What are the symptoms of atrophic chronic rhinitis?

Dec 02, 2022 Source: Cainiu Health

Dr. Xu Gang

Introduction

Dry chronic rhinitis may reduce nasal secretions, leading to abnormal symptoms such as nasal itching, sneezing, a burning sensation, and nasal dryness. It may also cause mucosal erosion in the anterior-inferior region of the nasal septum in some patients. Additionally, nasal congestion may occur, sometimes accompanied by dizziness or headaches. In such cases, if patients pick their nose, it may result in bleeding.

Dry chronic rhinitis typically presents with symptoms such as itching and burning sensation inside the nasal cavity, dryness in the nasal passages, mucosal erosion, nasal congestion, and nosebleeds.

1. Itching and burning sensation in the nasal cavity

Dry chronic rhinitis is usually caused by prolonged physical or chemical irritation from external factors. This may reduce nasal secretions, leading to symptoms such as nasal itching, sneezing, and a burning sensation.

2. Dryness in the nasal cavity

After the onset of dry chronic rhinitis, decreased nasal secretions cause patients to feel dryness in the nasal passages during breathing. This is commonly an early symptom of the disease.

3. Mucosal erosion in the nasal cavity

Following the development of dry chronic rhinitis, most patients experience erosion of the mucosa in the anterior-inferior region of the nasal septum, which may be accompanied by an unpleasant odor.

4. Nasal congestion

Patients may feel that breathing is not smooth. A small number of patients may develop mild dizziness or headaches due to nasal obstruction and resulting oxygen deficiency.

5. Nosebleeds

After the onset of dry chronic rhinitis, discomfort may lead some patients to frequently pick their noses, causing epistaxis (nosebleeds).

If dry chronic rhinitis is not promptly treated, it may lead to complications such as sinusitis and reduced sense of smell.

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Can allergic rhinitis develop into chronic rhinitis?

If allergic rhinitis is not treated promptly in the early stages, it may lead to impaired drainage of the nasal cavity and sinuses, resulting in recurrent symptoms such as nasal congestion, runny nose, and sneezing. This reduces the normal physiological function of the mucosa. As the condition gradually progresses, allergic rhinitis can develop into nasal polyps, polyp edema, and nasal mucosal swelling, which may easily trigger the onset of chronic rhinitis.

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Can chronic rhinitis cause the nose to become larger?

Chronic rhinitis generally does not cause the nose to enlarge. Clinically, chronic rhinitis primarily involves pathological changes in the nasal mucosa, which may include mucosal congestion, swelling, and hypertrophy or enlargement of the nasal turbinates. These changes occur mainly within the nasal cavity and rarely affect the external surface of the nose or alter the soft tissues of the nose. Therefore, chronic rhinitis usually does not lead to an enlarged nose.

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What are the consequences of chronic rhinitis that fails to heal after prolonged treatment?

The consequences of chronic, treatment-resistant rhinitis include mouth breathing, disruption of daily life, and complications leading to other diseases. Persistent rhinitis can lead to mouth breathing, resulting in inhalation of polluted air. In children, long-term, unresolved rhinitis causing mouth breathing may easily affect facial development. Untreated chronic rhinitis negatively impacts daily activities. Furthermore, rhinitis may lead to pharyngeal disorders and other nasal conditions.