Persistent Rhinitis: Causes, Symptoms, and Treatment Options

Persistent rhinitis is a long-lasting condition characterized by a runny or blocked nose, sneezing, and nasal irritation. In most cases, it is caused by allergic rhinitis, although non-allergic rhinitis can also occur and may be more difficult to manage.

Treatment depends on identifying the underlying cause. In many cases, steroid nasal sprays are the most effective long-term treatment.

Common Treatment Options for Persistent Rhinitis

1. Avoidance of Triggers

When persistent rhinitis is caused by allergies, avoiding triggers can significantly reduce symptoms. However, complete avoidance is not always practical.

• House dust mites:
  Use allergen-proof mattress and pillow covers, wash bedding regularly in hot water, and vacuum frequently—especially in bedrooms.

• Animal dander:
  Keep pets out of bedrooms and main living areas when possible. Regular grooming and cleaning can also help reduce allergen exposure.

2. Antihistamine Nasal Sprays

Antihistamine nasal sprays can quickly relieve:

• Sneezing

• Nasal itchiness

They are less effective for nasal congestion but can be useful for mild or intermittent symptoms.

These sprays work by blocking histamine, a chemical released during allergic reactions. They may be used as needed or regularly, depending on symptom frequency.

3. Oral Antihistamines (Tablets or Liquid)

Oral antihistamines are helpful when symptoms involve both the nose and eyes. They are commonly used in children who may struggle with nasal sprays.

• Usually begin working within one hour

• Can be taken as needed for mild symptoms

• May be taken daily for persistent symptoms

• Less effective for nasal congestion

4. Steroid Nasal Sprays and Drops

Steroid nasal sprays are often the most effective treatment for persistent rhinitis.

They work by:

• Reducing inflammation in the nasal passages

• Improving congestion, runny nose, and sneezing

• Helping relieve associated eye symptoms

Important points to remember:

• They do not provide immediate relief

• Full benefit may take several days to up to 3 weeks

• Must be used daily for best results

• Once symptoms improve, the dose is usually reduced to a maintenance level

Steroid sprays can be used alone or in combination with antihistamines if symptoms are severe.

When to Seek Medical Advice

A healthcare provider should be consulted if:

• Symptoms persist despite treatment

• Nasal blockage is severe or worsening

• Symptoms interfere with sleep, learning, or daily activities

• There is uncertainty about whether symptoms are allergic or non-allergic

First Aid & Medical Disclaimer

This information is provided for educational and first aid awareness purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

St. Mark James Training, Canada’s largest 100% Canadian-owned and operated first aid and CPR training provider, educates participants on recognizing breathing-related conditions, understanding medication use, and knowing when medical care is required.

For comprehensive training, consider enrolling in Standard First Aid and CPR/AED training, Emergency First Aid, or Childcare First Aid through St. Mark James Training locations across Canada.