Vasomotor rhinitis
ICD-10 J30.0ICD-11 CA08.3

Treatment of Vasomotor Rhinitis with Nasal Obstruction and Congestion but No Rhinorrhea

This protocol addresses vasomotor rhinitis in patients whose primary complaints are nasal obstruction and congestion, without rhinorrhea as a predominant feature. The absence of rhinorrhea changes which therapies are most appropriate to consider first.

Clinical scenario

Nasal obstruction and nasal congestion are the presenting symptoms. Rhinorrhea is not present. This pattern — congestion and obstruction only — shapes the selection of topical therapy.

Treatment approach

For vasomotor rhinitis presenting with obstruction and congestion but no rhinorrhea, a topical nasal agent is the first step to consider.

The full protocol specifies which agent class to try and the complete clinical algorithm →

References

  1. With nasal congestion and obstruction only, topical corticosteroids would be a wise starting point for therapy.
  2. Consider topical agent not yet tried: antihistamine, corticosteroid, anticholinergic, or cromoglycate.
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