Does a constant, runny nose have you heading for the nearest drugstore? Yes, it could be a cold. Maybe you’re even convinced it’s allergies. But if you see the doctor, you could be in for a surprise. It may not be either!
Allergy experts say a little known condition is now gaining a lot of attention: Non-Allergic Rhinitis. Symptoms are similar to nasal allergies: a runny or stuffy nose, sneezing and a post-nasal drip. But when patients are tested for allergies, the results come back negative, making it a diagnosis by exclusion.
Recent studies show about 17 million American now live with Non-Allergic Rhinitis. And while this condition can affect anyone, allergy researcher Dr. Jonathan Bernstein says it seems to be more common in women and tends to show up later in life. Patients often have no family history of allergies and aren’t bothered by furry pets. Most suffer from symptoms year-round.
“The other concern with non-allergic rhinitis is its association with complications such as chronic sinusitis, nasal polyps and recurring ear infections,” says Dr. Casyca Charlot with the American Academy of Allergy, Asthma and Immunology.
This can all result in headache, lack of sleep or lack of concentration. While the exact cause of NAR is not known, Dr. Bernstein is conducting clinical studies in hopes of finding out.
“Many people suspect it might be due to an imbalance of the autonomic nervous system,” says Dr. Bernstein.
What is known? The triggers vary from person to person and may include changes in the weather, fragrance, smoke, detergents, cleaners, certain medications, even spicy foods or exhaust fumes!
In addition to avoiding triggers, over the counter and prescription medications are available, including nasal sprays and decongestants. But, ask your doctor what he or she recommends because a lot of typical allergy remedies won't work.
“Systemic antihistamines, which would be things like Benadryl, Claritin or Zyrtec are not as helpful with non-allergic rhinitis,” says Dr. Charlot.
The lesson? Non-Allergic Rhinitis is nothing to sneeze at. If a box of tissues is your must-have accessory, make an appointment with an allergist. It may help you breathe easier!
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