What are the symptoms of chronic rhinitis?

Written by Zhang Jun
Otolaryngology
Updated on March 22, 2025
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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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Written by Li Rui
Otolaryngology
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Can chronic rhinitis be cured completely?

Chronic rhinitis is a relatively common otolaryngological disease, and there are many treatment methods available at present. However, existing medical measures mainly focus on controlling symptoms and alleviating the condition, and it is very difficult to achieve a complete cure. Most patients undergo treatment with oral medications and nasal sprays, after which symptoms generally tend to reduce and the degree of inflammatory response also declines. Nonetheless, a complete cure is still elusive; the main goal is to reduce the frequency of acute attacks of chronic rhinitis, relieve clinical symptoms, and prevent significant impact on daily life. Overall, it is considered a common chronic disease that does not pose a significant threat to overall health. (Please consult a professional physician for medication guidance and avoid self-medicating.)

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Written by Deng Bang Yu
Otolaryngology
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Can rhinitis cause coughing?

Rhinitis refers to the inflammation of the nasal mucous membrane, which can cause coughing. The rhinitis-induced cough primarily involves two aspects. One is allergic rhinitis, which can lead to allergic pharyngitis, resulting in symptoms of coughing. According to the medical approach to allergic pathophysiological reactions, this is considered 'one airway, one disease,' where the allergic condition starts from the nose and develops into an allergy in the throat. Another situation involves the abundant secretions in rhinitis. These secretions flow back to the nasopharyngeal area and then irritate the throat, which can cause coughing. Therefore, overall, rhinitis can lead to coughing, and it should be managed and treated according to its different causes.

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Written by Li Rui
Otolaryngology
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What is the best treatment for chronic rhinitis?

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 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 Zhang Jun
Otolaryngology
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How many types of chronic rhinitis are there?

Chronic rhinitis can be clinically divided into chronic simple rhinitis, chronic hypertrophic rhinitis, and chronic allergic rhinitis, which are the most common types seen in clinical practice. Chronic simple rhinitis is often seen in children and generally occurs due to repeated acute rhinitis attacks or prolonged unresolved symptoms. Chronic hypertrophic rhinitis results from repeated simple rhinitis, causing bilateral turbinate mucosal diffuse congestion and hyperplasia with poor shrinkage effects. Chronic allergic rhinitis is caused by inhalation of certain allergens into the nasal cavity due to weakened immunity and resistance, leading to symptoms such as nasal congestion, runny nose, and sneezing. In terms of treatment, simple rhinitis can be effectively managed with medication. Chronic hypertrophic rhinitis may require partial turbinectomy of both sides for cure, while allergic rhinitis can be gradually improved by enhancing immunity and resistance.