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Suggest Treatment For Non Allergic Vasomotor Rhinitis

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Posted on Tue, 30 Dec 2014
Question: I have non allergic vasomotor rhinitis. Allergy Doc's just tell me to avoid which is impossible. Do you know of anything that might help? Thank you, XXXXXXX
doctor
Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer:
Differentiate the sub-type, Rule out NARES, Medication, Surgery

Detailed Answer:
Hi,

Thank you for your query.

1. Non allergic rhinitis has to be differentiated into the following sub-types:
a. Vasomotor
b. Infection related
c. Occupational
d. Hormonal
e. Gustatory
f. Drug induced (Rhinitis Medicamentosa)
g. NARES (Non Allergic Rhinitis with Eosinophilia Syndrome)

2. The last is a possibility if your current treatment is not helping.

3. Add an anti-leukotriene such as montelukast (Singulair). The rest of the treatment should be effective. As your doctor to vary the combination of medications available till you get relief.

4. There is also the option of surgery to treat severe, non-responding cases.

If you have any more questions I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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Suggest Treatment For Non Allergic Vasomotor Rhinitis

Brief Answer: Differentiate the sub-type, Rule out NARES, Medication, Surgery Detailed Answer: Hi, Thank you for your query. 1. Non allergic rhinitis has to be differentiated into the following sub-types: a. Vasomotor b. Infection related c. Occupational d. Hormonal e. Gustatory f. Drug induced (Rhinitis Medicamentosa) g. NARES (Non Allergic Rhinitis with Eosinophilia Syndrome) 2. The last is a possibility if your current treatment is not helping. 3. Add an anti-leukotriene such as montelukast (Singulair). The rest of the treatment should be effective. As your doctor to vary the combination of medications available till you get relief. 4. There is also the option of surgery to treat severe, non-responding cases. If you have any more questions I will be available to answer them. Regards.