II. Symptoms: Chronic (>3 months)
- Characteristics
- Allergic symptoms are typically absent (nasal, ocular or pharyngeal/palatal Pruritus, sneezing, Nasal Polyps)
- Wet or Dry
- Dry: Nasal obstruction, airway resistance and congestion
- Wet: Rhinorrhea predominates
- Mixed (congestion and Rhinorrhea)
- Provocative (non-allergic triggers)
- Odors (e.g. perfumes, auto emissions, Tobacco smoke)
- Alcohol
- Spicy food
- Humidity
- Temperature extremes (e.g. cold)
- Sunlight
- Gustatory Rhinitis (seen in older patients)
- Antihypertensive use
III. Signs
- Normal nose exam
- Contrast with blue mucosa of Allergic Rhinitis, and the red mucosa of Rhinosinusitis
IV. Differential Diagnosis
V. Management
- See Chronic Nonallergic Rhinitis
- Intranasal Ipratropium (Atrovent) 0.03% two sprays 2-4 times daily
- First-line therapy for Rhinorrhea predominant Vasomotor Rhinitis