Rhinitis (Sensitive Nose) Treatment in Singapore

Rhinitis is an inflammation of the nasal passages, characterised by irritation and swelling of the nasal mucosa (the moist lining of the nose that filters and humidifies air).

This condition leads to symptoms such as nasal congestion, sneezing, and post-nasal drip, which can disrupt daily life, affect sleep quality, and reduce overall well-being. While some forms of rhinitis are short-lived, others may persist, requiring long-term management and care.

Dr Gan Eng Cern

Ear, nose and throat specialist

MBBS

MRCS (Edin)

mmed (orl)

FAMS

Rhinitis (Sensitive Nose) Treatment Singapore

Symptoms Causes Types Diagnosis Treatment Prevention FAQ

Symptoms of Rhinitis

Individuals with rhinitis may experience a variety of symptoms, which can occur separately or in combination. Common symptoms include those that may require rhinitis treatment in Singapore.

Nasal Congestion: The nasal passages become blocked or stuffy, making breathing through the nose difficult.
Rhinorrhoea: Clear, watery discharge flows from the nose, often requiring frequent tissue use.
Sneezing: Episodes of repetitive sneezing occur, particularly when exposed to triggers.
Itchy Nose: A persistent itching sensation inside the nose that causes excessive rubbing or scratching.
Post-Nasal Drip: Mucus accumulates and drips down the back of the throat, causing throat clearing or coughing.
Eye Symptoms: Watery, itchy, or red eyes develop alongside nasal symptoms.

Causes and Risk Factors

The development of rhinitis involves various factors that trigger nasal inflammation, and consulting an experienced ENT specialist in Singapore can help with proper diagnosis and treatment.

Allergens: Exposure to pollen, dust mites, pet dander, or mould spores triggers allergic responses.
Environmental Irritants: Tobacco smoke, strong odours, changes in temperature, or air pollution affect nasal passages.
Occupational Exposures: Workplace chemicals, dust, or other airborne particles irritate nasal tissues.
Hormonal Changes: Pregnancy or thyroid conditions alter nasal tissue sensitivity.
Medications: Some blood pressure medications or overuse of decongestant sprays affect nasal function.

Types of Rhinitis

Rhinitis can be classified into distinct types based on underlying causes and triggers.

Allergic Rhinitis

Also known as hay fever, this type occurs when allergens trigger an immune response. Symptoms follow a pattern related to specific allergen exposure, such as seasonal pollen or year-round dust mites. The condition often runs in families and may worsen during particular seasons.

Non-Allergic Rhinitis

This form develops without an allergic trigger and often responds to environmental factors. Symptoms can occur year-round and typically include congestion and rhinorrhoea without the itching common in allergic rhinitis.

Mixed Rhinitis

Both allergic and non-allergic components contribute to symptoms. Patients experience typical allergic symptoms but also react to non-allergic triggers. Treatment requires addressing both components for effective management.

Vasomotor Rhinitis

This type involves an oversensitive nerve response in the nose. Changes in temperature, humidity, stress, or strong odours trigger symptoms. The condition results from autonomic nervous system dysfunction affecting blood vessels in the nose.

Diagnostic Methods

Medical History: The ENT doctor reviews symptom patterns, timing, and potential triggers. This assessment includes questions about family history, environmental exposures, and previous treatments. A detailed timeline helps identify specific triggers and patterns.
Physical Examination: Examination of the nasal passages reveals signs of inflammation, structural abnormalities, or polyps. The doctor checks for enlarged turbinates, septal deviation, or distinctive mucus characteristics. Assessment may include examination of the throat and ears.
Allergy Testing: Skin prick tests or blood tests identify specific allergen sensitivities. Small amounts of potential allergens are introduced to the skin to observe reactions. Results help guide avoidance strategies and treatment selection.
Nasal Endoscopy: A thin, flexible scope examines the internal nasal structures in detail. This procedure allows visualisation of inflammation patterns and structural issues. The examination helps rule out other conditions with similar symptoms.

Treatment Options

Management of rhinitis requires a comprehensive approach targeting specific symptoms and underlying causes.

Non-Surgical Treatment

Antihistamines: These medications block histamine release and reduce allergy symptoms. Both oral and nasal spray forms provide relief from itching, sneezing, and runny nose.
Nasal Corticosteroids: Daily use of these sprays, as recommended by our clinic, reduces inflammation and prevents symptoms.. The medication takes several days to reach full effectiveness and works best with consistent use. Regular application helps maintain symptom control.
Decongestants: These medications provide temporary relief from nasal congestion. Use should be limited to 3-5 days to avoid rebound congestion, and it is available in both oral and nasal spray form.

Surgical Treatment

Turbinate Reduction: This procedure reduces the size of enlarged nasal turbinates (structures in the nose that filter and humidify air) to improve airflow. Enlarged turbinates can obstruct airflow and contribute to nasal congestion. Various techniques are used, such as radiofrequency ablation, which uses heat to shrink tissue, or partial tissue removal to create more space for airflow. The procedure is usually reserved for cases where non-surgical treatments are insufficient.

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Prevention and Management

Managing rhinitis effectively involves avoiding triggers and using appropriate medications. Regular cleaning and air filtration can significantly reduce indoor allergens, while maintaining optimal humidity levels helps prevent dry air irritation and mould growth. Nasal irrigation with a saline solution is a simple way to clear irritants and support healthy nasal passages. During high pollen seasons, staying indoors with air conditioning can minimise exposure and alleviate symptoms.

For Singaporeans & Singapore Permanent Residents

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Your ENT procedure may be eligible for Medisave claims, with the claimable amount varying based on the procedure’s complexity. For additional options, including the use of your insurance or Integrated Shield Plan, reach out to our friendly clinic staff today for assistance.

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Frequently Asked Questions (FAQ)

Can rhinitis resolve on its own without treatment?

Mild cases of rhinitis may improve without treatment, especially if the trigger is temporary, such as exposure to a specific allergen. However, chronic rhinitis typically requires ongoing management, and many individuals may benefit from Rhinitis Treatment in Singapore.

Can diet affect rhinitis symptoms?

Some foods and beverages, particularly spicy foods and alcohol, may temporarily worsen nasal symptoms. Certain foods high in histamine might trigger reactions in sensitive individuals.

Can rhinitis cause ear-related symptoms?

Yes, nasal congestion can affect the Eustachian tube, leading to symptoms such as ear fullness, popping, or mild hearing changes.

Dr Gan Eng Cern

Ear, nose and throat specialist

MBBS

MRCS (Edin)

mmed (orl)

FAMS

With over 15 years of experience, Dr Gan specialises in the comprehensive management of a broad range of conditions related to the ear, nose and throat (ENT), and head and neck.

Dr. Gan has contributed to the academic field as a Senior Clinical Lecturer at the Yong Loo Lin School of Medicine, National University of Singapore. He is recognised for his extensive research work, with numerous contributions to reputable international ENT journals. Dr Gan is also highly sought after as a speaker and has shared his surgical knowledge as a surgical dissection teacher at various prominent ENT conferences and courses.

2020 – Reader’s Choice Gold Award for Best ENT Specialist (Expat Living Singapore)
2016 – Best Educator Award (Eastern Health Alliance)
2016 – “Wow” Award (Patient Compliment)

2014 – Eastern Health Alliance Caring Award – Silver
2014 – 19th Yahya Cohen Memorial Lectureship (awarded by the College of Surgeons, Academy of Medicine Singapore for best scientific surgical paper)
2012 – Human Manpower Development Award (Ministry of Health, Singapore)
2007 – Singhealth Best Doctor Award

Qualifications

MBBS – Bachelor of Science, Bachelor of Medicine, Bachelor of Surgery (University of New South Wales, Sydney, Australia)
MRCS (Edin) – Member of the Royal College of Surgeons Edinburgh, United Kingdom
MMed (ORL) – Master of Medicine in ENT (National University of Singapore)
FAMS – Fellow of the Academy of Medicine Singapore

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