Nonallergic rhinitis is the inflammation of the nasal lining membranes without any immunoglobulin E mediation, as documented by allergen skin testing.
Major signs and symptoms include nasal itching, watery rhinorrhea, nasal obstruction/congestion, sneezing and postnasal drainage.
Symptoms can reverse spontaneously with or without treatment.


  • Advise patients to avoid precipitating factors or triggers for symptoms (eg environmental irritants, medications, occupational irritants)
  • If rhinitis symptoms are not too troublesome for the patient, avoidance alone may be adequate to manage the disease
Other measures to relieve symptoms of nonallergic rhinitis
  • Advise patient to increase water intake & to decrease caffeine & alcohol intake to decrease postnasal drip
  • Nasal saline irrigation may also be used to help relieve postnasal drip
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