Home treatment.—This is very important. The patient should use a douche three or four times a day. In the solution glyco-thymoline or borolyptol one or two teaspoonfuls to one-half cup of warm water, and follow by a nebulizer or atomizer in which the following solution can be used:
1. Lysol 10 drops
Oil of Pine
15 drops
Liquid Alboline
2 ounces
Mix and make a solution, spray into the nose after douching.
[Respiratory diseases 17]
2. The following ointment can be used if there is no atomizer or nebulizer at hand:
Iodol 5 grains
Boric Acid 10 grains
Cold cream 2 ounces
Mix and make into an ointment, and rub a little into each nostril before retiring.
3. Dr. Ferguson of New York uses the following: A new antiseptic enzymol. This is used as follows.—Use one part of enzymol, three parts of warm water. Rub and cleanse the nose thoroughly with the solution, saturate a piece of absorbent cotton with this solution, place it in the nostril and leave it there fifteen to twenty minutes.
Hay fever. (Rose Cold, June Cold or Hay Asthma).—This inflammation of the nose occurs in August and September. It is really a nervous affection of the nose membrane.
Causes.—A predisposition: A peculiar sensitive area in the mucous membrane of the nose. An exciting cause circulating in the air, the dust or pollen of certain plants, such as rag-weed, hay and barley; the odor of certain flowers, such as roses and golden rod; dust of some drugs as ipecac and benzoic acid; the odor of some animals. It usually comes about the same date each year, growing worse each year and, in time, affects the bronchial tubes.
Symptoms.—The earliest symptoms are, usually, an itching sensation in the roof of the mouth and the palate, or itching and burning at the inner corner of the eyes. Irritation within the nose is also experienced and very soon spells of sneezing set in. The nose soon feels stuffy and obstructed, and there is a clear water discharge from the nose, which is especially copious after sneezing. The eyes look red and watery and the eyeballs pain and there is also pain in the forehead above the nose. It may take several days to develop these symptoms. They are usually worse in the morning. After some days these symptoms become more persistent and severe. The nostrils are completely closed, and the patient must breathe through the mouth, and the spells of sneezing are very violent. The conjunctiva becomes congested and red, a profuse watery discharge runs from the eyes and the lids are swollen. In severe cases the face looks red and swollen. The mucous membrane of the mouth, pharynx and tonsils is more or less reddened and irritated, smell and taste are impaired and sometimes the patient is slightly deaf. The patient feels tired, weak, and it is hard to study or do manual labor. Slight feelings of chillness are common.