Non-Allergic Nasal Symptoms

Introduction

Non-allergic rhinitis is a nasal condition that primarily involves symptoms of congestion and clear nasal discharge. There is no evidence of allergic sensitization. Symptoms may be present throughout the year. There are multiple subtypes and multiple possible trigger factors including strong smells, tobacco smoke, pollutants, chemicals, the ingestion of certain foods, and alcohol. Non-allergic rhinitis often presents first in adulthood. It is more common in females. It may affect up to 20 million Americans, or 7% of the population. The presence of non-allergic rhinitis may even put you at a higher risk of developing asthma in the future.

Symptoms

The symptoms of non-allergic rhinitis include nasal congestion, drainage, and sneezing. Other possible symptoms include throat clearing, cough, as well as facial pain/pressure. Itching of the nose or eyes is much less common in non-allergic rhinitis than in allergic rhinitis. Non-allergic rhinitis can be very complex and difficult to treat. It may coexist with allergic rhinitis and sinusitis.

Treatment

Non-allergic rhinitis is less responsive to treatment than allergic rhinitis. Treatment involves avoidance of trigger factors, as well as medications such as intranasal steroid and antihistamine sprays. There are also multiple other modalities of therapy including other nasal sprays, nasal/sinus rinses, as well as oral medications. Your BVAAC board-certified allergist will make every effort to do whatever is needed to relieve your symptoms.