Niealergiczne zapalenie błony śluzowej nosa
Charakterystyka, pielęgnacja i opieka
Nieallergiczny nieżyt nosa to przewlekły stan zapalny błony śluzowej nosa, charakteryzujący się objawami takimi jak przekrwienie nosa, wodnisty wyciek, kichanie oraz spływanie wydzieliny po tylnej ścianie gardła, bez podłoża alergicznego. Diagnostyka opiera się na wykluczeniu alergii poprzez testy skórne i badania serologiczne, a także na braku reakcji na standardowe leczenie przeciwalergiczne. Czynniki wyzwalające obejmują zmiany temperatury, zanieczyszczenia powietrza, silne zapachy, dym tytoniowy, alkohol, pikantne potrawy, niektóre leki oraz suche powietrze. Leczenie pierwszego rzutu stanowią donosowe kortykosteroidy (np. flutykazon, mometazon), które skutecznie redukują stan zapalny błony śluzowej. W terapii wspomagającej stosuje się donosowe leki przeciwhistaminowe (azelastyna), przeciwcholinergiczne (bromek ipratropium) oraz krótkotrwałe (3-4 dni) leki obkurczające naczynia (oksymetazolina, pseudoefedryna). Płukanie nosa roztworem soli fizjologicznej jest bezpieczną i skuteczną metodą wspomagającą oczyszczanie błony śluzowej.
- Nieallergiczny nieżyt nosa – przegląd
- Objawy i czynniki wyzwalające nieallergiczny nieżyt nosa
- Leczenie i pielęgnacja pacjenta z nieallergicznym nieżytem nosa
- Unikanie czynników wyzwalających
- Metody niefarmakologiczne
- Farmakoterapia
- Tabela leków stosowanych w nieallergicznym nieżycie nosa
- Leczenie operacyjne
- Opieka pielęgnacyjna nad pacjentem z nieallergicznym nieżytem nosa
- Wpływ na jakość życia i powikłania
- Nieallergiczny nieżyt nosa w szczególnych grupach pacjentów
- Przewlekły charakter i znaczenie ciągłości opieki
- Całościowe podejście do opieki nad pacjentem
Nieallergiczny nieżyt nosa – przegląd
Nieallergiczny nieżyt nosa to stan zapalny śluzówki nosa, który charakteryzuje się objawami takimi jak przekrwienie nosa, wyciek, kichanie i/lub spływanie wydzieliny po tylnej ścianie gardła, bez zidentyfikowanej przyczyny alergicznej. Objawy są podobne do tych występujących w alergicznym nieżycie nosa (katarze siennym), jednak nie są wywołane przez reakcję alergiczną12. Nieallergiczny nieżyt nosa nie powoduje zazwyczaj świądu nosa, oczu czy gardła, które są charakterystyczne dla alergii3.
Dokładna przyczyna nieallergicznego nieżytu nosa pozostaje nieznana. Wiadomo jednak, że stan ten pojawia się, gdy naczynia krwionośne w nosie rozszerzają się, wypełniając tkanki wyściełające wnętrze nosa. Może to być spowodowane wieloma czynnikami, na przykład zakończenia nerwowe w nosie mogą nadmiernie reagować na bodźce45.
Nieallergiczny nieżyt nosa może dotykać zarówno dzieci jak i dorosłych, jednak częściej występuje po 20. roku życia. Objawy zwykle utrzymują się przez cały rok, choć mogą nasilać się w określonych warunkach pogodowych6.
Diagnostyka nieallergicznego nieżytu nosa
Diagnoza nieallergicznego nieżytu nosa jest stawiana po wykluczeniu przyczyn alergicznych. Lekarz przeprowadza badanie fizykalne i wywiad dotyczący objawów. Pacjent może potrzebować testów skórnych lub badań krwi, aby wykluczyć alergiczny nieżyt nosa78.
Nieallergiczny nieżyt nosa rozpoznaje się, gdy:9
- Tradycyjne czynniki wyzwalające, takie jak kontakt z kotem lub psem, są nieobecne
- Wyniki testów na obecność alergii są negatywne
- Występują charakterystyczne objawy, które nie reagują na standardowe leczenie przeciwalergiczne
W niektórych przypadkach lekarz może zalecić wypróbowanie określonego leku i obserwację, czy objawy ustępują10.
Objawy i czynniki wyzwalające nieallergiczny nieżyt nosa
Objawy nieallergicznego nieżytu nosa mogą przychodzić i odchodzić przez cały rok. Najczęstsze objawy to:1112
- Zatkany nos (przekrwienie)
- Wodnisty wyciek z nosa
- Kichanie
- Spływanie wydzieliny po tylnej ścianie gardła
- Zmniejszone poczucie zapachu
Czynniki wyzwalające nieallergiczny nieżyt nosa mogą być różne u poszczególnych osób i obejmują:1314
- Zmiany temperatury lub ciśnienia barometrycznego
- Zanieczyszczenie powietrza
- Silne zapachy (perfumy, środki czystości, zwłaszcza wybielacze)
- Dym papierosowy
- Alkohol
- Pikantne potrawy
- Niektóre leki
- Silne emocje
- Suche powietrze
Nieallergiczny nieżyt nosa może być związany z innymi schorzeniami, takimi jak polipy nosa (miękkie narośla tworzące się na błonie śluzowej nosa) czy skrzywiona przegroda nosowa15.
Leczenie i pielęgnacja pacjenta z nieallergicznym nieżytem nosa
Leczenie nieallergicznego nieżytu nosa zależy od nasilenia objawów. W łagodnych przypadkach wystarczające może być leczenie domowe i unikanie czynników wyzwalających. W poważniejszych przypadkach stosuje się farmakoterapię16.
Unikanie czynników wyzwalających
Pierwszą i najlepszą opcją leczenia jest unikanie kontaktu z czynnikami wyzwalającymi:1718
- Unikanie silnych zapachów (perfumy, mydła, farby)
- Unikanie zanieczyszczeń powietrza (dymy, dym tytoniowy)
- Unikanie innych znanych czynników wyzwalających objawy
Rozpoznanie i unikanie indywidualnych czynników wyzwalających może znacząco zmniejszyć częstotliwość i nasilenie objawów19.
Metody niefarmakologiczne
Skuteczne mogą być również następujące metody niefarmakologiczne:2021
- Płukanie nosa roztworem soli fizjologicznej (saliną) raz lub dwa razy dziennie
- Stosowanie nawilżaczy powietrza, szczególnie w suchym środowisku
- Regularne wydmuchiwanie nosa
- Picie dużej ilości płynów, aby rozrzedzić wydzielinę
Przepłukiwanie jam nosowych solą fizjologiczną pomaga usunąć drażniące substancje i pozwala na oczyszczenie nosa22.
Farmakoterapia
W leczeniu nieallergicznego nieżytu nosa stosuje się różne grupy leków:2324
- Kortykosteroidy donosowe (takie jak flutykazon, mometazon) – leki pierwszego wyboru, skutecznie zmniejszają stan zapalny błony śluzowej nosa
- Donosowe leki przeciwhistaminowe (takie jak azelastyna) – mogą łagodzić objawy spływania wydzieliny, przekrwienia i kichania
- Donosowe leki przeciwcholinergiczne (takie jak bromek ipratropium) – pomagają przy wodnistym wycieku z nosa
- Leki obkurczające naczynia krwionośne nosa – należy je stosować krótkotrwale (nie dłużej niż 3-4 dni), aby uniknąć efektu z odbicia
Ważne jest, aby leki stosować zgodnie z zaleceniami lekarza. Dłuższe niż zalecane stosowanie niektórych preparatów (np. donosowych leków obkurczających naczynia) może prowadzić do nasilenia objawów2526.
Tabela leków stosowanych w nieallergicznym nieżycie nosa
| Grupa leków | Przykładowe substancje czynne | Główne działanie | Wskazania | Uwagi |
|---|---|---|---|---|
| Kortykosteroidy donosowe | Flutykazon, mometazon, beklometazon | Zmniejszenie stanu zapalnego błony śluzowej nosa | Przekrwienie nosa, wyciek, kichanie | Najskuteczniejsza terapia pierwszego rzutu |
| Leki przeciwhistaminowe donosowe | Azelastyna (Astelin, Astepro), Patanase | Hamowanie reakcji zapalnej | Spływanie wydzieliny, przekrwienie, kichanie | Mogą być stosowane samodzielnie lub w połączeniu z kortykosteroidami |
| Leki przeciwcholinergiczne donosowe | Bromek ipratropium | Hamowanie wydzielania śluzu | Wodnisty wyciek z nosa | Szczególnie skuteczne przy nieżycie smakowym |
| Leki obkurczające naczynia | Oksymetazolina, pseudoefedryna | Zmniejszenie przekrwienia błony śluzowej | Silne zatkanie nosa | Stosować nie dłużej niż 3-4 dni, ryzyko efektu z odbicia |
| Płukanie solą fizjologiczną | Roztwór soli fizjologicznej | Mechaniczne oczyszczanie nosa | Wszystkie objawy nieżytu | Bezpieczne, może być stosowane długotrwale |
| Kapsaicyna donosowa | Kapsaicyna | Desensytyzacja zakończeń nerwowych | Przekrwienie nosa | Wymagane dalsze badania dotyczące dawkowania i czasu stosowania |
Leczenie operacyjne
W niektórych przypadkach lekarz może zalecić leczenie chirurgiczne innych problemów związanych z nieallergicznym nieżytem nosa:2728
- Usunięcie polipów nosa
- Korekta skrzywionej przegrody nosowej
- Chirurgiczne zmniejszenie małżowin nosowych
- Resekcja nerwu nosowego tylnego lub neurektomia nerwu widowego
Leczenie chirurgiczne rozważa się zwykle po 6-12 miesiącach nieskutecznej terapii farmakologicznej29.
Opieka pielęgnacyjna nad pacjentem z nieallergicznym nieżytem nosa
Pielęgniarki odgrywają kluczową rolę w opiece nad pacjentami z nieallergicznym nieżytem nosa. Ich zadania obejmują:3031
- Kompleksową ocenę stanu pacjenta i jego objawów
- Edukację pacjenta na temat schorzenia i metod leczenia
- Identyfikację czynników wyzwalających objawy
- Naukę prawidłowego stosowania leków donosowych
- Monitorowanie skuteczności leczenia i występowania działań niepożądanych
- Współpracę z lekarzami alergologami i otolaryngologami
Edukacja pacjenta
Edukacja jest kluczowym elementem opieki nad pacjentem z nieallergicznym nieżytem nosa. Pielęgniarka powinna przekazać pacjentowi następujące informacje:3233
- Charakter schorzenia i jego przewlekły przebieg
- Znaczenie identyfikacji i unikania czynników wyzwalających
- Prawidłowe techniki płukania nosa solą fizjologiczną
- Właściwe stosowanie przepisanych leków donosowych
- Konieczność regularnego stosowania leków, nawet przy braku objawów
- Rozpoznawanie działań niepożądanych leków
- Kiedy kontaktować się z lekarzem
Technika stosowania leków donosowych
Prawidłowa technika stosowania leków donosowych jest kluczowa dla skuteczności leczenia. Pielęgniarka powinna nauczyć pacjenta:34
- Delikatnego oczyszczenia nosa przed zastosowaniem leku
- Wstrząśnięcia pojemnika z lekiem (jeśli jest to wymagane)
- Prawidłowego trzymania aplikatora
- Kierowania końcówki aplikatora w stronę bocznej ściany nosa, z dala od przegrody nosowej
- Wdychania przez nos podczas aplikacji leku
- Unikania wydmuchiwania nosa bezpośrednio po aplikacji
Monitorowanie i ocena efektów leczenia
Regularne monitorowanie efektów leczenia jest ważnym aspektem opieki nad pacjentem z nieallergicznym nieżytem nosa. Pielęgniarka powinna:35
- Prowadzić regularną ocenę nasilenia objawów
- Dokumentować odpowiedź na leczenie
- Identyfikować nowe lub zmieniające się czynniki wyzwalające
- Monitorować występowanie działań niepożądanych leków
- Oceniać wpływ objawów na jakość życia pacjenta
- Proponować modyfikacje leczenia w porozumieniu z lekarzem
Wpływ na jakość życia i powikłania
Nieallergiczny nieżyt nosa, mimo że nie jest schorzeniem zagrażającym życiu, może znacząco wpływać na jakość życia pacjenta. Badania wykazały, że nieleczony nieżyt nosa zwiększa ryzyko współwystępowania innych chorób, takich jak:3637
- Zaburzenia snu i nadmierna senność w ciągu dnia
- Problemy z koncentracją
- Zwiększona drażliwość
- Infekcje ucha
- Polipy nosa
- Zapalenie zatok
- Infekcje zatok
Nieallergiczny nieżyt nosa jest często związany z astmą niealergiczną, zgodnie z teorią „zjednoczonych dróg oddechowych”38.
Nieallergiczny nieżyt nosa w szczególnych grupach pacjentów
Leczenie nieallergicznego nieżytu nosa u kobiet w ciąży i w populacji pediatrycznej stanowi odrębne wyzwanie. Postępowanie powinno koncentrować się przede wszystkim na terapii zachowawczej39.
U dzieci nieallergiczny nieżyt nosa występuje rzadko i jest słabo poznany. Prawdziwa częstość występowania u dzieci jest nieznana40. Przebieg kliniczny nieallergicznego nieżytu nosa u dzieci jest zazwyczaj łagodniejszy i rzadziej związany z współistniejącymi chorobami alergicznymi niż alergiczny nieżyt nosa41.
U kobiet w ciąży z objawami nieżytu nosa, które nie są spowodowane hormonalnym nieżytem nosa, beklometazon donosowy może być korzystny w leczeniu objawów42.
Przewlekły charakter i znaczenie ciągłości opieki
Nieallergiczny nieżyt nosa jest zwykle schorzeniem przewlekłym. U większości pacjentów objawy utrzymują się przez całe życie i konieczne jest codzienne, długoterminowe stosowanie leków4344.
W niektórych przypadkach dawkę lub częstość stosowania leków można z czasem zmniejszyć. Kluczowa jest jednak ciągła opieka i regularne wizyty kontrolne, aby dostosować leczenie do zmieniających się okoliczności45.
Pacjenci powinni skontaktować się z lekarzem, jeśli objawy nie ustępują, nasilają się lub pojawiają się nowe objawy46.
Całościowe podejście do opieki nad pacjentem
Skuteczna opieka nad pacjentem z nieallergicznym nieżytem nosa wymaga kompleksowego podejścia, obejmującego:4748
- Indywidualne dostosowanie leczenia do rodzaju i nasilenia objawów
- Edukację pacjenta dotyczącą stosowania leków, unikania alergenów i zmian stylu życia
- Wsparcie emocjonalne i zrozumienie wyzwań związanych z przewlekłym nieżytem nosa
- Regularne monitorowanie efektów leczenia i dostosowywanie terapii
- Współpracę interdyscyplinarną z innymi specjalistami (alergologami, otolaryngologami)
Nieallergiczny nieżyt nosa może być przytłaczający, ponieważ objawy są często przewlekłe i mogą powodować dyskomfort w życiu wielu osób. Leczenie tych objawów może wydawać się trudne, ale kompleksowa opieka medyczna może pomóc pacjentowi w poprawie jakości życia49.
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Materiały źródłowe
- #1 Nonallergic rhinitis – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/symptoms-causes/syc-20351229
Nonallergic rhinitis involves sneezing or a stuffy, drippy nose. It can be a long-term problem, and it has no clear cause. The symptoms are like those of hay fever, also called allergic rhinitis. But nonallergic rhinitis isn’t caused by allergies. […] Nonallergic rhinitis can affect children and adults. But it’s more common after age 20. Factors that trigger the symptoms vary from person to person. The triggers can include some: […] Health care providers often first make sure a person’s symptoms aren’t caused by allergies. So you may need skin or blood tests to find out if you have allergic rhinitis. […] Nonallergic rhinitis symptoms often come and go year-round. Your symptoms might include: […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
- #2 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics
Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) […] NONALLERGIC RHINITIS OVERVIEW […] This topic discusses nonallergic rhinitis. A separate topic discusses rhinitis caused by allergies. […] WHAT IS NONALLERGIC RHINITIS? […] „Nonallergic rhinitis” is the medical term used to describe the following symptoms when they occur without a known allergic cause for weeks to months at a time for at least one year: […] Symptoms are usually present year-round, although they may be worsened by certain weather conditions (eg, those that accompany changes of season). The condition does not usually develop until adulthood. […] NONALLERGIC RHINITIS TREATMENT […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation.
- #3 Nonallergic rhinitis – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/symptoms-causes/syc-20351229
Nonallergic rhinitis involves sneezing or a stuffy, drippy nose. It can be a long-term problem, and it has no clear cause. The symptoms are like those of hay fever, also called allergic rhinitis. But nonallergic rhinitis isn’t caused by allergies. […] Nonallergic rhinitis can affect children and adults. But it’s more common after age 20. Factors that trigger the symptoms vary from person to person. The triggers can include some: […] Health care providers often first make sure a person’s symptoms aren’t caused by allergies. So you may need skin or blood tests to find out if you have allergic rhinitis. […] Nonallergic rhinitis symptoms often come and go year-round. Your symptoms might include: […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
- #4 Nonallergic rhinitis – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/symptoms-causes/syc-20351229
See your health care provider if you: […] The exact cause of nonallergic rhinitis is unknown. […] But experts do know that nonallergic rhinitis happens when blood vessels in the nose expand. These blood vessels fill the tissue that lines the inside of the nose. Many things could cause this. For instance, the nerve endings in the nose might react to triggers too easily. […] Triggers of nonallergic rhinitis can include: […] Things that can make you more likely to get nonallergic rhinitis include: […] Nonallergic rhinitis might be linked to: […] If you have nonallergic rhinitis, take steps to ease your symptoms and prevent flare-ups: […] Learn your triggers. Find out what factors cause your symptoms or make them worse. That way you can stay away from them. Your health care provider can help you learn your triggers.
- #5 Nonallergic rhinitis | Beacon Health Systemhttps://www.beaconhealthsystem.org/library/diseases-and-conditions/nonallergic-rhinitis?content_id=CON-20155767
But experts do know that nonallergic rhinitis happens when blood vessels in the nose expand. These blood vessels fill the tissue that lines the inside of the nose. Many things could cause this. For instance, the nerve endings in the nose might react to triggers too easily. […] Nonallergic rhinitis might be linked to: Nasal polyps. These are soft growths that form on the tissue that lines the inside of the nose. Polyps also can form on the lining of the spaces inside the nose and head, called sinuses. […] If you have nonallergic rhinitis, take steps to ease your symptoms and prevent flare-ups: Learn your triggers. Find out what factors cause your symptoms or make them worse. That way you can stay away from them. Your health care provider can help you learn your triggers. […] Treatment of nonallergic rhinitis depends on how much it bothers you. Home treatment and staying away from triggers might be enough for mild cases. Medicines may ease worse symptoms.
- #6 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics
Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) […] NONALLERGIC RHINITIS OVERVIEW […] This topic discusses nonallergic rhinitis. A separate topic discusses rhinitis caused by allergies. […] WHAT IS NONALLERGIC RHINITIS? […] „Nonallergic rhinitis” is the medical term used to describe the following symptoms when they occur without a known allergic cause for weeks to months at a time for at least one year: […] Symptoms are usually present year-round, although they may be worsened by certain weather conditions (eg, those that accompany changes of season). The condition does not usually develop until adulthood. […] NONALLERGIC RHINITIS TREATMENT […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation.
- #7 Vasomotor Rhinitis: Symptoms, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/17950-nonallergic-rhinitis
Vasomotor (nonallergic) rhinitis is inflammation of nasal tissues that results in sneezing, nasal congestion, runny nose or postnasal drip. […] Vasomotor is also called idiopathic rhinitis. Its a type of nonallergic rhinitis. […] A healthcare provider can diagnose vasomotor rhinitis with a physical exam of your nose and throat and a review of your medical history. In some cases, further testing helps confirm your diagnosis. […] There isnt a cure for nonallergic rhinitis. Most people manage symptoms with self-care measures, changes to their environment and medicine. […] If your condition results from exposure to triggers like perfumes, treatment may be as simple as avoiding the trigger. In those cases where avoiding the trigger is impossible, you can put measures in place to ease symptoms, try over-the-counter medications or get a prescription from a healthcare provider.
- #8 Nonallergic rhinitis – Diagnosis & treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235
Your health care provider will likely give you a physical exam and ask you about your symptoms. You’ll need tests to find out if something other than nonallergic rhinitis is causing your symptoms. […] You may have nonallergic rhinitis if: […] Treatment of nonallergic rhinitis depends on how much it bothers you. Home treatment and staying away from triggers might be enough for mild cases. Medicines may ease worse symptoms. […] Your health care provider may suggest surgery to treat other problems that can happen with nonallergic rhinitis. For example, growths in the nose called polyps may need to be removed. Surgery also can fix a problem where the thin wall between the passages in the nose is off-center or crooked. This is called a deviated septum. […] Try these tips to ease the symptoms of nonallergic rhinitis:
- #9 Non-allergic rhinitis – Symptoms, diagnosis and treatment | BMJ Best Practicehttps://bestpractice.bmj.com/topics/en-gb/231
For non-allergic rhinitis, traditional triggers such as cat or dog exposure should be absent. […] Symptoms and examination findings can overlap between perennial allergic rhinitis and non-allergic rhinitis (NAR), with nasal turbinates swollen and beefy red, scant mucus, cobblestoning of posterior pharynx from chronic post-nasal drainage, and retraction of tympanic membranes indicating congestion. […] A diagnosis of NAR requires negative specific IgE responses by skin or serological testing. […] Treatment is based on symptoms, and all patients should be counselled on avoidance of triggers. Symptom control in NAR requires a balance between the control of excess secretions and over-suppression. First-line treatments include intranasal corticosteroids, intranasal antihistamines, and intranasal ipratropium. […] Structural problems or other complicating conditions should be ruled out with imaging if initial therapeutic trials fail to relieve symptoms. […] It is a chronic condition that should be distinguished from a common cold, which can manifest with symptoms of NAR but is self-limiting.
- #10 Nonallergic rhinitishttps://www.mymlc.com/health-information/diseases-and-conditions/n/nonallergic-rhinitis/?section=Diagnosis
Treatment of nonallergic rhinitis depends on how much it bothers you. For mild cases, home treatment and avoiding triggers might be enough. For more-bothersome symptoms, certain medications may provide relief, including: Saline nasal sprays. Use an over-the-counter nasal saline spray or homemade saltwater solution to flush the nose of irritants and help thin the mucus and soothe the membranes in your nose. […] Your doctor will diagnose nonallergic rhinitis based on your symptoms and by ruling out other causes, especially allergies. Your doctor will perform a physical exam and ask questions about your symptoms. […] In some cases, your doctor might have you try a medication and see whether your symptoms improve. […] Over-the-counter oral antihistamines, such as diphenhydramine (Benadryl), cetirizine (Zyrtec Allergy), fexofenadine (Allegra Allergy) and loratadine (Alavert, Claritin), typically don’t work nearly as well for nonallergic rhinitis as they do for allergic rhinitis. […] In some cases, surgical procedures might be an option to treat complicating problems, such as a deviated nasal septum or persistent nasal polyps.
- #11 Nonallergic rhinitis – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/symptoms-causes/syc-20351229
Nonallergic rhinitis involves sneezing or a stuffy, drippy nose. It can be a long-term problem, and it has no clear cause. The symptoms are like those of hay fever, also called allergic rhinitis. But nonallergic rhinitis isn’t caused by allergies. […] Nonallergic rhinitis can affect children and adults. But it’s more common after age 20. Factors that trigger the symptoms vary from person to person. The triggers can include some: […] Health care providers often first make sure a person’s symptoms aren’t caused by allergies. So you may need skin or blood tests to find out if you have allergic rhinitis. […] Nonallergic rhinitis symptoms often come and go year-round. Your symptoms might include: […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
- #12 Nonallergic rhinopathy: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/001648.htm
Rhinitis is a condition that includes a runny nose, sneezing, and nasal stuffiness. When environmental allergies (such as hayfever) or a cold are not causing these symptoms, the condition is called nonallergic rhinitis. One type of nonallergic rhinitis is called nonallergic rhinopathy. This condition used to be known as vasomotor rhinitis. […] Nonallergic rhinopathy is not caused by an infection or allergy. The exact cause is unknown. Symptoms are triggered by something that irritates the nose, such as: A dry atmosphere, Air pollution, Alcohol, Certain medicines, Spicy foods, and in some cases, while eating in general, Strong emotions, Strong odors, such as perfumes, cleaning products (especially bleach) among others. […] Symptoms include: Runny nose, Nasal congestion (stuffy nose), Sneezing, Watery nasal drainage.
- #13 Nonallergic rhinitis – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/symptoms-causes/syc-20351229
See your health care provider if you: […] The exact cause of nonallergic rhinitis is unknown. […] But experts do know that nonallergic rhinitis happens when blood vessels in the nose expand. These blood vessels fill the tissue that lines the inside of the nose. Many things could cause this. For instance, the nerve endings in the nose might react to triggers too easily. […] Triggers of nonallergic rhinitis can include: […] Things that can make you more likely to get nonallergic rhinitis include: […] Nonallergic rhinitis might be linked to: […] If you have nonallergic rhinitis, take steps to ease your symptoms and prevent flare-ups: […] Learn your triggers. Find out what factors cause your symptoms or make them worse. That way you can stay away from them. Your health care provider can help you learn your triggers.
- #14 Nonallergic rhinopathy: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/001648.htm
Rhinitis is a condition that includes a runny nose, sneezing, and nasal stuffiness. When environmental allergies (such as hayfever) or a cold are not causing these symptoms, the condition is called nonallergic rhinitis. One type of nonallergic rhinitis is called nonallergic rhinopathy. This condition used to be known as vasomotor rhinitis. […] Nonallergic rhinopathy is not caused by an infection or allergy. The exact cause is unknown. Symptoms are triggered by something that irritates the nose, such as: A dry atmosphere, Air pollution, Alcohol, Certain medicines, Spicy foods, and in some cases, while eating in general, Strong emotions, Strong odors, such as perfumes, cleaning products (especially bleach) among others. […] Symptoms include: Runny nose, Nasal congestion (stuffy nose), Sneezing, Watery nasal drainage.
- #15 Nonallergic rhinitis | Beacon Health Systemhttps://www.beaconhealthsystem.org/library/diseases-and-conditions/nonallergic-rhinitis?content_id=CON-20155767
But experts do know that nonallergic rhinitis happens when blood vessels in the nose expand. These blood vessels fill the tissue that lines the inside of the nose. Many things could cause this. For instance, the nerve endings in the nose might react to triggers too easily. […] Nonallergic rhinitis might be linked to: Nasal polyps. These are soft growths that form on the tissue that lines the inside of the nose. Polyps also can form on the lining of the spaces inside the nose and head, called sinuses. […] If you have nonallergic rhinitis, take steps to ease your symptoms and prevent flare-ups: Learn your triggers. Find out what factors cause your symptoms or make them worse. That way you can stay away from them. Your health care provider can help you learn your triggers. […] Treatment of nonallergic rhinitis depends on how much it bothers you. Home treatment and staying away from triggers might be enough for mild cases. Medicines may ease worse symptoms.
- #16 Nonallergic rhinitis – Diagnosis & treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235
Your health care provider will likely give you a physical exam and ask you about your symptoms. You’ll need tests to find out if something other than nonallergic rhinitis is causing your symptoms. […] You may have nonallergic rhinitis if: […] Treatment of nonallergic rhinitis depends on how much it bothers you. Home treatment and staying away from triggers might be enough for mild cases. Medicines may ease worse symptoms. […] Your health care provider may suggest surgery to treat other problems that can happen with nonallergic rhinitis. For example, growths in the nose called polyps may need to be removed. Surgery also can fix a problem where the thin wall between the passages in the nose is off-center or crooked. This is called a deviated septum. […] Try these tips to ease the symptoms of nonallergic rhinitis:
- #17 Vasomotor Rhinitis – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK547704/
Nonallergic rhinitis (NAR) describes a syndrome of chronic symptoms of nasal congestion and rhinorrhea, unrelated to a specific allergen. […] The best overall treatment is the avoidance of the known trigger with medical therapy as an adjunct. […] Upon determining a diagnosis of vasomotor rhinitis, educating the patient on avoiding environmental triggers is critical. […] Avoidance of irritating stimuli is the mainstay of treatment. Avoidance measures and medical therapy are often enough to decrease most of the symptomatology and mucosal disease associated with nonallergic rhinitis. […] When medical management alone does not adequately control vasomotor rhinitis symptoms, surgical interventions may be employed. […] Treating nonallergic rhinitis in pregnancy and the pediatric population presents its own challenges. Management should center around conservative therapy first. […] Patient education is critical in managing vasomotor rhinitis. Patients with known environmental, non-immunologic, and irritant triggers should be reminded to avoid exposure to these offending agents.
- #18 Nonallergic Rhinitis Information & Treatmenthttps://www.columbiadoctors.org/health-library/condition/nonallergic-rhinitis/
Rhinitis is swelling and irritation in the nose. It’s often triggered by an allergy. Nonallergic rhinitis is the term used for rhinitis that is caused by things other than allergies. […] You can take simple measures to help relieve your symptoms of nonallergic rhinitis. […] Try to avoid things that trigger your symptoms. […] Use saline (salt water) to rinse your nasal passages once or twice a day. Then blow your nose. […] Use a prescription or over-the-counter nasal medicine, as recommended by your doctor. Different types that might be helpful include antihistamine, corticosteroid, decongestant, and capsaicin nasal sprays. […] If your doctor recommends medicine to relieve symptoms, make sure to take it exactly as prescribed. For example, take a decongestant spray for no more than 3 or 4 days. Longer use can make symptoms worse. Call your doctor if you think you are having a problem with your medicine.
- #19 Nonallergic rhinitis – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/symptoms-causes/syc-20351229
See your health care provider if you: […] The exact cause of nonallergic rhinitis is unknown. […] But experts do know that nonallergic rhinitis happens when blood vessels in the nose expand. These blood vessels fill the tissue that lines the inside of the nose. Many things could cause this. For instance, the nerve endings in the nose might react to triggers too easily. […] Triggers of nonallergic rhinitis can include: […] Things that can make you more likely to get nonallergic rhinitis include: […] Nonallergic rhinitis might be linked to: […] If you have nonallergic rhinitis, take steps to ease your symptoms and prevent flare-ups: […] Learn your triggers. Find out what factors cause your symptoms or make them worse. That way you can stay away from them. Your health care provider can help you learn your triggers.
- #20 Nonallergic Rhinitis | Kaiser Permanentehttps://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.nonallergic-rhinitis.abs1066
You can take simple measures to help relieve your symptoms of nonallergic rhinitis. […] Try to avoid things that trigger your symptoms. […] Use saline (salt water) to rinse your nasal passages once or twice a day. Then blow your nose. You can use: A saline nasal spray. It’s easy and quick to use, and you can find it in any drugstore. […] Use a prescription or over-the-counter nasal medicine, as recommended by your doctor. Different types that might be helpful include antihistamine, corticosteroid, decongestant, and capsaicin nasal sprays. […] If your doctor recommends medicine to relieve symptoms, make sure to take it exactly as prescribed. For example, take a decongestant spray for no more than 3 or 4 days. Longer use can make symptoms worse. Call your doctor if you think you are having a problem with your medicine.
- #21 Nonallergic rhinitis | Beacon Health Systemhttps://www.beaconhealthsystem.org/library/diseases-and-conditions/nonallergic-rhinitis?content_id=CON-20155767
Your health care provider may suggest surgery to treat other problems that can happen with nonallergic rhinitis. For example, growths in the nose called polyps may need to be removed. […] Try these tips to ease the symptoms of nonallergic rhinitis: Rinse the inside of the nose. Flushing out the nose with saline or a homemade saltwater mixture can help.
- #22 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics
Nasal rinsing and irrigationâSimply rinsing the nose with a salt water (saline) solution one or more times per day is helpful for many patients with nonallergic rhinitis, as well as for other rhinitis conditions. […] Medications that may help symptomsâDaily use of a nasal glucocorticoid (steroid) and/or an antihistamine nasal spray can be helpful for people with nonallergic rhinitis. These medications may be used alone or in combination. […] Nasal antihistaminesâA prescription nasal antihistamine spray, such as azelastine (eg, Astelin, Astepro) or Patanase, can relieve symptoms of postnasal drip, congestion, and sneezing. […] Nasal glucocorticoids (steroids)âNasal glucocorticoids (steroids) have been shown to be effective for symptoms of nonallergic rhinitis. […] How long will I need treatment?âThe dose or frequency of medications can be reduced in some patients over time. However, in most patients, symptoms are lifelong, and some medication is usually needed on a daily and long-term basis.
- #23 Vasomotor Rhinitis: Symptoms, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/17950-nonallergic-rhinitis
Prescribed medications can decrease nasal inflammation and manage your symptoms. These medications may include: Decongestant nasal sprays to relieve nasal congestion. Antihistamine nasal sprays that reduce nasal inflammation. Corticosteroid nasal sprays (like fluticasone) to reduce nasal inflammation (first-line treatment for nasal congestion). Anticholinergic nasal sprays (like ipratropium bromide) to help with a runny nose. […] Theres no way to prevent vasomotor rhinitis. You can lower your risk by avoiding triggers known to cause rhinitis. […] For many people, vasomotor rhinitis is a chronic, or long-term, condition. It may come and go over time. […] If you have a runny nose, stuffy nose or postnasal drip that wont go away, talk to a healthcare provider. They can help determine whats triggering your symptoms. They can recommend treatments that can help.
- #24 Nonallergic rhinitis – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutubehttps://www.augustahealth.com/disease/nonallergic-rhinitis/
Nonallergic rhinitis involves chronic sneezing or a congested, drippy nose with no apparent cause. Nonallergic rhinitis symptoms are similar to those of hay fever (allergic rhinitis), but with none of the usual evidence of an allergic reaction. […] A diagnosis of nonallergic rhinitis is made after an allergic cause is ruled out. This may require allergy skin or blood tests. […] See your doctor if: Your symptoms are severe; You have signs and symptoms that aren’t relieved by over-the-counter medications or self-care; You have bothersome side effects from over-the-counter or prescription medications for rhinitis. […] Treatment of nonallergic rhinitis depends on how much it bothers you. For mild cases, home treatment and avoiding triggers might be enough. For more-bothersome symptoms, certain medications may provide relief, including: Saline nasal sprays; Corticosteroid nasal sprays; Antihistamine nasal sprays; Anti-drip anticholinergic nasal sprays; Decongestants.
- #25 Nonallergic Rhinitis Information & Treatmenthttps://www.columbiadoctors.org/health-library/condition/nonallergic-rhinitis/
Rhinitis is swelling and irritation in the nose. It’s often triggered by an allergy. Nonallergic rhinitis is the term used for rhinitis that is caused by things other than allergies. […] You can take simple measures to help relieve your symptoms of nonallergic rhinitis. […] Try to avoid things that trigger your symptoms. […] Use saline (salt water) to rinse your nasal passages once or twice a day. Then blow your nose. […] Use a prescription or over-the-counter nasal medicine, as recommended by your doctor. Different types that might be helpful include antihistamine, corticosteroid, decongestant, and capsaicin nasal sprays. […] If your doctor recommends medicine to relieve symptoms, make sure to take it exactly as prescribed. For example, take a decongestant spray for no more than 3 or 4 days. Longer use can make symptoms worse. Call your doctor if you think you are having a problem with your medicine.
- #26 Nonallergic rhinitis – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/symptoms-causes/syc-20351229
Don’t use decongestant nose sprays or drops for too long. Using these medicines for more than a few days at a time can make your symptoms worse. […] Get treatment that works. If you’ve tried a medicine that doesn’t help enough, talk to your health care provider. A change to your treatment plan may be needed to prevent or ease your symptoms.
- #27 Nonallergic rhinitis – Diagnosis & treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235
Your health care provider will likely give you a physical exam and ask you about your symptoms. You’ll need tests to find out if something other than nonallergic rhinitis is causing your symptoms. […] You may have nonallergic rhinitis if: […] Treatment of nonallergic rhinitis depends on how much it bothers you. Home treatment and staying away from triggers might be enough for mild cases. Medicines may ease worse symptoms. […] Your health care provider may suggest surgery to treat other problems that can happen with nonallergic rhinitis. For example, growths in the nose called polyps may need to be removed. Surgery also can fix a problem where the thin wall between the passages in the nose is off-center or crooked. This is called a deviated septum. […] Try these tips to ease the symptoms of nonallergic rhinitis:
- #28 Nonallergic rhinitishttps://www.mymlc.com/health-information/diseases-and-conditions/n/nonallergic-rhinitis/?section=Diagnosis
Treatment of nonallergic rhinitis depends on how much it bothers you. For mild cases, home treatment and avoiding triggers might be enough. For more-bothersome symptoms, certain medications may provide relief, including: Saline nasal sprays. Use an over-the-counter nasal saline spray or homemade saltwater solution to flush the nose of irritants and help thin the mucus and soothe the membranes in your nose. […] Your doctor will diagnose nonallergic rhinitis based on your symptoms and by ruling out other causes, especially allergies. Your doctor will perform a physical exam and ask questions about your symptoms. […] In some cases, your doctor might have you try a medication and see whether your symptoms improve. […] Over-the-counter oral antihistamines, such as diphenhydramine (Benadryl), cetirizine (Zyrtec Allergy), fexofenadine (Allegra Allergy) and loratadine (Alavert, Claritin), typically don’t work nearly as well for nonallergic rhinitis as they do for allergic rhinitis. […] In some cases, surgical procedures might be an option to treat complicating problems, such as a deviated nasal septum or persistent nasal polyps.
- #29 AAIR :: Allergy, Asthma & Immunology Researchhttps://e-aair.org/DOIx.php?id=10.4168/aair.2011.3.3.148
Capsaicin is the chemical contained within the oil of Capsicum pepper and while it is initially irritating to the applied area, it eventually desensitizes the sensory neural fibers. […] Topically applied silver nitrate was found to be effective in a trial comparing silver nitrate, flunisolide, and placebo in patients with NAR. […] After 6-12 months of failed medical therapy (intranasal corticosteroid with azelastine and/or decongestants and/or ipratropium bromide) then surgical options may be considered.
- #30 Nursing Care Plan For Rhinitis – Made For Medicalhttps://www.madeformedical.com/nursing-care-plan-for-rhinitis/
Rhinitis is a common condition characterized by inflammation of the nasal mucosa, leading to symptoms such as nasal congestion, sneezing, runny nose, and itching. Nursing care for patients with rhinitis is essential to alleviate symptoms, improve their quality of life, and address the underlying causes. […] Nurses play a pivotal role in providing support to individuals with rhinitis, including administering medications, educating patients about triggers and management strategies, and promoting healthy lifestyle choices. Effective communication and patient-centered care are essential to address the specific needs and concerns of each patient. […] Ultimately, the goal of this care plan is to offer holistic and patient-centered care, helping individuals with rhinitis manage their symptoms, identify triggers, and improve their overall quality of life. Nursing care plays a crucial role in alleviating the discomfort associated with rhinitis and promoting long-term symptom control and well-being.
- #31 Nursing Care Plan For Rhinitis – Made For Medicalhttps://www.madeformedical.com/nursing-care-plan-for-rhinitis/
Nurses play a vital role in assessing and managing rhinitis, particularly in terms of symptom control, patient education, and identifying potential allergens or irritants. Effective communication with the healthcare team, including allergists or otolaryngologists, is important for providing comprehensive care for patients with rhinitis. Regular assessments and ongoing communication with the healthcare team are essential to ensure the best care and outcomes for patients with rhinitis. […] Effective care for patients with rhinitis involves symptom management, trigger identification, and patient education. Collaboration with other healthcare professionals, such as allergists or otolaryngologists, may be necessary to provide comprehensive care for these patients. Regular assessments and ongoing communication with the healthcare team are essential to ensure the best care and outcomes for patients with rhinitis.
- #32 Nursing Care Plan For Rhinitis – Made For Medicalhttps://www.madeformedical.com/nursing-care-plan-for-rhinitis/
Nursing care for rhinitis aims to alleviate symptoms, improve the patients quality of life, and promote effective management. By offering education, medication management, and support, nursing staff can play a crucial role in helping patients manage this common condition. […] The care plan encompasses a range of nursing interventions, including assessment, medication education, non-pharmacological strategies, lifestyle modifications, and emotional support. It recognizes the need for a patient-centered approach, tailored to the specific type and severity of rhinitis. […] By providing education about medication use, allergen avoidance, and lifestyle changes, nursing staff can empower patients to take an active role in their care. Moreover, offering emotional support and understanding the challenges posed by chronic rhinitis can be invaluable in improving the overall well-being of patients.
- #33 Vasomotor Rhinitis – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK547704/
Nonallergic rhinitis (NAR) describes a syndrome of chronic symptoms of nasal congestion and rhinorrhea, unrelated to a specific allergen. […] The best overall treatment is the avoidance of the known trigger with medical therapy as an adjunct. […] Upon determining a diagnosis of vasomotor rhinitis, educating the patient on avoiding environmental triggers is critical. […] Avoidance of irritating stimuli is the mainstay of treatment. Avoidance measures and medical therapy are often enough to decrease most of the symptomatology and mucosal disease associated with nonallergic rhinitis. […] When medical management alone does not adequately control vasomotor rhinitis symptoms, surgical interventions may be employed. […] Treating nonallergic rhinitis in pregnancy and the pediatric population presents its own challenges. Management should center around conservative therapy first. […] Patient education is critical in managing vasomotor rhinitis. Patients with known environmental, non-immunologic, and irritant triggers should be reminded to avoid exposure to these offending agents.
- #34 Non-allergic rhinitis | Pediatric Health Library | CHKDhttps://www.chkd.org/patient-family-resources/health-library/non-allergic-rhinitis/
Rhinitis can be grouped into 2 different categories, based on what causes the symptoms to occur: 1) Allergic rhinitis (e.g. hay fever or allergies to pollen, cat, dog, and/or mold) OR 2) Non-allergic rhinitis. […] If the testing is negative, then it is unlikely that you have allergic rhinitis and a diagnosis of non-allergic rhinitis is often made. […] Avoid your triggers as best as you can. […] Nasal glucocorticoids (steroids) Typically, the most effective medication for all forms of rhinitis. These are available over the counter and by prescription. These agents are most effective when used regularly. […] Nasal antihistamines Sometimes used in combination with nasal glucocorticoids. These types of antihistamines usually work better than oral antihistamines for nonallergic rhinitis. […] Talk to your doctor about how you’re using your nasal sprays. Proper technique is important in getting the medicine to the right place.
- #35 Nursing Care Plan For Rhinitis – Made For Medicalhttps://www.madeformedical.com/nursing-care-plan-for-rhinitis/
Nurses play a vital role in assessing and managing rhinitis, particularly in terms of symptom control, patient education, and identifying potential allergens or irritants. Effective communication with the healthcare team, including allergists or otolaryngologists, is important for providing comprehensive care for patients with rhinitis. Regular assessments and ongoing communication with the healthcare team are essential to ensure the best care and outcomes for patients with rhinitis. […] Effective care for patients with rhinitis involves symptom management, trigger identification, and patient education. Collaboration with other healthcare professionals, such as allergists or otolaryngologists, may be necessary to provide comprehensive care for these patients. Regular assessments and ongoing communication with the healthcare team are essential to ensure the best care and outcomes for patients with rhinitis.
- #36 Pharmacotherapy for Nonallergic Rhinitis: Overview, Distinguishing Types of Nonallergic Rhinitis, Pharmacotherapyhttps://emedicine.medscape.com/article/874171-overview
Nonallergic rhinitis is a syndrome resulting from nasal inflammation that encompasses several distinct diagnoses. This syndrome should be distinguished from allergic rhinitis, a syndrome that immunoglobulin E (IgE) is thought to mediate. Nonallergic rhinitis may be diagnosed by means of clinical evaluation or by means of allergen skin testing or radioallergosorbent testing (RAST). […] Quality of life studies have demonstrated that the burden of rhinitis is not simply sinonasal but may be associated with impaired sleep, excessive daytime sleepiness, concentration problems, and increased irritability. The „unified airway” theory applies to nonallergic patients as well; patients with nonallergic rhinitis have been shown to be at a higher risk of asthma, and vice versa. […] Nonallergic rhinitis has 7 basic subclassifications, as follows: (1) infectious rhinitis, (2) vasomotor rhinitis, (3) occupational rhinitis, (4) hormonal rhinitis, (5) drug-induced rhinitis, (6) gustatory rhinitis, and (7) nonallergic rhinitis with eosinophilia syndrome (NARES). A thorough history and physical examination aid the clinician in identifying the etiology and help direct the appropriate therapeutic course.
- #37 Vasomotor Rhinitis Program | Rochester Regional Healthhttps://www.rochesterregional.org/services/allergy-immunology-rheumatology/allergy/vasomotor-rhinitis-program
Allergies are not the only cause of swollen, runny and itchy noses sometimes its non-allergic rhinitis, or vasomotor rhinitis. […] Vasomotor rhinitis does not result from exposure to allergensnasal inflammation caused by allergens is called allergic rhinitis. […] For most, the symptoms of non-allergic rhinitis include: Diminished sense of smell, Postnasal drip, Runny or stuffy nose, Sneezing. […] Based on your diagnosis, your allergy provider will craft a personalized plan to help you alleviate your non-allergic rhinitis symptoms. […] There is no cure for vasomotor rhinitis. With the help of your allergist, you can find ways to manage your symptoms and avoid environmental issues that may exacerbate them. […] If left untreated, non-allergic rhinitis may result in a constantly running nose or persistently blocked nasal passages. These can lead to ear infections, nasal polyps, sinusitis, sinus infections, difficulty concentrating and sleeping, and irritability.
- #38 Pharmacotherapy for Nonallergic Rhinitis: Overview, Distinguishing Types of Nonallergic Rhinitis, Pharmacotherapyhttps://emedicine.medscape.com/article/874171-overview
Nonallergic rhinitis is a syndrome resulting from nasal inflammation that encompasses several distinct diagnoses. This syndrome should be distinguished from allergic rhinitis, a syndrome that immunoglobulin E (IgE) is thought to mediate. Nonallergic rhinitis may be diagnosed by means of clinical evaluation or by means of allergen skin testing or radioallergosorbent testing (RAST). […] Quality of life studies have demonstrated that the burden of rhinitis is not simply sinonasal but may be associated with impaired sleep, excessive daytime sleepiness, concentration problems, and increased irritability. The „unified airway” theory applies to nonallergic patients as well; patients with nonallergic rhinitis have been shown to be at a higher risk of asthma, and vice versa. […] Nonallergic rhinitis has 7 basic subclassifications, as follows: (1) infectious rhinitis, (2) vasomotor rhinitis, (3) occupational rhinitis, (4) hormonal rhinitis, (5) drug-induced rhinitis, (6) gustatory rhinitis, and (7) nonallergic rhinitis with eosinophilia syndrome (NARES). A thorough history and physical examination aid the clinician in identifying the etiology and help direct the appropriate therapeutic course.
- #39 Vasomotor Rhinitis – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK547704/
Nonallergic rhinitis (NAR) describes a syndrome of chronic symptoms of nasal congestion and rhinorrhea, unrelated to a specific allergen. […] The best overall treatment is the avoidance of the known trigger with medical therapy as an adjunct. […] Upon determining a diagnosis of vasomotor rhinitis, educating the patient on avoiding environmental triggers is critical. […] Avoidance of irritating stimuli is the mainstay of treatment. Avoidance measures and medical therapy are often enough to decrease most of the symptomatology and mucosal disease associated with nonallergic rhinitis. […] When medical management alone does not adequately control vasomotor rhinitis symptoms, surgical interventions may be employed. […] Treating nonallergic rhinitis in pregnancy and the pediatric population presents its own challenges. Management should center around conservative therapy first. […] Patient education is critical in managing vasomotor rhinitis. Patients with known environmental, non-immunologic, and irritant triggers should be reminded to avoid exposure to these offending agents.
- #40 Pharmacotherapy for Nonallergic Rhinitis: Overview, Distinguishing Types of Nonallergic Rhinitis, Pharmacotherapyhttps://emedicine.medscape.com/article/874171-overview
Therapy is guided at symptomatic care and treatment of the underlying disease. […] Patients who are pregnant and who present with symptoms of rhinitis are not limited to the specific diagnosis of hormonal rhinitis. Rather, if the cause is rhinitis medicamentosa, beclomethasone nasal inhalation may be beneficial to treat symptoms while the patient is weaned from topical sympathomimetics. […] Nonallergic rhinitis of all types is rare in children, and is poorly understood. The true incidence in children is unknown. […] Patients whose condition is refractory to medical therapy may seek additional treatment. Surgical therapy should be considered a possible adjuvant to continued medical therapy.
- #41 Prevalence, comorbidities, diagnosis, and treatment of nonallergic rhinitis: real-world comparison with allergic rhinitishttps://www.e-cep.org/journal/view.php?number=20125555352
Rhinitis is among the most common respiratory diseases in children. Nonallergic rhinitis, which involves nasal symptoms without evidence of systemic allergic inflammation or infection, is a heterogeneous entity with diverse manifestations and intensities. Nonallergic rhinitis accounts for 16%89% of the chronic rhinitis cases, affecting 1%50% (median 10%) of the total pediatric population. The clinical course of nonallergic rhinitis is generally rather mild and less likely to be associated with allergic comorbidities than allergic rhinitis. […] Here we review the prevalence, clinical presentation, comorbidities, and management of nonallergic rhinitis in children. […] Children with nonallergic rhinitis are known to experience milder nasal signs and/or symptoms, and nonallergic rhinitis takes a less severe clinical course than allergic rhinitis. […] Studies reported that rates of comorbid disorders were lower in children with nonallergic rhinitis than in those with allergic rhinitis. Nevertheless, children with nonallergic rhinitis have a higher prevalence of various concurrent disorders than the general pediatric population.
- #42 Pharmacotherapy for Nonallergic Rhinitis: Overview, Distinguishing Types of Nonallergic Rhinitis, Pharmacotherapyhttps://emedicine.medscape.com/article/874171-overview
Therapy is guided at symptomatic care and treatment of the underlying disease. […] Patients who are pregnant and who present with symptoms of rhinitis are not limited to the specific diagnosis of hormonal rhinitis. Rather, if the cause is rhinitis medicamentosa, beclomethasone nasal inhalation may be beneficial to treat symptoms while the patient is weaned from topical sympathomimetics. […] Nonallergic rhinitis of all types is rare in children, and is poorly understood. The true incidence in children is unknown. […] Patients whose condition is refractory to medical therapy may seek additional treatment. Surgical therapy should be considered a possible adjuvant to continued medical therapy.
- #43 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics
Nasal rinsing and irrigationâSimply rinsing the nose with a salt water (saline) solution one or more times per day is helpful for many patients with nonallergic rhinitis, as well as for other rhinitis conditions. […] Medications that may help symptomsâDaily use of a nasal glucocorticoid (steroid) and/or an antihistamine nasal spray can be helpful for people with nonallergic rhinitis. These medications may be used alone or in combination. […] Nasal antihistaminesâA prescription nasal antihistamine spray, such as azelastine (eg, Astelin, Astepro) or Patanase, can relieve symptoms of postnasal drip, congestion, and sneezing. […] Nasal glucocorticoids (steroids)âNasal glucocorticoids (steroids) have been shown to be effective for symptoms of nonallergic rhinitis. […] How long will I need treatment?âThe dose or frequency of medications can be reduced in some patients over time. However, in most patients, symptoms are lifelong, and some medication is usually needed on a daily and long-term basis.
- #44 Vasomotor Rhinitis: Symptoms, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/17950-nonallergic-rhinitis
Prescribed medications can decrease nasal inflammation and manage your symptoms. These medications may include: Decongestant nasal sprays to relieve nasal congestion. Antihistamine nasal sprays that reduce nasal inflammation. Corticosteroid nasal sprays (like fluticasone) to reduce nasal inflammation (first-line treatment for nasal congestion). Anticholinergic nasal sprays (like ipratropium bromide) to help with a runny nose. […] Theres no way to prevent vasomotor rhinitis. You can lower your risk by avoiding triggers known to cause rhinitis. […] For many people, vasomotor rhinitis is a chronic, or long-term, condition. It may come and go over time. […] If you have a runny nose, stuffy nose or postnasal drip that wont go away, talk to a healthcare provider. They can help determine whats triggering your symptoms. They can recommend treatments that can help.
- #45 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics/print
Medications that may help symptoms â Daily use of a nasal glucocorticoid (steroid) and/or an antihistamine nasal spray can be helpful for people with nonallergic rhinitis. These medications may be used alone or in combination. […] Nasal glucocorticoids (steroids) â Nasal glucocorticoids (steroids) have been shown to be effective for symptoms of nonallergic rhinitis. […] How long will I need treatment? â The dose or frequency of medications can be reduced in some patients over time. However, in most patients, symptoms are lifelong, and some medication is usually needed on a daily and long-term basis. […] Rhinitis medicamentosa is treated by discontinuing the drug that is causing the condition. Steroid nasal sprays can speed the recovery from this condition. […] Your health care provider is the best source of information for questions and concerns related to your medical problem.
- #46 Vasomotor Rhinitis: Symptoms, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/17950-nonallergic-rhinitis
The symptoms associated with vasomotor rhinitis runny nose, nasal congestion and postnasal drip are unpleasant, regardless of the cause. If youre experiencing these symptoms, and they dont improve, see a healthcare provider. They can determine whether the cause is related to allergies, an infection or something else (as is the case with vasomotor rhinitis). They can recommend or prescribe medicines that can help.
- #47 Allergic & Nonallergic Rhinitis NYC | Mount Sinai – New Yorkhttps://www.mountsinai.org/care/ent/services/nasal-sinus-allergy/conditions/rhinitis
Nasal corticosteroids: this is the gold standard for non-allergic and allergic rhinitis; they are effective in treating most rhinitis cases, reducing inflammation and nasal symptoms (congestion, itching, nasal drip, sneezing). […] There is no surgical treatment specifically for allergic or nonallergic rhinitis. Surgical treatment revolves around ameliorating symptoms, such as nasal drip and nasal congestion/obstruction. […] Allergic and nonallergic rhinitis can be overwhelming, as symptoms are often chronic and can cause distress in many peopleâs lives. The treatment of these symptoms can feel daunting, but we here at Mount Sinai can help you navigate the treatment steps and help you select the treatment that both improves your quality of life and enjoy living again.
- #48 Nursing Care Plan For Rhinitis – Made For Medicalhttps://www.madeformedical.com/nursing-care-plan-for-rhinitis/
Nursing care for rhinitis aims to alleviate symptoms, improve the patients quality of life, and promote effective management. By offering education, medication management, and support, nursing staff can play a crucial role in helping patients manage this common condition. […] The care plan encompasses a range of nursing interventions, including assessment, medication education, non-pharmacological strategies, lifestyle modifications, and emotional support. It recognizes the need for a patient-centered approach, tailored to the specific type and severity of rhinitis. […] By providing education about medication use, allergen avoidance, and lifestyle changes, nursing staff can empower patients to take an active role in their care. Moreover, offering emotional support and understanding the challenges posed by chronic rhinitis can be invaluable in improving the overall well-being of patients.
- #49 Allergic & Nonallergic Rhinitis NYC | Mount Sinai – New Yorkhttps://www.mountsinai.org/care/ent/services/nasal-sinus-allergy/conditions/rhinitis
Nasal corticosteroids: this is the gold standard for non-allergic and allergic rhinitis; they are effective in treating most rhinitis cases, reducing inflammation and nasal symptoms (congestion, itching, nasal drip, sneezing). […] There is no surgical treatment specifically for allergic or nonallergic rhinitis. Surgical treatment revolves around ameliorating symptoms, such as nasal drip and nasal congestion/obstruction. […] Allergic and nonallergic rhinitis can be overwhelming, as symptoms are often chronic and can cause distress in many peopleâs lives. The treatment of these symptoms can feel daunting, but we here at Mount Sinai can help you navigate the treatment steps and help you select the treatment that both improves your quality of life and enjoy living again.