moist pearl pink color
which is characteristic of a normal mucous mem-
brane. The hypertrophy or hyperplasia may be a
conservative process, one of Nature's efforts to
compensate for some loss of Felodipine 5mg function or for some
local anatomical irregularity. Thus, large turbinates
are found in roomy noses and on the concave side
of a deviated septum. No such utilitarian purpose
is evident in an atrophic or otherwise chronically
inflamed membrane. One cannot but feel that here
the underlying cause is some general systemic dis-
turbance, such as syphilis, gout, rheumatism or
intestinal intoxication. It may be, too, that a dis-
turbed secretion of the ductless glands has some
influence. The relation of the erectile tissue Felodipine Amlodipine of the
nose to the gonadal glands has long been noticed.
The f acies of those with atrophic rhinitis is not Plendil Price
unlike those with a deficiency of the thyroid gland.
The broad nose, dry skin, and its frequent occur-
rence in women all suggest this, as well as the fact
that the condition is less often seen in patients with
hyperthyroidism. In the acute cases of inflamma-
tion the individual immunity is an important element.
A virulent Klebs-Loeffler may be innocuous Felodipine Tablets to
some, while a bit of innocent dust will in a suscept-
ible person excite the most violent inflammatory
paroxysm.
In the treatment of these forms of obstruction
much can be accomplished by the correction of any
general disturbance, which even a superficial exam-
ination will in most cases disclose. Changes in the
diet, the prevention of autointo.xication, the correc-
tion of hygienic errors, and the treatment of any-
indefinite gouty, rheumatic, glandular or syphilitic
OctoK-r 30, I9J0.]
RACHFORD: CONGENITAL UNDERDEVELOPMENT.
677
conditions do more good as a rule than local appli-
cations. In this connection may be mentioned the
favorable action of laxatives, potassium iodide, and
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