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    Vasomotor rhinitis

    Rhinitis - nonallergic; Idiopathic rhinitis; Nonallergic rhinitis

    Rhinitis is a condition that involves a constant runny nose, sneezing, and nasal stuffiness. When these symptoms are not caused by hay fever or allergies, the condition is called non-allergic rhinitis. One type of non-allergic rhinitis is called vasomotor rhinitis.

    Causes

    Vasomotor rhinitis is not caused by an infection or allergy. The exact cause is unknown. Symptoms are triggered by something that irritates the nose, such as:

    • Adry atmosphere
    • Air pollution
    • Alcohol
    • Certain medications
    • Spicy foods
    • Strong emotions

    Symptoms

    • Runny nose
    • Nasal congestion (stuffy nose)
    • Sneezing
    • Watery nasal drainage (rhinorrhea)

    Exams and Tests

    The doctor will ask about your symptoms, when they occur, and what seems to trigger them.
    You will also be asked about your home and work environment. The doctor may look inside your nose and see that the tissues lining the nose are swollen due to inflamed blood vessels.

    An allergy skin testmay be done to rule out allergies as a cause of your symptoms.
    If your doctor determines you cannot have skin testing, special blood tests may help with the diagnosis. These tests, known as IgE RAST tests, can measure the levels of allergy-related substances..A complete blood count (CBC) test, called the eosinophil count, may also help diagnose allergies.

    Treatment

    The main treatment is simply avoiding the things that trigger your symptoms.

    In some cases, decongestants or a nasal spray containing an antihistamine may help. Corticosteroid nasal sprays may be useful for some forms of vasomotor rhinitis.

    References

    <p>Orban NT, Saleh H, Durham SR. Allergic and non-allergic rhinitis. In: Adkinson NF Jr., Bochner BS, Busse WW, et al., eds. In: Middleton’s Allergy Principles and Practice. 7th ed. Philadelphia, Pa: Elsevier Mosby; 2008:chap 55. </p>

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              Review Date: 5/27/2013

              Reviewed By: Stuart I. Henochowicz, MD, FACP, Associate Clinical Professor of Medicine, Division of Allergy, Immunology, and Rheumatology, Georgetown University Medical School. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.

              The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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              St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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