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    Vasomotor rhinitis

    Definition

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

    See also: Rhinitis

    Alternative Names

    Rhinitis - non-allergic; Idiopathic rhinitis

    Causes

    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

    • Runny nose
    • Sneezing
    • Watery nasal drainage (rhinorrhea)
    • Blood vessel congestion of the mucous membranes in the nose

    Exams and Tests

    The doctor will ask you about your symptoms, when they occur, and what triggers them. You wll 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

    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

    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.


    Review Date: 9/6/2005
    Reviewed By: A.D.A.M. editorial. Previously reviewed by Kevin Fung, M.D., FRCS(C), Department of Otolaryngology, University of Western Ontario, London, Ontario, Canada. Review provided by VeriMed Healthcare Network.
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