Rhinitis

at Allergy & ENT Associates of Middle TN

Rhinitis is similar to hay fever, but is caused by something other than an allergen. Known as non-allergic rhinitis, it produces cold-like symptoms that can leave you feeling miserable and worn down. Allergy testing may be necessary to rule out hay fever and confirm a diagnosis of non-allergic rhinitis.



At Allergy & ENT Associates, we evaluate rhinitis symptoms carefully to identify triggers, rule out allergic causes, and recommend the most effective treatment plan.

What Rhinitis Can Affect

Rhinitis can interfere with comfort and breathing and may contribute to:


  • Chronic nasal congestion


  • Runny nose and sneezing


  • Postnasal drip


  • Ongoing irritation and fatigue



  • Increased risk of sinus or ear complications


Non-allergic rhinitis can be persistent and should be evaluated if symptoms continue.

What Causes Rhinitis?

Rhinitis is common and may be triggered by many different factors. Viruses, bacteria, and irritants can all contribute to symptoms.


Common triggers include:


  • Viral infections (colds and flu)


  • Weather changes


  • Airborne irritants (dust, smog, perfume)


  • Foods and beverages (hot foods, spicy foods, alcohol)


  • Stress


  • Hormonal changes (pregnancy, menstruation)


  • Certain medications (aspirin, ibuprofen, beta blockers)

Symptoms of Rhinitis

Symptoms of non-allergic rhinitis are similar to those of a cold and may come and go or continue indefinitely. Common symptoms include:


  • Runny nose


  • Nasal congestion


  • Sneezing


  • Postnasal drip



Unlike hay fever, non-allergic rhinitis typically does not cause itchy eyes, nose, or throat. The absence of itching is often a key indicator that symptoms are due to rhinitis rather than allergies.


Although rhinitis is often viewed as a nuisance, untreated symptoms may contribute to complications such as nasal polyps, chronic sinusitis, and ear infections.

Treatment Options for Rhinitis

Your doctor will diagnose non-allergic rhinitis based on your symptoms and medical history and will rule out allergies through skin and blood tests. Because sinus problems can cause similar symptoms, you may also need a nasal endoscopy or CT scan to rule out nasal polyps or a deviated septum.


Treatment depends on the severity of symptoms. Mild cases may respond to home remedies such as:


  • Irrigation of the nasal passages (Neti pot or bulb syringe)


  • Using a humidifier to moisten the air


  • Drinking plenty of liquids


  • Avoiding known triggers when possible


  • Avoiding cigarettes and alcohol


In addition, your doctor may recommend over-the-counter or prescription medications, including:


  • Antihistamines


  • Decongestants


  • Saline nasal sprays


  • Corticosteroid nasal sprays


Surgery may be required if symptoms are caused by nasal polyps, a deviated septum, or other physical abnormalities.


If you are suffering from chronic rhinitis and have exhausted all treatment options, you may be a candidate for the surgical intervention RhinAer. For more information about RhinAer, Click Here.

Frequently Asked Questions

  • What is the difference between rhinitis and hay fever?

    Hay fever is caused by allergens. Non-allergic rhinitis causes similar symptoms but is triggered by irritants, viruses, weather changes, hormones, medications, or other non-allergy factors.

  • Can non-allergic rhinitis last a long time?

    Yes. Symptoms may come and go or continue indefinitely, especially if triggers are ongoing or difficult to avoid.

  • When should I see a doctor for rhinitis?

    If symptoms are persistent, recurring, or affecting breathing and quality of life—or if symptoms last longer than expected—an ENT evaluation is recommended.

Call Allergy & ENT Associates at (615) 889-8802 to learn more or schedule an appointment.