Causes.—It is usually seen in people who are very much debilitated, in young factory girls, and sometimes in healthy boys. Retained secretions in the nose, usually cause the odor. These decompose and ferment. The nose is large and roomy, the nostrils are filled with scabby secretions; hard masses are formed which sometimes fill the nostril.
PHYSICIANS' TREATMENT.—The first few weeks, cleansing the nose with peroxide of hydrogen will stop the odor. First, remove the scabs with forceps and then wash and cleanse the nose with the peroxide solution. It can be used from one-quarter strength to full strength, but warm. This will leave the nose in a foamy, soapy condition and this can be cleansed with a mild solution of glyco-thymoline or salt water.
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.