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A clinical photograph showing a patient with the flexed posture. It can be abated when lying down. [1]Camptocormia, also known as bent spine syndrome (BSS), is a symptom of a multitude of diseases that is most commonly seen in the elderly.
In addition, patulous Eustachian tube generally feels dry with no clogged feeling or sinus pressure. Patients hear their own voice or its echo from inside. [3] [4] They describe it as being amplified and unpleasant. Lying head down may help since it increases venous blood pressure and congestion of the mucosa.
Even small increases in the blood pressure may be sufficient to maintain blood flow to the brain on standing. [33] In dysautonomic patients who do not have a diagnosis of high blood pressure, drinking 2–3 liters of fluid a day and taking 10 g of salt can improve symptoms, by maximizing the amount of fluid in the bloodstream. [33]
However, the CDC points out that some healthcare providers diagnose patients with high blood pressure if it’s consistently 140/90 mm Hg, which was the previous cut-off for high blood pressure ...
He further observed and documented that the turbinates in the dependent nasal fossa fill when the patient is lying down. The nasal cycle is an alternation in both time and between left and right sides, with the total resistance in the nose remaining constant. The asymmetric airflow may have some benefit to overall olfactory sensitivity. [6]
The pressure difference causes the mucosal lining of the sinuses to become swollen and submucosal bleeding follows with further difficulties ventilating the sinus, especially if the orifices are involved. Ultimately fluid or blood will fill the space. In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom.
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