Chronic Rhinitis

10 min read

Chronic rhinitis is a condition characterized by inflammation of the nasal passages. It is a common condition that affects millions of people worldwide. It can be caused by a variety of factors, including allergies, environmental irritants, and certain medications. It can also be caused by a bacterial or viral infection.

Chronic rhinitis can cause a variety of symptoms, including a runny or stuffy nose, sneezing, postnasal drip, and nasal congestion. It can also cause headaches, fatigue, and difficulty sleeping. In some cases, it can lead to sinus infections or other complications.

The diagnosis of chronic rhinitis is based on a physical examination and a review of the patient's medical history. Tests such as nasal endoscopy, CT scans, and allergy testing may also be used to diagnose the condition. Treatment typically involves avoiding triggers, such as allergens or irritants, and using medications to reduce inflammation and relieve symptoms.

Chronic rhinitis can be a difficult condition to manage, but with proper treatment, it can be controlled. It is important to talk to your doctor if you are experiencing any of the symptoms of chronic rhinitis.

Take the Chronic Rhinitis Assessment

Symptoms

  • Runny nose
  • Sneezing
  • Nasal congestion
  • Postnasal drip
  • Itchy nose, eyes, or throat
  • Headache
  • Coughing
  • Fatigue

If you are experiencing any of these symptoms, it is important to see your doctor for a diagnosis. Your doctor may recommend medications, lifestyle changes, or other treatments to help manage your symptoms.

Causes

Allergies

Allergies are one of the most common causes of chronic rhinitis. Allergens such as pollen, dust mites, and pet dander can trigger an allergic reaction in the nasal passages, leading to inflammation and the symptoms of chronic rhinitis. Allergies can be treated with medications such as antihistamines and nasal sprays.

Irritants

Irritants such as smoke, strong odors, and chemicals can also cause chronic rhinitis. These irritants can cause inflammation of the nasal passages, leading to the symptoms of chronic rhinitis. Avoiding exposure to these irritants can help reduce the symptoms of chronic rhinitis.

Infections

Infections such as the common cold, sinus infections, and the flu can also cause chronic rhinitis. These infections can cause inflammation of the nasal passages, leading to the symptoms of chronic rhinitis. Treating the underlying infection can help reduce the symptoms of chronic rhinitis.

Hormonal Changes

Hormonal changes, such as those that occur during pregnancy, can also cause chronic rhinitis. These hormonal changes can cause inflammation of the nasal passages, leading to the symptoms of chronic rhinitis. Treating the underlying hormonal imbalance can help reduce the symptoms of chronic rhinitis.

Getting a Diagnosis

Medical History

The doctor will ask questions about the patient's symptoms, such as how long they have been present, how severe they are, and if they are worse at certain times of the day or year. The doctor will also ask about any other medical conditions the patient may have, as well as any medications they are taking.

Physical Exam

The doctor will examine the patient's nose and throat to look for signs of inflammation or infection. They may also use a lighted instrument called an otoscope to look inside the nose.

Tests

The doctor may order tests to rule out other conditions, such as allergies or sinus infections. These tests may include a skin prick test, a blood test, or a nasal swab.

Treatment

Treatment for chronic rhinitis depends on the underlying cause. Allergy medications, such as antihistamines, may be prescribed to reduce symptoms. If an infection is present, antibiotics may be prescribed. In some cases, surgery may be necessary to correct structural problems in the nose.

Questions for Your Doctor

Symptoms

Be sure to tell your doctor about all of your symptoms, including how long they have been occurring, how severe they are, and how often they occur. This will help your doctor determine the best course of treatment.

Triggers

Discuss any potential triggers that may be causing your symptoms. Common triggers include dust, pollen, pet dander, smoke, and certain foods. Knowing what triggers your symptoms can help you avoid them and reduce the severity of your symptoms.

Medications

Your doctor may recommend medications to help manage your symptoms. Be sure to tell your doctor about any medications you are currently taking, as some medications can interact with each other. Your doctor may also recommend over-the-counter medications, such as antihistamines or decongestants.

Lifestyle Changes

Your doctor may recommend lifestyle changes to help manage your symptoms. These may include avoiding triggers, using a humidifier, and taking a daily nasal rinse. Your doctor may also recommend avoiding alcohol and smoking.

Follow-Up Appointments

Be sure to schedule follow-up appointments with your doctor to monitor your condition. This will help your doctor determine if your treatment plan is working and make any necessary adjustments.

Treatment

Medications

Over-the-counter medications such as antihistamines, decongestants, and nasal sprays can help reduce the symptoms of chronic rhinitis. Antihistamines can help reduce sneezing and itching, while decongestants can help reduce congestion. Nasal sprays can help reduce inflammation and provide relief from congestion.

Allergy Shots

Allergy shots, also known as immunotherapy, can help reduce the symptoms of chronic rhinitis. Allergy shots are injections of small amounts of allergens, such as pollen or dust mites, that can help the body build up a tolerance to the allergens and reduce the symptoms of chronic rhinitis.

Saline Nasal Irrigation

Saline nasal irrigation is a simple and effective way to reduce the symptoms of chronic rhinitis. It involves using a saline solution to flush out the nasal passages and reduce inflammation. This can help reduce congestion, sneezing, and other symptoms of chronic rhinitis.

Surgery

In some cases, surgery may be necessary to treat chronic rhinitis. Surgery can help reduce inflammation and improve airflow through the nasal passages. Surgery may also be used to remove polyps or other obstructions that may be causing the symptoms of chronic rhinitis.

Lifestyle Changes

Making lifestyle changes can also help reduce the symptoms of chronic rhinitis. Avoiding triggers such as dust, pollen, and other allergens can help reduce the symptoms. Quitting smoking and avoiding secondhand smoke can also help reduce inflammation and improve airflow through the nasal passages.

Drugs & Medications

Antihistamines

Antihistamines are medications that block the action of histamine, a chemical released by the body during an allergic reaction. They are used to treat the symptoms of allergies, including chronic rhinitis. Common antihistamines include loratadine (Claritin), cetirizine (Zyrtec), and fexofenadine (Allegra).

Decongestants

Decongestants are medications that reduce swelling in the nasal passages, making it easier to breathe. They are often used in combination with antihistamines to treat chronic rhinitis. Common decongestants include pseudoephedrine (Sudafed) and phenylephrine (Sudafed PE).

Corticosteroids

Corticosteroids are medications that reduce inflammation. They are often used to treat more severe cases of chronic rhinitis. Common corticosteroids include fluticasone (Flonase), mometasone (Nasonex), and budesonide (Rhinocort).

Leukotriene Modifiers

Leukotriene modifiers are medications that block the action of leukotrienes, chemicals released by the body during an allergic reaction. They are used to treat the symptoms of allergies, including chronic rhinitis. Common leukotriene modifiers include montelukast (Singulair) and zafirlukast (Accolate).

Immunotherapy

Immunotherapy is a type of treatment that involves exposing the body to small amounts of an allergen in order to build up tolerance. It is often used to treat chronic rhinitis caused by allergies. Common immunotherapy treatments include allergy shots and sublingual immunotherapy (SLIT).

Diet

What to Eat

Eating a balanced diet can help reduce inflammation and improve overall health. Here are some foods to include in your diet:

  • Fruits and vegetables: Fruits and vegetables are rich in antioxidants, which can help reduce inflammation. Choose a variety of colors to get the most benefit.
  • Whole grains: Whole grains are a good source of fiber, which can help reduce inflammation. Choose whole-grain breads, cereals, and pastas.
  • Fish: Fish is a good source of omega-3 fatty acids, which can help reduce inflammation. Choose fatty fish such as salmon, tuna, and mackerel.
  • Nuts and seeds: Nuts and seeds are a good source of healthy fats, which can help reduce inflammation. Choose unsalted nuts and seeds.
  • Herbs and spices: Herbs and spices are rich in antioxidants and can help reduce inflammation. Choose fresh or dried herbs and spices.

What to Avoid

Certain foods can worsen inflammation and should be avoided. Here are some foods to avoid:

  • Processed foods: Processed foods are high in sugar, salt, and unhealthy fats, which can worsen inflammation. Avoid processed meats, snacks, and fast food.
  • Refined carbohydrates: Refined carbohydrates are low in fiber and can worsen inflammation. Avoid white bread, white rice, and other refined grains.
  • Sugary drinks: Sugary drinks are high in sugar and can worsen inflammation. Avoid soda, energy drinks, and other sugary beverages.
  • Alcohol: Alcohol can worsen inflammation and should be avoided. If you do drink, limit your intake to one drink per day.

Conclusion

Eating a healthy diet can help reduce inflammation and improve overall health. Include a variety of fruits and vegetables, whole grains, fish, nuts and seeds, and herbs and spices. Avoid processed foods, refined carbohydrates, sugary drinks, and alcohol. Talk to your doctor or dietitian for more information about diet and chronic rhinitis.

Lifestyle

Avoid Allergens

One of the most important things you can do to manage chronic rhinitis is to avoid allergens that can trigger your symptoms. Common allergens include dust, pollen, pet dander, and mold. To reduce your exposure to these allergens, keep your home clean and dust-free, use air filters, and keep pets out of the bedroom. You should also avoid smoking and smoky environments, as these can worsen your symptoms.

Stay Hydrated

Staying hydrated is important for managing chronic rhinitis. Drinking plenty of fluids helps thin mucus and reduce congestion. Aim to drink at least 8 glasses of water a day. You can also try drinking warm liquids, such as herbal tea, to help loosen mucus and reduce congestion.

Use a Humidifier

Using a humidifier can help reduce congestion and make breathing easier. A humidifier adds moisture to the air, which can help thin mucus and reduce inflammation in the nasal passages. Make sure to clean your humidifier regularly to prevent the growth of mold and bacteria.

Manage Stress

Stress can worsen symptoms of chronic rhinitis, so it’s important to find ways to manage stress. Try relaxation techniques such as yoga, meditation, or deep breathing. You can also try activities such as reading, listening to music, or taking a walk to help reduce stress.

See Your Doctor

If lifestyle changes don’t help reduce your symptoms, it’s important to see your doctor. Your doctor can help diagnose the cause of your symptoms and recommend treatments to help reduce your symptoms and improve your quality of life.