How many times have you had nasal symptoms, and you have gone to an allergist, but no allergy has been found?
Have you ever felt a sore throat, runny nose or nasal congestion, occasionally itchy eyes, and sometimes problems with your ears?
The summer season is over, and the pollen count is now too low even to count!
So it can no longer be associated with hay or hayfever, so what is it?
If this has happened to you, then it is likely we are talking of a different diagnosis.
𝐍𝐨𝐧-𝐚𝐥𝐥𝐞𝐫𝐠𝐢𝐜 𝐫𝐡𝐢𝐧𝐢𝐭𝐢𝐬 is often also known as noninfectious, perennial eosinophilic rhinitis and non-allergic rhinitis with eosinophilic syndrome.
Many conditions can cause it.
As we have reached the cold season, it will be common to see children (not as often in adults) with nasal congestion when exposed to cold air.
Some medication can also lead to nasal symptoms.
Treatment wise, and apart from antihistamines, it should be the same as with Allergic Rhinitis.
The best and first-line treatment are nasal steroids.
And which ones to use?
For your eyes, there are a couple of choices:
It is crucial first to achieve a diagnosis, so appropriate treatment can be done, as other therapies might be needed, including treatment of the primary cause.
For this condition, it is essential good cooperation between an Allergy Doctor and an ENT specialist.
What is also extremely important is to use the right technique for any nasal spray.
Dr Costa is a Consultant Paediatrician and fellow of the Royal College of Paediatrics and Child Health.