| Nose-picking | |
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| A girl picking her nose | |
| Specialty | Psychiatry, rhinology |
Nose picking is the act of extracting Mucus and nasal mucus with one's finger (rhinotillexis) and may include the subsequent ingestion of the extracted mucus (mucophagy). [1] In Western cultures, this act is generally considered to be socially deviant; [2] parents and pediatricians have historically tried to prevent development of the habit and attempt to break it if already established. [3]
Nose picking is an extremely widespread habit: some surveys indicate that it is almost universal, with people picking their nose on average about four times a day. [4] A 1995 study of nose picking, requesting information from 1,000 randomly selected adults from Wisconsin USA gathered 254 responses. It defined nose picking as "the insertion of a finger (or other object) into the nose with the intention of removing dried nasal secretions". Of those who responded, 91% said they were current nose pickers (but only 75% of these believed everyone did it), and two respondents claimed to spend between 15 and 30 minutes and between one and two hours a day picking their noses. [5]
Mucous membranes in the nasal cavity constantly produce a wet mucus that removes dust and pathogens from the air flowing through the cavity. For the most part, the cilia that also line the cavity work to move the mucus toward the throat, where it can be swallowed. However, not all the mucus stays fluid enough to be moved by the cilia. The closer the mucus is to the nostril opening, the more moisture it loses to the outside air, and the more likely it is to dry out and become stuck. Once dried, the mucus typically causes a sensation of irritation that leads to the compulsion to dislodge the itch by picking. Other reasons to remove excess dried mucus include impaired breathing through the nose and a concern that it may be visible to others in the nostril openings.
In some cultures, nose picking is considered a private act akin to defecation, urination, flatulence, burping, or masturbation. [6] Mucophagy, which is eating the extracted mucus, may be considered more taboo, and is sometimes portrayed in comedies.[ citation needed ]
When nose picking becomes a body-focused repetitive behavior or obsessive–compulsive disorder it is known as rhinotillexomania. [7] [8] [9] [10] Most cases do not meet this pathological threshold. [5] When it does, however, treatments similar to other BFRBs can be employed, such as habit reversal training and decoupling.
The environment of the nose and the dried secretions removed contain many micro-organisms. When a person is contagious with a cold, flu or other virus, it is important that hands or other objects used to remove mucus are washed promptly because there is risk of introducing micro-organisms to other parts of the body or other people since it is a norm to shake hands in many societies. [11]
Picking one's nose with dirty fingers or fingernails may increase risks of infection that may include an increase in the diversity of nose flora (and thus infection or illness), [12] or occasional nosebleeds. One case of rhinotillexomania resulted in perforation of the nasal septum and self-induced ethmoidectomy. [13] In children, the most common complication related to nose picking is epistaxis (nosebleed). Infections or perforation of the nasal septum are uncommon, but can occur. [14] Nose picking, however, should not affect the sense of smell, as the nasal cavity where the olfactory nerves are located is too high up to reach.
Researchers at Griffith University have discovered a connection between bacteria and Alzheimer's disease. They have found evidence that a specific bacterium (Chlamydia pneumoniae) is capable of traveling through the olfactory nerve in the nose and entering the brain of mice. The intrusion of the bacteria is enhanced by nose picking. Once inside the brain, this bacterium triggers the production of certain markers that are indicative of Alzheimer's disease. Their study demonstrates that Chlamydia pneumoniae exploits the nerve pathway that extends from the nasal cavity to the brain as a means to invade the central nervous system. In response to this invasion, brain cells deposit a protein called amyloid beta, which is a characteristic feature of Alzheimer's disease. Activities like picking one's nose or plucking nasal hairs can damage the nasal lining, making it easier for bacteria to reach the brain. The olfactory nerve, located in the nose, provides a direct and relatively short route to the brain. Importantly, this route bypasses the protective barrier known as the blood-brain barrier. It seems that viruses and bacteria have identified this pathway as an easy way to gain access to the brain. Therefore, it is according to Professor St John, a co-author of the study, advisable to avoid nose picking or plucking nasal hairs to maintain the integrity of the nasal passage and lower the chances of developing Alzheimer's disease. [15] [16] However, there is still scarce evidence in favour of this claim, and most experts say it is too soon to link. [17] [18] [19]
Some scientists claim that mucophagy provides benefits for the human body. [1] Friedrich Bischinger, an Austrian doctor specializing in lungs, advocates using fingers to pick nasal mucus and then ingesting it, stating that people who do so get "a natural boost to their immune system". [1] [20] The mucus contains a "cocktail of antiseptic enzymes that kill or weaken many of the bacteria that become entangled in it", so reintroducing the "crippled" microorganisms "may afford the immune system an opportunity to produce antibodies in relative safety". [1] However, other scientists argue that, "because boogers are made from the same ingredients as the mucus we swallow every day, ... eating boogers doesn’t matter much to your immune system". [21]
A study in the Netherlands published in 2023 found that healthcare workers who picked their nose were about three times more likely to contract COVID-19. The same study found no correlation between COVID infection and nail-biting, or with wearing spectacles or having a beard, which could interfere with fit of protective equipment. The study was observational, finding a correlation without identifying a detailed cause. [22]
Anosmia, also known as smell blindness, is the loss of the ability to detect one or more smells. Anosmia may be temporary or permanent. It differs from hyposmia, which is a decreased sensitivity to some or all smells.
Phlegm is mucus produced by the respiratory system, excluding that produced by the throat nasal passages. It often refers to respiratory mucus expelled by coughing, otherwise known as sputum. Phlegm, and mucus as a whole, is in essence a water-based gel consisting of glycoproteins, immunoglobulins, lipids and other substances. Its composition varies depending on climate, genetics, and state of the immune system. Its color can vary from transparent to pale or dark yellow and green, from light to dark brown, and even to dark grey depending on the contents. The body naturally produces about 1 quart of phlegm every day to capture and clear substances in the air and bacteria from the nose and throat.
The nasal cavity is a large, air-filled space above and behind the nose in the middle of the face. The nasal septum divides the cavity into two cavities, also known as fossae. Each cavity is the continuation of one of the two nostrils. The nasal cavity is the uppermost part of the respiratory system and provides the nasal passage for inhaled air from the nostrils to the nasopharynx and rest of the respiratory tract.
Mucus is a slippery aqueous secretion produced by, and covering, mucous membranes. It is typically produced from cells found in mucous glands, although it may also originate from mixed glands, which contain both serous and mucous cells. It is a viscous colloid containing inorganic salts, antimicrobial enzymes, immunoglobulins, and glycoproteins such as lactoferrin and mucins, which are produced by goblet cells in the mucous membranes and submucosal glands. Mucus serves to protect epithelial cells in the linings of the respiratory, digestive, and urogenital systems, and structures in the visual and auditory systems from pathogenic fungi, bacteria and viruses. Most of the mucus in the body is produced in the gastrointestinal tract.
In anatomy, a nasal concha, also called a nasal turbinate or turbinal, is a long, narrow, curled shelf of bone that protrudes into the breathing passage of the nose in humans and various other animals. The conchae are shaped like an elongated seashell, which gave them their name. A concha is any of the scrolled spongy bones of the nasal passages in vertebrates.
The olfactory system or sense of smell is the sensory system used for smelling (olfaction). Olfaction is one of the special senses, that have directly associated specific organs. Most mammals and reptiles have a main olfactory system and an accessory olfactory system. The main olfactory system detects airborne substances, while the accessory system senses fluid-phase stimuli.
Nasal irrigation is a personal hygiene practice in which the nasal cavity is washed to flush out mucus and debris from the nose and sinuses, in order to enhance nasal breathing. Nasal irrigation can also refer to the use of saline nasal spray or nebulizers to moisten the mucous membranes.
Rhinorrhea, also spelled rhinorrhoea or rhinorrhœa, or informally runny nose is the free discharge of a thin mucus fluid from the nose; it is a common condition. It is a common symptom of allergies or certain viral infections, such as the common cold or COVID-19. It can be a side effect of crying, exposure to cold temperatures, cocaine abuse, or drug withdrawal, such as from methadone or other opioids. Treatment for rhinorrhea may be aimed at reducing symptoms or treating underlying causes. Rhinorrhea usually resolves without intervention, but may require treatment by a doctor if symptoms last more than 10 days or if symptoms are the result of foreign bodies in the nose.
Phantosmia, also called an olfactory hallucination or a phantom odor, is smelling an odor that is not actually there. This is intrinsically suspicious as the formal evaluation and detection of relatively low levels of odour particles is itself a very tricky task in air epistemology. It can occur in one nostril or both. Unpleasant phantosmia, cacosmia, is more common and is often described as smelling something that is burned, foul, spoiled, or rotten. Experiencing occasional phantom smells is normal and usually goes away on its own in time. When hallucinations of this type do not seem to go away or when they keep coming back, it can be very upsetting and can disrupt an individual's quality of life.
The nasal cycle is the subconscious alternating partial congestion and decongestion of the nasal cavities in humans and other animals. This results in greater airflow through one nostril with periodic alternation between the nostrils. It is a physiological congestion of the nasal conchae, also called the nasal turbinates, due to selective activation of one half of the autonomic nervous system by the hypothalamus. It should not be confused with pathological nasal congestion.
The human nose is the first organ of the respiratory system. It is also the principal organ in the olfactory system. The shape of the nose is determined by the nasal bones and the nasal cartilages, including the nasal septum, which separates the nostrils and divides the nasal cavity into two.
A sinus is a sac or cavity in any organ or tissue, or an abnormal cavity or passage. In common usage, "sinus" usually refers to the paranasal sinuses, which are air cavities in the cranial bones, especially those near the nose and connecting to it. Most individuals have four paired cavities located in the cranial bone or skull.
A nose is a sensory organ and respiratory structure in vertebrates. It consists of a nasal cavity inside the head, and an external nose on the face. The external nose houses the nostrils, or nares, a pair of tubes providing airflow through the nose for respiration. Where the nostrils pass through the nasal cavity they widen, are known as nasal fossae, and contain turbinates and olfactory mucosa. The nasal cavity also connects to the paranasal sinuses. From the nasal cavity, the nostrils continue into the pharynx, a switch track valve connecting the respiratory and digestive systems.
Dysosmia is a disorder described as any qualitative alteration or distortion of the perception of smell. Qualitative alterations differ from quantitative alterations, which include anosmia and hyposmia. Dysosmia can be classified as either parosmia or phantosmia. Parosmia is a distortion in the perception of an odorant. Odorants smell different from what one remembers. Phantosmia is the perception of an odor when no odorant is present. The cause of dysosmia still remains a theory. It is typically considered a neurological disorder and clinical associations with the disorder have been made. Most cases are described as idiopathic and the main antecedents related to parosmia are URTIs, head trauma, and nasal and paranasal sinus disease. Dysosmia tends to go away on its own but there are options for treatment for patients that want immediate relief.
Nasal administration, popularly known as snorting, is a route of administration in which drugs are insufflated through the nose. It can be a form of either topical administration or systemic administration, as the drugs thus locally delivered can go on to have either purely local or systemic effects. Nasal sprays are locally acting drugs such as decongestants for cold and allergy treatment, whose systemic effects are usually minimal. Examples of systemically active drugs available as nasal sprays are migraine drugs, rescue medications for overdose and seizure emergencies, hormone treatments, nicotine nasal spray, and nasal vaccines such as live attenuated influenza vaccine.
Eating mucus is the act of extracting dried nasal mucus with one's finger and the succeeding action of ingesting the mucus from the nose picking.
The allergic salute is the characteristic and sometimes habitual gesture of wiping and/or rubbing the nose in an upwards or transverse manner with the fingers, palm, or back of the hand. It is termed a salute because the upward movement of the hand acts as an unintentional gesture. The habit of using the hand to wipe the nose is observed more often in children but is common in adults as well. Saluting most commonly temporarily relieves nasal itching as well as removing small amounts of nasal mucus.
Sniffing is a perceptually-relevant behavior, defined as the active sampling of odors through the nasal cavity for the purpose of information acquisition. This behavior, displayed by all terrestrial vertebrates, is typically identified based upon changes in respiratory frequency and/or amplitude, and is often studied in the context of odor guided behaviors and olfactory perceptual tasks. Sniffing is quantified by measuring intra-nasal pressure or flow or air or, while less accurate, through a strain gauge on the chest to measure total respiratory volume. Strategies for sniffing behavior vary depending upon the animal, with small animals displaying sniffing frequencies ranging from 4 to 12 Hz but larger animals (humans) sniffing at much lower frequencies, usually less than 2 Hz. Subserving sniffing behaviors, evidence for an "olfactomotor" circuit in the brain exists, wherein perception or expectation of an odor can trigger brain respiratory center to allow for the modulation of sniffing frequency and amplitude and thus acquisition of odor information. Sniffing is analogous to other stimulus sampling behaviors, including visual saccades, active touch, and whisker movements in small animals. Atypical sniffing has been reported in cases of neurological disorders, especially those disorders characterized by impaired motor function and olfactory perception.
The peanut butter test is a diagnostic test which aims to detect Alzheimer's disease by measuring subjects' ability to smell peanut butter through each nostril. The original study, published in the Journal of the Neurological Sciences in October 2013, involves measuring the ability of people to smell peanut butter held close to their nose. The researchers believe that people with Alzheimer's were not able to smell the peanut butter as well through their left nostril as their right one.
Nose-blowing is the act of expelling nasal mucus by exhaling forcefully through the nose. This is usually done into a facial tissue or handkerchief, facial tissues being more hygienic as they are disposed of after each use while handkerchiefs are softer and more environmentally-friendly.
