Chronic rhinitis headache symptoms

Written by Li Rui
Otolaryngology
Updated on March 28, 2025
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Chronic rhinitis is a relatively common clinical disease with various symptoms. Some patients may experience headaches, which are mainly caused by inflammatory reactions. It could also be due to poor ventilation in the nasal cavity, leading to headaches. Generally, it is accompanied by other symptoms such as nasal congestion, runny nose, reduced sense of smell, dizziness, and there might also be bloody nasal discharge or nasal drip. Therefore, upon noticing these symptoms, it is necessary to visit an otolaryngologist (ENT doctor) for relevant diagnostic tests to clarify the specific condition. Most patients can choose oral medications or nasal sprays for treatment and require regular follow-up to observe the effects. (Specific medications should be used under the guidance of a doctor.)

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Difference between Allergic Rhinitis and Rhinitis

Allergic rhinitis and rhinitis are issues of a specific concept versus a broader concept. Allergic rhinitis is a type of rhinitis caused by a hypersensitivity reaction, which is an allergic response of the body leading to inflammation of the nasal passages. Rhinitis, however, includes allergic rhinitis as well as chronic rhinitis, hypertrophic rhinitis, vasomotor rhinitis, atrophic rhinitis, etc. Thus, it's a matter of differentiating between a more specific and a general concept. Clinically, it is particularly important to differentiate their diagnosis and treatment. For example, the primary treatment for allergic rhinitis is anti-allergy medication, whereas treatments for conditions like chronic and atrophic rhinitis are completely different. Therefore, it is crucial to differentiate these accurately in clinical practice to ensure the correct medication is used.

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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.

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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 chronic rhinitis be cured?

Chronic rhinitis refers to a chronic inflammatory disease occurring in the nasal mucosa, and it is certainly treatable. The main treatments include the following: Firstly, medication treatments, such as rinsing the nasal cavity with saline solution, using nasal corticosteroids like mometasone furoate nasal spray, and even using drugs that constrict the mucosal blood vessels to clear the nasal passages. Secondly, some oral traditional Chinese medicines can also be used, such as Biyuan Tongqiao granules and Danxiang rhinitis tablets. For chronic rhinitis with hypertrophic inferior turbinates that block the nasal cavity and do not improve with medication, some invasive treatments like plasma ablation of the inferior turbinates can be considered. (Medications should be used under the guidance of a clinician, according to the specific situation.)

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How to treat acute rhinitis?

The local treatment for acute rhinitis can involve the use of some medications under the guidance of a doctor, while systemic treatment primarily focuses on rest, drinking plenty of water, and using some traditional Chinese medicine.