Can rhinitis cause yellow nasal discharge?

Written by Zhang Jun
Otolaryngology
Updated on September 05, 2024
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Rhinits can cause the discharge of yellow nasal mucus. Rhinits is due to the symptoms in the nasal cavity and overall body caused by bacterial or viral infections when the body's immunity and resistance are low. The patient may experience sudden high fever, with body temperatures above 38.5 degrees Celsius, bilateral nasal congestion that alternates, and yellow purulent discharge from the nasal passages. Upon examination, significant congestion of the bilateral inferior turbinates can be detected, and yellow purulent discharge adhering inside the nasal cavity can be found. In terms of treatment, patients first need to undergo a routine blood test. If there is an increase in white blood cells, bacterial infection should be considered, and oral antibiotics should be administered. If there is an increase in lymphocytes, a viral infection should be considered, and antiviral medications should be taken orally. Additionally, patients should adhere to a light diet, abstain from smoking and alcohol, avoid spicy and irritating foods, drink plenty of water, and rest well for gradual recovery. (The use of medications should be under the guidance of a doctor.)

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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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Can people with chronic rhinitis smoke?

It is advised not to smoke for chronic rhinitis, as smoking can be irritating to the nasal mucosa, inferior nasal concha, and other structures in the nasal cavity. This is because cigarettes contain a lot of irritating substances that can directly stimulate the nasal mucosa. It can easily trigger an attack of rhinitis or exacerbate existing inflammation, hence smoking is not recommended. It is also suggested to avoid alcohol, keep the nose moist, avoid contact with irritants, and consider using physiological seawater or saline to rinse the nasal cavity. Additionally, treatments can include oral traditional Chinese medicine and nasal spray medications. Generally, it is a common disease that can be effectively controlled and managed with standard treatment. (The use of medication should be under the guidance of a doctor.)

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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.

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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.

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The difference between sinusitis and rhinitis

Rhinitis and sinusitis are common inflammations in our nasal area, frequently occurring and widely prevalent. Rhinitis primarily involves inflammation of the nasal mucosa, while sinusitis specifically refers to inflammation in the sinus cavities and their mucous membranes. These two have different locations of onset. Furthermore, rhinitis is more commonly seen clinically compared to sinusitis, which is less common relative to rhinitis. Moreover, rhinitis is generally treated with medication and seldom requires surgical intervention. In contrast, sinusitis may also require surgical treatment besides medication. Thus, the main differences between them primarily include these aspects. Overall, the fundamental difference between rhinitis and sinusitis lies in their different locations of onset.