Niealergiczne zapalenie błony śluzowej nosa
Objawy

Niealergiczne zapalenie błony śluzowej nosa (NAR) to przewlekły stan zapalny nosa, charakteryzujący się objawami takimi jak przewlekłe przekrwienie, wodnisty wyciek (rhinorrhea), kichanie, spływanie wydzieliny po tylnej ścianie gardła oraz zmniejszone poczucie zapachu, bez typowych cech alergii (świąd nosa, oczu, gardła). Objawy utrzymują się zwykle przez co najmniej 3 miesiące, są całoroczne i mogą ulegać nasileniu pod wpływem czynników środowiskowych (np. zmiany temperatury, wilgotności, silne zapachy), pokarmów (pikantne potrawy, alkohol), leków czy hormonów. NAR obejmuje różne podtypy, m.in. niealergiczną rynopatię, NARES, atroficzne zapalenie błony śluzowej nosa, polekowe i hormonalne zapalenie nosa, a także zapalenie związane z narażeniem zawodowym. Diagnostyka opiera się na wykluczeniu alergii (negatywne testy skórne i serologiczne) oraz badaniu cytologicznym wydzieliny nosowej, a także obrazowaniu w celu wykluczenia innych patologii. W badaniach długoterminowych u 52% pacjentów obserwuje się progresję objawów, z 12% wzrostem utrzymywania się symptomów i 9% wzrostem ich nasilenia.

Objawy niealergicznego zapalenia błony śluzowej nosa

Niealergiczne zapalenie błony śluzowej nosa (vasomotor rhinitis, nonallergic rhinitis) to stan zapalny tkanek wyściełających nos, który charakteryzuje się objawami podobnymi do alergicznego nieżytu nosa (kataru siennego), ale nie jest wywołany reakcją alergiczną12. Jest to przewlekły problem zdrowotny bez jednoznacznie określonej przyczyny, który może znacząco wpływać na jakość życia pacjenta3.

Główne objawy niealergicznego zapalenia błony śluzowej nosa

Objawy niealergicznego zapalenia błony śluzowej nosa mogą być długotrwałe lub nawracające i zazwyczaj występują przez cały rok45. Do najczęstszych objawów należą:

W niektórych przypadkach może również dojść do tworzenia się strupów wewnątrz nosa, które mogą mieć nieprzyjemny zapach i krwawić przy próbie ich usunięcia19.

Różnice między niealergicznym a alergicznym zapaleniem błony śluzowej nosa

Istotną cechą odróżniającą niealergiczne zapalenie błony śluzowej nosa od alergicznego jest brak typowych objawów alergii, takich jak:2021

Ponadto, objawy niealergicznego zapalenia błony śluzowej nosa zwykle występują przez cały rok, a nie sezonowo, jak w przypadku alergicznego nieżytu nosa2829. Objawy nasilają się po ekspozycji na określone czynniki wyzwalające, a nie w związku z sezonowością alergenów30.

Przebieg i charakterystyka niealergicznego zapalenia błony śluzowej nosa

Charakterystyka czasowa objawów

Niealergiczne zapalenie błony śluzowej nosa zazwyczaj rozwija się u osób dorosłych, najczęściej po 20. roku życia, w przeciwieństwie do alergicznego nieżytu nosa, który często pojawia się w dzieciństwie3132. Objawy mogą utrzymywać się przez długi czas lub pojawiać się i ustępować3334.

W wielu przypadkach niealergiczne zapalenie błony śluzowej nosa jest schorzeniem przewlekłym, które może towarzyszyć pacjentowi przez całe życie3536. Objawy mogą być:

  • Przewlekłe (utrzymujące się co najmniej przez trzy miesiące)37
  • Całoroczne (perennial)3839
  • Przetrwałe (persistent)4041
  • Okresowe (intermittent)4243
  • Sezonowe (seasonal), mimo braku tła alergicznego44

Badania długoterminowe wskazują, że u ponad połowy pacjentów (52%) objawy niealergicznego zapalenia błony śluzowej nosa z czasem ulegają nasileniu, z 12% wzrostem utrzymywania się objawów i 9% wzrostem ich nasilenia45.

Podtypy niealergicznego zapalenia błony śluzowej nosa

Niealergiczne zapalenie błony śluzowej nosa obejmuje kilka podtypów, które różnią się przyczynami i charakterystyką kliniczną46:

  • Niealergiczna rynopatia (wcześniej znana jako vasomotor rhinitis lub idiopatyczny niealergiczny nieżyt nosa) – najczęstszy podtyp, charakteryzujący się objawami wyzwalanymi przez czynniki środowiskowe, takie jak silne zapachy lub zmiany temperatury, wilgotności czy ciśnienia barometrycznego47.
  • Niealergiczny nieżyt nosa z eozynofilią (NARES) – zapalny typ nieżytu nosa ze zwiększoną liczbą eozynofilów w wydzielinie i w biopsji nosa, zwiększoną liczbą komórek tucznych i objawami degranulacji komórek tucznych, ale bez pozytywnych wyników testów alergicznych48.
  • Atroficzne zapalenie błony śluzowej nosa – charakteryzuje się zanikiem błony śluzowej nosa, co może prowadzić do tworzenia się strupów i wysychania. Jest to podtyp niezapalny, wyróżniający się przede wszystkim unikalnymi wynikami badania fizykalnego49.
  • Starcze lub geriatryczne zapalenie błony śluzowej nosa – wyróżnia się późnym początkiem, występując głównie u starszych pacjentów. Objawia się wodnistym wyciekiem z nosa, który nasila się w odpowiedzi na zidentyfikowane przez pacjenta czynniki wyzwalające50.
  • Nieżyt nosa związany z pokarmami (gustatory rhinitis) – reprezentuje reakcję nosa na spożywanie określonych pokarmów (np. pikantnych potraw) lub płynów (np. alkoholu)51.
  • Polekowe zapalenie błony śluzowej nosa – może wystąpić przy stosowaniu różnych leków i narkotyków, w tym leków przeciwnadciśnieniowych, niesteroidowych leków przeciwzapalnych, inhibitorów fosfodiesterazy-5 i kokainy52.
  • Hormonalne zapalenie błony śluzowej nosa – odnosi się do wystąpienia przekrwienia błony śluzowej nosa i wycieku z nosa związanego z endogennymi hormonami żeńskimi. Odpowiedź na hormony ciążowe jest najbardziej klasycznym i powszechnym przykładem53.
  • Zawodowe zapalenie błony śluzowej nosa – wynika z narażenia zawodowego, od lateksu i mąki po chemikalia i cząstki. Objawy zazwyczaj nasilają się w ciągu tygodnia pracy i poprawiają się w czasie wolnym od pracy54.

Typy pacjentów z niealergicznym zapaleniem błony śluzowej nosa

Pacjentów z niealergicznym zapaleniem błony śluzowej nosa można podzielić na dwie główne grupy w zależności od dominujących objawów5556:

  • „Runners” (osoby z wyciekiem) – pacjenci z „mokrym” nieżytem nosa (rhinorrhea), u których dominuje wodnisty wyciek z nosa57.
  • „Blockers” (osoby z zatkanym nosem) – pacjenci z „suchym” nieżytem nosa, u których dominują objawy zatkanego nosa i blokady przepływu powietrza, z minimalnym wyciekiem z nosa5859.

Wpływ na jakość życia

Przewlekłe niealergiczne zapalenie błony śluzowej nosa może mieć znaczący wpływ na jakość życia pacjenta6061. Objawy mogą prowadzić do:

  • Zaburzeń snu i nadmiernej senności w ciągu dnia6263
  • Problemów z koncentracją64
  • Zwiększonej drażliwości65
  • Zmniejszonej produktywności w pracy lub szkole6667
  • Bólów głowy6869
  • Zmęczenia i złego samopoczucia7071
  • Utraty apetytu72
  • Osłabienia73

Potencjalne powikłania i progresja choroby

Niealergiczne zapalenie błony śluzowej nosa, jeśli nie jest odpowiednio leczone, może prowadzić do różnych powikłań74:

Powikłania śródnosowe

  • Polipy nosa – miękkie narosty, które tworzą się na tkance wyściełającej wnętrze nosa w wyniku przewlekłego stanu zapalnego. Większe polipy mogą blokować przepływ powietrza przez nos, utrudniając oddychanie7576.
  • Przerost małżowin nosowych – prowadzący do przewlekłego uczucia zatkanego nosa77.
  • Zanik błony śluzowej nosa (w atroficznym zapaleniu błony śluzowej nosa) – powoduje poszerzenie jam nosowych, tworzenie się strupów, nieprzyjemny zapach, a nawet utratę węchu7879.

Powikłania poza jamami nosowymi

  • Zapalenie zatok (sinusitis) – przedłużające się przekrwienie nosa z powodu niealergicznego zapalenia błony śluzowej nosa może zwiększyć ryzyko rozwoju infekcji lub zapalenia błony śluzowej wyściełającej zatoki8081.
  • Infekcje ucha – długotrwałe niealergiczne zapalenie błony śluzowej nosa może prowadzić do infekcji ucha8283.
  • Zaostrzenie astmy – pacjenci z niealergicznym zapaleniem błony śluzowej nosa wykazują zwiększone ryzyko wystąpienia astmy84.
  • Nawracające bóle gardła – mogą wystąpić jako powikłanie niealergicznego zapalenia błony śluzowej nosa85.
  • Dysfunkcja trąbki słuchowej – powodująca uczucie zatkania lub dyskomfortu w uszach86.

Progresja choroby

Niealergiczne zapalenie błony śluzowej nosa jest stanem przewlekłym, który zwykle utrzymuje się przez całe życie87. Badanie przeprowadzone przez Rondona i współpracowników wykazało, że u 52% pacjentów z niealergicznym zapaleniem błony śluzowej nosa stan zdrowia pogorszył się w ciągu 3-7 lat od początkowej diagnozy, z 12% wzrostem utrzymywania się objawów i 9% wzrostem ich nasilenia88.

Progresja choroby może obejmować89:

  • Częste krwawienia z nosa
  • Niedrożność nosa
  • Wyciek z nosa zawierający ropę

Czynniki wyzwalające i wpływające na przebieg choroby

Objawy niealergicznego zapalenia błony śluzowej nosa mogą być wyzwalane lub zaostrzane przez różne czynniki9091:

Czynniki środowiskowe

  • Zmiany pogody (temperatura, wilgotność, ciśnienie barometryczne)9293
  • Zanieczyszczenie powietrza9495
  • Dym tytoniowy9697
  • Spaliny samochodowe98
  • Silne zapachy i perfumy99100
  • Chemikalia o silnym zapachu101

Czynniki związane z żywnością i napojami

Czynniki związane z lekami

  • Leki dostępne bez recepty, takie jak aspiryna lub ibuprofen107
  • Leki na receptę, takie jak leki na nadciśnienie, antydepresanty lub doustne środki antykoncepcyjne108
  • Nadużywanie donosowych sprayów zmniejszających przekrwienie109110

Czynniki hormonalne i fizjologiczne

  • Zmiany hormonalne związane z ciążą, miesiączkowaniem lub niedoczynnością tarczycy111112
  • Silne emocje i stres113114
  • Spanie na plecach115
  • Bezdech senny116
  • Refluks żołądkowo-przełykowy117118

Czynniki strukturalne

  • Skrzywienie przegrody nosowej119
  • Inne nieprawidłowości strukturalne nosa120

Diagnostyka i postępowanie

Diagnostyka niealergicznego zapalenia błony śluzowej nosa

Diagnostyka niealergicznego zapalenia błony śluzowej nosa może być wyzwaniem, ponieważ objawy są niespecyficzne i brakuje jednoznacznych testów diagnostycznych121. Wcześniej niealergiczne zapalenie błony śluzowej nosa było diagnozowane przez wykluczenie innych przyczyn, jednak obecnie rozpoznaje się, że pacjenci, u których występują charakterystyczne objawy nosowe w odpowiedzi na określone czynniki wyzwalające, mają komponent niealergiczny albo jako jedyną diagnozę, albo jako część mieszanego nieżytu nosa (u pacjentów z pozytywnymi wynikami testów alergicznych)122.

Metody diagnostyczne obejmują123124:

  • Dokładny wywiad lekarski i badanie fizykalne nosa i gardła125
  • Testy alergiczne (skórne lub serologiczne) – negatywne wyniki są charakterystyczne dla niealergicznego zapalenia błony śluzowej nosa126127
  • W niektórych przypadkach tomografia komputerowa zatok przynosowych w celu wykluczenia przewlekłego zapalenia zatok lub polipów128
  • Badanie cytologiczne z wydzieliny nosowej (szczególnie ważne w diagnostyce NARES)129130

Postępowanie i leczenie

Niealergicznego zapalenia błony śluzowej nosa nie można wyleczyć, ale można skutecznie kontrolować jego objawy131132. Leczenie jest ukierunkowane na objawy, a pacjentom należy doradzić unikanie wszelkich możliwych do zidentyfikowania czynników wyzwalających133.

Opcje leczenia obejmują134135:

  • Donosowe kortykosteroidy – leki pierwszego wyboru w leczeniu niealergicznego zapalenia błony śluzowej nosa136137
  • Donosowe leki przeciwhistaminowe – skuteczne w niealergicznym zapaleniu błony śluzowej nosa, prawdopodobnie ze względu na ich działanie przeciwzapalne i blokujące neuroinflammację138139
  • Kombinacja donosowych kortykosteroidów i donosowych leków przeciwhistaminowych – korzystna u pacjentów, których objawy nie są wystarczająco kontrolowane przez którąkolwiek z tych terapii stosowaną osobno140141
  • Donosowe ipratropium – skuteczne w zmniejszaniu wycieku z nosa i jest rozsądną monoterapią dla pacjentów, u których dominującym objawem jest wyciek z nosa142
  • Płukanie nosa solą fizjologiczną lub hipertoniczną – może być pomocne w leczeniu niealergicznego zapalenia błony śluzowej nosa143144
  • Leki zmniejszające przekrwienie – mogą być stosowane krótkoterminowo (3-5 dni), dłuższe stosowanie może nasilić objawy145146

Ważne jest, aby zauważyć, że doustne leki przeciwhistaminowe często nie działają tak dobrze w przypadku niealergicznego zapalenia błony śluzowej nosa, jak w przypadku alergicznego zapalenia błony śluzowej nosa147.

W niektórych przypadkach, gdy niealergicznemu zapaleniu błony śluzowej nosa towarzyszą inne problemy, takie jak polipy nosa, przewlekłe zapalenie zatok lub skrzywienie przegrody nosowej, może być konieczna współpraca między alergologiem a lekarzem otolaryngologiem, a niekiedy interwencja chirurgiczna148149.

Podsumowanie i rokowanie

Niealergiczne zapalenie błony śluzowej nosa jest przewlekłym schorzeniem, które może znacząco wpływać na jakość życia pacjenta150151. Mimo że nie jest chorobą zagrażającą życiu, może prowadzić do różnych powikłań, w tym zapalenia zatok, infekcji ucha i nasilenia astmy152153.

U większości pacjentów objawy utrzymują się przez całe życie i zwykle konieczne jest stosowanie jakiegoś leku codziennie i długoterminowo154155. Dawkę lub częstotliwość stosowania leków można z czasem zmniejszyć u niektórych pacjentów, jednak u większości z nich objawy są długotrwałe156.

Wczesna diagnoza i odpowiednie leczenie mogą pomóc w kontroli objawów i zapobiegać powikłaniom157. Jeśli objawy są uporczywe lub nasilają się, pacjent powinien skontaktować się z lekarzem, który może skierować go do specjalisty w celu dalszych badań i leczenia158159.

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  1. 13.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Nonallergic rhinitis – Symptoms & causes – Mayo Clinic
    https://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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
  • #2 Vasomotor Rhinitis: Symptoms, Causes & Treatment
    https://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. […] Symptoms of vasomotor rhinitis include: Stuffy nose. Runny nose. Postnasal drip. Sneezing. Diminished sense of smell. […] Unlike allergic rhinitis, symptoms of vasomotor rhinitis usually occur year-round. Instead of being seasonal as is the case with seasonal allergies symptoms flare up whenever youre exposed to a trigger. […] For many people, vasomotor rhinitis is a chronic, or long-term, condition. It may come and go over time.
  • #3 Non-allergic rhinitis
    https://www.nhs.uk/conditions/non-allergic-rhinitis/
    Non-allergic rhinitis happens when the inside of your nose becomes irritated, causing a blocked or runny nose. It can be treated with medicines from a pharmacist or GP. The most common symptoms of non-allergic rhinitis are: a blocked or runny nose, sneezing, an itchy nose, a reduced sense of smell. Sometimes non-allergic rhinitis can also cause a crust to form inside the nose. This may have a bad smell and bleed if you try to remove it. Non-allergic rhinitis is not harmful, but it can affect your life. You can often treat it without seeing a GP. Non-allergic rhinitis often gets better on its own without any treatment. If needed, a GP may prescribe stronger medicine, such as prescription nasal sprays. […] You may be referred to a specialist for further tests and treatment if it’s not clear what’s causing your symptoms or they’re severe.
  • #4 Nonallergic rhinitis | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/nonallergic-rhinitis?content_id=CON-20155767
    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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever. […] 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. Polyps are caused by swelling, also known as inflammation. They’re not cancer. Small polyps might not cause problems. But larger ones can block the airflow through the nose. That makes it hard to breathe. […] Long-term congestion in the nose due to nonallergic rhinitis can raise the risk of sinusitis.
  • #5 Vasomotor Rhinitis: Symptoms, Causes & Treatment
    https://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. […] Symptoms of vasomotor rhinitis include: Stuffy nose. Runny nose. Postnasal drip. Sneezing. Diminished sense of smell. […] Unlike allergic rhinitis, symptoms of vasomotor rhinitis usually occur year-round. Instead of being seasonal as is the case with seasonal allergies symptoms flare up whenever youre exposed to a trigger. […] For many people, vasomotor rhinitis is a chronic, or long-term, condition. It may come and go over time.
  • #6 Nonallergic rhinitis – Symptoms & causes – Mayo Clinic
    https://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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
  • #7 Vasomotor Rhinitis: Symptoms, Causes & Treatment
    https://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. […] Symptoms of vasomotor rhinitis include: Stuffy nose. Runny nose. Postnasal drip. Sneezing. Diminished sense of smell. […] Unlike allergic rhinitis, symptoms of vasomotor rhinitis usually occur year-round. Instead of being seasonal as is the case with seasonal allergies symptoms flare up whenever youre exposed to a trigger. […] For many people, vasomotor rhinitis is a chronic, or long-term, condition. It may come and go over time.
  • #8 Nonallergic rhinitis – Symptoms & causes – Mayo Clinic
    https://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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
  • #9 Nonallergic rhinitis: Types, symptoms, and risk factors
    https://www.medicalnewstoday.com/articles/177085
    In nonallergic rhinitis, the inside of the nose becomes inflamed or swollen, causing cold-like symptoms, like a blocked or runny nose, and sneezing. Symptoms can resemble those of an allergy, but there is no sign of an allergic reaction. […] The signs and symptoms of nonallergic rhinitis include: sneezing, a blocked or runny nose, nasal pressure, nasal pain, postnasal drip, with phlegm, or mucus, in the throat. Nonallergic rhinitis does not usually involve an itchy nose, eyes, or throat. These are symptoms of allergic rhinitis. […] People with nonallergic rhinitis may have a runny nose that does not seem to get better, or they may have recurring symptoms.
  • #10 Nonallergic rhinitis – Symptoms & causes – Mayo Clinic
    https://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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
  • #11 Vasomotor Rhinitis: Symptoms, Causes & Treatment
    https://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. […] Symptoms of vasomotor rhinitis include: Stuffy nose. Runny nose. Postnasal drip. Sneezing. Diminished sense of smell. […] Unlike allergic rhinitis, symptoms of vasomotor rhinitis usually occur year-round. Instead of being seasonal as is the case with seasonal allergies symptoms flare up whenever youre exposed to a trigger. […] For many people, vasomotor rhinitis is a chronic, or long-term, condition. It may come and go over time.
  • #12 Vasomotor Rhinitis: Symptoms, Causes & Treatment
    https://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. […] Symptoms of vasomotor rhinitis include: Stuffy nose. Runny nose. Postnasal drip. Sneezing. Diminished sense of smell. […] Unlike allergic rhinitis, symptoms of vasomotor rhinitis usually occur year-round. Instead of being seasonal as is the case with seasonal allergies symptoms flare up whenever youre exposed to a trigger. […] For many people, vasomotor rhinitis is a chronic, or long-term, condition. It may come and go over time.
  • #13 Allergic & Nonallergic Rhinitis NYC | Mount Sinai – New York
    https://www.mountsinai.org/care/ent/services/nasal-sinus-allergy/conditions/rhinitis
    Rhinitis is described as inflammation and irritation of the mucous membrane lining the nose. This condition can be caused by bacteria, allergens, pollen, air pollutants, certain foods and beverages, smoke, hormonal changes or viruses. […] Nonallergic rhinitis: causes and triggers are varied as noted below. Symptoms and trigger are extremely important in the diagnosis and proper treatment. Symptoms can be persistent or intermittent. […] Symptoms of Rhinitis include: Runny nose or postnasal drip, Nasal congestion/ obstruction, Sneezing, Cough, Decreased smell, Ear fullness, Throat clearing, Eye or nasal itching. […] Allergic and nonallergic rhinitis can be overwhelming, as symptoms are often chronic and can cause distress in many people’s lives.
  • #14 Nonallergic rhinitis | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/nonallergic-rhinitis?content_id=CON-20155767
    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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever. […] 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. Polyps are caused by swelling, also known as inflammation. They’re not cancer. Small polyps might not cause problems. But larger ones can block the airflow through the nose. That makes it hard to breathe. […] Long-term congestion in the nose due to nonallergic rhinitis can raise the risk of sinusitis.
  • #15 Nonallergic rhinitis – Symptoms & causes – Mayo Clinic
    https://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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
  • #16 Nonallergic rhinitis | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/nonallergic-rhinitis?content_id=CON-20155767
    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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever. […] 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. Polyps are caused by swelling, also known as inflammation. They’re not cancer. Small polyps might not cause problems. But larger ones can block the airflow through the nose. That makes it hard to breathe. […] Long-term congestion in the nose due to nonallergic rhinitis can raise the risk of sinusitis.
  • #17 Vasomotor Rhinitis: Symptoms, Causes & Treatment
    https://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. […] Symptoms of vasomotor rhinitis include: Stuffy nose. Runny nose. Postnasal drip. Sneezing. Diminished sense of smell. […] Unlike allergic rhinitis, symptoms of vasomotor rhinitis usually occur year-round. Instead of being seasonal as is the case with seasonal allergies symptoms flare up whenever youre exposed to a trigger. […] For many people, vasomotor rhinitis is a chronic, or long-term, condition. It may come and go over time.
  • #18 Non-allergic rhinitis
    https://www.nhs.uk/conditions/non-allergic-rhinitis/
    Non-allergic rhinitis happens when the inside of your nose becomes irritated, causing a blocked or runny nose. It can be treated with medicines from a pharmacist or GP. The most common symptoms of non-allergic rhinitis are: a blocked or runny nose, sneezing, an itchy nose, a reduced sense of smell. Sometimes non-allergic rhinitis can also cause a crust to form inside the nose. This may have a bad smell and bleed if you try to remove it. Non-allergic rhinitis is not harmful, but it can affect your life. You can often treat it without seeing a GP. Non-allergic rhinitis often gets better on its own without any treatment. If needed, a GP may prescribe stronger medicine, such as prescription nasal sprays. […] You may be referred to a specialist for further tests and treatment if it’s not clear what’s causing your symptoms or they’re severe.
  • #19 Non-allergic rhinitis
    https://www.nhs.uk/conditions/non-allergic-rhinitis/
    Non-allergic rhinitis happens when the inside of your nose becomes irritated, causing a blocked or runny nose. It can be treated with medicines from a pharmacist or GP. The most common symptoms of non-allergic rhinitis are: a blocked or runny nose, sneezing, an itchy nose, a reduced sense of smell. Sometimes non-allergic rhinitis can also cause a crust to form inside the nose. This may have a bad smell and bleed if you try to remove it. Non-allergic rhinitis is not harmful, but it can affect your life. You can often treat it without seeing a GP. Non-allergic rhinitis often gets better on its own without any treatment. If needed, a GP may prescribe stronger medicine, such as prescription nasal sprays. […] You may be referred to a specialist for further tests and treatment if it’s not clear what’s causing your symptoms or they’re severe.
  • #20 Nonallergic rhinitis – Symptoms & causes – Mayo Clinic
    https://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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
  • #21 Nonallergic Rhinitis – Vasomotor Defined
    https://www.aaaai.org/tools-for-the-public/allergy,-asthma-immunology-glossary/nonallergic-rhinitis-vasomotor-defined
    Nonallergic rhinitis (vasomotor rhinitis) is a condition that causes chronic sneezing, congestion, or runny nose. […] The most common symptoms of nonallergic rhinitis are: Stuffy nose, Runny nose, Sneezing, Postnasal drip. […] Unlike the allergic form, nonallergic rhinitis rarely causes itchy nose, eyes or throat. […] Nonallergic rhinitis cannot be cured, but many people find relief by avoiding triggers, using a saline rinse solution or by taking over-the-counter or prescription medications.
  • #22 Nonallergic rhinitis – Symptoms & causes – Mayo Clinic
    https://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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
  • #23 Nonallergic rhinitis: Types, symptoms, and risk factors
    https://www.medicalnewstoday.com/articles/177085
    In nonallergic rhinitis, the inside of the nose becomes inflamed or swollen, causing cold-like symptoms, like a blocked or runny nose, and sneezing. Symptoms can resemble those of an allergy, but there is no sign of an allergic reaction. […] The signs and symptoms of nonallergic rhinitis include: sneezing, a blocked or runny nose, nasal pressure, nasal pain, postnasal drip, with phlegm, or mucus, in the throat. Nonallergic rhinitis does not usually involve an itchy nose, eyes, or throat. These are symptoms of allergic rhinitis. […] People with nonallergic rhinitis may have a runny nose that does not seem to get better, or they may have recurring symptoms.
  • #24 Nonallergic rhinitis – Symptoms & causes – Mayo Clinic
    https://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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
  • #25 Nonallergic rhinitis: Types, symptoms, and risk factors
    https://www.medicalnewstoday.com/articles/177085
    In nonallergic rhinitis, the inside of the nose becomes inflamed or swollen, causing cold-like symptoms, like a blocked or runny nose, and sneezing. Symptoms can resemble those of an allergy, but there is no sign of an allergic reaction. […] The signs and symptoms of nonallergic rhinitis include: sneezing, a blocked or runny nose, nasal pressure, nasal pain, postnasal drip, with phlegm, or mucus, in the throat. Nonallergic rhinitis does not usually involve an itchy nose, eyes, or throat. These are symptoms of allergic rhinitis. […] People with nonallergic rhinitis may have a runny nose that does not seem to get better, or they may have recurring symptoms.
  • #26 Nonallergic rhinitis – Symptoms & causes – Mayo Clinic
    https://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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever.
  • #27 Nonallergic rhinitis: Types, symptoms, and risk factors
    https://www.medicalnewstoday.com/articles/177085
    In nonallergic rhinitis, the inside of the nose becomes inflamed or swollen, causing cold-like symptoms, like a blocked or runny nose, and sneezing. Symptoms can resemble those of an allergy, but there is no sign of an allergic reaction. […] The signs and symptoms of nonallergic rhinitis include: sneezing, a blocked or runny nose, nasal pressure, nasal pain, postnasal drip, with phlegm, or mucus, in the throat. Nonallergic rhinitis does not usually involve an itchy nose, eyes, or throat. These are symptoms of allergic rhinitis. […] People with nonallergic rhinitis may have a runny nose that does not seem to get better, or they may have recurring symptoms.
  • #28 Vasomotor Rhinitis: Symptoms, Causes & Treatment
    https://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. […] Symptoms of vasomotor rhinitis include: Stuffy nose. Runny nose. Postnasal drip. Sneezing. Diminished sense of smell. […] Unlike allergic rhinitis, symptoms of vasomotor rhinitis usually occur year-round. Instead of being seasonal as is the case with seasonal allergies symptoms flare up whenever youre exposed to a trigger. […] For many people, vasomotor rhinitis is a chronic, or long-term, condition. It may come and go over time.
  • #29 Nonallergic (Vasomotor) Rhinitis: Symptoms, Causes and Treatment
    https://www.webmd.com/allergies/nonallergic-rhinitis
    Nonallergic rhinitis causes symptoms that are very similar to those of allergies, such as: […] Nonallergic rhinitis produces similar symptoms to allergic rhinitis (hay fever) and can cause just as much misery. […] Nonallergic rhinitis happens in most people after age 20. […] Nonallergic rhinitis often happens during periods of hormonal imbalance. For instance, it may happen during puberty, menstruation, or pregnancy. […] Nonallergic rhinitis can cause just as much misery as allergic rhinitis. It can also be associated with the same complications, such as: […] Nonallergic (vasomotor) rhinitis occurs when you have allergy-like symptoms, but they’re not due to any known allergy-causing substances. Rather, you may have nasal and other symptoms that are triggered by your environment, medications, or hormonal changes. While allergies are seasonal, symptoms of nonallergic rhinitis happen year-round. Similar to allergies, you’ll get nonallergic rhinitis symptoms whenever you’re exposed to a trigger. Symptoms include a stuffy and runny nose, sneezing, a reduced sense of smell, and postnasal drip.
  • #30 Vasomotor Rhinitis: Symptoms, Causes & Treatment
    https://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. […] Symptoms of vasomotor rhinitis include: Stuffy nose. Runny nose. Postnasal drip. Sneezing. Diminished sense of smell. […] Unlike allergic rhinitis, symptoms of vasomotor rhinitis usually occur year-round. Instead of being seasonal as is the case with seasonal allergies symptoms flare up whenever youre exposed to a trigger. […] For many people, vasomotor rhinitis is a chronic, or long-term, condition. It may come and go over time.
  • #31 Nonallergic (Vasomotor) Rhinitis: Symptoms, Causes and Treatment
    https://www.webmd.com/allergies/nonallergic-rhinitis
    Nonallergic rhinitis causes symptoms that are very similar to those of allergies, such as: […] Nonallergic rhinitis produces similar symptoms to allergic rhinitis (hay fever) and can cause just as much misery. […] Nonallergic rhinitis happens in most people after age 20. […] Nonallergic rhinitis often happens during periods of hormonal imbalance. For instance, it may happen during puberty, menstruation, or pregnancy. […] Nonallergic rhinitis can cause just as much misery as allergic rhinitis. It can also be associated with the same complications, such as: […] Nonallergic (vasomotor) rhinitis occurs when you have allergy-like symptoms, but they’re not due to any known allergy-causing substances. Rather, you may have nasal and other symptoms that are triggered by your environment, medications, or hormonal changes. While allergies are seasonal, symptoms of nonallergic rhinitis happen year-round. Similar to allergies, you’ll get nonallergic rhinitis symptoms whenever you’re exposed to a trigger. Symptoms include a stuffy and runny nose, sneezing, a reduced sense of smell, and postnasal drip.
  • #32 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #33
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=abs1066
    Rhinitis symptoms can be long-lasting, or they can come and go. They may include a runny nose, a stuffy nose, or sneezing. Drainage down the back of the throat (post-nasal drip) from the nose and sinuses may also occur.
  • #34 Nonallergic Rhinitis | CommonSpirit Health
    https://www.commonspirit.org/conditions-treatments/nonallergic-rhinitis
    Rhinitis symptoms can be long-lasting, or they can come and go. They may include a runny nose, a stuffy nose, or sneezing. Drainage down the back of the throat (postnasal drip) from the nose and sinuses may also occur.
  • #35 Vasomotor Rhinitis: Symptoms, Causes & Treatment
    https://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. […] Symptoms of vasomotor rhinitis include: Stuffy nose. Runny nose. Postnasal drip. Sneezing. Diminished sense of smell. […] Unlike allergic rhinitis, symptoms of vasomotor rhinitis usually occur year-round. Instead of being seasonal as is the case with seasonal allergies symptoms flare up whenever youre exposed to a trigger. […] For many people, vasomotor rhinitis is a chronic, or long-term, condition. It may come and go over time.
  • #36 Vasomotor Rhinitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547704/
    Nonallergic rhinitis is a persistent condition that is usually present lifelong. One study by Rondon and colleagues, reexamined 180 patients with nonallergic rhinitis 3 to 7 years after initial diagnosis. As high as 52% of patients experienced worsening disease, with a 12% increase in persistence, and a 9% increase in the severity of nasal symptoms. […] Chronic nonallergic rhinitis places considerable physical and economic burdens on sufferers. […] These symptoms can significantly complicate management and impair quality of life.
  • #37 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although chronic nonallergic rhinitis represents about one-fourth of rhinitis cases and impacts 20 to 30 million patients in the United States, its pathophysiology is unclear and diagnostic testing is not available. […] Chronic nonallergic rhinitis was previously referred to as nonallergic vasomotor or vasomotor rhinitis, but it was renamed because of a lack of evidence showing a vascular origin. The best current evidence supports nociceptor and autonomic nerve dysregulation as components in all forms of nonallergic rhinitis. […] A negative result on allergy testing is one unifying characteristic of the chronic nonallergic rhinitis subtypes. Beyond that, clinical characteristics help define the conditions. First, these conditions are chronic (i.e., lasting at least three months). They can be perennial, persistent, intermittent, or seasonal. Clinically, chronic nonallergic rhinitis is characterized by its nonallergic triggers, including weather changes, tobacco smoke, automotive emission fumes, and irritants such as chemicals with strong odors (e.g., perfumes, chlorine).
  • #38 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although chronic nonallergic rhinitis represents about one-fourth of rhinitis cases and impacts 20 to 30 million patients in the United States, its pathophysiology is unclear and diagnostic testing is not available. […] Chronic nonallergic rhinitis was previously referred to as nonallergic vasomotor or vasomotor rhinitis, but it was renamed because of a lack of evidence showing a vascular origin. The best current evidence supports nociceptor and autonomic nerve dysregulation as components in all forms of nonallergic rhinitis. […] A negative result on allergy testing is one unifying characteristic of the chronic nonallergic rhinitis subtypes. Beyond that, clinical characteristics help define the conditions. First, these conditions are chronic (i.e., lasting at least three months). They can be perennial, persistent, intermittent, or seasonal. Clinically, chronic nonallergic rhinitis is characterized by its nonallergic triggers, including weather changes, tobacco smoke, automotive emission fumes, and irritants such as chemicals with strong odors (e.g., perfumes, chlorine).
  • #39 Vasomotor Rhinitis – StatPearls – NCBI Bookshelf
    https://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. […] Nonallergic rhinitis presents later in life, with patients developing symptoms most commonly between the ages of 30 and 60. […] Patients with vasomotor rhinitis tend to categorize into two groups depending on predominant symptomatology: blockers with congestion and runners with rhinorrhea. […] Vasomotor rhinitis is generally perennial. However, seasonal exacerbation of vasomotor rhinitis from shifts in barometric pressure, temperature, and humidity may get misconstrued as allergic rhinitis. […] Chronic vasomotor rhinitis symptoms often interfere with work performance and school attendance due to loss of productivity and frequent doctor visits.
  • #40 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although chronic nonallergic rhinitis represents about one-fourth of rhinitis cases and impacts 20 to 30 million patients in the United States, its pathophysiology is unclear and diagnostic testing is not available. […] Chronic nonallergic rhinitis was previously referred to as nonallergic vasomotor or vasomotor rhinitis, but it was renamed because of a lack of evidence showing a vascular origin. The best current evidence supports nociceptor and autonomic nerve dysregulation as components in all forms of nonallergic rhinitis. […] A negative result on allergy testing is one unifying characteristic of the chronic nonallergic rhinitis subtypes. Beyond that, clinical characteristics help define the conditions. First, these conditions are chronic (i.e., lasting at least three months). They can be perennial, persistent, intermittent, or seasonal. Clinically, chronic nonallergic rhinitis is characterized by its nonallergic triggers, including weather changes, tobacco smoke, automotive emission fumes, and irritants such as chemicals with strong odors (e.g., perfumes, chlorine).
  • #41 Allergic & Nonallergic Rhinitis NYC | Mount Sinai – New York
    https://www.mountsinai.org/care/ent/services/nasal-sinus-allergy/conditions/rhinitis
    Rhinitis is described as inflammation and irritation of the mucous membrane lining the nose. This condition can be caused by bacteria, allergens, pollen, air pollutants, certain foods and beverages, smoke, hormonal changes or viruses. […] Nonallergic rhinitis: causes and triggers are varied as noted below. Symptoms and trigger are extremely important in the diagnosis and proper treatment. Symptoms can be persistent or intermittent. […] Symptoms of Rhinitis include: Runny nose or postnasal drip, Nasal congestion/ obstruction, Sneezing, Cough, Decreased smell, Ear fullness, Throat clearing, Eye or nasal itching. […] Allergic and nonallergic rhinitis can be overwhelming, as symptoms are often chronic and can cause distress in many people’s lives.
  • #42 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although chronic nonallergic rhinitis represents about one-fourth of rhinitis cases and impacts 20 to 30 million patients in the United States, its pathophysiology is unclear and diagnostic testing is not available. […] Chronic nonallergic rhinitis was previously referred to as nonallergic vasomotor or vasomotor rhinitis, but it was renamed because of a lack of evidence showing a vascular origin. The best current evidence supports nociceptor and autonomic nerve dysregulation as components in all forms of nonallergic rhinitis. […] A negative result on allergy testing is one unifying characteristic of the chronic nonallergic rhinitis subtypes. Beyond that, clinical characteristics help define the conditions. First, these conditions are chronic (i.e., lasting at least three months). They can be perennial, persistent, intermittent, or seasonal. Clinically, chronic nonallergic rhinitis is characterized by its nonallergic triggers, including weather changes, tobacco smoke, automotive emission fumes, and irritants such as chemicals with strong odors (e.g., perfumes, chlorine).
  • #43 Allergic & Nonallergic Rhinitis NYC | Mount Sinai – New York
    https://www.mountsinai.org/care/ent/services/nasal-sinus-allergy/conditions/rhinitis
    Rhinitis is described as inflammation and irritation of the mucous membrane lining the nose. This condition can be caused by bacteria, allergens, pollen, air pollutants, certain foods and beverages, smoke, hormonal changes or viruses. […] Nonallergic rhinitis: causes and triggers are varied as noted below. Symptoms and trigger are extremely important in the diagnosis and proper treatment. Symptoms can be persistent or intermittent. […] Symptoms of Rhinitis include: Runny nose or postnasal drip, Nasal congestion/ obstruction, Sneezing, Cough, Decreased smell, Ear fullness, Throat clearing, Eye or nasal itching. […] Allergic and nonallergic rhinitis can be overwhelming, as symptoms are often chronic and can cause distress in many people’s lives.
  • #44 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although chronic nonallergic rhinitis represents about one-fourth of rhinitis cases and impacts 20 to 30 million patients in the United States, its pathophysiology is unclear and diagnostic testing is not available. […] Chronic nonallergic rhinitis was previously referred to as nonallergic vasomotor or vasomotor rhinitis, but it was renamed because of a lack of evidence showing a vascular origin. The best current evidence supports nociceptor and autonomic nerve dysregulation as components in all forms of nonallergic rhinitis. […] A negative result on allergy testing is one unifying characteristic of the chronic nonallergic rhinitis subtypes. Beyond that, clinical characteristics help define the conditions. First, these conditions are chronic (i.e., lasting at least three months). They can be perennial, persistent, intermittent, or seasonal. Clinically, chronic nonallergic rhinitis is characterized by its nonallergic triggers, including weather changes, tobacco smoke, automotive emission fumes, and irritants such as chemicals with strong odors (e.g., perfumes, chlorine).
  • #45 Vasomotor Rhinitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547704/
    Nonallergic rhinitis is a persistent condition that is usually present lifelong. One study by Rondon and colleagues, reexamined 180 patients with nonallergic rhinitis 3 to 7 years after initial diagnosis. As high as 52% of patients experienced worsening disease, with a 12% increase in persistence, and a 9% increase in the severity of nasal symptoms. […] Chronic nonallergic rhinitis places considerable physical and economic burdens on sufferers. […] These symptoms can significantly complicate management and impair quality of life.
  • #46 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    It also represents a group of heterogeneous syndromes with common underlying clinical characteristics such as nasal congestion and rhinorrhea, but without nasal, pharyngeal, or ocular itching; sneezing; pulmonary symptoms; eczema; or nasal polyps. […] In contrast with the blue-hued mucosa associated with allergy and the red mucosa associated with rhinosinusitis, physical examination of the nasal mucosa is normal with chronic nonallergic rhinitis, except for the atrophic subtype. […] Chronic nonallergic rhinitis is more common in women, with a female-to-male ratio of 2:1 to 3:1. […] The most common subtype is nonallergic rhinopathy, previously known as vasomotor rhinitis or idiopathic nonallergic rhinitis. It is characterized by nasal symptoms that are triggered by environmental conditions such as strong smells or changes in temperature, humidity, or barometric pressure, typically without nasal and palatal itching or bursts of sneezing.
  • #47 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    It also represents a group of heterogeneous syndromes with common underlying clinical characteristics such as nasal congestion and rhinorrhea, but without nasal, pharyngeal, or ocular itching; sneezing; pulmonary symptoms; eczema; or nasal polyps. […] In contrast with the blue-hued mucosa associated with allergy and the red mucosa associated with rhinosinusitis, physical examination of the nasal mucosa is normal with chronic nonallergic rhinitis, except for the atrophic subtype. […] Chronic nonallergic rhinitis is more common in women, with a female-to-male ratio of 2:1 to 3:1. […] The most common subtype is nonallergic rhinopathy, previously known as vasomotor rhinitis or idiopathic nonallergic rhinitis. It is characterized by nasal symptoms that are triggered by environmental conditions such as strong smells or changes in temperature, humidity, or barometric pressure, typically without nasal and palatal itching or bursts of sneezing.
  • #48 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Nonallergic rhinitis with nasal eosinophilia syndrome is an inflammatory type of rhinitis with increased eosinophils in the secretions and on nasal biopsy, with increased mast cells and evidence of mast cell degranulation but without positive findings on allergy testing. […] Atrophic rhinitis involves atrophy of the nasal mucosa that can lead to nasal crusting and drying. This is a noninflammatory subtype and is distinguished primarily by its unique physical examination findings. […] Senile or geriatric rhinitis is distinguished by its late onset, occurring primarily in older patients. It presents as watery rhinorrhea that worsens in response to patient-identified triggers, including food, odors, or environmental irritants. […] Gustatory rhinitis represents a nasal response to consuming specific foods (e.g., spicy foods) or liquids (e.g., alcohol). It is distinguished primarily by its trigger and often overlaps with senile rhinitis.
  • #49 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Nonallergic rhinitis with nasal eosinophilia syndrome is an inflammatory type of rhinitis with increased eosinophils in the secretions and on nasal biopsy, with increased mast cells and evidence of mast cell degranulation but without positive findings on allergy testing. […] Atrophic rhinitis involves atrophy of the nasal mucosa that can lead to nasal crusting and drying. This is a noninflammatory subtype and is distinguished primarily by its unique physical examination findings. […] Senile or geriatric rhinitis is distinguished by its late onset, occurring primarily in older patients. It presents as watery rhinorrhea that worsens in response to patient-identified triggers, including food, odors, or environmental irritants. […] Gustatory rhinitis represents a nasal response to consuming specific foods (e.g., spicy foods) or liquids (e.g., alcohol). It is distinguished primarily by its trigger and often overlaps with senile rhinitis.
  • #50 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Nonallergic rhinitis with nasal eosinophilia syndrome is an inflammatory type of rhinitis with increased eosinophils in the secretions and on nasal biopsy, with increased mast cells and evidence of mast cell degranulation but without positive findings on allergy testing. […] Atrophic rhinitis involves atrophy of the nasal mucosa that can lead to nasal crusting and drying. This is a noninflammatory subtype and is distinguished primarily by its unique physical examination findings. […] Senile or geriatric rhinitis is distinguished by its late onset, occurring primarily in older patients. It presents as watery rhinorrhea that worsens in response to patient-identified triggers, including food, odors, or environmental irritants. […] Gustatory rhinitis represents a nasal response to consuming specific foods (e.g., spicy foods) or liquids (e.g., alcohol). It is distinguished primarily by its trigger and often overlaps with senile rhinitis.
  • #51 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Nonallergic rhinitis with nasal eosinophilia syndrome is an inflammatory type of rhinitis with increased eosinophils in the secretions and on nasal biopsy, with increased mast cells and evidence of mast cell degranulation but without positive findings on allergy testing. […] Atrophic rhinitis involves atrophy of the nasal mucosa that can lead to nasal crusting and drying. This is a noninflammatory subtype and is distinguished primarily by its unique physical examination findings. […] Senile or geriatric rhinitis is distinguished by its late onset, occurring primarily in older patients. It presents as watery rhinorrhea that worsens in response to patient-identified triggers, including food, odors, or environmental irritants. […] Gustatory rhinitis represents a nasal response to consuming specific foods (e.g., spicy foods) or liquids (e.g., alcohol). It is distinguished primarily by its trigger and often overlaps with senile rhinitis.
  • #52 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Drug-induced rhinitis can occur with use of various medications and illicit drugs, including antihypertensives, nonsteroidal anti-inflammatory drugs, phosphodiesterase-5 inhibitors, and cocaine. […] Hormonal rhinitis refers to the onset of nasal congestion and rhinorrhea associated with endogenous female hormones. The response to the hormones of pregnancy is the most classic and common example. Symptoms resolve with the end of pregnancy. […] Occupational rhinitis is a result of occupational exposures, ranging from latex and flour to chemicals and particles. Symptoms typically worsen throughout the workweek and improve with time off. Determining and avoiding the trigger are key to treatment. […] Diagnosing chronic nonallergic rhinitis can be challenging because nasal congestion and rhinorrhea can also occur with allergic rhinitis and chronic rhinosinusitis. Nonallergic rhinitis was previously a diagnosis of exclusion.
  • #53 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Drug-induced rhinitis can occur with use of various medications and illicit drugs, including antihypertensives, nonsteroidal anti-inflammatory drugs, phosphodiesterase-5 inhibitors, and cocaine. […] Hormonal rhinitis refers to the onset of nasal congestion and rhinorrhea associated with endogenous female hormones. The response to the hormones of pregnancy is the most classic and common example. Symptoms resolve with the end of pregnancy. […] Occupational rhinitis is a result of occupational exposures, ranging from latex and flour to chemicals and particles. Symptoms typically worsen throughout the workweek and improve with time off. Determining and avoiding the trigger are key to treatment. […] Diagnosing chronic nonallergic rhinitis can be challenging because nasal congestion and rhinorrhea can also occur with allergic rhinitis and chronic rhinosinusitis. Nonallergic rhinitis was previously a diagnosis of exclusion.
  • #54 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Drug-induced rhinitis can occur with use of various medications and illicit drugs, including antihypertensives, nonsteroidal anti-inflammatory drugs, phosphodiesterase-5 inhibitors, and cocaine. […] Hormonal rhinitis refers to the onset of nasal congestion and rhinorrhea associated with endogenous female hormones. The response to the hormones of pregnancy is the most classic and common example. Symptoms resolve with the end of pregnancy. […] Occupational rhinitis is a result of occupational exposures, ranging from latex and flour to chemicals and particles. Symptoms typically worsen throughout the workweek and improve with time off. Determining and avoiding the trigger are key to treatment. […] Diagnosing chronic nonallergic rhinitis can be challenging because nasal congestion and rhinorrhea can also occur with allergic rhinitis and chronic rhinosinusitis. Nonallergic rhinitis was previously a diagnosis of exclusion.
  • #55 Vasomotor Rhinitis (VMR)
    https://www.asthmafoundation.org.nz/your-health/other-respiratory-conditions/vasomotor-rhinitis-vmr
    Non-allergic, non-infectious eg Vasomotor Rhinitis (or Irritant rhinitis). „Vaso” means blood vessels and „motor” refers to the nerves, which innervates nasal tissue and the blood vessels. This is sometimes referred to as idiopathic non-allergic rhinitis. It is estimated that up to 10% of the population suffers from non-allergic rhinitis. […] Vasomotor Rhinitis is chronic rhinitis that is characterised by intermittent (coming and going) episodes of sneezing, watery nasal drainage (rhinorrhea), and blood vessel congestion of the nasal mucus membranes. There appears to be a hypersensitive response to stimuli such as a dry atmosphere, air pollutants, spicy foods, alcohol, strong emotions, and some medications. […] Subjects with vasomotor rhinitis fall into two general groups: „runners” who have „wet” rhinorrhea, and „dry” subjects with predominant symptoms of nasal congestion and blockage to airflow, and minimal rhinorrhea.
  • #56 Vasomotor Rhinitis – StatPearls – NCBI Bookshelf
    https://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. […] Nonallergic rhinitis presents later in life, with patients developing symptoms most commonly between the ages of 30 and 60. […] Patients with vasomotor rhinitis tend to categorize into two groups depending on predominant symptomatology: blockers with congestion and runners with rhinorrhea. […] Vasomotor rhinitis is generally perennial. However, seasonal exacerbation of vasomotor rhinitis from shifts in barometric pressure, temperature, and humidity may get misconstrued as allergic rhinitis. […] Chronic vasomotor rhinitis symptoms often interfere with work performance and school attendance due to loss of productivity and frequent doctor visits.
  • #57 Vasomotor Rhinitis (VMR)
    https://www.asthmafoundation.org.nz/your-health/other-respiratory-conditions/vasomotor-rhinitis-vmr
    Non-allergic, non-infectious eg Vasomotor Rhinitis (or Irritant rhinitis). „Vaso” means blood vessels and „motor” refers to the nerves, which innervates nasal tissue and the blood vessels. This is sometimes referred to as idiopathic non-allergic rhinitis. It is estimated that up to 10% of the population suffers from non-allergic rhinitis. […] Vasomotor Rhinitis is chronic rhinitis that is characterised by intermittent (coming and going) episodes of sneezing, watery nasal drainage (rhinorrhea), and blood vessel congestion of the nasal mucus membranes. There appears to be a hypersensitive response to stimuli such as a dry atmosphere, air pollutants, spicy foods, alcohol, strong emotions, and some medications. […] Subjects with vasomotor rhinitis fall into two general groups: „runners” who have „wet” rhinorrhea, and „dry” subjects with predominant symptoms of nasal congestion and blockage to airflow, and minimal rhinorrhea.
  • #58 Vasomotor Rhinitis (VMR)
    https://www.asthmafoundation.org.nz/your-health/other-respiratory-conditions/vasomotor-rhinitis-vmr
    Non-allergic, non-infectious eg Vasomotor Rhinitis (or Irritant rhinitis). „Vaso” means blood vessels and „motor” refers to the nerves, which innervates nasal tissue and the blood vessels. This is sometimes referred to as idiopathic non-allergic rhinitis. It is estimated that up to 10% of the population suffers from non-allergic rhinitis. […] Vasomotor Rhinitis is chronic rhinitis that is characterised by intermittent (coming and going) episodes of sneezing, watery nasal drainage (rhinorrhea), and blood vessel congestion of the nasal mucus membranes. There appears to be a hypersensitive response to stimuli such as a dry atmosphere, air pollutants, spicy foods, alcohol, strong emotions, and some medications. […] Subjects with vasomotor rhinitis fall into two general groups: „runners” who have „wet” rhinorrhea, and „dry” subjects with predominant symptoms of nasal congestion and blockage to airflow, and minimal rhinorrhea.
  • #59 Vasomotor Rhinitis – StatPearls – NCBI Bookshelf
    https://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. […] Nonallergic rhinitis presents later in life, with patients developing symptoms most commonly between the ages of 30 and 60. […] Patients with vasomotor rhinitis tend to categorize into two groups depending on predominant symptomatology: blockers with congestion and runners with rhinorrhea. […] Vasomotor rhinitis is generally perennial. However, seasonal exacerbation of vasomotor rhinitis from shifts in barometric pressure, temperature, and humidity may get misconstrued as allergic rhinitis. […] Chronic vasomotor rhinitis symptoms often interfere with work performance and school attendance due to loss of productivity and frequent doctor visits.
  • #60 Allergic & Nonallergic Rhinitis NYC | Mount Sinai – New York
    https://www.mountsinai.org/care/ent/services/nasal-sinus-allergy/conditions/rhinitis
    Rhinitis is described as inflammation and irritation of the mucous membrane lining the nose. This condition can be caused by bacteria, allergens, pollen, air pollutants, certain foods and beverages, smoke, hormonal changes or viruses. […] Nonallergic rhinitis: causes and triggers are varied as noted below. Symptoms and trigger are extremely important in the diagnosis and proper treatment. Symptoms can be persistent or intermittent. […] Symptoms of Rhinitis include: Runny nose or postnasal drip, Nasal congestion/ obstruction, Sneezing, Cough, Decreased smell, Ear fullness, Throat clearing, Eye or nasal itching. […] Allergic and nonallergic rhinitis can be overwhelming, as symptoms are often chronic and can cause distress in many people’s lives.
  • #61 Vasomotor Rhinitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547704/
    Nonallergic rhinitis is a persistent condition that is usually present lifelong. One study by Rondon and colleagues, reexamined 180 patients with nonallergic rhinitis 3 to 7 years after initial diagnosis. As high as 52% of patients experienced worsening disease, with a 12% increase in persistence, and a 9% increase in the severity of nasal symptoms. […] Chronic nonallergic rhinitis places considerable physical and economic burdens on sufferers. […] These symptoms can significantly complicate management and impair quality of life.
  • #62 Pharmacotherapy for Nonallergic Rhinitis: Overview, Distinguishing Types of Nonallergic Rhinitis, Pharmacotherapy
    https://emedicine.medscape.com/article/874171-overview
    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. […] According to a 2007 Danish study, nonallergic rhinitis affects up to 25% of the population, and nearly half of these individuals seek treatment for relief of their symptoms. […] 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). […] Patients with nonallergic rhinitis have been shown to be at a higher risk of asthma, and vice versa. […] Patients with nonallergic rhinitis typically present with rhinorrhea, sneezing, pruritus, and nasal congestion.
  • #63 Understanding the Chronicles of Chronic Rhinitis – Neuromark
    https://neuromark.com/understanding-the-chronicles-of-chronic-rhinitis/
    Symptoms of Chronic Rhinitis include: Chronic Stuffed-Up Nose, Chronic Runny Nose, Chronic Post-Nasal Drip, Nasal Irritation, Reduced Sense of Smell or Taste, Fatigue and Sleep Disturbances, and Headaches. […] Chronic inflammation of the nasal passages can interfere with your sense of smell (olfactory function) and taste. […] Constant nasal congestion and difficulty breathing can disrupt your sleep patterns, leading to fatigue and daytime drowsiness. […] Some individuals with chronic rhinitis experience headaches, often due to the pressure and congestion in the sinus cavities.
  • #64 Pharmacotherapy for Nonallergic Rhinitis: Overview, Distinguishing Types of Nonallergic Rhinitis, Pharmacotherapy
    https://emedicine.medscape.com/article/874171-overview
    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. […] According to a 2007 Danish study, nonallergic rhinitis affects up to 25% of the population, and nearly half of these individuals seek treatment for relief of their symptoms. […] 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). […] Patients with nonallergic rhinitis have been shown to be at a higher risk of asthma, and vice versa. […] Patients with nonallergic rhinitis typically present with rhinorrhea, sneezing, pruritus, and nasal congestion.
  • #65 Pharmacotherapy for Nonallergic Rhinitis: Overview, Distinguishing Types of Nonallergic Rhinitis, Pharmacotherapy
    https://emedicine.medscape.com/article/874171-overview
    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. […] According to a 2007 Danish study, nonallergic rhinitis affects up to 25% of the population, and nearly half of these individuals seek treatment for relief of their symptoms. […] 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). […] Patients with nonallergic rhinitis have been shown to be at a higher risk of asthma, and vice versa. […] Patients with nonallergic rhinitis typically present with rhinorrhea, sneezing, pruritus, and nasal congestion.
  • #66 Nonallergic rhinitis
    https://www.mymlc.com/health-information/diseases-and-conditions/n/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. […] If you have nonallergic rhinitis, you probably have symptoms that come and go year-round. Signs and symptoms of nonallergic rhinitis might include: Stuffy or runny nose, Sneezing, Mucus in the throat, Cough. Nonallergic rhinitis doesn’t usually cause itchy nose, eyes or throat — symptoms associated with allergies such as hay fever. […] Nonallergic rhinitis might be linked to: Nasal polyps. These are soft, noncancerous (benign) growths that develop on the lining of your nose or sinuses due to chronic inflammation. Small polyps might not cause problems. But larger polyps can block the airflow through your nose, making it difficult to breathe. Prolonged nasal congestion due to nonallergic rhinitis can increase your chances of developing an infection or inflammation of the membrane that lines the sinuses (sinusitis). Nonallergic rhinitis can be disruptive. You might be less productive at work or school. You also might need to take time off because of symptom flares or doctor visits.
  • #67 Vasomotor Rhinitis – StatPearls – NCBI Bookshelf
    https://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. […] Nonallergic rhinitis presents later in life, with patients developing symptoms most commonly between the ages of 30 and 60. […] Patients with vasomotor rhinitis tend to categorize into two groups depending on predominant symptomatology: blockers with congestion and runners with rhinorrhea. […] Vasomotor rhinitis is generally perennial. However, seasonal exacerbation of vasomotor rhinitis from shifts in barometric pressure, temperature, and humidity may get misconstrued as allergic rhinitis. […] Chronic vasomotor rhinitis symptoms often interfere with work performance and school attendance due to loss of productivity and frequent doctor visits.
  • #68 Understanding the Chronicles of Chronic Rhinitis – Neuromark
    https://neuromark.com/understanding-the-chronicles-of-chronic-rhinitis/
    Symptoms of Chronic Rhinitis include: Chronic Stuffed-Up Nose, Chronic Runny Nose, Chronic Post-Nasal Drip, Nasal Irritation, Reduced Sense of Smell or Taste, Fatigue and Sleep Disturbances, and Headaches. […] Chronic inflammation of the nasal passages can interfere with your sense of smell (olfactory function) and taste. […] Constant nasal congestion and difficulty breathing can disrupt your sleep patterns, leading to fatigue and daytime drowsiness. […] Some individuals with chronic rhinitis experience headaches, often due to the pressure and congestion in the sinus cavities.
  • #69 Allergies Contact Right Rail
    https://www.marshfieldclinic.org/specialties/allergies/allergies-allergic-and-non-allergic-rhinitis-frequently-asked-questions
    Symptoms of rhinitis include runny nose, itching, sneezing and stuffy nose due to blockage or congestion. […] When mucus production is excessive, it can flow from the front, as a runny nose, or become noticeable from the back, as post-nasal drip. […] Itching and sneezing are also natural responses to irritation caused by allergic reactions, chemical exposures including cigarette smoke, or temperature changes, infections and other factors. […] Some known complications include ear infections, sinusitis, recurrent sore throats, cough, headache, fatigue, irritability, altered sleep patterns and poor school performance. […] Not all rhinitis symptoms are the result of allergies. […] Non-allergic. Common name: Irritant. Allergic sensitivity: No. Causes may include Smoke, air pollution, exhaust fumes, aerosol sprays, fragrance, paint fumes, etc. Duration of symptoms are Perennial and/or following exposure.
  • #70 Reddit – The heart of the internet
    https://www.reddit.com/r/nonallergicrhinitis/comments/177egni/chronic_non_allergic_rhinitis_what_next/
    I have suffered with NAR from 3 years now and it has significantly affected my life. It all started when we got our rescue cat, the next day I developed runny/congested nose, post nasal drip, feeling lethargic and tired, feeling like I had a bit of the flu. This continued for a few weeks with no change and I went to the doctors where they advised I was allergic to the cat, advised taking nasonex nose spray and antihistamines and had a blood test to confirm allergies. I was on the nasonex and antihistamines for a month with no change in symptoms […] I feel like it doesn’t sound like much but having a constantly blocked nose, low energy and tiredness, unable to get a good sleep ever, slight sore throat from the post nasal drip, constantly producing and swallowing mucus every day with no end in sight had made me miserable and debilitated and the days were getting harder and harder to face. Unfortunately my symptoms did not improve. A few months went by and we thought maybe the allergens were in the house so we hired a professional cleaner and got the house de-allergies (some sort of denaturing process using a spray). A few more months went past and there was no improvement. A year past and we moved to a completely new home that had never been lived in (new build) and my symptoms did not change. So even after moving to a new home, the cat passing away and not having lived with a cat for a year there was no change in my symptoms. I have found that when I travel to visit my parents in a different part of the country that my symptoms improve and get better (about 3 hours flight away) so I know it has to be caused by something in the environment, and the specialist confirmed this. Unfortunately accepting things won’t work very well for me, they symptoms stop me from living a normal life, I never feel comfortable doing anything anymore and have been unhappy for a long time because of this. So the things that have worked for me are Dymista and living away from where I am currently.
  • #71 Identifying and Managing Non-allergic Rhinitis | Carolina Ear Nose & Throat – Sinus and Allergy Center | Blog
    https://carolinaearnosethroat.com/identifying-and-managing-non-allergic-rhinitis/
    Non-allergic rhinitis is similar in symptoms to allergic rhinitis. Symptoms may include but are not limited to: Stuffy or runny nose, Sneezing, Mucus in the throat, Cough. […] Non-allergic rhinitis does not usually cause the itchy eyes, nose or throat associated with allergic rhinitis. […] Non-allergic rhinitis is harder to identify and is frequently ignored as a minor issue, but studies have shown that untreated rhinitis does significantly increase the risk of other comorbid conditions such as obstructive sleep apnea, fatigue, headache, malaise, poor appetite and weakness. […] Managing the symptoms of non-allergic rhinitis will free you up to better enjoy the sights and smells of Hickory Lake or a delicious meal free of congestion.
  • #72 Identifying and Managing Non-allergic Rhinitis | Carolina Ear Nose & Throat – Sinus and Allergy Center | Blog
    https://carolinaearnosethroat.com/identifying-and-managing-non-allergic-rhinitis/
    Non-allergic rhinitis is similar in symptoms to allergic rhinitis. Symptoms may include but are not limited to: Stuffy or runny nose, Sneezing, Mucus in the throat, Cough. […] Non-allergic rhinitis does not usually cause the itchy eyes, nose or throat associated with allergic rhinitis. […] Non-allergic rhinitis is harder to identify and is frequently ignored as a minor issue, but studies have shown that untreated rhinitis does significantly increase the risk of other comorbid conditions such as obstructive sleep apnea, fatigue, headache, malaise, poor appetite and weakness. […] Managing the symptoms of non-allergic rhinitis will free you up to better enjoy the sights and smells of Hickory Lake or a delicious meal free of congestion.
  • #73 Identifying and Managing Non-allergic Rhinitis | Carolina Ear Nose & Throat – Sinus and Allergy Center | Blog
    https://carolinaearnosethroat.com/identifying-and-managing-non-allergic-rhinitis/
    Non-allergic rhinitis is similar in symptoms to allergic rhinitis. Symptoms may include but are not limited to: Stuffy or runny nose, Sneezing, Mucus in the throat, Cough. […] Non-allergic rhinitis does not usually cause the itchy eyes, nose or throat associated with allergic rhinitis. […] Non-allergic rhinitis is harder to identify and is frequently ignored as a minor issue, but studies have shown that untreated rhinitis does significantly increase the risk of other comorbid conditions such as obstructive sleep apnea, fatigue, headache, malaise, poor appetite and weakness. […] Managing the symptoms of non-allergic rhinitis will free you up to better enjoy the sights and smells of Hickory Lake or a delicious meal free of congestion.
  • #74 Nonallergic (Vasomotor) Rhinitis: Symptoms, Causes and Treatment
    https://www.webmd.com/allergies/nonallergic-rhinitis
    Nonallergic rhinitis causes symptoms that are very similar to those of allergies, such as: […] Nonallergic rhinitis produces similar symptoms to allergic rhinitis (hay fever) and can cause just as much misery. […] Nonallergic rhinitis happens in most people after age 20. […] Nonallergic rhinitis often happens during periods of hormonal imbalance. For instance, it may happen during puberty, menstruation, or pregnancy. […] Nonallergic rhinitis can cause just as much misery as allergic rhinitis. It can also be associated with the same complications, such as: […] Nonallergic (vasomotor) rhinitis occurs when you have allergy-like symptoms, but they’re not due to any known allergy-causing substances. Rather, you may have nasal and other symptoms that are triggered by your environment, medications, or hormonal changes. While allergies are seasonal, symptoms of nonallergic rhinitis happen year-round. Similar to allergies, you’ll get nonallergic rhinitis symptoms whenever you’re exposed to a trigger. Symptoms include a stuffy and runny nose, sneezing, a reduced sense of smell, and postnasal drip.
  • #75 Nonallergic rhinitis | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/nonallergic-rhinitis?content_id=CON-20155767
    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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever. […] 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. Polyps are caused by swelling, also known as inflammation. They’re not cancer. Small polyps might not cause problems. But larger ones can block the airflow through the nose. That makes it hard to breathe. […] Long-term congestion in the nose due to nonallergic rhinitis can raise the risk of sinusitis.
  • #76 Nonallergic rhinitis
    https://www.mymlc.com/health-information/diseases-and-conditions/n/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. […] If you have nonallergic rhinitis, you probably have symptoms that come and go year-round. Signs and symptoms of nonallergic rhinitis might include: Stuffy or runny nose, Sneezing, Mucus in the throat, Cough. Nonallergic rhinitis doesn’t usually cause itchy nose, eyes or throat — symptoms associated with allergies such as hay fever. […] Nonallergic rhinitis might be linked to: Nasal polyps. These are soft, noncancerous (benign) growths that develop on the lining of your nose or sinuses due to chronic inflammation. Small polyps might not cause problems. But larger polyps can block the airflow through your nose, making it difficult to breathe. Prolonged nasal congestion due to nonallergic rhinitis can increase your chances of developing an infection or inflammation of the membrane that lines the sinuses (sinusitis). Nonallergic rhinitis can be disruptive. You might be less productive at work or school. You also might need to take time off because of symptom flares or doctor visits.
  • #77 Nonallergic rhinitis – Wikipedia
    https://en.wikipedia.org/wiki/Nonallergic_rhinitis
    Nonallergic rhinitis displays symptoms including chronic sneezing or having a congested, drippy nose, without an identified allergic reaction with allergy testing being normal. […] Other symptoms that are more specific to non-allergic rhinitis include ear plugging or discomfort with eustachian tube dysfunction, headaches, sinus pressure, and muffled hearing. […] Paroxysmal sneezing in morning, especially in morning while getting out of bed. Excessive rhinorrhea watering discharge from the nose when patient bends forward. Nasal obstruction bilateral nasal stuffiness alternates from one site to other; this is more marked at night, when the dependent side of nose is often blocked. Postnasal drip. […] Nonallergic rhinitis cases may subsequently develop polyps, turbinate hypertrophy and sinusitis.
  • #78 Nonallergic Rhinitis – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/nose-and-paranasal-sinus-disorders/nonallergic-rhinitis
    Rhinitis is inflammation of the nasal mucous membrane, with resultant nasal congestion, rhinorrhea, and variable associated symptoms depending on etiology (eg, itching, sneezing, watery or purulent rhinorrhea, anosmia). […] Symptoms and Signs of Nonallergic Rhinitis […] Acute rhinitis results in cough, low-grade fever, nasal congestion, rhinorrhea, and sneezing. […] Chronic rhinitis manifestations are similar to those of acute rhinitis, but in prolonged or severe cases, patients may also have thick, foul-smelling, mucopurulent drainage; mucosal crusting; and/or bleeding. […] Atrophic rhinitis results in enlargement of the nasal cavities, crust formation and malodorous bacterial colonization, nasal congestion, anosmia, and epistaxis that may be recurrent and severe. […] Vasomotor rhinitis results in sneezing and watery rhinorrhea. The turgescent mucous membrane varies from bright red to purple. The condition is marked by periods of remission and exacerbation.
  • #79 Rhinitis – Ear, Nose, and Throat Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/ear-nose-and-throat-disorders/nose-and-sinus-disorders/rhinitis
    Symptoms consist of runny nose, sneezing, congestion, postnasal drip, cough, and a low-grade fever. […] Chronic rhinitis causes nasal obstruction and, in severe cases, crusting, frequent bleeding, and thick, foul-smelling, pus-filled discharge from the nose. […] Atrophic rhinitis is a form of chronic rhinitis in which the mucous membrane thins (atrophies) and hardens, causing the nasal passages to widen (dilate) and dry out. […] Crusts form inside the nose, and an offensive odor develops. People may have recurring severe nosebleeds and can lose their sense of smell (anosmia). […] Vasomotor rhinitis is a form of chronic rhinitis. Nasal stuffiness, sneezing, and a runny nosecommon allergic symptomsoccur when allergies do not seem to be present.
  • #80 Nonallergic rhinitis | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/nonallergic-rhinitis?content_id=CON-20155767
    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 symptoms often come and go year-round. Your symptoms might include: Stuffy or runny nose. Sneezing. Mucus in the throat. Cough. […] Nonallergic rhinitis most often doesn’t cause an itchy nose, eyes or throat. That symptom is linked with allergies such as hay fever. […] 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. Polyps are caused by swelling, also known as inflammation. They’re not cancer. Small polyps might not cause problems. But larger ones can block the airflow through the nose. That makes it hard to breathe. […] Long-term congestion in the nose due to nonallergic rhinitis can raise the risk of sinusitis.
  • #81 Nonallergic rhinitis
    https://www.mymlc.com/health-information/diseases-and-conditions/n/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. […] If you have nonallergic rhinitis, you probably have symptoms that come and go year-round. Signs and symptoms of nonallergic rhinitis might include: Stuffy or runny nose, Sneezing, Mucus in the throat, Cough. Nonallergic rhinitis doesn’t usually cause itchy nose, eyes or throat — symptoms associated with allergies such as hay fever. […] Nonallergic rhinitis might be linked to: Nasal polyps. These are soft, noncancerous (benign) growths that develop on the lining of your nose or sinuses due to chronic inflammation. Small polyps might not cause problems. But larger polyps can block the airflow through your nose, making it difficult to breathe. Prolonged nasal congestion due to nonallergic rhinitis can increase your chances of developing an infection or inflammation of the membrane that lines the sinuses (sinusitis). Nonallergic rhinitis can be disruptive. You might be less productive at work or school. You also might need to take time off because of symptom flares or doctor visits.
  • #82 Vasomotor Rhinitis Program | Rochester Regional Health
    https://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. […] Also called non-allergic rhinitis, vasomotor rhinitis occurs when the tissues inside your nose become swollen (inflamed). […] For most, the symptoms of non-allergic rhinitis include: Diminished sense of smell, Postnasal drip, Runny or stuffy nose, Sneezing. […] 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.
  • #83 Allergies Contact Right Rail
    https://www.marshfieldclinic.org/specialties/allergies/allergies-allergic-and-non-allergic-rhinitis-frequently-asked-questions
    Symptoms of rhinitis include runny nose, itching, sneezing and stuffy nose due to blockage or congestion. […] When mucus production is excessive, it can flow from the front, as a runny nose, or become noticeable from the back, as post-nasal drip. […] Itching and sneezing are also natural responses to irritation caused by allergic reactions, chemical exposures including cigarette smoke, or temperature changes, infections and other factors. […] Some known complications include ear infections, sinusitis, recurrent sore throats, cough, headache, fatigue, irritability, altered sleep patterns and poor school performance. […] Not all rhinitis symptoms are the result of allergies. […] Non-allergic. Common name: Irritant. Allergic sensitivity: No. Causes may include Smoke, air pollution, exhaust fumes, aerosol sprays, fragrance, paint fumes, etc. Duration of symptoms are Perennial and/or following exposure.
  • #84 Pharmacotherapy for Nonallergic Rhinitis: Overview, Distinguishing Types of Nonallergic Rhinitis, Pharmacotherapy
    https://emedicine.medscape.com/article/874171-overview
    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. […] According to a 2007 Danish study, nonallergic rhinitis affects up to 25% of the population, and nearly half of these individuals seek treatment for relief of their symptoms. […] 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). […] Patients with nonallergic rhinitis have been shown to be at a higher risk of asthma, and vice versa. […] Patients with nonallergic rhinitis typically present with rhinorrhea, sneezing, pruritus, and nasal congestion.
  • #85 Allergies Contact Right Rail
    https://www.marshfieldclinic.org/specialties/allergies/allergies-allergic-and-non-allergic-rhinitis-frequently-asked-questions
    Symptoms of rhinitis include runny nose, itching, sneezing and stuffy nose due to blockage or congestion. […] When mucus production is excessive, it can flow from the front, as a runny nose, or become noticeable from the back, as post-nasal drip. […] Itching and sneezing are also natural responses to irritation caused by allergic reactions, chemical exposures including cigarette smoke, or temperature changes, infections and other factors. […] Some known complications include ear infections, sinusitis, recurrent sore throats, cough, headache, fatigue, irritability, altered sleep patterns and poor school performance. […] Not all rhinitis symptoms are the result of allergies. […] Non-allergic. Common name: Irritant. Allergic sensitivity: No. Causes may include Smoke, air pollution, exhaust fumes, aerosol sprays, fragrance, paint fumes, etc. Duration of symptoms are Perennial and/or following exposure.
  • #86 Nonallergic rhinitis – Wikipedia
    https://en.wikipedia.org/wiki/Nonallergic_rhinitis
    Nonallergic rhinitis displays symptoms including chronic sneezing or having a congested, drippy nose, without an identified allergic reaction with allergy testing being normal. […] Other symptoms that are more specific to non-allergic rhinitis include ear plugging or discomfort with eustachian tube dysfunction, headaches, sinus pressure, and muffled hearing. […] Paroxysmal sneezing in morning, especially in morning while getting out of bed. Excessive rhinorrhea watering discharge from the nose when patient bends forward. Nasal obstruction bilateral nasal stuffiness alternates from one site to other; this is more marked at night, when the dependent side of nose is often blocked. Postnasal drip. […] Nonallergic rhinitis cases may subsequently develop polyps, turbinate hypertrophy and sinusitis.
  • #87 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics/print
    […] […] The cause of nonallergic rhinitis is not known. However, many triggers of symptoms are known. These include irritants, such as tobacco smoke, traffic fumes, strong odors, and perfumes, as well as weather conditions (such as the arrival of a weather front). […] […] […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] […] […] 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. […] […] […] Some symptom relief may occur on the first day of treatment, although the maximal effect may not be noticeable for days to weeks. For this reason, these agents are most effective when used regularly. […] […] […] In most patients, symptoms are lifelong, and some medication is usually needed on a daily and long-term basis.
  • #88 Vasomotor Rhinitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547704/
    Nonallergic rhinitis is a persistent condition that is usually present lifelong. One study by Rondon and colleagues, reexamined 180 patients with nonallergic rhinitis 3 to 7 years after initial diagnosis. As high as 52% of patients experienced worsening disease, with a 12% increase in persistence, and a 9% increase in the severity of nasal symptoms. […] Chronic nonallergic rhinitis places considerable physical and economic burdens on sufferers. […] These symptoms can significantly complicate management and impair quality of life.
  • #89 Chronic Rhinitis: Causes, Types, Symptoms and Treatments
    https://plushcare.com/blog/chronic-rhinitis/
    Chronic rhinitis generally is non-allergic; allergies that cause rhinitis tend to be seasonal because of pollen production cycles. […] Causes of non-allergic rhinitis are not always known. However, viral infections, bacterial infections, various environmental triggers, surgery, and changes in hormones have been associated with chronic rhinitis. […] Symptoms of viral rhinitis include: Runny nose, Congestion, Swelling, Dilated blood vessel in the nose. […] Symptoms of atrophic rhinitis include: Crusting within the nostrils, Production of a bad odor, Heavy nosebleeds, Loss of smell. […] Vasomotor rhinitis is a type of chronic rhinitis that produces congestion, sneezing, or a runny nose; similar to allergies, but the symptoms are not caused by an over reactive immune response. […] Prolonged rhinitis can result in frequent bleeding, nasal obstruction, and a runny nose containing pus.
  • #90 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics
    […] […] The cause of nonallergic rhinitis is not known. However, many triggers of symptoms are known. These include irritants, such as tobacco smoke, traffic fumes, strong odors, and perfumes, as well as weather conditions (such as the arrival of a weather front). […] […] […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] […] […] 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) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States. […] […] […] 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.
  • #91 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #92 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    It also represents a group of heterogeneous syndromes with common underlying clinical characteristics such as nasal congestion and rhinorrhea, but without nasal, pharyngeal, or ocular itching; sneezing; pulmonary symptoms; eczema; or nasal polyps. […] In contrast with the blue-hued mucosa associated with allergy and the red mucosa associated with rhinosinusitis, physical examination of the nasal mucosa is normal with chronic nonallergic rhinitis, except for the atrophic subtype. […] Chronic nonallergic rhinitis is more common in women, with a female-to-male ratio of 2:1 to 3:1. […] The most common subtype is nonallergic rhinopathy, previously known as vasomotor rhinitis or idiopathic nonallergic rhinitis. It is characterized by nasal symptoms that are triggered by environmental conditions such as strong smells or changes in temperature, humidity, or barometric pressure, typically without nasal and palatal itching or bursts of sneezing.
  • #93 Vasomotor Rhinitis – StatPearls – NCBI Bookshelf
    https://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. […] Nonallergic rhinitis presents later in life, with patients developing symptoms most commonly between the ages of 30 and 60. […] Patients with vasomotor rhinitis tend to categorize into two groups depending on predominant symptomatology: blockers with congestion and runners with rhinorrhea. […] Vasomotor rhinitis is generally perennial. However, seasonal exacerbation of vasomotor rhinitis from shifts in barometric pressure, temperature, and humidity may get misconstrued as allergic rhinitis. […] Chronic vasomotor rhinitis symptoms often interfere with work performance and school attendance due to loss of productivity and frequent doctor visits.
  • #94 What Causes Chronic Rhinitis & Can It Be Cured? | OneWelbeck
    https://onewelbeck.com/news/chronic-rhinitis-causes-and-treatment/
    Non-allergic rhinitis can be caused by irritants such as: Detergent, Perfumes, Strong odours, Pollution, Smoke, Dry weather conditions, Upper respiratory infections like the common cold, Certain medications such as beta blockers, Hormonal changes, Stress, Structural abnormalities, Other medical conditions such as asthma or chronic sinusitis.
  • #95 Nasal Allergy, Rhinitis and Allergic Rhinitis
    https://allergyasthmanetwork.org/allergies/nasal-allergy-allergic-rhinitis/
    Some people get rhinitis symptoms without any allergies at all. This is called nonallergic rhinitis. Its sometimes referred to as vasomotor rhinitis. Nonallergic rhinitis affects adults year-round. Symptoms include: congestion postnasal drip sneezing runny nose […] The immune system is not involved with nonallergic rhinitis. Instead, symptoms are caused by irritants such as: smoke air pollution strong odors from perfume, cosmetics, or laundry detergents […] Diagnosis comes after ruling out every other cause of symptoms. Many factors can trigger nonallergic rhinitis, including: […] Weather changes can trigger nonallergic rhinitis, especially when its abrupt. Cold air can cause sneezing or a runny nose. Humidity changes can cause swelling in the nasal passages. […] Medical conditions such as gastroesophageal reflux disease (GERD), chronic fatigue, or underactive thyroid may cause or worsen nonallergic rhinitis.
  • #96 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics
    […] […] The cause of nonallergic rhinitis is not known. However, many triggers of symptoms are known. These include irritants, such as tobacco smoke, traffic fumes, strong odors, and perfumes, as well as weather conditions (such as the arrival of a weather front). […] […] […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] […] […] 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) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States. […] […] […] 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.
  • #97 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #98 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics
    […] […] The cause of nonallergic rhinitis is not known. However, many triggers of symptoms are known. These include irritants, such as tobacco smoke, traffic fumes, strong odors, and perfumes, as well as weather conditions (such as the arrival of a weather front). […] […] […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] […] […] 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) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States. […] […] […] 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.
  • #99 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics
    […] […] The cause of nonallergic rhinitis is not known. However, many triggers of symptoms are known. These include irritants, such as tobacco smoke, traffic fumes, strong odors, and perfumes, as well as weather conditions (such as the arrival of a weather front). […] […] […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] […] […] 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) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States. […] […] […] 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.
  • #100 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #101 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although chronic nonallergic rhinitis represents about one-fourth of rhinitis cases and impacts 20 to 30 million patients in the United States, its pathophysiology is unclear and diagnostic testing is not available. […] Chronic nonallergic rhinitis was previously referred to as nonallergic vasomotor or vasomotor rhinitis, but it was renamed because of a lack of evidence showing a vascular origin. The best current evidence supports nociceptor and autonomic nerve dysregulation as components in all forms of nonallergic rhinitis. […] A negative result on allergy testing is one unifying characteristic of the chronic nonallergic rhinitis subtypes. Beyond that, clinical characteristics help define the conditions. First, these conditions are chronic (i.e., lasting at least three months). They can be perennial, persistent, intermittent, or seasonal. Clinically, chronic nonallergic rhinitis is characterized by its nonallergic triggers, including weather changes, tobacco smoke, automotive emission fumes, and irritants such as chemicals with strong odors (e.g., perfumes, chlorine).
  • #102 Vasomotor Rhinitis (VMR)
    https://www.asthmafoundation.org.nz/your-health/other-respiratory-conditions/vasomotor-rhinitis-vmr
    Patients present with rhinorrhea (thick or scanty), frontal headaches, and congested turbinates but usually no (itching) pruritus. […] Some patients will find that eating (especially, spicy foods) causes more nasal dripping or congestion. […] Many cases are associated with a specific agent or condition. Examples of such agents/conditions are: Changes in temperature or barometric pressure, turbulent air. […] Other causes of non-allergic rhinitis are: Nonallergic rhinitis with eosinophilia syndrome (NARES). […] A distinguishing feature of NARES is the presence of eosinophils, usually between 10-20%, on nasal smear. Generally, patients with NARES present with nasal congestion, sneezing, rhinorrhea, nasal pruritus, and hyposmia. […] VMR is usually diagnosed by taking a careful history and performing a thorough exam of the nose and throat. […] In some cases a CT scan of the sinuses may be required to exclude chronic sinusitis or polyposis. […] Symptoms usually improve with nasal steroids.
  • #103 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #104 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #105 Vasomotor Rhinitis (VMR)
    https://www.asthmafoundation.org.nz/your-health/other-respiratory-conditions/vasomotor-rhinitis-vmr
    Non-allergic, non-infectious eg Vasomotor Rhinitis (or Irritant rhinitis). „Vaso” means blood vessels and „motor” refers to the nerves, which innervates nasal tissue and the blood vessels. This is sometimes referred to as idiopathic non-allergic rhinitis. It is estimated that up to 10% of the population suffers from non-allergic rhinitis. […] Vasomotor Rhinitis is chronic rhinitis that is characterised by intermittent (coming and going) episodes of sneezing, watery nasal drainage (rhinorrhea), and blood vessel congestion of the nasal mucus membranes. There appears to be a hypersensitive response to stimuli such as a dry atmosphere, air pollutants, spicy foods, alcohol, strong emotions, and some medications. […] Subjects with vasomotor rhinitis fall into two general groups: „runners” who have „wet” rhinorrhea, and „dry” subjects with predominant symptoms of nasal congestion and blockage to airflow, and minimal rhinorrhea.
  • #106 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #107 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #108 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #109 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #110 Rhinitis (non-allergic) — BC Society of Allergy and Immunology
    https://www.bcsai.ca/rhinitis-allergic-nonallergic
    Non-allergic rhinitis is a condition that causes chronic sneezing, congestion or runny nose. […] It rarely causes itchy nose, eyes or throat. […] Although non-allergic rhinitis is not curable, it can be treated. […] Sudden nasal discharge when eating spicy or hot foods. […] When the nose runs in cold temperatures. […] A type of non-allergic rhinitis that occurs with age, when the nasal glands producing moisture fail to work properly. […] Occurs with overuse of over-the-counter decongestant nasal sprays.
  • #111 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #112 Nonallergic (Vasomotor) Rhinitis: Symptoms, Causes and Treatment
    https://www.webmd.com/allergies/nonallergic-rhinitis
    Nonallergic rhinitis causes symptoms that are very similar to those of allergies, such as: […] Nonallergic rhinitis produces similar symptoms to allergic rhinitis (hay fever) and can cause just as much misery. […] Nonallergic rhinitis happens in most people after age 20. […] Nonallergic rhinitis often happens during periods of hormonal imbalance. For instance, it may happen during puberty, menstruation, or pregnancy. […] Nonallergic rhinitis can cause just as much misery as allergic rhinitis. It can also be associated with the same complications, such as: […] Nonallergic (vasomotor) rhinitis occurs when you have allergy-like symptoms, but they’re not due to any known allergy-causing substances. Rather, you may have nasal and other symptoms that are triggered by your environment, medications, or hormonal changes. While allergies are seasonal, symptoms of nonallergic rhinitis happen year-round. Similar to allergies, you’ll get nonallergic rhinitis symptoms whenever you’re exposed to a trigger. Symptoms include a stuffy and runny nose, sneezing, a reduced sense of smell, and postnasal drip.
  • #113 Vasomotor Rhinitis (VMR)
    https://www.asthmafoundation.org.nz/your-health/other-respiratory-conditions/vasomotor-rhinitis-vmr
    Non-allergic, non-infectious eg Vasomotor Rhinitis (or Irritant rhinitis). „Vaso” means blood vessels and „motor” refers to the nerves, which innervates nasal tissue and the blood vessels. This is sometimes referred to as idiopathic non-allergic rhinitis. It is estimated that up to 10% of the population suffers from non-allergic rhinitis. […] Vasomotor Rhinitis is chronic rhinitis that is characterised by intermittent (coming and going) episodes of sneezing, watery nasal drainage (rhinorrhea), and blood vessel congestion of the nasal mucus membranes. There appears to be a hypersensitive response to stimuli such as a dry atmosphere, air pollutants, spicy foods, alcohol, strong emotions, and some medications. […] Subjects with vasomotor rhinitis fall into two general groups: „runners” who have „wet” rhinorrhea, and „dry” subjects with predominant symptoms of nasal congestion and blockage to airflow, and minimal rhinorrhea.
  • #114 What Causes Chronic Rhinitis & Can It Be Cured? | OneWelbeck
    https://onewelbeck.com/news/chronic-rhinitis-causes-and-treatment/
    Non-allergic rhinitis can be caused by irritants such as: Detergent, Perfumes, Strong odours, Pollution, Smoke, Dry weather conditions, Upper respiratory infections like the common cold, Certain medications such as beta blockers, Hormonal changes, Stress, Structural abnormalities, Other medical conditions such as asthma or chronic sinusitis.
  • #115 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #116 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #117 What Is Gustatory Rhinitis? What Causes It and How It’s Treated
    https://www.webmd.com/allergies/what-to-know-gustatory-rhinitis
    Nonallergic rhinitis is when you sneeze or have a runny or congested nose with no obvious cause. The symptoms are similar to those of allergies such as hay fever also called allergic rhinitis. Nonallergic rhinitis doesn’t usually cause itching eyes, nose, or throat the way that allergic rhinitis does. Nonallergic rhinitis is diagnosed after several allergies are ruled out. […] The symptoms are usually present year-round though they may worsen with changing seasons. Nonallergic rhinitis doesn’t usually occur in children. It usually develops after people turn 20 years old. […] The symptoms of nonallergic rhinitis can be triggered by a variety of different irritants, including: Tobacco smoke, Traffic fumes, Perfumes, Strong odors, Weather changes, Dust, Smog, Alcohol, Hot or spicy foods, Over-the-counter medicines like aspirin or ibuprofen, Prescription medicines like high blood pressure medicines, antidepressants, or oral contraceptives, Decongestant nasal spray overuse, Hormonal changes with pregnancy, menstruation, or hypothyroidism, Sleeping on your back, Sleep apnea a condition where you briefly stop breathing during sleep, Acid reflux also called heartburn.
  • #118 Nasal Allergy, Rhinitis and Allergic Rhinitis
    https://allergyasthmanetwork.org/allergies/nasal-allergy-allergic-rhinitis/
    Some people get rhinitis symptoms without any allergies at all. This is called nonallergic rhinitis. Its sometimes referred to as vasomotor rhinitis. Nonallergic rhinitis affects adults year-round. Symptoms include: congestion postnasal drip sneezing runny nose […] The immune system is not involved with nonallergic rhinitis. Instead, symptoms are caused by irritants such as: smoke air pollution strong odors from perfume, cosmetics, or laundry detergents […] Diagnosis comes after ruling out every other cause of symptoms. Many factors can trigger nonallergic rhinitis, including: […] Weather changes can trigger nonallergic rhinitis, especially when its abrupt. Cold air can cause sneezing or a runny nose. Humidity changes can cause swelling in the nasal passages. […] Medical conditions such as gastroesophageal reflux disease (GERD), chronic fatigue, or underactive thyroid may cause or worsen nonallergic rhinitis.
  • #119 What Causes Chronic Rhinitis & Can It Be Cured? | OneWelbeck
    https://onewelbeck.com/news/chronic-rhinitis-causes-and-treatment/
    Non-allergic rhinitis can be caused by irritants such as: Detergent, Perfumes, Strong odours, Pollution, Smoke, Dry weather conditions, Upper respiratory infections like the common cold, Certain medications such as beta blockers, Hormonal changes, Stress, Structural abnormalities, Other medical conditions such as asthma or chronic sinusitis.
  • #120 What Causes Chronic Rhinitis & Can It Be Cured? | OneWelbeck
    https://onewelbeck.com/news/chronic-rhinitis-causes-and-treatment/
    Non-allergic rhinitis can be caused by irritants such as: Detergent, Perfumes, Strong odours, Pollution, Smoke, Dry weather conditions, Upper respiratory infections like the common cold, Certain medications such as beta blockers, Hormonal changes, Stress, Structural abnormalities, Other medical conditions such as asthma or chronic sinusitis.
  • #121 Nonallergic Rhinitis – Clinical Tree
    https://clinicalpub.com/nonallergic-rhinitis/
    Nonallergic rhinitis (NAR) is a chronic, highly prevalent condition that presents with symptoms of nasal congestion, obstruction, and rhinorrhea in the setting of a negative allergen test. […] Patients with NAR are more likely to have symptoms that are perennial rather than seasonal. […] NAR can have a significant negative impact on quality of life, with a strong association with obstructive sleep apnea, rhinosinusitis, chronic fatigue, and cognitive impairment. […] Despite the prevalence of NAR, making a diagnosis of NAR can be challenging owing to nonspecific symptom presentation and a lack of definitive diagnostic tests. […] NARES presents with symptoms suggestive of AR, including recurrent sneezing, pruritus, and watery rhinorrhea. […] Patients with NARES typically have more severe nasal symptoms compared to those with allergic and other NAR subtypes. […] The theory of entopy has been suggested in NARES, by which symptoms are caused by a localized allergic Th2 disease pathway confined to the nasal mucosa, despite an absence of systemic atopic markers.
  • #122 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    However, it is now recognized that patients who experience characteristic nasal symptoms in response to defined triggers have a nonallergic component either as the sole diagnosis or as part of a mixed rhinitis (i.e., in patients with positive allergy test findings). […] Treatment is symptom-driven, and patients should be advised to avoid any identifiable triggers when possible. […] Intranasal corticosteroids are first-line therapy for nonallergic rhinitis. […] Subgroups of patients with nonallergic rhinitis may not respond to intranasal corticosteroids, such as those with symptoms triggered predominantly by weather and temperature changes. […] Intranasal antihistamines are effective for nonallergic rhinitis, likely because of their actions as anti-inflammatory and neuroinflammatory blockers.
  • #123 Nonallergic rhinitis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235
    You may have nonallergic rhinitis if: […] You have a stuffy nose. […] Your nose runs or mucus drips down the back of your throat. […] Tests for other health problems don’t find causes such as allergies or a sinus problem. […] 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. […] Antihistamines taken by mouth often don’t work as well for nonallergic rhinitis as they do for allergic rhinitis. […] Your health care provider may suggest surgery to treat other problems that can happen with nonallergic rhinitis.
  • #124 Non-allergic rhinitis – Symptoms, diagnosis and treatment | BMJ Best Practice
    https://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. […] It is a chronic condition that should be distinguished from a common cold, which can manifest with symptoms of NAR but is self-limiting.
  • #125 Vasomotor Rhinitis (VMR)
    https://www.asthmafoundation.org.nz/your-health/other-respiratory-conditions/vasomotor-rhinitis-vmr
    Patients present with rhinorrhea (thick or scanty), frontal headaches, and congested turbinates but usually no (itching) pruritus. […] Some patients will find that eating (especially, spicy foods) causes more nasal dripping or congestion. […] Many cases are associated with a specific agent or condition. Examples of such agents/conditions are: Changes in temperature or barometric pressure, turbulent air. […] Other causes of non-allergic rhinitis are: Nonallergic rhinitis with eosinophilia syndrome (NARES). […] A distinguishing feature of NARES is the presence of eosinophils, usually between 10-20%, on nasal smear. Generally, patients with NARES present with nasal congestion, sneezing, rhinorrhea, nasal pruritus, and hyposmia. […] VMR is usually diagnosed by taking a careful history and performing a thorough exam of the nose and throat. […] In some cases a CT scan of the sinuses may be required to exclude chronic sinusitis or polyposis. […] Symptoms usually improve with nasal steroids.
  • #126 Chapter 6: Nonallergic rhinitis – PubMed
    https://pubmed.ncbi.nlm.nih.gov/22794679/
    Nonallergic rhinitis represents a non-IgE-mediated group of disorders that share the symptoms of nasal congestion, rhinorrhea, sneezing, and/or postnasal discharge but not pruritus that characterizes allergic rhinitis. […] The classic symptoms of idiopathic nonallergic rhinitis are nasal congestion, postnasal drip, and sneezing triggered by irritant odors, perfumes, wine, and weather changes. […] Skin testing for seasonal and perennial aeroallergens is helpful in establishing the presence or absence of IgE antibodies and to help differentiate nonallergic from allergic rhinitis.
  • #127 Non-allergic rhinitis – Symptoms, diagnosis and treatment | BMJ Best Practice
    https://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. […] It is a chronic condition that should be distinguished from a common cold, which can manifest with symptoms of NAR but is self-limiting.
  • #128 Vasomotor Rhinitis (VMR)
    https://www.asthmafoundation.org.nz/your-health/other-respiratory-conditions/vasomotor-rhinitis-vmr
    Patients present with rhinorrhea (thick or scanty), frontal headaches, and congested turbinates but usually no (itching) pruritus. […] Some patients will find that eating (especially, spicy foods) causes more nasal dripping or congestion. […] Many cases are associated with a specific agent or condition. Examples of such agents/conditions are: Changes in temperature or barometric pressure, turbulent air. […] Other causes of non-allergic rhinitis are: Nonallergic rhinitis with eosinophilia syndrome (NARES). […] A distinguishing feature of NARES is the presence of eosinophils, usually between 10-20%, on nasal smear. Generally, patients with NARES present with nasal congestion, sneezing, rhinorrhea, nasal pruritus, and hyposmia. […] VMR is usually diagnosed by taking a careful history and performing a thorough exam of the nose and throat. […] In some cases a CT scan of the sinuses may be required to exclude chronic sinusitis or polyposis. […] Symptoms usually improve with nasal steroids.
  • #129 Vasomotor Rhinitis (VMR)
    https://www.asthmafoundation.org.nz/your-health/other-respiratory-conditions/vasomotor-rhinitis-vmr
    Patients present with rhinorrhea (thick or scanty), frontal headaches, and congested turbinates but usually no (itching) pruritus. […] Some patients will find that eating (especially, spicy foods) causes more nasal dripping or congestion. […] Many cases are associated with a specific agent or condition. Examples of such agents/conditions are: Changes in temperature or barometric pressure, turbulent air. […] Other causes of non-allergic rhinitis are: Nonallergic rhinitis with eosinophilia syndrome (NARES). […] A distinguishing feature of NARES is the presence of eosinophils, usually between 10-20%, on nasal smear. Generally, patients with NARES present with nasal congestion, sneezing, rhinorrhea, nasal pruritus, and hyposmia. […] VMR is usually diagnosed by taking a careful history and performing a thorough exam of the nose and throat. […] In some cases a CT scan of the sinuses may be required to exclude chronic sinusitis or polyposis. […] Symptoms usually improve with nasal steroids.
  • #130 Diagnosing Rhinitis: Allergic vs. Nonallergic | AAFP
    https://www.aafp.org/pubs/afp/issues/2006/0501/p1583.html
    The most common cause of nonallergic rhinitis is acute viral infection. […] Associated clinical symptoms include excessive mucus production, congestion, sneezing paroxysm, watery eyes, and nasal and ocular pruritus. […] The diagnosis of nonallergic rhinitis is made after eliminating allergic or IgE-mediated causes. […] Less common chronic causes include vasomotor rhinitis, hormonal rhinitis, non-allergic rhinitis with eosinophilia syndrome, occupational rhinitis (irritant subtype), gustatory rhinitis, rhinitis medicamentosa, and drug-induced rhinitis. […] Symptoms mainly consist of congestion; hypersecretion; and, less commonly, pruritus and sneezing. […] Nonallergic rhinitis with eosinophilia syndrome presents as congestion and nasal eosinophilia with no obvious allergic source detected on skin testing or RAST. […] The condition may be associated with non-IgE mediated asthma, aspirin intolerance, rhinitis with eosinophilia is characterized by eosinophilic infiltration on nasal cytology.
  • #131 Non-Allergic Rhinitis – Australasian Society of Clinical Immunology and Allergy (ASCIA)
    https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/non-allergic-rhinitis
    Non-allergic rhinitis is a group of conditions that cause inflammation (redness and swelling) of the lining in the nose. The main symptoms of non-allergic rhinitis are nasal blockage or congestion (stuffy nose), a runny, itchy nose and sneezing. Symptoms may come and go (intermittent) or be present most of the time (persistent). […] Symptoms of non-allergic rhinitis are often similar to allergic rhinitis (hay fever), and it can be hard to tell them apart. The cause of non-allergic rhinitis is not fully known. […] Non-allergic rhinitis cannot be cured but many people find relief by avoiding or minimising triggers, and using treatments, which include: Saline (salt water) treatments such as nasal sprays or rinses are safe and effective, and help to moisten and wash irritants and mucus from the nose. Intranasal corticosteroid sprays (INCS) reduce inflammation and work best when used regularly and correctly. Antihistamine nasal sprays can give quick relief and may be used as needed or regularly. Combination sprays (INCS and antihistamine) offer the combined advantages of both medications. Anticholinergic nasal sprays combined with decongestant can dry the nose but should only be used short term (3-5 days).
  • #132 Nonallergic Rhinitis – Vasomotor Defined
    https://www.aaaai.org/tools-for-the-public/allergy,-asthma-immunology-glossary/nonallergic-rhinitis-vasomotor-defined
    Nonallergic rhinitis (vasomotor rhinitis) is a condition that causes chronic sneezing, congestion, or runny nose. […] The most common symptoms of nonallergic rhinitis are: Stuffy nose, Runny nose, Sneezing, Postnasal drip. […] Unlike the allergic form, nonallergic rhinitis rarely causes itchy nose, eyes or throat. […] Nonallergic rhinitis cannot be cured, but many people find relief by avoiding triggers, using a saline rinse solution or by taking over-the-counter or prescription medications.
  • #133 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    However, it is now recognized that patients who experience characteristic nasal symptoms in response to defined triggers have a nonallergic component either as the sole diagnosis or as part of a mixed rhinitis (i.e., in patients with positive allergy test findings). […] Treatment is symptom-driven, and patients should be advised to avoid any identifiable triggers when possible. […] Intranasal corticosteroids are first-line therapy for nonallergic rhinitis. […] Subgroups of patients with nonallergic rhinitis may not respond to intranasal corticosteroids, such as those with symptoms triggered predominantly by weather and temperature changes. […] Intranasal antihistamines are effective for nonallergic rhinitis, likely because of their actions as anti-inflammatory and neuroinflammatory blockers.
  • #134 Nonallergic rhinitis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235
    You may have nonallergic rhinitis if: […] You have a stuffy nose. […] Your nose runs or mucus drips down the back of your throat. […] Tests for other health problems don’t find causes such as allergies or a sinus problem. […] 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. […] Antihistamines taken by mouth often don’t work as well for nonallergic rhinitis as they do for allergic rhinitis. […] Your health care provider may suggest surgery to treat other problems that can happen with nonallergic rhinitis.
  • #135 Non-Allergic Rhinitis – Australasian Society of Clinical Immunology and Allergy (ASCIA)
    https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/non-allergic-rhinitis
    Non-allergic rhinitis is a group of conditions that cause inflammation (redness and swelling) of the lining in the nose. The main symptoms of non-allergic rhinitis are nasal blockage or congestion (stuffy nose), a runny, itchy nose and sneezing. Symptoms may come and go (intermittent) or be present most of the time (persistent). […] Symptoms of non-allergic rhinitis are often similar to allergic rhinitis (hay fever), and it can be hard to tell them apart. The cause of non-allergic rhinitis is not fully known. […] Non-allergic rhinitis cannot be cured but many people find relief by avoiding or minimising triggers, and using treatments, which include: Saline (salt water) treatments such as nasal sprays or rinses are safe and effective, and help to moisten and wash irritants and mucus from the nose. Intranasal corticosteroid sprays (INCS) reduce inflammation and work best when used regularly and correctly. Antihistamine nasal sprays can give quick relief and may be used as needed or regularly. Combination sprays (INCS and antihistamine) offer the combined advantages of both medications. Anticholinergic nasal sprays combined with decongestant can dry the nose but should only be used short term (3-5 days).
  • #136 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    However, it is now recognized that patients who experience characteristic nasal symptoms in response to defined triggers have a nonallergic component either as the sole diagnosis or as part of a mixed rhinitis (i.e., in patients with positive allergy test findings). […] Treatment is symptom-driven, and patients should be advised to avoid any identifiable triggers when possible. […] Intranasal corticosteroids are first-line therapy for nonallergic rhinitis. […] Subgroups of patients with nonallergic rhinitis may not respond to intranasal corticosteroids, such as those with symptoms triggered predominantly by weather and temperature changes. […] Intranasal antihistamines are effective for nonallergic rhinitis, likely because of their actions as anti-inflammatory and neuroinflammatory blockers.
  • #137 Non-Allergic Rhinitis – Australasian Society of Clinical Immunology and Allergy (ASCIA)
    https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/non-allergic-rhinitis
    Non-allergic rhinitis is a group of conditions that cause inflammation (redness and swelling) of the lining in the nose. The main symptoms of non-allergic rhinitis are nasal blockage or congestion (stuffy nose), a runny, itchy nose and sneezing. Symptoms may come and go (intermittent) or be present most of the time (persistent). […] Symptoms of non-allergic rhinitis are often similar to allergic rhinitis (hay fever), and it can be hard to tell them apart. The cause of non-allergic rhinitis is not fully known. […] Non-allergic rhinitis cannot be cured but many people find relief by avoiding or minimising triggers, and using treatments, which include: Saline (salt water) treatments such as nasal sprays or rinses are safe and effective, and help to moisten and wash irritants and mucus from the nose. Intranasal corticosteroid sprays (INCS) reduce inflammation and work best when used regularly and correctly. Antihistamine nasal sprays can give quick relief and may be used as needed or regularly. Combination sprays (INCS and antihistamine) offer the combined advantages of both medications. Anticholinergic nasal sprays combined with decongestant can dry the nose but should only be used short term (3-5 days).
  • #138 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    However, it is now recognized that patients who experience characteristic nasal symptoms in response to defined triggers have a nonallergic component either as the sole diagnosis or as part of a mixed rhinitis (i.e., in patients with positive allergy test findings). […] Treatment is symptom-driven, and patients should be advised to avoid any identifiable triggers when possible. […] Intranasal corticosteroids are first-line therapy for nonallergic rhinitis. […] Subgroups of patients with nonallergic rhinitis may not respond to intranasal corticosteroids, such as those with symptoms triggered predominantly by weather and temperature changes. […] Intranasal antihistamines are effective for nonallergic rhinitis, likely because of their actions as anti-inflammatory and neuroinflammatory blockers.
  • #139 Non-Allergic Rhinitis – Australasian Society of Clinical Immunology and Allergy (ASCIA)
    https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/non-allergic-rhinitis
    Non-allergic rhinitis is a group of conditions that cause inflammation (redness and swelling) of the lining in the nose. The main symptoms of non-allergic rhinitis are nasal blockage or congestion (stuffy nose), a runny, itchy nose and sneezing. Symptoms may come and go (intermittent) or be present most of the time (persistent). […] Symptoms of non-allergic rhinitis are often similar to allergic rhinitis (hay fever), and it can be hard to tell them apart. The cause of non-allergic rhinitis is not fully known. […] Non-allergic rhinitis cannot be cured but many people find relief by avoiding or minimising triggers, and using treatments, which include: Saline (salt water) treatments such as nasal sprays or rinses are safe and effective, and help to moisten and wash irritants and mucus from the nose. Intranasal corticosteroid sprays (INCS) reduce inflammation and work best when used regularly and correctly. Antihistamine nasal sprays can give quick relief and may be used as needed or regularly. Combination sprays (INCS and antihistamine) offer the combined advantages of both medications. Anticholinergic nasal sprays combined with decongestant can dry the nose but should only be used short term (3-5 days).
  • #140 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Although there is more evidence for using intranasal corticosteroids combined with intranasal antihistamines to treat allergic rhinitis, this combination is also beneficial in patients with nonallergic rhinitis whose symptoms are not adequately controlled with either therapy alone. […] Intranasal ipratropium has been proven effective in decreasing rhinorrhea and is a reasonable monotherapy for patients who have rhinorrhea as a predominant symptom, particularly those with gustatory nonallergic rhinitis or weather-induced nonallergic rhinitis, such as skiers and joggers. […] Nasal irrigation with saline or hypertonic saline may be helpful in the treatment of nonallergic rhinitis.
  • #141 Non-Allergic Rhinitis – Australasian Society of Clinical Immunology and Allergy (ASCIA)
    https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/non-allergic-rhinitis
    Non-allergic rhinitis is a group of conditions that cause inflammation (redness and swelling) of the lining in the nose. The main symptoms of non-allergic rhinitis are nasal blockage or congestion (stuffy nose), a runny, itchy nose and sneezing. Symptoms may come and go (intermittent) or be present most of the time (persistent). […] Symptoms of non-allergic rhinitis are often similar to allergic rhinitis (hay fever), and it can be hard to tell them apart. The cause of non-allergic rhinitis is not fully known. […] Non-allergic rhinitis cannot be cured but many people find relief by avoiding or minimising triggers, and using treatments, which include: Saline (salt water) treatments such as nasal sprays or rinses are safe and effective, and help to moisten and wash irritants and mucus from the nose. Intranasal corticosteroid sprays (INCS) reduce inflammation and work best when used regularly and correctly. Antihistamine nasal sprays can give quick relief and may be used as needed or regularly. Combination sprays (INCS and antihistamine) offer the combined advantages of both medications. Anticholinergic nasal sprays combined with decongestant can dry the nose but should only be used short term (3-5 days).
  • #142 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Although there is more evidence for using intranasal corticosteroids combined with intranasal antihistamines to treat allergic rhinitis, this combination is also beneficial in patients with nonallergic rhinitis whose symptoms are not adequately controlled with either therapy alone. […] Intranasal ipratropium has been proven effective in decreasing rhinorrhea and is a reasonable monotherapy for patients who have rhinorrhea as a predominant symptom, particularly those with gustatory nonallergic rhinitis or weather-induced nonallergic rhinitis, such as skiers and joggers. […] Nasal irrigation with saline or hypertonic saline may be helpful in the treatment of nonallergic rhinitis.
  • #143 Chronic Nonallergic Rhinitis | AAFP
    https://www.aafp.org/pubs/afp/issues/2018/0801/p171.html
    Although there is more evidence for using intranasal corticosteroids combined with intranasal antihistamines to treat allergic rhinitis, this combination is also beneficial in patients with nonallergic rhinitis whose symptoms are not adequately controlled with either therapy alone. […] Intranasal ipratropium has been proven effective in decreasing rhinorrhea and is a reasonable monotherapy for patients who have rhinorrhea as a predominant symptom, particularly those with gustatory nonallergic rhinitis or weather-induced nonallergic rhinitis, such as skiers and joggers. […] Nasal irrigation with saline or hypertonic saline may be helpful in the treatment of nonallergic rhinitis.
  • #144 Non-Allergic Rhinitis – Australasian Society of Clinical Immunology and Allergy (ASCIA)
    https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/non-allergic-rhinitis
    Non-allergic rhinitis is a group of conditions that cause inflammation (redness and swelling) of the lining in the nose. The main symptoms of non-allergic rhinitis are nasal blockage or congestion (stuffy nose), a runny, itchy nose and sneezing. Symptoms may come and go (intermittent) or be present most of the time (persistent). […] Symptoms of non-allergic rhinitis are often similar to allergic rhinitis (hay fever), and it can be hard to tell them apart. The cause of non-allergic rhinitis is not fully known. […] Non-allergic rhinitis cannot be cured but many people find relief by avoiding or minimising triggers, and using treatments, which include: Saline (salt water) treatments such as nasal sprays or rinses are safe and effective, and help to moisten and wash irritants and mucus from the nose. Intranasal corticosteroid sprays (INCS) reduce inflammation and work best when used regularly and correctly. Antihistamine nasal sprays can give quick relief and may be used as needed or regularly. Combination sprays (INCS and antihistamine) offer the combined advantages of both medications. Anticholinergic nasal sprays combined with decongestant can dry the nose but should only be used short term (3-5 days).
  • #145 Non-Allergic Rhinitis – Australasian Society of Clinical Immunology and Allergy (ASCIA)
    https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/non-allergic-rhinitis
    Non-allergic rhinitis is a group of conditions that cause inflammation (redness and swelling) of the lining in the nose. The main symptoms of non-allergic rhinitis are nasal blockage or congestion (stuffy nose), a runny, itchy nose and sneezing. Symptoms may come and go (intermittent) or be present most of the time (persistent). […] Symptoms of non-allergic rhinitis are often similar to allergic rhinitis (hay fever), and it can be hard to tell them apart. The cause of non-allergic rhinitis is not fully known. […] Non-allergic rhinitis cannot be cured but many people find relief by avoiding or minimising triggers, and using treatments, which include: Saline (salt water) treatments such as nasal sprays or rinses are safe and effective, and help to moisten and wash irritants and mucus from the nose. Intranasal corticosteroid sprays (INCS) reduce inflammation and work best when used regularly and correctly. Antihistamine nasal sprays can give quick relief and may be used as needed or regularly. Combination sprays (INCS and antihistamine) offer the combined advantages of both medications. Anticholinergic nasal sprays combined with decongestant can dry the nose but should only be used short term (3-5 days).
  • #146 Nonallergic Rhinitis | Cigna
    https://www.cigna.com/knowledge-center/hw/medical-topics/nonallergic-rhinitis-abs1066
    Rhinitis symptoms can be long-lasting, or they can come and go. They may include a runny nose, a stuffy nose, or sneezing. Drainage down the back of the throat (postnasal drip) from the nose and sinuses may also occur. […] 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.
  • #147 Nonallergic rhinitis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235
    You may have nonallergic rhinitis if: […] You have a stuffy nose. […] Your nose runs or mucus drips down the back of your throat. […] Tests for other health problems don’t find causes such as allergies or a sinus problem. […] 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. […] Antihistamines taken by mouth often don’t work as well for nonallergic rhinitis as they do for allergic rhinitis. […] Your health care provider may suggest surgery to treat other problems that can happen with nonallergic rhinitis.
  • #148 Nonallergic Rhinitis & Vasomotor Rhinitis – Socalallergy
    https://www.socalallergy.com/nonallergic-rhinitis-and-vasomotor-rhinitis
    In other words, VMR is due to very sensitive nerve endings, that when irritated lead to the congestion and stuffy nose frequently observed in allergic rhinitis or hay fever. However, the process has nothing to do with the allergic antibody IgE. […] Unfortunately, the disorder of vasomotor rhinitis cannot be cured at the present time but represents a disease with a protracted course of chronic nasal symptoms. Management is focused on managing the symptoms of nasal congestion, runny nose, and post nasal drip. […] The most common medications include nose drops and decongestant tablets. The over the counter nose drops that are vasoconstrictors (shrink the blood vessel in the nose) such as Afrin, Neosynephrine, and others may produce a dramatic improvement in symptoms. […] Specific treatment of vasomotor rhinitis involves the administration of „decongestants”. These work by shrinking down the blood vessels in the nose. These medications can be in the form or a prescription nasal spray or a tablet taken by mouth. […] Treatment of complicating diseases such as nasal polyps, chronic sinusitis, and nasal septal deviation often require cooperation between the allergist and the earnose-and-throat physicians.
  • #149 Nonallergic rhinitis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/nonallergic-rhinitis/diagnosis-treatment/drc-20351235
    You may have nonallergic rhinitis if: […] You have a stuffy nose. […] Your nose runs or mucus drips down the back of your throat. […] Tests for other health problems don’t find causes such as allergies or a sinus problem. […] 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. […] Antihistamines taken by mouth often don’t work as well for nonallergic rhinitis as they do for allergic rhinitis. […] Your health care provider may suggest surgery to treat other problems that can happen with nonallergic rhinitis.
  • #150 Allergic & Nonallergic Rhinitis NYC | Mount Sinai – New York
    https://www.mountsinai.org/care/ent/services/nasal-sinus-allergy/conditions/rhinitis
    Rhinitis is described as inflammation and irritation of the mucous membrane lining the nose. This condition can be caused by bacteria, allergens, pollen, air pollutants, certain foods and beverages, smoke, hormonal changes or viruses. […] Nonallergic rhinitis: causes and triggers are varied as noted below. Symptoms and trigger are extremely important in the diagnosis and proper treatment. Symptoms can be persistent or intermittent. […] Symptoms of Rhinitis include: Runny nose or postnasal drip, Nasal congestion/ obstruction, Sneezing, Cough, Decreased smell, Ear fullness, Throat clearing, Eye or nasal itching. […] Allergic and nonallergic rhinitis can be overwhelming, as symptoms are often chronic and can cause distress in many people’s lives.
  • #151 Vasomotor Rhinitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547704/
    Nonallergic rhinitis is a persistent condition that is usually present lifelong. One study by Rondon and colleagues, reexamined 180 patients with nonallergic rhinitis 3 to 7 years after initial diagnosis. As high as 52% of patients experienced worsening disease, with a 12% increase in persistence, and a 9% increase in the severity of nasal symptoms. […] Chronic nonallergic rhinitis places considerable physical and economic burdens on sufferers. […] These symptoms can significantly complicate management and impair quality of life.
  • #152 Nonallergic (Vasomotor) Rhinitis: Symptoms, Causes and Treatment
    https://www.webmd.com/allergies/nonallergic-rhinitis
    Nonallergic rhinitis causes symptoms that are very similar to those of allergies, such as: […] Nonallergic rhinitis produces similar symptoms to allergic rhinitis (hay fever) and can cause just as much misery. […] Nonallergic rhinitis happens in most people after age 20. […] Nonallergic rhinitis often happens during periods of hormonal imbalance. For instance, it may happen during puberty, menstruation, or pregnancy. […] Nonallergic rhinitis can cause just as much misery as allergic rhinitis. It can also be associated with the same complications, such as: […] Nonallergic (vasomotor) rhinitis occurs when you have allergy-like symptoms, but they’re not due to any known allergy-causing substances. Rather, you may have nasal and other symptoms that are triggered by your environment, medications, or hormonal changes. While allergies are seasonal, symptoms of nonallergic rhinitis happen year-round. Similar to allergies, you’ll get nonallergic rhinitis symptoms whenever you’re exposed to a trigger. Symptoms include a stuffy and runny nose, sneezing, a reduced sense of smell, and postnasal drip.
  • #153 Vasomotor Rhinitis Program | Rochester Regional Health
    https://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. […] Also called non-allergic rhinitis, vasomotor rhinitis occurs when the tissues inside your nose become swollen (inflamed). […] For most, the symptoms of non-allergic rhinitis include: Diminished sense of smell, Postnasal drip, Runny or stuffy nose, Sneezing. […] 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.
  • #154 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics/print
    […] […] The cause of nonallergic rhinitis is not known. However, many triggers of symptoms are known. These include irritants, such as tobacco smoke, traffic fumes, strong odors, and perfumes, as well as weather conditions (such as the arrival of a weather front). […] […] […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] […] […] 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. […] […] […] Some symptom relief may occur on the first day of treatment, although the maximal effect may not be noticeable for days to weeks. For this reason, these agents are most effective when used regularly. […] […] […] In most patients, symptoms are lifelong, and some medication is usually needed on a daily and long-term basis.
  • #155 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics
    […] […] The cause of nonallergic rhinitis is not known. However, many triggers of symptoms are known. These include irritants, such as tobacco smoke, traffic fumes, strong odors, and perfumes, as well as weather conditions (such as the arrival of a weather front). […] […] […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] […] […] 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) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States. […] […] […] 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.
  • #156 Patient education: Nonallergic rhinitis (runny or stuffy nose) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/nonallergic-rhinitis-runny-or-stuffy-nose-beyond-the-basics
    […] […] The cause of nonallergic rhinitis is not known. However, many triggers of symptoms are known. These include irritants, such as tobacco smoke, traffic fumes, strong odors, and perfumes, as well as weather conditions (such as the arrival of a weather front). […] […] […] Treatment of nonallergic rhinitis includes trigger avoidance, medications, and/or nasal rinsing or irrigation. […] […] […] 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) have been shown to be effective for symptoms of nonallergic rhinitis. Most are available over-the-counter in the United States. […] […] […] 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.
  • #157 Non-allergic rhinitis
    https://www.nhs.uk/conditions/non-allergic-rhinitis/
    Non-allergic rhinitis happens when the inside of your nose becomes irritated, causing a blocked or runny nose. It can be treated with medicines from a pharmacist or GP. The most common symptoms of non-allergic rhinitis are: a blocked or runny nose, sneezing, an itchy nose, a reduced sense of smell. Sometimes non-allergic rhinitis can also cause a crust to form inside the nose. This may have a bad smell and bleed if you try to remove it. Non-allergic rhinitis is not harmful, but it can affect your life. You can often treat it without seeing a GP. Non-allergic rhinitis often gets better on its own without any treatment. If needed, a GP may prescribe stronger medicine, such as prescription nasal sprays. […] You may be referred to a specialist for further tests and treatment if it’s not clear what’s causing your symptoms or they’re severe.
  • #158 Non-allergic rhinitis
    https://www.nhs.uk/conditions/non-allergic-rhinitis/
    Non-allergic rhinitis happens when the inside of your nose becomes irritated, causing a blocked or runny nose. It can be treated with medicines from a pharmacist or GP. The most common symptoms of non-allergic rhinitis are: a blocked or runny nose, sneezing, an itchy nose, a reduced sense of smell. Sometimes non-allergic rhinitis can also cause a crust to form inside the nose. This may have a bad smell and bleed if you try to remove it. Non-allergic rhinitis is not harmful, but it can affect your life. You can often treat it without seeing a GP. Non-allergic rhinitis often gets better on its own without any treatment. If needed, a GP may prescribe stronger medicine, such as prescription nasal sprays. […] You may be referred to a specialist for further tests and treatment if it’s not clear what’s causing your symptoms or they’re severe.
  • #159 Nonallergic rhinopathy Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/nonallergic-rhinopathy
    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. […] Symptoms include: Runny nose, Nasal congestion (stuffy nose), Sneezing, Watery nasal drainage. […] Contact your provider if you think you have symptoms of nonallergic rhinopathy.