Symptoms of Chronic Rhinitis

Written by Zhang Jun
Otolaryngology
Updated on September 25, 2024
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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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How to treat acute rhinitis?

The local treatment for acute rhinitis can involve the use of some medications under the guidance of a doctor, while systemic treatment primarily focuses on rest, drinking plenty of water, and using some traditional Chinese medicine.

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Written by Deng Bang Yu
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The difference between sinusitis and rhinitis

Rhinitis and sinusitis are common inflammations in our nasal area, frequently occurring and widely prevalent. Rhinitis primarily involves inflammation of the nasal mucosa, while sinusitis specifically refers to inflammation in the sinus cavities and their mucous membranes. These two have different locations of onset. Furthermore, rhinitis is more commonly seen clinically compared to sinusitis, which is less common relative to rhinitis. Moreover, rhinitis is generally treated with medication and seldom requires surgical intervention. In contrast, sinusitis may also require surgical treatment besides medication. Thus, the main differences between them primarily include these aspects. Overall, the fundamental difference between rhinitis and sinusitis lies in their different locations of onset.

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Written by Deng Bang Yu
Otolaryngology
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What causes rhinitis?

There are many causes of rhinitis in clinical settings, such as acute rhinitis, which is primarily due to infections, especially viral infections. Chronic rhinitis has many influencing factors, such as incomplete treatment of acute rhinitis leading to chronic conditions, or originating directly from chronic rhinitis. For instance, physical and chemical irritants, inappropriate use of medications in the nasal cavity, such as rhinitis medicamentosa caused by the use of nasal mucosa constrictors, and some inappropriate self-actions like habitual nose-picking, can all cause chronic rhinitis. Other forms of rhinitis, such as allergic rhinitis, are mainly caused by allergic factors. There is also vasomotor rhinitis, mainly due to inconsistent vasoconstriction, among other reasons. These are the main factors. (For specific medications, please follow the guidance of a professional physician and do not medicate blindly.)

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Written by Deng Bang Yu
Otolaryngology
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Is chronic rhinitis contagious?

Chronic rhinitis is a chronic inflammatory disease of the nasal mucosa. Clinically, it can be divided into simple, hypertrophic, and atrophic types. The treatment generally primarily involves the use of local medications, and typically does not involve the use of antiviral or antibiotic medications. Chronic rhinitis is not contagious. However, it is important to be aware of other conditions that can cause chronic rhinitis, such as tuberculosis-induced rhinitis and syphilitic rhinitis. These are not cases of the rhinitis itself being contagious, but rather the transmission of pathogens, so it cannot be simply stated that chronic rhinitis is contagious. Clinically diagnosed chronic rhinitis is definitively non-contagious.

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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.)