What is the best treatment for chronic rhinitis?

Written by Li Rui
Otolaryngology
Updated on September 16, 2024
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There are quite a few treatment options for chronic rhinitis, which are mainly divided into two categories clinically. The first category is conservative medicinal treatment, and the second is surgical treatment. Based on existing clinical experience, the preferred approach is to primarily use conservative treatment, most commonly oral medications, generally focusing on traditional Chinese medicines. It is also recommended to use nasal sprays alongside, and consider using saline or seawater for nasal washes, which need to be performed regularly. If standardized medication treatment proves ineffective, surgery is considered, mainly for cases where the enlargement of the nasal turbinates is particularly significant. Surgical options may include turbinate ablation or a partial excision of the moved portion of the inferior turbinate. Overall, with standardized treatment, most patients can effectively control and alleviate their symptoms.

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Written by Zhang Jun
Otolaryngology
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Symptoms of Chronic Rhinitis

Chronic rhinitis is generally caused by the prolongation of acute rhinitis or recurrent attacks, resulting in nasal symptoms. Patients may experience bilateral nasal congestion, which alternates, being less severe during physical activity in the daytime and more severe at night when quiet. Additionally, mucous-like discharge can occur in the nasal cavity. When accompanied by bacterial infection, yellow or green discharge may appear. During examination, patients may find significant congestion and edema on the middle and inferior turbinates, and abnormal secretions adhering to the middle nasal meatus or common nasal channel. In treatment, chronic rhinitis can initially be managed with nebulized inhalation to alleviate congestion and edema of the turbinates. Concurrently, exercising can enhance immunity and resistance, restore the function of the nasal mucosa, and subsequently lead to recovery from chronic rhinitis.

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Written by Li Rui
Otolaryngology
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How to completely cure seasonal rhinitis?

Seasonal rhinitis is mainly caused by allergic reactions, which are related to the body's exposure to external allergens. It is recommended that individuals seek care from an otorhinolaryngologist after experiencing allergies, to conduct external allergen screening and identify specific allergens. Most patients can only control their condition and alleviate symptoms. If it is a case of a dust mite allergy of grade three or above, desensitization treatment can be considered. After desensitization, some patients may achieve clinical cure, but others might only see improved symptoms without a complete cure. Overall, regular follow-up is necessary to monitor changes in the condition, and contact with allergenic substances should be avoided as much as possible.

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Written by Deng Bang Yu
Otolaryngology
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What anti-inflammatory medication should be taken for rhinitis?

Rhinitis refers to the inflammation of the nasal mucosa. Currently, nasal mucosa inflammation can be acute, chronic, allergic, or atrophic. These inflammations require appropriate treatment, but do not require the use of anti-inflammatory drugs, as current anti-inflammatory drugs mainly refer to antibiotics, which are not necessary for these types of rhinitis. Clinically, some nasal spray medications are primarily used, such as some corticosteroid hormones, which have anti-inflammatory effects; saline solutions with high osmolarity can also be used to cleanse and rinse the nasal cavity. Oral medications can include some traditional Chinese medicine preparations, such as Biyan Tongqiao granules and Xiangju tablets, etc. For allergic rhinitis, some antiallergic drugs such as loratadine can be used for antiallergic treatment. In summary, there is no need to use antibiotic anti-inflammatory drugs. (Please use medicine under the guidance of a doctor to avoid indiscriminate use.)

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Written by Li Rui
Otolaryngology
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Can rhinitis be cured completely?

There are many types of rhinitis, but in general, it is difficult to cure completely. Most cases of rhinitis focus on controlling and alleviating the condition. Common types of rhinitis include chronic rhinitis, hypertrophic rhinitis, allergic rhinitis, atrophic rhinitis, and dry rhinitis. Generally, the treatment for these types of rhinitis primarily involves medication, with nasal sprays and oral medications being more commonly used. In daily life, using physiological saline to clean the nasal cavity can be considered, but the main focus is on controlling and alleviating the condition. From the existing methods, it is still difficult to achieve a complete cure, and there may be some recurrence. However, overall, the illness of rhinitis itself does not pose a significant danger to overall health; therefore, through conservative treatment, the condition can generally be stabilized and controlled well.

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Written by Deng Bang Yu
Otolaryngology
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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.