Non-allergic rhinitis is a distinct disease classification, separate from allergic rhinitis, which is characterized by an IgE-mediated response. The diagnosis of non-allergic rhinitis encompasses several individual classifications, including NARES, as well as vasomotor, occupational, hormonal, infectious, drug-induced, and gustatory conditions. A wide variety of medications are available for the treatment of associated symptoms. However, no individual class of medications or single medication is ideal for managing the entire spectrum of symptoms. Surgical therapy may be warranted in particular patients with non-allergic rhinitis refractory to proper medical management. Patients are best treated to manage their unique symptoms and to correct the causes. Among small children, asthma-like breathing problems are common, particularly linked to infections. Asthma is usually diagnosed at the age of two or three. According to Norwegian studies, between 5 and 11 per cent of 10-year olds have asthma. Asthma is more frequent in early childhood than in adolescence and adulthood. About half the children will have grown out of the disease when they reach ten years old. About 8-10 per cent of adults have asthma, according to studies from Oslo and Hordaland.
A third study carried out in Oslo 2001-2004 shows that 11 per cent of 10-year olds had had asthma. In other western countries, it seems that the asthma increase among children is stagnating. Also figures from northern Norway indicate a flattening out from 1995 to 2000.
Patients with renal insufficiency, hepatic insufficiency, or both are prone to augmentation of adverse events, resulting from a reduced clearance through renal and/or hepatic pathways. Fortunately, many of the drugs recommended for use in nonallergic rhinitis are administered intranasally. Therefore, subsequent systemic absorption is minimal. Still, antihistamines and some sympathomimetics are administered systemically. Non-allergic rhinitis can't be cured. But it can be controlled by:
• Avoiding rhinitis triggers
• Using home remedies such as nasal irrigation
• Taking over the counter and prescription medications