Rhinitis


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.


Chronic rhinitis symptoms
Chronic rhinitis is a relatively common otolaryngological disease with various clinical symptoms and individual differences. The common symptoms include nasal congestion, runny nose, reduced sense of smell, headache, dizziness, and some patients may also experience a decline in memory. Generally, the symptoms of chronic rhinitis are not particularly severe, and the harm to physical health is not particularly significant. For diagnosis, nasopharyngoscopy and sinus CT can be performed to assess the specific severity of the condition. In terms of treatment, it generally involves oral medications and nasal sprays, and regular follow-ups are needed to monitor the recovery process.


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.)


How should chronic rhinitis be treated?
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.)


How to distinguish between rhinitis and a cold
The distinction between rhinitis and a cold primarily hinges on the following aspects: first and foremost, the specific onset time of the illness. Colds generally occur suddenly and last for a relatively short duration, about a week; whereas the duration of rhinitis may be longer, and some individuals might even experience chronic rhinitis, meaning the onset duration for rhinitis is relatively longer. The second aspect is the symptoms. Cold symptoms may include nasal congestion and a runny nose, but most patients will also exhibit other uncomfortable symptoms, such as sore throat, body aches, or fever. In the case of rhinitis, the primary symptoms are usually nasal, such as congestion, runny nose, and sneezing, and generally, there are rarely any whole-body symptoms. The third method is through an examination of the nasal cavity, which is primarily based on the doctor's experiential judgment. These three aspects essentially allow for the differentiation between rhinitis and a cold.


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.


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.


How to prevent seasonal rhinitis
Seasonal rhinitis, also known as allergic rhinitis with seasonal outbreaks, requires the identification of specific allergens for its prevention. This type of rhinitis is caused by allergies to seasonal factors, so it is necessary to visit an allergen testing center at an ENT (Ear, Nose, and Throat) department of a hospital to determine the specific allergens. Then, prior to the season, preventative measures can be taken to avoid contact with these allergens. Medications can be started one or two weeks in advance to alleviate the symptoms of rhinitis. Common medications include anti-allergy nasal steroids and other anti-allergy drugs such as antihistamines and leukotriene antagonists. Nasal steroids are typically administered via nasal spray once or twice a day, and during the prevention period, it can be sprayed once a day.