Vasomotor Rhinitis

VASAOMOTOR RHINITIS is a condition of unknown etiology characterized by a combination of nasal obstruction, watery rhinorrhoea and sneezing.


Predominance of parasympathetic activity leads to SYMPTOMS.



Aetiology:-
Predisposing factors are
Heredity
Infection
Psychological and emotional factors – ‘stress’
Endocrine – puberty, pregnancy, myxoedema
Drugs – beta blockers, methyl dopa, aspirin
Local applications – rhinitis medicamentosa .

precipitating factors are:-
Atmospheric conditions – changes in humidity, temperature
Fumes, dust, alcohol
Reflex .

PATHOLOGY:-
Mucosa is generally hyperemic and hypertrophic
Polypi can be seen.There may be inferior turbinate hypertrophy

Age:-It affects peples of any age.

Clinical features are:-
Similar to allergic rhinitis
Drippers
Blockers
Sneezing
Rhinorrhoea
Nasal obstruction
Post nasal drip
‘Nasal tip dew drops’ in elderly patients .

Differential Diagnosis:-
Allergic rhinitis
Infection
FB, adenoid etc in children

TREATMENT:-
Avoidance eg. Drugs
Antihistamines
Topical steroids
Cryo surgery
SMD
Polypectomy
Vidian neurectomy
Psychological adjustments, sedatives and tranquilizers