Chronic Rhinitis (cont.)
Siamak N. Nabili, MD, MPH
Dr. Nabili received his undergraduate degree from the University of California, San Diego (UCSD), majoring in chemistry and biochemistry. He then completed his graduate degree at the University of California, Los Angeles (UCLA). His graduate training included a specialized fellowship in public health where his research focused on environmental health and health-care delivery and management.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Chronic rhinitis and post-nasal drip facts
- What is the purpose of the nose?
- What are rhinitis and post-nasal drip?
- What causes rhinitis?
- Is rhinitis always related to allergies?
- What conditions cause an abnormal production of nasal secretions?
- What conditions cause an impaired clearance of nasal secretions?
- How can chronic rhinitis and post-nasal drip be treated?
- What medications can be used to treat rhinitis and post-nasal drip?
- What can be used to treat non-allergic rhinitis?
- Does salt water have any role in the treatment of rhinitis and post-nasal drip?
- What are other options for the treatment of rhinitis and post-nasal drip?
- Find a local Ear, Nose, & Throat Doctor in your town
What are other options for the treatment of rhinitis and post-nasal drip?
Treatment can also be directed towards specific causes of rhinitis and post-nasal drip as outlined below.
Treatment of infection
The most common nasal infection is a viral infection known as "the common cold." The virus causes swelling of the nasal membranes and production of thick clear mucus. Symptoms usually last several days. If "a cold" goes on for many days and is associated with yellow or green drainage, it may have become secondarily infected by bacteria. Very few patients with a common cold from a virus will go on to have acute bacterial rinosinusitis from sinus blockage and impaired sinus function. Sinus blockage can lead to acute sinusitis (less than 4 weeks in duration) or chronic sinusitis (lasting 12 weeks with continuous symptoms), which can be characterized by nasal congestion, thick mucus, and facial or dental pain. From 4 to 12 weeks, the symptoms are classified as subacute sinusitis or recurrent acute sinusitis. Prompt and aggressive treatment of infection by your physician, only occasionally with antibiotics, along with supplemental medications. In some cases surgery, will help to re-establish the normal drainage pathways.
Symptomatic treatment often involves pain relief, decongestants, mucous thinning medications, saline rinses, and anti-histamine therapy.
For rhinitis that is thought to be related to acid reflux disease, antacids (Maalox, Mylanta) can help to neutralize acid contents, whereas other medications [cimetidine (Tagamet), famotidine (Pepcid), omeprazole (Prilosec), esomeprazole (Nexium)] can decrease stomach acid production. Non-pharmacological treatments include avoiding late evening meals and snacks and the elimination of alcohol and caffeine. Elevating the head of the bed may help to decrease reflux during sleep.
Structural problems with the nose and sinuses may ultimately require surgical correction. Obviously, this should be done only after more conservative measures have been tried and failed. Surgery is not a replacement for good allergy control and treatment. Septal deviation, septal spurs, septal perforation, enlargement of the turbinates, and nasal/sinus polyps can lead to pooling of or overproduction of secretions, blockage of the normal pathways leading to chronic sinusitis, and chronic irritation. The surgery is performed by an ear-nose-throat doctor (otolaryngologist). Surgery can also enhance the delivery of nasal medications and rinses into the nasal cavities.
Allergies & Asthma
Improve treatments & prevent attacks.