How should chronic rhinitis be treated?

Written by Li Rui
Otolaryngology
Updated on September 24, 2024
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Chronic rhinitis is a relatively common otolaryngological disease with various clinical symptoms. The common manifestations include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. In terms of treatment, it initially requires some nasopharyngoscopic and sinus CT examinations, which help to clarify the specific degree of chronic rhinitis and rule out any sinusitis. Generally, oral medications and nasal sprays should be considered, including traditional Chinese patent medicines orally, corticosteroid nasal sprays, and nasal irrigation with saline solution. The general treatment period is about one to two weeks. After medication, regular follow-up checks are necessary to observe the recovery process. (Medication should be used under the guidance of a professional doctor.)

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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 Deng Bang Yu
Otolaryngology
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Which is more serious, chronic rhinitis or allergic rhinitis?

Chronic rhinitis primarily involves inflammation of the nasal mucosa, submucosal tissues, nasal conchae, tympanic membrane, and even the bones. Allergic disease mainly involves allergic inflammation of the nasal mucosa. There is no clear distinction in severity between chronic rhinitis and allergic rhinitis. If chronic rhinitis tends towards an atrophic progression, then it is relatively serious. Allergic rhinitis, with its recurrent episodes, causes allergic cough and allergic asthma, which also signifies a relatively serious condition. Therefore, both chronic rhinitis and allergic rhinitis require active treatment, rather than distinguishing which one is more severe or which condition is milder. All issues should be actively treated.

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Written by Deng Bang Yu
Otolaryngology
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Is chronic rhinitis contagious?

Chronic rhinitis primarily refers to the chronic inflammatory disease of the nasal mucosa. Clinically, it is classified into three types based on pathology: simple rhinitis, hypertrophic rhinitis, and atrophic rhinitis. From its classification, it can be seen that chronic rhinitis is not contagious. Clinically, it mainly manifests as nasal congestion, congestion of the nasal mucosa, nasal enlargement, etc. Therefore, it is not contagious. However, it is important to note that chronic rhinitis can sometimes acutely exacerbate under certain special conditions. During an acute exacerbation of chronic rhinitis, the nasal mucosa becomes highly congested, and secretion increases, which may be somewhat contagious under these circumstances. Therefore, analysis should be based on specific conditions. In summary, chronic rhinitis is not contagious.

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Written by Li Mao Cai
Otolaryngology
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Causes of Chronic Rhinitis

The causes of chronic rhinitis are quite complex and not due to a single factor. It often arises from multiple factors after prolonged and repeated acute attacks, leading to chronic inflammatory changes. These changes primarily affect the nasal mucosa, with the most common causes including: First, prolonged and repeated bouts of acute rhinitis that are not thoroughly treated can lead to chronic rhinitis. This also includes some chronic diseases of the nasal cavity and sinuses, such as congenital deviation of the nasal septum, meaning the middle part of the nose is crooked, which disrupts drainage and airflow in the nasal cavity. Thus, when there is an acute inflammation, the secretions cannot be drained timely, eventually causing chronic inflammation of the nasal mucosa. Second, inflammation of nearby tissues and organs can lead to chronic rhinitis, such as chronic tonsillitis and adenoid hyperplasia during childhood. These chronic inflammations can cause secretions in the nasopharyngeal area to irritate and contribute to the chronic inflammation of the nasal mucous membrane, impacting each other. Third, occupational and environmental factors play a role. The living and working environment, along with lifestyle habits, greatly influence the incidence of chronic rhinitis. People who frequently smoke or drink alcohol are more susceptible to this condition. Additionally, if the work or living environment is polluted, dirty, dusty, or exposed to other harmful gases or chemicals, it may also lead to chronic rhinitis. Therefore, the formation of chronic rhinitis involves multifaceted and multiple causes, and the specific reasons should be analyzed based on different patients.

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Written by Li Rui
Otolaryngology
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Does nasal irrigation work for chronic rhinitis?

Patients with chronic rhinitis can benefit from nasal irrigation as it is effective in treatment, and some patients may experience particularly good results. Nasal irrigation helps reduce the retention of secretions in the nasal cavity, improves clinical symptoms, and can also help reduce the likelihood of acute flare-ups of chronic rhinitis. However, the specific treatment outcomes can vary among individuals, and some patients may still need to combine the treatment with medications. Common medications include oral drugs and nasal spray medications. Following this comprehensive treatment approach, most patients will gradually see their condition controlled and alleviated. However, it is currently difficult to completely cure chronic rhinitis, as it tends to recur. (Please take medications under the guidance of a professional physician.)