Clinical Features, Investigations, and Management of Vasomotor Rhinitis

Introduction

Vasomotor rhinitis is a nonallergic condition characterized by nasal congestion, sneezing, and rhinorrhea. Unlike allergic rhinitis, it does not involve an immune response to allergens.

Clinical Features

• Intermittent or chronic nasal congestion
• Watery rhinorrhea
• Postnasal drip
• Triggers such as strong odors, temperature changes, or irritants

Diagnostic Investigations and Criteria

Medical History and Physical Examination

Diagnosis primarily relies on patient history and ruling out allergic causes.

Diagnostic Tests

• Skin prick or serum IgE tests to rule out allergic rhinitis
• Nasal endoscopy to examine nasal mucosa
• Rhinomanometry to assess nasal airflow

Management and Treatment

Medications

• Topical anticholinergics (e.g., ipratropium bromide)
• Intranasal corticosteroids
• Oral decongestants

Lifestyle and Environmental Modifications

• Avoiding strong odors and temperature extremes
• Using humidifiers in dry environments

Surgical Interventions

For severe cases, procedures like vidian nerve surgery or turbinate reduction may be considered.

Conclusion

Vasomotor rhinitis is a challenging condition that requires careful diagnosis and tailored management strategies. Patients can achieve symptom relief through medication and environmental modifications.