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PRIMARY ATROPHIC RHINITIS
BY: DR.S.PATTANAIK
                 This is a disease where horrible stench is emitted from nose. Besides there may be loathsome maggot infestation and discharge of foul smelling crusts that makes the patient despised by others; colleagues, friends, spouse and all others in society. If it happens with a girl, unfortunately it is more prevalent among the young girls; their life turns hale, depression, divorce, suicide results at times. Fortunately it is not so common a disease.  
           Amidst the diseases threatening humanity the leprosy and primary atrophic rhinitis (PAR) are the oldest known. They were described in the epic Mahabharata of India. The causative factor of one, the Leprosy, was not known until 1873 so it was a disease of unknown etiology and so without treatment till then. An effective drug against it was found in 1940 and it is now on elimination from the world. Tuberculosis, a naughty brother of leprosy bacteria is also going to meet early elimination as its cause and treatment is found. The PAR was still maintaining its unknown status. The causes and treatment of PAR was discovered since only 10 years but the patients are still in agony as it is not yet well circulated to the doctors, patients and the world population.
             In this epic such a girl was encountered by a sage Parasar. Her extreme beauty enchanted the sage and he relived her diseases by divine power and so she had sweet smell emitted from her body and achieved high status.
             There is no record of any treatment that could treat this disease though it is a human misery since long like leprosy. Some European doctors like Rethi, Lautenslauger, and Young had devised operations of narrowing the nasal passage to restrict excess and free flow of air in nose which was thought to be the cause of this disease. For this suturing the nostrils or closing the walls of nose by breaking the boney walls (frame) of it and shifting them medially there by narrowing the nasal passage. Subsequently Indian doctors could do these narrowing processes by lifting the nasal floor by an incision above gum and putting patients own sub-dermal tissue or porcelain or plastic materials there by lifting the floor that causes narrowing of nasal passage. These operations are based on wrong conception that widening of nasal passage leading to excess air flow (proved wrong subsequently) causes dryness that leads crusting and infection. So they were never successful but the patient got torture that hardly the blood and bone can bear.
            The author published a new concept (cause) of this disease in the scientific journal “Indian Journal of Otolaryngology and head and neck surgery in 2006. Vol 58. No3” and he proceeded further on his work finding modification of its causative factor on subsequent times but maintaining the treatment modalities unchanged.
             As a result many more diseases, whose causes are unknown and so the treatment, was found out. The patients suffering from these diseases seek treatment from various modern doctors, specialists, and doctors of other systems and even witch crafts but no relief and so live a hell of life.
             Example of such diseases, or symptom complexes, are head ache, sudden or progressive deafness, tinnitus (ringing in ear), vertigo, (reeling), tingling on limbs, trembling of fingers, pain joints (peri-arthritis), numbness in different parts of body, excess itching ear, ulcerative lesions in mouth, long lasting cold, irritative or depressive mentality and many others  found commonly. The sufferer, finding no treatment, bears the brunt of the disease and may become hypochondriac or neurasthenic.  
            It should be noted that head-ache may accompany many diseases like pyrexia (malaria, typhoid and other many such diseases), cold, hyper tension and relieved after treatment of the original diseases but when no such causes are found (idiopathic) this new treatment is the only help.
           The author is disheartened and frustrated that such a great relief to suffering humanity remains unavailable to doctors and patients of the world.
           A request for help by a patient in USA to a voluntary helping institution there indicates that this problem remains unsolved even after 10 years of discovery of specific treatment. Probably Indian science journals are followed least not only by foreigners but also by Indians themselves.
           Another newly invented treatment for ear hematoma by this author was published in Journal of otolaryngology (JLO) England in 2010. It drew attention of world public so that an assessing institution of USA is declaring it the best in comparison to other newly invented ones in every month.
           Something helping humanity should be disseminated. The discoveries made by the author that would relief millions of suffering humanity shouldn’t go unnoticed. The author’s attempt to circulate through media may appear as one beating his own drum. 



    

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