Gustatory Rhinorrhea- Having a nose that runs when you eat
Some patients complain about a constantly runny nose, especially after eating. So what is going on? The technical term for a nose which runs when eating is gustatory rhinorrhea. This is typically the cause of your nervous system essentially getting cross wired so that food stimuli instead of producing saliva, will produce watery mucous from the nose. This can occur after viral infections or after trauma to the nose. Surgery for the sinuses is also a possible cause, but rhinoplasty is quite rare as a source of gustatory rhinorrhea. There are several solutions to this problem which includes the use of antihistamine sprays and pills. Anticholinergic sprays for the nose, such as Ipatropium bromide, can also help but can be too drying in the nose for some. Finally, a more definitive treatment is to use coblation to the inferior turbinates.
A condition develops in some patients known as rhinorrhea, which is also known as nasal drip. This condition can occur after rhinoplasty for a few weeks to in rare cases months. This phenomenom is not well described in the literature. After a septorhinoplasty, the interior lining of the nose can be swollen and cause the nose to run more than normal. This is a temporary condition and most patients' nose will return to normal soon after rhinoplasty. Patients who have a runny nose after rhinoplasty can start off using nasal saline to help clear out any secretions. In cases where the rhinorrhea is more bothersome, which is more common in patients with allergies, an antihistamine nasal spray can be helpful as can an antihistamine pill such as allegra or zyrtec.
Reservatrol is being touted ast the anti-inflammatory and antioxidant of the past 5 years. However, as with any supplement, there is both appropriate and inappropriate usage. A recent study in the American Journal of Pathology by researcher Ikuo Tsundo at LSU found that mice with multiple sclerosis have more severe symptoms than those without. This does not mean that reservatrol promotes multiple sclerosis or can cause it. Interestingly, in other diseases which were caused by viruses such as Epstein-Barr (monosclerosis), reservatrol appeared to improve symptoms. The main message here: in patients who already have multiple sclerosis- probably best to hold off on taking reservatrol.
A recent book Dr. Shah read called Moonwalking with Einstein highlighted an important concept for almost any individual, “getting past the okay plateau”. So what is the okay plateau? The okay plateau is what many of us think is the upper bounds of innate ability. We often hear the term practice makes perfect. But many of us don't reach perfect, we just get to okay. For example, in typing most of us can progress from simple single digit typing to two-handed typing. However, after hours and hours of typing most of us do not get any better. Why is that?
Psychologists, Paul Fitts and Micheal Posner found that any new skill has three phases:
So how does one go from simply being okay to world class. What is the difference between world class musicians from a very good piano teacher? Breaking the okay plateau, involves focusing on technique, staying goal-oriented, and getting immediate feedback on performance. The difference lies in never being satisfied with our results. This often distinguishes amateur musicians versus masters.
Dr. Shah applies some of these principles to his own practice to constantly get better. This often leads to an innovation of a technique since the technique itself may have inherent limits. For example in treating nasal tip convexity, Dr. Shah has developed a technique to treat fuller cartilages which can help significantly define the nose. He also believes that improvement in a skill often involves looking at that skill in a different perspective. Dr. Shah's speaks with friends in many different fields, such as engineers, Allergists, artists, photographers who have a different view point on the world. This added perspective makes Dr. Shah's insight deeper into some of the issues he is working with in his own practice.