Chronic Rhinitis


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.


What to do during a chronic rhinitis attack?
Chronic rhinitis is a relatively common otolaryngological disease. An acute exacerbation of chronic rhinitis may lead to related clinical symptoms, which often include nasal congestion, runny nose, headache, dizziness, and reduced sense of smell. Some patients may experience nasal discharge flowing backward. After the onset of symptoms, it is advisable to visit an otolaryngology department. Routine blood tests and nasal endoscopy can be performed to help initially assess the severity of the condition. Generally, nasal spray medications can be chosen for treatment, and some patients may also need to combine this with oral medications. Additionally, rinsing the nasal cavity with saline solution can also serve as a supportive treatment. The treatment period generally lasts about one to two weeks, and regular follow-up visits are needed to monitor the treatment effect.


Is chronic rhinitis serious?
Chronic rhinitis is very serious and can cause diffuse congestion, edema, and hyperplasia of the bilateral inferior turbinate mucosa in patients, leading to persistent bilateral nasal congestion. The condition progressively worsens, and the nasal cavity will also have mucous secretions. Prolonged hypoxia in patients can lead to dizziness, headaches, a decrease in the sense of smell, memory decline, and in severe cases, depression and irritability among other clinical symptoms. When examined with an electronic nasal endoscope, the surface of the bilateral turbinate mucosa may show mulberry-like changes, and the effect of vasoconstrictors is poor. In treating chronic rhinitis, conservative treatment can be adopted first, and nebulized inhalation treatment is effective. However, if conservative treatment is ineffective, bilateral partial inferior turbinate resection may be needed. After surgery, patients need to exercise and boost their immunity to avoid recurrent episodes.


Can people with chronic rhinitis keep cats?
Patients with chronic rhinitis should avoid keeping pets, especially cats, as cats carry many parasites and bacteria and also shed hair. The nasal passages of patients with chronic rhinitis are very sensitive. Once hair enters the nasal cavity, it can cause sudden congestion and swelling of the bilateral nasal conchae mucosa, leading to symptoms of sneezing, runny nose, and persistent bilateral nasal congestion, thus further aggravating the clinical manifestations of the condition. In terms of treatment, patients with chronic rhinitis should first adhere to a bland diet and avoid spicy and stimulating foods. They also need to combine treatment with nebulized inhalation and use corticosteroids to reduce congestion and swelling of the nasal conchae mucosa, to decrease nasal secretions and relieve symptoms of nasal congestion. Additionally, patients should exercise to restore the function of the nasal conchae mucosa, which can gradually lead to improvement. (Specific medication should be administered under the guidance of a physician.)


How long does one generally take medicine for chronic rhinitis?
Chronic rhinitis is a relatively common otolaryngological disease with various clinical symptoms, commonly including nasal congestion, runny nose, and reduced sense of smell. In terms of treatment, oral medications and nasal sprays are commonly used, generally for about 1 to 2 weeks. The specific duration should be determined based on the treatment results and severity of the condition. If the effect of medication alone is not satisfactory, saline nasal irrigation can also be considered as a supportive treatment. However, chronic rhinitis is still difficult to cure completely and can recur. (Please use medication under the guidance of a doctor.)


What foods to eat for chronic rhinitis?
People with chronic rhinitis should pay attention to their diet in daily life, avoiding spicy and irritating foods, as well as chilled beverages. They should also quit bad habits such as smoking and drinking, as these may lead to inflammation and congestion in the throat and nasal mucosa, triggering symptoms such as nasal congestion, runny nose, and sneezing. The onset of chronic rhinitis is associated with long-term smoking, drinking, excessive fatigue, and physical and chemical stimuli. In treatment, corticosteroid nasal sprays can be used to improve congestion and edema in the nasal mucosa. Additionally, wearing a mask when going out can help avoid inhaling too much cold air, which can worsen symptoms. (The use of medications should be under the guidance of a professional doctor.)


How to normally regulate chronic rhinitis?
Chronic rhinitis is a relatively common otolaryngologic disease that requires attention in daily life. First, in terms of diet, it should be light, avoiding spicy and irritating foods and allergenic foods, which may affect the condition of rhinitis. Second, consider using saline or physiological seawater to rinse the nasal cavity, generally recommended to wash two to three times daily. This helps improve nasal ventilation and reduce the retention of nasal secretions. Third, it is necessary to regularly visit the otolaryngology outpatient department to check the changes in the condition and clarify the treatment effects. (Medication use should be conducted under the guidance of a professional doctor.)


Can chronic rhinitis be cured?
Chronic rhinitis primarily focuses on controlling the condition and relieving symptoms. Current treatment methods mainly involve medication, generally using oral drugs and nasal sprays to improve nasal symptoms. Additionally, physiological saline can be used to rinse the nasal cavity. Overall, most cases can be effectively controlled and alleviated through medication. If the nasal turbinates are particularly enlarged and conservative medical treatment is ineffective, surgical treatment can be considered. However, both medication and surgery mainly aim at control rather than cure. With the existing medical approaches, it is challenging to completely cure chronic rhinitis. Generally, it is considered a common and not particularly severe condition.


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.


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.