Non-allergic rhinitis is an extremely frustrating sino-nasal disorder that is characterized by all the same symptoms of sinusitis and allergies, but not due to sinusitis or allergies. Rather, non-allergic rhinitis is considered to be a nose that is overly-sensitive to air containing particulates whether it be smoke, hairspray, perfume, dust, pollen, etc. Other forms of non-allergic rhinitis are Rhinitis medicamentosa, Rhinitis of pregnancy, Honeymoon rhinitis, Gustatory rhinitis, Non-air flow rhinitis Affecting between 10 and 20% of the population in developed countries, allergic conditions are a leading cause of chronic diseases. In Israel, only a few studies have been carried out, and these were in selected populations such as school-children and soldiers in the Israel Defense Forces.
Studies include CT scans of the sinuses to evaluate the presence of a chronic sinus infection as well as allergy testing to determine if allergies are present. If both tests come back normal, one must abandon the diagnosis of chronic sinusitis as well as allergies and consider non-allergic rhinitis as they main culprit. Avoidance of inciting factors such as sudden in temperature, humidity, blasts of air or dust.Intranasal corticosteroids and intranasal antihistamines are useful. Reduction of hypertrophied turbinates, Correction of Nasal septum deviation, Removal of polyps, Sectioning of the parasympathetic secretomotor fiber to nose (vidian neurectomy) for controlling refractory excessive rhinorrhoea.