NON-ALLERGIC RHINITIS

Description

  • Inflammation of the inside of the nose
  • Includes a runny nose, sneezing, and nasal stuffiness
  • It is not caused by any allergens

Symptoms

  • Stuffy nose
  • Runny nose
  • Sneezing
  • Mucus (phlegm) in the throat (postnasal drip)
  • Cough
  • Watery nasal discharge

Causes

  • Environmental or occupational irritants
  • Temperature or humidity changes
  • Infections
  • hot or spicy foods
  • alcoholic beverages
  • Certain medications
  • Hormone changes
  • Strong emotions

Risk Factors

  • Exposure to irritants
  • Being older than age 20
  • Prolonged use of decongestant nasal drops or sprays
  • Being female
  • Occupational exposure to fumes
  • Having hypothyroidism and chronic fatigue syndrome
  • Stress

Diagnostic Tests

  • Based on symptoms
  • To rule out an allergic cause:
  • Skin test
  • Blood test
  • To rule out sinusitis:
  • Nasal endoscopy
  • Computerized tomography (CT) scan

Treatment

  • Avoid things that trigger the symptoms
  • Saline nasal sprays
  • Corticosteroid nasal sprays
  • Antihistamine nasal sprays
  • Anti-drip anticholinergic nasal sprays
  • Oral decongestants

Medications

  • Fluticasone (Flonase)
  • Triamcinolone (Nasacort)
  • Azelastine (Astelin, Astepro)
  • Olopatadine hydrochloride (Patanase)
  • Pseudoephedrine-containing drugs (Sudafed)
  • Phenylephrine (Afrin, Neo-Synephrine)

Prevention

  • Avoid the triggers
  • Do not overuse nasal decongestants
  • Get treatment that works effectively

Lifestyle Management

  • Rinse the nasal passages frequently
  • Blow nose regularly and gently
  • Humidify