Symptom Responder of Vasoactive Rhinitis: Hello Tengyan, it is neither allergic rhinitis nor rhinitis caused by infection. But it shows symptoms such as stuffy nose, sneezing and runny nose. Vascular exercise rhinitis is a nasal disease caused by abnormal regulation of vascular and glandular functions of nasal mucosa by autonomic nerve and endocrine. Interviewee: Hello, Fuji Rock, it has something to do with the development of your body and your physique. You can go to the hospital for surgery. Pay attention to diet how to distinguish whether it is vasomotor rhinitis? Interviewee: Almost everyone has occasional nasal symptoms, so it is sometimes difficult to distinguish a normal nose from a sick nose. However, as long as the medical history is inquired in detail and the inducing factors are carefully examined, the cumulative nasal symptoms exceed 1 hour every day and the course of disease lasts for more than 1 month. After excluding the following diseases, it can be diagnosed as vasomotor rhinitis. 1, allergic rhinitis allergen skin test was positive, and there were eosinophils and basophils in nasal secretions. Seasonal rhinitis attacks are seasonal. 2. Infectious rhinitis can be divided into acute rhinitis and chronic rhinitis. Nasal secretions are often mucinous or purulent, mostly neutrophils. 3. There are a lot of eosinophils in nasal secretions of very allergic eosinophilic rhinitis, but there is no other allergic basis. 4. Aspirin intolerance triad Although there may be a large number of eosinophils in nasal secretions, patients have allergic history and asthma history of salicylic acid preparations or other antipyretic and analgesic drugs, as well as nasal polyps. 5. Excessive reverse rhinitis is due to excessive reverse axons of nasal sensory nerves, with sudden sneezing as the main symptom, sudden onset and rapid disappearance. Drug Responder for the treatment of vasomotor rhinitis: Hello Teng Yan, you should choose drugs in time according to your condition. 1. Patients with nasal congestion as the main symptom can choose nasal decongestants. However, attention should be paid to the occurrence of drug-induced rhinitis in application. Intermittent or alternating administration can be used. Sodium adenosine triphosphate (ATP), 40mg each time, three times a day, has a significant effect on relieving nasal congestion. It has recently been confirmed that ATP may be another sympathomimetic drug. 2. Many non-immune factors of antihistamines can cause mast cells to release histamine, so antihistamines are still effective in many cases, and those with obvious symptoms of nasal itching and sneezing can be preferred. 3. Anticholinergic drugs are suitable for patients with runny nose as the main symptom. Ipratropium bromide aerosol, 80μg per nostril, 4 times a day, can effectively control runny nose. 4. Adrenal cortical hormone plays a non-specific anti-inflammatory role at all levels inside and outside the cell, so it has a significant effect on some cases of vasomotor rhinitis with obvious sneezing symptoms, watery nose and obvious nasal mucosa edema. (3) Surgical treatment can be considered in one of the following cases: ① Conservative treatment for more than 65,438+0 years, uncontrollable symptoms, and a tendency of aggravation; ② Anatomical deformity of nasal structure obviously affects ventilation or sinus drainage; ③ Irreversible pathological tissues, such as proliferative changes of nasal mucosa or huge nasal polyps. 1. Correction of anatomical deformities can aggravate the symptoms of vasomotor rhinitis. The nasal structural deformities are mainly deviated nasal septum, and in severe cases, they often contact or even compress the turbinate. This long-term stimulation will not only aggravate the local inflammatory reaction, but also often cause headaches. Nasal stenosis is also a common anatomical deformity, which mainly causes nasal congestion. Nose stenosis is often caused by the collapse of lateral nasal cartilage. Some people call it structural rhinitis because of nasal symptoms caused by anatomical deformity of nasal cavity. Early correction of the above deformities can obviously relieve symptoms and even cure them. 2. Excision of irreversible tissue obviously causes nasal congestion and hypertrophy, and nasal polyps formed by long-term edema of nasal mucosa should be removed in time. 3. Reduce the excitability of intranasal nerves. Cut off the control of parasympathetic nerve fibers to the nasal cavity and reduce its excitability. These operations include: (1) greater superficial petrosal neurotomy (2) pterygoid canal neurotomy (3) anterior ethmoidal neurotomy for vasomotor rhinitis Respondent: Wu Jian improved working conditions and environment, grasped the pace of life, stabilized his mood, and did not feel too tired and nervous. Necessary psychotherapy or suggestive language can sometimes achieve obvious results. It can be used for patients with nasal congestion as the main symptom. However, attention should be paid to the occurrence of drug-induced rhinitis in application. Intermittent or alternating administration can be used. Sodium adenosine triphosphate (ATP), 40mg each time, three times a day, has a significant effect on relieving nasal congestion. Many non-immune factors can cause mast cells to release histamine, so antihistamines are still effective in many cases, and those with obvious symptoms of nasal itching and sneezing can be preferred. Ipratropium bromide aerosol, 80μg per nostril, 4 times a day, can effectively control runny nose. Glucocorticoid plays a non-specific anti-inflammatory role at all levels inside and outside cells, so it has a significant effect on some cases of vasomotor rhinitis with obvious sneezing symptoms, excessive and thin nasal mucus and obvious nasal mucosal edema. My rhinitis belongs to vasomotor rhinitis or allergic rhinitis responder: Wu Jian considers allergic rhinitis, mainly antihistamines. Because there are many antihistamines, everyone's constitution against the side effects of drowsiness is different. I suggest you adjust the medicine for your doctor. There are sympathomimetic drugs to enhance the sympathetic nerve function, but there are side effects of palpitation, so be careful when using them. In addition, low-dose steroids are also commonly used. As long as you don't use it for a long time and can cooperate with the doctor's instructions, you should not have to worry about safety. In addition, you must pay attention to exclude allergens, allergens are aggravating factors for you. Or you should have an allergen test. Only by avoiding contact or desensitization treatment can we fundamentally control it. Can vasomotor rhinitis be treated? Respondent: Wu Jian is mainly treated with drugs because it belongs to neurogenic inflammation. Appropriate psychotherapy is also necessary. Because this disease has mast cell-mediated histamine release, but no IgE, antihistamines are effective. If the nasal congestion is obvious, you can drop decongestant. Adrenal cortical hormone can inhibit the nonspecific release of mast cell medium or vascular permeability in many links, so nasal administration can control symptoms. Sensitive people and sneezing in hot and cold dust can be treated by laser, microwave, radio frequency and DNR plasma ablation. Patients with nasal cavity structure problems can consider surgical correction. How to treat vasomotor rhinitis? Interviewee: qiyuk Hello vasomotor rhinitis is a highly reactive nasal disease caused by neuroendocrine imbalance in regulating the function of nasal mucosa blood vessels and glands. The pathological mechanism of the disease is complex, and many links are still unclear, which brings certain difficulties to the accurate diagnosis and effective treatment in clinic. There is no obvious gender difference in incidence, and vasomotor rhinitis rarely occurs in children. 1. Patients with nasal congestion as the main symptom can choose nasal decongestants. However, attention should be paid to the occurrence of drug-induced rhinitis in application. Intermittent or alternating administration can be used. Sodium adenosine triphosphate (ATP), 40mg each time, three times a day, has a significant effect on relieving nasal congestion. It has recently been confirmed that ATP may be another sympathomimetic drug. 2. Many non-immune factors of antihistamines can cause mast cells to release histamine, so antihistamines are still effective in many cases, and those with obvious symptoms of nasal itching and sneezing can be preferred. 3. Anticholinergic drugs are suitable for patients with runny nose as the main symptom. Ipratropium bromide aerosol, 80μg per nostril, 4 times a day, can effectively control runny nose. 4. Adrenal cortical hormone plays a non-specific anti-inflammatory role at all levels inside and outside the cell, so it has a significant effect on some cases of vasomotor rhinitis with obvious sneezing symptoms, watery nose and obvious nasal mucosa edema. Pay attention to treatment