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Doctors' Answers to "Frequently Asked Questions" - Rhinitis

These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.

Vasomotor Rhinitis [posted 8/4/98]
Answer: I have been told that I have non-allergic rhinitis or vasomotor rhinitis or mucous membrane disease. I have a lifetime history (I am a 49 year old white male) of perennial allergic rhinitis. About four or five years ago, I started producing great amounts of mucus which flows down my throat 100% of the time. The flow rate seemed to increase around Christmas, 1997, and has not decreased. I had sinus surgery 11/96. My ears are stopped up. My nose gets stopped up. I have taken steroids, at least half a dozen nasal sprays, antihistamines with and without decongestants, etc., all to no avail. I am on immunotherapy. Nothing seems to help. I do have reflux disease, and take medications for that. Do you have any suggestions?

Answer: Probably nothing to add to what you have done. Sometimes high humidity in the environment will help, but this is a problem we're not too good at fixing.

Non-Allergic Rhinitis
Question: I am a 19 year old student who has been suffering from Non-Allergic Rhinitis for the past 7 months. I have seen two different Ear, Nose and Throat doctors, and have been worked up with a cat scan, sinus x-rays and chest x-rays that all came out negative. I have also been on multiple medications including just about every antibiotic, guafenasin, atrovent, beconase, vancenase, claritin d 24 hour, mescalor, and entex LA. I have also had shots of depo medrol, decadron(bad reaction), and recently aristocort (helped a little, but not completely). I am currently on claritin d 24 hour, mescalor. What can I do to stop the never ending post nasal drip that I have to constantly hack up? It is getting on my nerves and I want to get rid of it. I have never had this problem steadily until last January. Is there anything else out there I can do or take?

Answer: First make sure that your environment is not dry. That is, ensure it is heavily humidified. This can be difficult in an office - a local humidifier like the ones used for a childís room is often helpful. Second are you on any medications? Some will cause rhinitis. Keep using the steroids on a regular basis if they are helping. Have you tried nasalcrom? It is very helpful if it is allergic.

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