NON-ALLERGIC RHINITIS

Nonallergic rhinitis, also known as vasomotor rhinitis, is a condition with symptoms similar to allergic rhinitis, but this does not involve the immune system.  It occurs when the blood vessels in the nose expand and cause congestion.

This is not harmful but the continuous sneezing, and congested, drippy nose can be annoying.  The condition is often confirmed only after other conditions such as allergic rhinitis or infection are ruled out.  This can affect all ages, but more common after age 20.

Nonallergic rhinitis triggers include:

  • Environmental: dust, smog, secondhand smoke, strong odors, chemical fumes
  • Weather changes: temperature or humidity changes
  • Infections: Viral infection, such as cold or flu
  • Foods and beverages: eating hot or spicy foods, and drinking alcoholic beverages
  • Certain medications: aspirin, ibuprofen, hypertension medications, sedatives, antidepressants, oral contraceptives
  • Hormone changes: pregnancy, menstruation, oral contraceptives use
  • Stress

Even though nonallergic rhinitis is not harmful, having it for a long time can lead to complications such as:

  • Nasal polyps: Benign growths in the lining of the nose due to inflammation. This will lead to blockage of the
  • Chronic sinusitis: Prolonged nasal congestion can lead to inflammation of the nose or sinusitis. Chronic sinusitis lasts for more than 12 weeks and causes pain, tenderness, and swelling around your eyes, cheeks, nose or forehead.
  • Middle ear infections
  • Interrupted daily activities

Nonallergic rhinitis is a medical term that describes a set of symptoms that resemble an allergy but that occur without a known cause. It produces symptoms such as:

  • Postnasal drip or mucus in the throat
  • Runny nose
  • Sneezing
  • Stuffy nose

DIAGNOSIS

Nonallergic rhinitis is diagnosed based on the symptoms, but to rule out allergic rhinitis, allergy testing may be performed.

To rule out other sinus problems, nasal endoscopy or CT scan may be done.

 

RECOMMENDED MEDICATIONS

Nonallergic rhinitis can’t be cured. For mild cases, prevention of triggers is enough to treat this, but once it has occured, it can be controlled by:

  • Avoiding rhinitis trigger
  • Saline nasal sprays or irrigation: During each irrigation, rinse each nostril with at least 200 mL (about 3/4 cup) of commercially or home-prepared solution.
  • Corticosteroid nasal spray: fluticasone (Flonase) or mometasone (Nasonex)
  • Antihistamine nasal sprays: azelastine (Astelin) and olopatadine (Patanase)
  • Anti-drip anticholinergic nasal sprays
  • Oral decongestants: pseudoephedrine
  • Decongestant nasal sprays: oxymetazoline (Afrin) and phenylephrine (Neo-synephrine)

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