Ear, Nose & Throat ENT Disorders Vasomotor Rhinitis Symptoms and Treatment Print By Kristin Hayes, RN | Medically reviewed by Susan Olender, MD Updated February 08, 2018 More in Ear, Nose & Throat ENT Disorders Diagnosis Treatment Coping Pediatric ENT Disorders Vasomotor rhinitis, also called non-allergic rhinitis, is a condition that's used to describe a runny nose and/or congestion that doesn't go away and is not caused by allergies or infections such as the common cold. Research indicates that between 17 and 40 million Americans suffer from vasomotor rhinitis and that Americans spend a minimum of $1.8 billion in treatment costs each year. Symptoms a runny nose with drainage that's usually clear and waterycongestion or feeling stuffynasal obstructionthe absence of other cold or allergy symptoms, like a lot of sneezing or eye irritation Symptoms of vasomotor rhinitis may worsen when a person is around certain odors or perfumes, the temperature changes, they feel certain emotions, or are exposed to bright lights. Possible Causes The cause of vasomotor rhinitis cannot always be pinpointed, but below are certain conditions that have caused vasomotor rhinitis in some individuals: medicationshormonal changes such as pregnancycertain activities such as intense exercise or sexual activityeosinophilia syndrome (a condition in which immune system cells called eosinophils flock in large numbers to certain areas or organs of the body in which they are not normally present) Certain conditions could predispose you to the development of vasomotor rhinitis, including a history of nasal trauma or a history of gastroesophageal reflux disease (GERD). Some experts believe that people who are prone to the development of vasomotor rhinitis may have an overly sensitive autonomic nervous system. Diagnosis Getting a correct diagnosis will probably be the most important step in adequately treating and managing your vasomotor rhinitis. Unfortunately, there are no specific blood or other laboratory tests that can positively identify this condition. A diagnosis is made after other conditions, specifically, allergic rhinitis, have been ruled out. Your doctor may use blood tests (IgE tests) or skin tests to rule out allergies, but these tests alone are not necessarily enough to diagnose vasomotor rhinitis. It may be helpful for you and your doctor if you keep a journal of sorts: write down any places, activities, odors, foods, or other conditions which seem to trigger your symptoms. This may also be helpful in your treatment because once triggers are identified, they might be avoided or minimized. Treatment The treatment for vasomotor rhinitis focuses on controlling symptoms. As stated above, avoiding the triggers that cause your symptoms, if identifiable, can be very helpful. But you may not know what triggers your symptoms—their cause/s often remain a mystery. The good news is that there are several medications that can be used to control these symptoms, including nasal sprays that are available only by prescription. Due to the risk of rebound congestion (known by some as rhinitis medicamentosa or nasal spray addiction), over-the-counter corticosteroid medications, such as Afrin or pseudoephedrine, should not be used for more than 3 days and are generally not adequate for the treatment of vasomotor rhinitis. Most doctors will initially prescribe newer medications that are supposedly less likely to cause rebound congestion and resort to other steroid medications only if these are not effective. Medications for Controlling a Runny Nose Atrovent (ipratropium)cromoglycate Medications which treat Congestion/Nasal Obstruction NasonexRhinocortBeclovent Astelin nasal spray, a topical antihistamine, may be used for the treatment of vasomotor rhinitis but the use of oral antihistamines is not recommended. Other measures which may be helpful in controlling congestion include remaining hydrated and using a cool mist humidifier. Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you reach your 2019 goals. Email Address Sign Up There was an error. Please try again. Thank you, , for signing up. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources American Family Physician. Vasomotor Rhinitis. Continue Reading