Rhinitis is a medical term for inflammation of the lining of the nose. Chronic means that nasal inflammation is long-lasting, lasting more than four weeks in a row. This is different from acute rhinitis, which lasts only a few days or four weeks.
Often, chronic rhinitis is caused by allergies (also called hay fever), but there are many other causes that have nothing to do with allergies.
- Annoying in the air
- Other medical conditions such as asthma or chronic sinusitis (inflammation of the sinuses)
Allergic vs. non-allergic rhinitis
Chronic rhinitis is usually classified into two main groups depending on the underlying cause.
- Allergic rhinitis (hay fever) is caused by an allergic reaction to certain allergens, such as pollen, dust, or pet itching. During an allergic reaction, your body’s immune system greatly affects the presence of any of these allergens in the air.
- Non-allergic rhinitis is any form of rhinitis that does not involve your body’s immune system. It is often caused by environmental issues such as air pollution, smoking, or strong odors. In some cases, no cause can be identified.
Chronic non-allergic rhinitis is not as common as allergic rhinitis. Chronic non-allergic rhinitis represents a quarter of all cases of inflammation.
If you are not sure what is causing your symptoms, a doctor may perform an allergy test called an allergen-related immunoglobulin E (IgE) antibody test to find out if your symptoms are caused by an allergy. Are from
There are many different causes of allergic and non-allergic chronic rhinitis. If your symptoms persist, see a doctor for a proper diagnosis.
Causes of allergic rhinitis
In allergic rhinitis, airborne allergens bind to a substance called immunoglobulin E (IgE) in the nose. Your body releases a chemical called histamine to help defend against allergens. The release of this histamine results in the symptoms of allergic rhinitis.
Common allergens that can cause chronic rhinitis include:
- Dust particles
- Pet itching
- Cockroach relics
Pollen is very difficult at certain times of the year. Tree and flower pollen are more common in spring. Grass and weeds are usually produced in summer and autumn.
Causes of non-allergic rhinitis
Unlike allergic rhinitis, non-allergic rhinitis does not involve the immune system. Non-allergic rhinitis is considered when the blood vessels inside the nose dilate. It causes swelling and congestion. It is not known exactly why blood vessels in the nose rupture, but this can lead to a reaction:
- Itching or air pollution in the environment such as:
- Hard stink
- Tobacco smoke
- Weather fluctuations such as cold or dry winds
- Upper respiratory infections, such as colds or flu, (however, these infections usually result in severe rhinitis)
- Hot or spicy foods or beverages (people with rhinitis)
- Medications, including:
- Beta blockers
- of antidepressants
- Linguistic barrier
- Excessive use of nasal decongestant sprays (rhinitis medisomanota)
- Hormonal changes associated with pregnancy, menstruation, or thyroid conditions
- Extensive bone surgery
- Structural problems that affect the nasal passages. Includes a deviant set, elongated turbinate, and elongated adenoids
- Other medical conditions, including gastrointestinal reflux (GERD), asthma, or chronic sinusitis
For some people, the specific cause of non-allergic rhinitis cannot be identified.
The main symptom of chronic rhinitis is nasal congestion. You may feel the need to blow your nose all the time, but find out if the little mucus actually comes out. This is because their congestion is not due to the build up of mucus, but because the nasal passages are swollen.
Both allergic and non-allergic rhinitis have many symptoms in common, but there are some important differences.
|Signs||Allergic rhinitis||Non-allergic rhinitis|
|Itchy eyes, nose, throat||✔|
|Drip after nose||✔||✔|
|Blue color color under the lower eyelids (Allergic Shanners)||✔|
|Symptoms are seasonal||✔|
|Symptoms occur throughout the year||✔|
Treatment involves a combination of medication and lifestyle changes. In rare cases, surgery may be necessary to relieve the symptoms of chronic inflammation.
Medications called antihistamines can help treat the underlying cause of allergic rhinitis.
There are several other over-the-counter (OTC) and prescription medications available to help relieve swelling in the nose. These include:
- OTC or prescription antihistamine allergy l. Works, and includes oral medications and nasal sprays. These drugs work best if they start every spring before the pollen enters the air.
- OTC salty nasal sprays
- OTC decongestants. Do not use these detergents for more than three days or it may have a health effect, which may worsen your symptoms.
- OTC or prescription corticosteroid nasal spray
- Prescription Anticoagulant nasal spray
- Allergy shots or sublingual immunotherapy for allergies
Shop online for OTC
Nasal irrigation is a home remedy that can be useful for both allergic and non-allergic rhinitis.
Nasal irrigation, also called runny nose, involves using a saline solution to rinse the nasal passages. Nasal sprays are already available on the package at most drugstores, or you can try using a device called a net vessel.
If you choose to use nasal irrigation utensils, make sure you use water that is distilled, sterile, pre-boiled and cooled to avoid dangerous infections. , Or is filtered.
For more information on how to use neti utensils safely, follow these steps.
You can also use a humidifier to keep the nasal passages smooth and healthy. Also make sure you drink plenty of water and other caffeine-free liquids to stimulate the mucous membranes of the nose and reduce inflammation.
Capsaicin derived from chili peppers is also sometimes used as an option to treat non-allergic rhinitis. However, only a few small low-quality studies have shown that it is effective in improving nasal symptoms. Large, controlled trials are needed to confirm its effectiveness.
Capsaicin OTC is available as a nasal spray, but you should consult your doctor before trying.
If left untreated, it can cause chronic inflammation of the nose:
- Nasal polyps. This non-serious increase in the lining of the nose due to chronic inflammation. Large poles can block the flow of air through the nose and make it difficult to breathe.
- Sinusitis is an inflammation of the membrane that connects the sinuses.
- Chronic middle ear infections. Ear infections can result from nasal fluid and congestion.
- Lost work or interruption in daily activities. Symptoms of chronic rhinitis can be depressing and make your daily activities less enjoyable.
When to see a doctor
If you are experiencing persistent nasal congestion that does not go away after using over-the-counter decongestants or antihistamines, see your doctor.
You should also call a doctor if you have a fever or severe pain in the face or sinuses. This could mean that you have a bone infection or some other serious condition that needs treatment.
At the time of your appointment, be prepared to tell your doctor how long you have had these symptoms and what treatments you have already tried.
Although not usually serious, chronic rhinitis can make daily life more difficult. The best way to treat chronic rhinitis is to avoid its triggers. If this is not possible, there are a number of medications available to help with your symptoms, including OTC and prescription nasal sprays and decongestants.
Try not to use nasal decongestants as much as possible, as this can actually worsen your symptoms. Antihistamines are a good treatment option for allergic rhinitis, but will not work for non-allergic rhinitis.
Talk to your doctor if you have a runny nose that has been going on for more than four weeks and the medications are not working.