Nonallergic rhinitis

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Nonallergic rhinitis is a medical condition characterized by chronic sneezing, congestion, or runny nose with no apparent allergic cause. Unlike allergic rhinitis, nonallergic rhinitis does not involve the immune system's response to allergens.

Symptoms[edit | edit source]

The symptoms of nonallergic rhinitis are similar to those of allergic rhinitis and may include:

  • Nasal congestion
  • Runny nose
  • Sneezing
  • Postnasal drip
  • Cough

These symptoms can be persistent and may affect the quality of life of individuals suffering from the condition.

Causes[edit | edit source]

The exact cause of nonallergic rhinitis is not well understood, but several factors may contribute to its development:

  • Environmental irritants: Exposure to smoke, strong odors, or pollution can trigger symptoms.
  • Weather changes: Changes in temperature or humidity can exacerbate symptoms.
  • Infections: Viral infections, such as the common cold, can lead to nonallergic rhinitis.
  • Hormonal changes: Hormonal fluctuations during pregnancy or menstruation can cause symptoms.
  • Medications: Certain medications, such as NSAIDs or beta-blockers, may induce symptoms.

Diagnosis[edit | edit source]

Diagnosis of nonallergic rhinitis is primarily based on the exclusion of allergic causes. A healthcare provider may perform the following:

  • Medical history: Reviewing the patient's symptoms and medical history.
  • Physical examination: Examining the nasal passages for signs of inflammation.
  • Allergy testing: Conducting skin or blood tests to rule out allergies.

Treatment[edit | edit source]

Treatment for nonallergic rhinitis focuses on alleviating symptoms and may include:

  • Nasal sprays: Saline sprays, corticosteroid sprays, or antihistamine sprays can reduce inflammation and congestion.
  • Oral medications: Decongestants or antihistamines may be prescribed to relieve symptoms.
  • Lifestyle modifications: Avoiding known triggers and using humidifiers can help manage symptoms.

Prognosis[edit | edit source]

Nonallergic rhinitis is a chronic condition that can be managed with appropriate treatment. While it is not life-threatening, it can significantly impact daily activities and quality of life.

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Contributors: Prab R. Tumpati, MD