Vasomotor Rhinitis Treatment in Singapore

This form may cause year-round symptoms that can remain relatively constant. Patients may experience daily nasal congestion and discharge regardless of season or specific triggers. The symptoms may vary in intensity and could improve with appropriate treatment.

Symptoms may occur in episodes triggered by specific environmental factors or irritants. Patients may have symptom-free periods between flare-ups. Common triggers include strong odours, temperature changes, or humidity fluctuations that are particularly relevant in Singapore’s tropical climate.

This subtype may occur due to hormonal fluctuations, particularly during pregnancy, menstruation, or thyroid disorders. Pregnant women may develop “pregnancy rhinitis” which typically resolves after delivery. Hormonal contraceptives can also trigger or worsen symptoms in some individuals.

A specific form triggered by eating, particularly hot or spicy foods common in local cuisine. Patients may experience immediate watery nasal discharge during or shortly after meals. This type may respond to targeted treatments when properly identified.

• Intermittent nasal congestion that alternates between nostrils
• Clear, watery nasal discharge occurring several times daily
• Occasional sneezing episodes without itching
• Mild postnasal drip causing throat clearing
• Slight nasal pressure or fullness sensation

• Persistent bilateral nasal congestion affecting breathing
• Continuous rhinorrhoea requiring frequent tissue use
• Postnasal drip causing chronic cough
• Reduced sense of smell (hyposmia)
• Facial pressure or mild headaches
• Sleep disturbance due to nasal obstruction

• Complete nasal blockage requiring mouth breathing
• Severe facial pain or pressure
• Chronic fatigue from disrupted sleep
• Secondary sinus infections
• Impact on daily activities
• Development of nasal polyps in chronic cases

Vasomotor rhinitis symptoms may develop gradually and could worsen with specific triggers. Unlike allergic rhinitis, symptoms don’t follow seasonal patterns and aren’t accompanied by itchy eyes or throat.

Regular nasal washing with saline solution helps clear irritants and excess mucus from the nasal passages. This simple, safe treatment can be performed daily using a neti pot or squeeze bottle. This technique may be helpful in Singapore’s humid climate, where airborne particles are present.

These prescription medications reduce nasal inflammation without systemic side effects. Daily use may be needed before the benefit is achieved. Modern formulations have minimal absorption into the bloodstream, making them suitable for long-term use under medical supervision.

Despite vasomotor rhinitis being non-allergic, certain antihistamine nasal sprays can reduce symptoms through different mechanisms. They can be used as needed or regularly. These sprays may be helpful for patients with predominant rhinorrhoea.

Ipratropium bromide nasal spray targets excessive nasal discharge by blocking nerve signals that stimulate mucus production. This treatment may be helpful for gustatory rhinitis and cold-air-induced symptoms.

Short-term use of oral decongestants can provide relief during severe congestion episodes. These medications can be used cautiously in patients with high blood pressure or heart conditions. Long-term use is not recommended due to potential side effects.

Derived from chilli peppers, capsaicin spray can desensitise nasal nerves when used regularly. Initial treatment causes a temporary burning sensation, but tolerance may develop. This treatment aims to reduce symptoms when used regularly.

This minimally invasive procedure uses controlled radiofrequency energy to shrink enlarged turbinates. Performed under local anaesthesia in the clinic, it aims to improve nasal breathing. Recovery varies by individual.

For severe cases unresponsive to medical treatment, surgical interruption of the vidian nerve can reduce excessive nasal secretions and congestion. This endoscopic procedure is performed under general anaesthesia and may help reduce nasal symptoms.

An endoscopic technique that selectively cuts nerve branches controlling nasal secretions. This procedure preserves tear production while aiming to reduce nasal symptoms.

While vasomotor rhinitis cannot always be prevented, certain measures may help reduce symptom frequency and severity. Identifying and avoiding your specific triggers can be beneficial. Keep a symptom diary to track patterns related to activities, environments, or foods.

Maintain optimal indoor humidity using humidifiers or dehumidifiers as needed. Air conditioning may be set at moderate temperatures to avoid dramatic temperature changes. Regular cleaning of air conditioning filters removes accumulated irritants.

Avoid exposure to cigarette smoke, strong perfumes, and harsh chemicals in cleaning products. When exposure is unavoidable, consider wearing a mask. Choose fragrance-free personal care products and household cleaners.

Regular nasal saline irrigation may help maintain nasal health by removing irritants before they trigger symptoms. This preventive measure may be particularly helpful after exposure to known triggers or during hazy periods.