Relationship Between Allergic Rhinitis Pathology And Gastro- Esophageal Reflux: A Simple Outpatient Method For Adults

Background: The frequency of gastro-esophageal reflux disease is rising, and there has been a real spread of the disease as a consequence of modernity, lifestyle, dietary and behavioral norms, stress, work conditions and life in general. It is usually diagnosed with radiographic methods that employ contrast dyes, endoscopes, catheters and capsules to measure the intra-esophageal pH, impedance measurement.The purpose of our study was to highlight the relationship between gastro-esophageal reflux disease and chronic rhinitis using salivary pH measurement with indicator strips. Methods: All patients underwent rhino-fiberoscopy, and anatomical elements of GERD (gastro-esophageal reflux disease ) were identified. The nasal pH was determined by inserting an indicator paper moistened with distilled water into the patient's nostrils; the nasal mucosa cells were then withdrawn using nasal scraping and stained according to the Pappenheim method. To determine the saliva pH,2.5 ml of saliva was collected from each patient into a beaker, a Macherey-Nagel pH strip with a range of 1-14 was dipped into the saliva, and the strip’s coloration was examined to determine the pH value. Results: This method has provided excellent results, with no differences between the measured values and the results of tradition al instrumental measurement. Using these measurements, we detected an average nasal pH of 9 and an average salivary pH of 4.9 in the patients in group A who were affected by GERD; furthermore, the nasal cytology showed an abundant presence of mucous-like cells, and an absence of bacteria and fungi. Conclusion: Salivary diagnostics could play a key role in routine health monitoring in the near future,