Non-Allergic Nasal Symptoms

Introduction

Nonallergic rhinitis is a nasal condition that primarily involves his symptoms of congestion, and clear nasal discharge. There is no evidence of allergic sensitization. Symptoms may be present throughout the year. There are multiple subtypes, and multiple trigger factors including strong smells, tobacco smoke, pollutants, chemicals, the ingestion of certain foods, and alcohol. Nonallergic rhinitis often presents first in adulthood. It is more common in females. It may affect up to 20 million Americans, or 7% of the population. The presence of non-allergic rhinitis may even put you at a higher risk of developing asthma in the future!

Symptoms

The symptoms of non-allergic rhinitis include nasal congestion and a nasal discharge that may be clear,, as well as sneezing. Other possible symptoms including throat clearing, cough, as well as facial pain/pressure. Itching of the nose or eyes is much less common in non-allergic rhinitis than in allergic rhinitis. Non-allergic rhinitis can be very complex and difficult to treat. It may coexist with allergic rhinitis and sinusitis.

Treatment

Nonallergic rhinitis is less responsive to treatment than allergic rhinitis. Treatment involves avoidance of trigger factors, as well as medications. In most cases, the most effective therapy is an intranasal steroid in combination with a topical nasal antihistamine. There are also multiple other modalities of therapy including other nasal sprays, nasal washes, as well as other oral medications. Your BVAAC board-certified allergist will make every effort to do whatever is needed to relieve her symptoms.