Can chronic rhinitis be cured?

Written by Li Rui
Otolaryngology
Updated on September 26, 2024
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Chronic rhinitis primarily focuses on controlling the condition and relieving symptoms. Current treatment methods mainly involve medication, generally using oral drugs and nasal sprays to improve nasal symptoms. Additionally, physiological saline can be used to rinse the nasal cavity. Overall, most cases can be effectively controlled and alleviated through medication. If the nasal turbinates are particularly enlarged and conservative medical treatment is ineffective, surgical treatment can be considered. However, both medication and surgery mainly aim at control rather than cure. With the existing medical approaches, it is challenging to completely cure chronic rhinitis. Generally, it is considered a common and not particularly severe condition.

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How to relieve chronic rhinitis

Chronic rhinitis mainly refers to the inflammation of the nasal mucosa and submucosa, which may be related to allergic states, bacterial infections, viral infections, and environmental factors, as well as the patient's diet and lifestyle habits. Traditional Chinese medicine considers this a manifestation of excessive heat or internal heat. Therefore, it is advisable to avoid catching a cold, smoking, drinking alcohol, staying up late, and consuming spicy or stimulating food. Drinking plenty of water and eating foods that are cooling and slightly bitter may help. Under the guidance of a doctor or pharmacist, the use of antihistamines and traditional Chinese medicines for clearing heat and detoxifying can be beneficial. Applying glucocorticoid nasal sprays may also help. Generally, such treatments can alleviate or cure the condition.

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Difference between Allergic Rhinitis and Rhinitis

Allergic rhinitis and rhinitis are issues of a specific concept versus a broader concept. Allergic rhinitis is a type of rhinitis caused by a hypersensitivity reaction, which is an allergic response of the body leading to inflammation of the nasal passages. Rhinitis, however, includes allergic rhinitis as well as chronic rhinitis, hypertrophic rhinitis, vasomotor rhinitis, atrophic rhinitis, etc. Thus, it's a matter of differentiating between a more specific and a general concept. Clinically, it is particularly important to differentiate their diagnosis and treatment. For example, the primary treatment for allergic rhinitis is anti-allergy medication, whereas treatments for conditions like chronic and atrophic rhinitis are completely different. Therefore, it is crucial to differentiate these accurately in clinical practice to ensure the correct medication is used.

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What are the symptoms of chronic rhinitis?

Chronic rhinitis is caused by recurrent acute rhinitis or prolonged unresolved nasal symptoms. Patients may experience bilateral nasal congestion, which alternates in severity; the congestion is usually less during physical activity during the day and more severe when resting at night. Additionally, the nasal cavity may produce mucous secretions, and when accompanied by bacterial infection, yellow secretions may appear. Patients may also experience headaches, dry mouth, and decreased memory among other related symptoms. During examination, congested and swollen nasal turbinates on both sides are evident, and the effectiveness of ephedrine in causing constriction is good. In treatment, patients can initially use nebulized inhalation to constrict the nasal turbinates and reduce nasal congestion. Regular physical exercise is also needed to restore the function of the nasal mucosa, leading to gradual improvement. If conservative treatment is ineffective, local surgical removal may be required for recovery. (Medication use must be conducted under the guidance of a doctor.)

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Where to massage for chronic rhinitis?

Chronic rhinitis can be alleviated by massaging the Yingxiang acupuncture point to relieve nasal congestion. The exact location of the Yingxiang point is about 1~2cm outside the nostril. Using the index finger of one hand to repeatedly massage for 5~10 minutes can relieve the symptoms of nasal congestion and is quite effective in treating chronic rhinitis. However, patients should not rely solely on massage for treatment because it only provides relief and does not cure the condition fundamentally. For treating chronic rhinitis, patients need to undergo medication treatment. Nebulized inhalation therapy has good effects, can effectively shrink the nasal turbinates, reduce nasal secretions, and alleviate nasal congestion. Additionally, regular exercise is needed to shrink nasal turbinates, restore the contractile and relaxing functions of the turbinate mucosa, improve physical fitness, enhance immunity and resistance, and gradual improvement can occur by avoiding colds. (Please use medication under the guidance of a professional physician.)

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How to maintain chronic rhinitis usually?

Chronic rhinitis is a common and frequently occurring disease in otolaryngology. The maintenance of chronic rhinitis mainly involves keeping warm regularly and wearing a mask when going out as much as possible to avoid exacerbation of nasal mucosa inflammation due to air pollution. Additionally, in daily life one should enhance physical exercise, engage in running, swimming, and other aerobic activities, which can help improve the immune function of the nasal mucosa and reduce the occurrence of nasal congestion. At the same time, patients with chronic rhinitis can use glucocorticoid nasal sprays in their daily life to reduce mucosal swelling and maintain nasal ventilation. (Medication should be used under the guidance of a doctor.)