The major adjustment for acute nasal catarrh is M.C.P. and K.P.

Conditions of this kind are sometimes aggravated by the care which the child receives at the hands of a careless mother. She may keep the child too warm or not warm enough. Often a child is dressed so warmly that the least exertion will cause profuse perspiration. Then the child “takes cold” because of the inability of Innate Intelligence to bring about an intellectual adaptation in so short a time. An infant may be and should be kept very warm, but as the child grows older he should be allowed sufficient freedom, especially in the summer time, to permit of exercise and yet not become too warm.

The hygienic measures to be used are attention to the sleeping rooms, which should be properly ventilated, always having plenty of air at night, and the house temperature during the day. This should be from 65°F to 68°F.

FOREIGN BODIES LODGED IN THE NOSE

Children often in their play will place such foreign bodies as peas, beans, buttons, beads and other small objects in their noses. These set up a mechanical irritation and produce swelling of the mucous membrane and often pain. If the object remains for any length of time there is likely to be a profuse discharge of a mucopurulent character. If there is such a discharge from only one, nostril special attention should be given to determine the presence of any foreign body and if there be one the child should be taken to a surgeon at once. If the discharge continues following the removal it will be due to a subluxation at M.C.P., which is interfering with the transmission of mental impulses preventing normal adaptation and reparation taking place. This should be adjusted. However, if there are no subluxations the injury which was done by the mechanical obstruction will be repaired in a short time.

CHRONIC NASAL CATARRH

Chronic nasal catarrh, also called chronic rhinitis, is a chronic inflammation of the mucous membrane lining the nasal passages and pharynx. There may be structural changes take place resulting in injury to the organs of smell, taste, hearing, speech and respiration.

Symptoms

The mucous membrane becomes congested and swollen. There is a constant mucous or mucopurulent discharge from the nose. The air passages may be partially or completely closed. If the child is old enough the nose may be easily freed from this discharge by blowing. If the child is not old enough to do this great inconvenience and discomfort will be experienced. The upper lip may become irritated, swollen and permanently enlarged and prominent from the constant blowing and wiping the nose. The excretion produces a constant irritation. There is a marked tendency on the part of the child to constantly pick at the nose; this tends to increase the irritation both of the nose and the upper lip. Usually there are adenoid growths, which will produce mouth breathing and may interfere with the function of hearing. A very marked characteristic is the inclination for the child to continually snuffle.

If the condition is allowed to remain for a long time without adjustments, ulcerations may occur on the mucous membrane; the discharge from this will be very offensive. In the atrophic form ozena is very common. Ozena is a very fetid discharge from the nasal cavity associated with ulcerations which may involve the bones of the nose.