Can non-allergic rhinitis be cured?

Non-allergic rhinitis causes a blocked or runny nose, sneezing, or mucus dripping into the throat without a typical allergy being the main driver. Smoke, strong smells, pollution, weather changes, hormonal changes and some medicines can irritate or over-stimulate the nasal lining. Unlike allergic rhinitis, symptoms may not follow exposure to pollen, dust mites or animal dander, and allergy testing may be negative.

Treatment depends on the pattern. A clinician may check your symptoms, medicines and nasal passages, while considering other causes such as sinusitis or a structural blockage.

Keep a brief record of situations that bring symptoms on, then reduce exposure to smoke, perfume, paint fumes and dusty air where practical. Saline nasal rinses can wash away irritants; use safe water and clean equipment according to the product instructions. A pharmacist or clinician may recommend a nasal spray suited to your symptoms, such as a steroid spray for inflammation or an anticholinergic spray when watery discharge is the main problem. Use sprays with the correct technique and for the advised duration. Decongestant sprays should not be used for long periods because they can worsen blockage when stopped.

Arrange a GP consultation if nasal symptoms keep disturbing sleep, work or exercise, or if treatment from a pharmacy has not helped. Prompt assessment is sensible for one-sided blockage, repeated nosebleeds, facial swelling, severe facial pain, fever, or a reduced sense of smell that persists. Seek urgent help for trouble breathing, swelling of the lips or throat, or sudden severe illness.

Could a medicine or nasal structure be contributing to my symptoms? Which spray or rinse fits my symptom pattern? How long should I try it, and what technique should I use? Do I need allergy testing or assessment for sinusitis?