


There are numerous causes of rhinitis but they can be broadly categorised as non-allergic or allergic rhinitis.
Allergic rhinitis: Common allergens include house dust mites, grass pollen, tree pollen, moulds, animal dander (dead skin cells).
Non-allergic rhinitis: Causes of non-allergic rhinitis include hormonal, occupational and rhinitis medicamentosa – which is a condition brought on by extended use of topical decongestants and certain oral medications that constrict blood vessels in the lining of the nose.
The symptoms of rhinitis include:
In children it can also be a cause of a persistent cough. Patients with allergic rhinitis often also complain of symptoms like sneezing and itchy, watery eyes.
Rhinitis is a serious and underestimated problem as it significantly affects the quality of life of the sufferer. It is responsible for missed days at school and work with data showing poorer performance in examinations in sufferers.
This is unfortunate as with early assessment and treatment it can be managed very well.
There is a step ladder approach to treatment of rhinitis. The aim is to stabilise the symptoms of the patient with the minimum amount of medication.
Treatments include saline douches, anti-histamines, topical steroid sprays and surgery in some cases.
An ear, nose and throat specialist will be able to make an assessment of the nose and symptoms in order to tailor individualised treatment for the patient.
Otolaryngology ENT in Central London