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Vasomotor rhinitis

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Contents of this page:

Illustrations

Nasal mucosa
Nasal mucosa

Alternative Names    Return to top

Rhinitis - non-allergic; Idiopathic rhinitis

Definition    Return to top

Vasomotor rhinitis is a non-allergic condition that causes a constant runny nose, sneezing, and nasal congestion.

See also: Rhinitis

Causes    Return to top

The exact cause of vasomotor rhinitis is unknown. It may be a hypersensitive response to a dry atmosphere, air pollutants, spicy foods, alcohol, strong emotions, or some medications. Vasomotor rhinitis is not caused by an infection or allergy.

Symptoms    Return to top

Exams and Tests    Return to top

The doctor will ask you about your symptoms, when they occur, and what triggers them. You will also be asked about your home and work environment. Blood tests to determine your total serum IgE and total circulating eosinophil count may be ordered.

Treatment    Return to top

The primary treatment is avoidance of the trigger. In some cases, medications, such as antihistamines or decongestants, may be prescribed. Intranasal corticosteroids are usually reserved for allergic rhinitis, but may be useful for some forms of vasomotor rhinitis.

References    Return to top

Lal D, Corey JP. Vasomotor rhinitis update. Curr Opin Otolaryngol Head Neck Surg. 2004 Jun;12(3):243-7.

Murray J, Nadel J. Textbook of Respiratory Medicine. 3rd ed. Philadelphia, Pa: WB Saunders; 2000:1279-1280.

Dykewicz MS. Rhinitis and sinusitis. J Allergy Clin Immunol. Feb. 2003; 111(2 Suppl): S520-9.

Update Date: 7/25/2007

Updated by: James L. Demetroulakos, M.D., F.A.C.S., Department of Otolaryngology, North Shore Medical Center, Salem, MA. Clinical Instructor in Otology and Laryngology, Harvard Medical School. Review provided by VeriMed Healthcare Network.

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