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Rhinitis: Treatments
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ATROPHIC RHINITIS — Atrophic rhinitis is an uncommon type of rhinitis that results from a gradual thinning of the nasal lining and the nasal bones. This condition most commonly occurs in older adults. The symptoms include nasal congestion, crusting of the nasal passages, and a persistent bad smell. Treatment with a saline spray or lavage often relieves the symptoms of atrophic rhinitis. Occasionally, sinus rinses containing antibiotic solutions are prescribed.
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As in adults, traditional oral antihistamines and newer less-sedating antihistamines have no established beneficial effects on vasomotor rhinitis in children. Prolonged use of topical nasal decongestants can cause irritation and rhinitis medicamentosa without proven benefit. If a therapeutic trial of one of these agents is attempted because of treatment failures with recommended agents, judicious and time-limited use should be considered.
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Gustatory rhinitis may be a form of vasomotor rhinitis. Gustatory rhinitis is triggered by eating. Any type of food can trigger symptoms, although hot, spicy foods and alcohol have been reported to cause the most severe symptoms. Many cold foods can ... be culprits. Treatment involves avoiding problematic foods and extremely hot or cold foods.
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CLARITIN is the No. 1 physician-recommended and pediatrician-recommended over-the-counter antihistamine brand for allergic rhinitis. The CLARITIN Rx- to-OTC switch in 2002 was the largest switch ever-and the first and only for a non-sedating antihistamine. For more information on allergies and treatment, visit www.CLARITIN.com.
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Hormonal causes of rhinitis include pregnancy, oral contraceptive use, and hypothyroidism. Pregnancy-induced rhinitis generally improves after delivery. Symptom improvement after hypothyroidism treatment remains unclear. These types of rhinitis are difficult to diagnose, and the medical literature documenting them is limited.
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Viral rhinitis is extremely common and is often the most bothersome feature of the common cold. No treatment is completely effective. Nonprescription decongestants taken by mouth in pill or liquid form (pseudoephedrine) or sprayed into the nose (phenylephrine or oxymetazoline) help control congestion. However, symptoms can worsen if decongestant nasal sprays are taken for more than 3 days and then abruptly stopped.
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