Global Health Asia-Pacific Issue 2 | 2024 Issue 2 | 2024 | Page 10

You Ask , They Answer

Q

: What ’ s non-allergic rhinitis and what are its telltale signs ?

A

. Non-allergic rhinitis is a condition that causes inflammation in the inside of the nose , leading to a runny or blocked nose and sneezing . It simulates nasal allergy but is not triggered by allergens such as pollen , dust mites , or pet dander . The telltale signs of non-allergic rhinitis can include a runny nose , blocked nose , sneezing , clear , watery nasal discharge , postnasal drip , itchy nose , facial congestion or pressure , and reduced sense of smell or taste . These symptoms can be triggered by irritants in the air such as smoke , dust , strong odours , changes in temperature or humidity , hormonal fluctuations , certain medications ( aspirin , beta-blockers ), and even spicy food .

Q

: Can the condition be serious ? When should people see a doctor ?

A

: Non-allergic rhinitis is not serious and should be seen by a doctor if symptoms disrupt daily activities , don ’ t improve with over-the-counter treatments , or worsen or change , or if the patient is concerned about triggers . If left untreated for very long , there is a possibility of developing nasal polyps , hypertrophic rhinitis , and sinusitis .

Q

: What are the treatments to cure or manage the condition ?

A

: There is no complete cure for non-allergic rhinitis , but there are effective ways to manage symptoms and improve quality of life . Self-care measures involve identifying and avoiding triggers whenever possible , such as irritants like smoke or dust , or hormonal fluctuations . Although dry air is not a problem in tropical areas , due to the ubiquitous use of airconditioning , a humidifier at home can help with dry air irritation . Regular flushing of the nasal passages with a saltwater solution can also be helpful . Over-the-counter medications like saline nasal sprays , antihistamine nasal sprays , decongestants , and prescription medications , like stronger corticosteroid nasal sprays , can help reduce inflammation in the nose and alleviate nasal obstruction .
In severe cases , minimally invasive procedures like nasal steroid injections or nerve ablation may be considered . Nasal obstruction can be relieved by measures that reduce the size of nasal turbinates , but it is important to choose a surgeon who can do this surgery well and avoid any ablative procedures . A good guide for choosing the best type of turbinate reduction procedure is explained in the following video https :// youtu . be / W2Nbyontce8 ? si = A _ 1msXrfUjY _ MpSO . Excessive running nose can be treated by cutting the parasympathetic fibres to the nose , known as Vidian nerve neurectomy . Cryoablation of the posterior nasal nerve targets a more specific area , potentially reducing the risk of complications .
It is always best to consult with a doctor to determine the best course of treatment for your specific case . They can help identify triggers , recommend appropriate medications , and ensure you are using them safely and effectively .

Q

: Can non-allergic rhinitis be prevented and are there lifestyle choices that can minimise its symptoms ?

A

: While non-allergic rhinitis cannot be completely prevented , there are lifestyle choices that can minimise symptoms and reduce flare-ups . Key strategies include identifying and avoiding triggers , controlling your environment , managing humidity levels , maintaining good hygiene , making dietary adjustments , nasal irrigation , and stress management .
Datuk Dr Balwinder Singh
Datuk Dr Balwinder Singh is an ear , nose , and throat ( ENT ) surgeon and runs the ENT Specialist Clinic in Kuala Lumpur .
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