Non-Allergic/Vasomotor Rhinitis

What is it?

Non-allergic rhinitis involves chronic sneezing or having a congested, drippy nose with no apparent cause. The symptoms of nonallergic rhinitis are similar to those of hay fever (allergic rhinitis), but there’s no identified allergic reaction involved. Nonallergic rhinitis can affect children and adults but is more common after age 20.

Although nonallergic rhinitis is more annoying than harmful, it can make you miserable. Triggers of nonallergic rhinitis symptoms vary and can include certain odors or irritants in the air, changes in the weather, some medications, certain foods, and chronic health conditions. A diagnosis of nonallergic rhinitis is made after an allergic cause is ruled out. This may require allergy skin or blood tests.

Symptoms


If you have nonallergic rhinitis, you probably have symptoms that come and go year-round. You may have constant symptoms, symptoms that last for hours or symptoms that last for days. Signs and symptoms of nonallergic rhinitis may include:

  • Stuffy nose
  • Runny nose
  • Sneezing
  • Mucus (phlegm) in the throat (postnasal drip)

Nonallergic rhinitis doesn’t usually cause itchy nose, eyes or throat — symptoms associated with allergies such as hay fever.


See your doctor if:

  • Your symptoms are severe
  • You have signs and symptoms of nonallergic rhinitis that aren’t relieved by over-the-counter medications or self-care
  • You have bothersome side effects from over-the-counter or prescription medications for rhinitis

Causes

Many things can trigger the nasal swelling in nonallergic rhinitis — some resulting in short-lived symptoms while others cause chronic problems. Nonallergic rhinitis triggers include:

  • Environmental or occupational irritants. Dust, smog, secondhand smoke or strong odors, such as perfumes, can trigger nonallergic rhinitis. Chemical fumes, such as those you might be exposed to in certain occupations, also may be to blame.
  • Weather changes. Temperature or humidity changes can trigger the membranes inside your nose to swell and cause a runny or stuffy nose.
  • Infections. A common cause of nonallergic rhinitis is a viral infection — a cold or the flu, for example. This type of nonallergic rhinitis usually clears up after a few weeks but can cause lingering mucus in the throat (postnasal drip). Sometimes, this type of rhinitis can become chronic, causing ongoing discolored nasal discharge, facial pain and pressure (sinusitis).
  • Foods and beverages. Nonallergic rhinitis may occur when you eat, especially when eating hot or spicy foods. Drinking alcoholic beverages also may cause the membranes inside your nose to swell, leading to nasal congestion.
  • Certain medications. Some medications can cause nonallergic rhinitis. These include aspirin, ibuprofen, and high blood pressure medications, such as beta blockers. Nonallergic rhinitis can also be triggered in some people by sedatives, antidepressants, oral contraceptives or drugs used to treat erectile dysfunction. Overuse of decongestant nasal sprays can cause a type of nonallergic rhinitis called rhinitis medicamentosa.
  • Hormone changes. Changes in hormones due to pregnancy, menstruation, oral contraceptive use or other hormonal condition such as hypothyroidism can cause nonallergic rhinitis.
  • Stress. Emotional or physical stress can trigger nonallergic rhinitis in some people.

Risk Factors


Factors that may increase your risk of nonallergic rhinitis include:

  • Exposure to irritants.
  • Being older than age 20.
  • Prolonged use of decongestant nasal drops or sprays.
  • Being female. Due to hormonal changes, nasal congestion often gets worse during menstruation and pregnancy.
  • Having certain health problems.

Complications

Complications from nonallergic rhinitis include:

  • Nasal polyps.
  • Chronic sinusitis.
  • Middle ear infections.
  • Interrupted daily activities.

Preparing for your appointment

What you can do:

  • Be aware of any pre-appointment restrictions. When you make the appointment, ask if there’s anything you need to do in advance, such as not taking medicine for your congestion beforehand.
  • Write down any symptoms you’re experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
  • Write down key personal information, including any major stresses or recent life changes.
  • Make a list of all medications, vitamins, or supplements you’re taking.

Tests and diagnosis

Nonallergic rhinitis is diagnosed based on your symptoms and ruling out other causes, especially allergies. Your doctor will perform a physical examination and ask questions about your symptoms. He or she may also recommend certain tests. There are no specific, definite tests used to diagnose nonallergic rhinitis.

In some cases, your doctor may have you try a medication and see whether your symptoms improve.

In many cases, rhinitis is caused by an allergic reaction. The only way to be sure rhinitis isn’t caused by allergies is through allergy testing, which may involve skin or blood tests.


PLAN A VISIT

We’d love to meet with you to address your allergy concerns.

Info

Location

Doctors Building, Suite 215
500 S. University Avenue
Little Rock, Arkansas 72205

Phone

Clinic Office: 501-420-1085
Fax: 501-420-1457

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