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Suggest Treatment For Runny Nose Along With Clear Secretions

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Posted on Mon, 20 Feb 2017
Question: Perhaps you have some insights. For the past several years I seem to have a "runny nose;" it is not a cold. I am familiar with seasonal allergies to grasses, etc. and I am not thinking that is the cause. I really do not have ongoing congestion. However, the intermittent frequency of a runny nose with clear secretion over the course of the day is tiresome. My mother used to complain of something similar as she grew older. I am now 77 years old. I prefer not to take allergy OTC meds, as I also have dry mouth and eye symptoms and the medication would no doubt make that worse. Any thoughts on the matter?
doctor
Answered by Dr. Riddhi Shah (2 hours later)
Brief Answer:
Probably suffering from Allergic Rhinitis or vasomotor rhinitis

Detailed Answer:
Hello, thank you for posting your query oh Health Care Magic.

Looking at your symptoms, you are probably suffering from Allergic rhinitis (Inflammation of nose due to Allergy) leading to watery nasal discharge and itching,redness and watering from the eyes or Vasomotor rhinitis.

Laboratory tests used in the diagnosis of allergic rhinitis include the following: Allergy skin tests(it would help to find out that to which substances you are Allergic), Total serum IgE, Total blood eosinophil count(IgE and Eosinophil count might be elevated in case of Allergy). It would be advisable that you undergo these tests.

Perpetual allergic rhinitis is typically caused by allergens within the home but can also be caused by outdoor allergens that are present year-round.In warmer climates, grass pollen can be present throughout the year. In some climates, individuals may be symptomatic due to trees and grasses in the warmer months and molds and weeds in the winter.Common causes include the faecal matter of the house dust-mite, animal proteins from domestic pets, and industrial dusts and fumes.

The management of allergic rhinitis consists of 3 major categories of treatment, (1) environmental control measures and allergen avoidance, (2) pharmacological management, and (3) immunotherapy.

Environmental control measures and allergen avoidance involve both the avoidance of known allergens (substances to which you are found allergic on allergy testing) and avoidance of nonspecific, or irritant, triggers.

For dust mites, covering the mattress and pillows with impermeable covers helps reduce exposure. Bed linens should be washed every 2 weeks in hot water to kill any mites present. Thorough and efficient vacuum cleaning of carpets and rugs can help. Dust mites thrive when indoor humidity is above 50%, so dehumidification, air conditioning, or both is helpful.

Control measures for mold allergy focus on reduction of excessive humidity and removal of standing water.

For animal allergy, complete avoidance is the best option.

Exposure to smoke, strong perfumes and scents, fumes, rapid changes in temperature, and outdoor pollution can be nonspecific triggers in patients with allergic rhinitis. Consider avoidance of these situations or triggers if they seem to aggravate symptoms.

You might find relief by taking following medicines :

Steroid Nasal spray like Mometasone-helps against allergy and reduces inflammation,
Oral Decongestant like Phenylephrine and Nasal decongestant drops like Xylometazoline-they help to decongest the nose and sinus cavity and helps in nasal blockage (if you are not suffering from Hypertension)
Antihistaminic like Levocetrizine-helps against Allergy,
Saline nasal spray-helps to moist the nasal cavity and removal of allergen particles from nose,
Vitamin C lozenges-they help in reducing dry mouth

Also do steam inhalation. Do warm saline gargles. Avoid cold food.Drink lots of fluids(warm).

Immunotherapy: may be considered more strongly with severe disease, poor response to other management options in which the patient is introduced to gradually increasing doses of Allergen to which the patient is known to be sensitive on Allergy testing.

Vasomotor Rhinitis is chronic rhinitis that is characterised by intermittent (coming and going) episodes of sneezing, watery nasal drainage (rhinorrhea), and blood vessel congestion of the nasal mucus membranes. There appears to be a hypersensitive response to stimuli such as a dry atmosphere, air pollutants, spicy foods, alcohol, strong emotions, and some medications.The autonomic nervous system controls the blood supply into the nasal mucosa and the secretion of mucus. Either a hypoactive sympathetic nervous system or a hyperactive parasympathetic nervous system can lead to Vasomotor rhinitis.
Medical treatment of vasomotor rhinitis includes the same as in allergic rhinitis with avoidance of triggering factors.

Hope this answers your question.I would be happy to answer if you have any follow-up questions.

Take care.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Riddhi Shah (12 hours later)
Dear Dr. XXXXXXX Shah,

Thank you for your detailed response as to two possibilities regarding the rhinitis. One other thought that may tie into this: when I talk with friends or family long distance on the telephone, I find myself becoming very congested within five or ten minutes. It may be that ties into your comments about Vasomotor Rhinitis and a hypersensitive response to "strong emotions." These conversations are always pleasant, but it is a consistent pattern.

You have at least put things into perspective, and I will try to discuss with my physician in a few weeks. Thank you for your time and insights.

XXXX
doctor
Answered by Dr. Riddhi Shah (35 minutes later)
Brief Answer:
Please see the answer.

Detailed Answer:
Hi XXXXXXX thank you for your reply.

Looking at your symptom of feeling congested after talking long distance on the phone,there can be two possibilities:

1.)If you are suffering from congestion in the nose,then it might be due to Vasomotor rhinitis due to hypersensitive response to emotions.

2.)If you are suffering from congestion in the voice box(larynx),then it is suggestive of Vocal Fatigue.In such a case you may try following measures:
Voice rest is must.Don't whisper or shout.Speak at the right pitch.Speak softly after taking deep breath.Drink lots of fluids(warm).Water is essential to a healthy larynx.
Rest your voice every two hours or more.Steam inhalation will also help.
Avoid iced drinks. Room temperature or warm liquids will aid in healing and feel soothing to a tired larynx.

Hope this answers your question.Take care.
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. Prasad
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Answered by
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Dr. Riddhi Shah

ENT Specialist

Practicing since :2008

Answered : 533 Questions

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Suggest Treatment For Runny Nose Along With Clear Secretions

Brief Answer: Probably suffering from Allergic Rhinitis or vasomotor rhinitis Detailed Answer: Hello, thank you for posting your query oh Health Care Magic. Looking at your symptoms, you are probably suffering from Allergic rhinitis (Inflammation of nose due to Allergy) leading to watery nasal discharge and itching,redness and watering from the eyes or Vasomotor rhinitis. Laboratory tests used in the diagnosis of allergic rhinitis include the following: Allergy skin tests(it would help to find out that to which substances you are Allergic), Total serum IgE, Total blood eosinophil count(IgE and Eosinophil count might be elevated in case of Allergy). It would be advisable that you undergo these tests. Perpetual allergic rhinitis is typically caused by allergens within the home but can also be caused by outdoor allergens that are present year-round.In warmer climates, grass pollen can be present throughout the year. In some climates, individuals may be symptomatic due to trees and grasses in the warmer months and molds and weeds in the winter.Common causes include the faecal matter of the house dust-mite, animal proteins from domestic pets, and industrial dusts and fumes. The management of allergic rhinitis consists of 3 major categories of treatment, (1) environmental control measures and allergen avoidance, (2) pharmacological management, and (3) immunotherapy. Environmental control measures and allergen avoidance involve both the avoidance of known allergens (substances to which you are found allergic on allergy testing) and avoidance of nonspecific, or irritant, triggers. For dust mites, covering the mattress and pillows with impermeable covers helps reduce exposure. Bed linens should be washed every 2 weeks in hot water to kill any mites present. Thorough and efficient vacuum cleaning of carpets and rugs can help. Dust mites thrive when indoor humidity is above 50%, so dehumidification, air conditioning, or both is helpful. Control measures for mold allergy focus on reduction of excessive humidity and removal of standing water. For animal allergy, complete avoidance is the best option. Exposure to smoke, strong perfumes and scents, fumes, rapid changes in temperature, and outdoor pollution can be nonspecific triggers in patients with allergic rhinitis. Consider avoidance of these situations or triggers if they seem to aggravate symptoms. You might find relief by taking following medicines : Steroid Nasal spray like Mometasone-helps against allergy and reduces inflammation, Oral Decongestant like Phenylephrine and Nasal decongestant drops like Xylometazoline-they help to decongest the nose and sinus cavity and helps in nasal blockage (if you are not suffering from Hypertension) Antihistaminic like Levocetrizine-helps against Allergy, Saline nasal spray-helps to moist the nasal cavity and removal of allergen particles from nose, Vitamin C lozenges-they help in reducing dry mouth Also do steam inhalation. Do warm saline gargles. Avoid cold food.Drink lots of fluids(warm). Immunotherapy: may be considered more strongly with severe disease, poor response to other management options in which the patient is introduced to gradually increasing doses of Allergen to which the patient is known to be sensitive on Allergy testing. Vasomotor Rhinitis is chronic rhinitis that is characterised by intermittent (coming and going) episodes of sneezing, watery nasal drainage (rhinorrhea), and blood vessel congestion of the nasal mucus membranes. There appears to be a hypersensitive response to stimuli such as a dry atmosphere, air pollutants, spicy foods, alcohol, strong emotions, and some medications.The autonomic nervous system controls the blood supply into the nasal mucosa and the secretion of mucus. Either a hypoactive sympathetic nervous system or a hyperactive parasympathetic nervous system can lead to Vasomotor rhinitis. Medical treatment of vasomotor rhinitis includes the same as in allergic rhinitis with avoidance of triggering factors. Hope this answers your question.I would be happy to answer if you have any follow-up questions. Take care.