Is medication effective for chronic rhinitis?

Written by Li Rui
Otolaryngology
Updated on September 25, 2024
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Most patients with chronic rhinitis find oral medications somewhat effective, but the specific effects and outcomes can vary from person to person. Some may experience good results, while others may find the effects not particularly satisfactory and may need to consider using nasal sprays or saline nasal irrigations. The main function is to improve nasal ventilation, alleviate nasal inflammation, and reduce or dilute nasal secretions. Overall, the primary approach to managing chronic rhinitis is controlling and alleviating the condition, as neither medical nor surgical treatments can cure it completely. The main strategy is regular check-ups, avoiding colds, avoiding irritants, and monitoring to control and relieve symptoms. (Please use medications under the guidance of a professional physician and do not medicate blindly.)

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What medicine is used for chronic rhinitis?

Chronic rhinitis refers to the chronic inflammation of the mucous membranes and submucosal layer inside the nasal cavity. It may be related to allergic states, bacterial infections, viral infections, environmental factors, and the dietary and lifestyle habits of the patient. In traditional Chinese medicine, it is considered a type of heat syndrome or a manifestation of having excessive internal heat. Therefore, it is important to avoid catching colds, avoid overexertion, and refrain from consuming spicy and irritating foods. One should also avoid smoking, drinking alcohol, and staying up late. Consuming some cooling foods that relieve heat and, under the guidance of a doctor or pharmacist, using some heat-clearing and detoxifying traditional Chinese medicines, as well as antihistamines and topical nasal corticosteroids, can be beneficial. Generally, with such treatment, rhinitis can be cured in about four weeks.

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Can chronic rhinitis be treated with surgery?

Some cases of chronic rhinitis can be treated surgically, but overall, surgery is not the first choice for treating rhinitis. For most patients with chronic rhinitis, conservative treatment is generally preferred, which may include oral medications, sprays, and consistent nasal cleansing. Generally, through these standard conservative treatments, most patients can experience significant control and relief of their rhinitis. If standard conservative drug treatments are ineffective, and there is significant turbinate hypertrophy affecting normal nasal ventilation, surgery can be considered. Currently, minimally invasive surgeries under endoscopy are primarily used. Overall, these surgeries are not highly traumatic and can effectively improve symptoms. However, it is difficult to guarantee a complete cure, whether through medication or surgery.

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Symptoms of chronic rhinitis with bleeding

Chronic rhinitis accompanied by bleeding is a common clinical manifestation in otolaryngology. The causes of the symptoms mentioned primarily relate to damage to the nasal mucosa and rupture of capillaries due to inflammation, leading to bleeding. When experiencing nasal bleeding, patients should first apply a cold towel or ice pack to the affected nostril to constrict the capillaries, which can reduce or stop the bleeding. If the bleeding is severe, it can be controlled by packing the nostril with gauze or using petroleum jelly. In daily life, it is important to avoid getting chilled, picking the nose, and the onset of colds and other related symptoms, to prevent exacerbation of chronic rhinitis and further nasal bleeding.

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How to normally regulate chronic rhinitis?

Chronic rhinitis is a relatively common otolaryngologic disease that requires attention in daily life. First, in terms of diet, it should be light, avoiding spicy and irritating foods and allergenic foods, which may affect the condition of rhinitis. Second, consider using saline or physiological seawater to rinse the nasal cavity, generally recommended to wash two to three times daily. This helps improve nasal ventilation and reduce the retention of nasal secretions. Third, it is necessary to regularly visit the otolaryngology outpatient department to check the changes in the condition and clarify the treatment effects. (Medication use should be conducted under the guidance of a professional doctor.)

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Can chronic rhinitis cause coughing?

Chronic rhinitis has a variety of symptoms. Some patients may experience coughing, which is mainly caused by the backflow of nasal discharge irritating the throat. Other common symptoms include nasal congestion, runny nose, reduced sense of smell, as well as possible headache and blood-tinged nasal mucus. After the condition of chronic rhinitis appears, it is necessary to visit an otolaryngology clinic. Diagnostic steps can include nasopharyngoscopy and routine blood tests, which help to clarify the specific severity of the condition. Some patients may also need a sinus CT scan to determine the presence of any sinus pathology. Once the condition is diagnosed, targeted treatment can be administered, commonly involving oral medications and nasal sprays. Regular follow-up is needed to monitor the effectiveness of the treatment.