Non-allergic rhinitis

Also known as: Non-Allergic Runny Nose, Chronic Stuffy Nose, Irritant Runny Nose, Persistent Nasal Congestion, Non-Allergy Nasal Congestion, Nasal Irritation Syndrome

Last Updated: October 31, 2026

Key Points

Nasal irritation, not allergies
Blocked or runny nose, sneezing, sore throat
Triggered by weather, exercise, fumes, hormones
Often treatable with pharmacy medicines

Overview

Non-allergic rhinitis occurs when the lining inside your nose gets irritated, leading to symptoms similar to a common cold or allergies. Unlike allergic rhinitis, this condition is not triggered by allergens like pollen or dust mites. It's simply an inflammation or irritation of the nasal passages. Various factors can cause this irritation, including changes in weather, exercise, exposure to irritants like smoke or strong smells, certain foods or alcohol, hormonal shifts, and some medications. Underlying health conditions, such as an underactive thyroid, can also contribute. While not harmful, non-allergic rhinitis can be bothersome. Management typically involves identifying and avoiding triggers, along with using over-the-counter or prescription nasal sprays and other medicines to relieve symptoms.

Signs and Symptoms

Blocked or runny nose
Sneezing
Sore throat
Mucus dripping down the back of your throat (post-nasal drip)

Things That Increase the Risk

Changes in temperature or humidity
Physical exercise
Exposure to smoke, perfume, or paint fumes
Consuming alcohol or spicy food
Hormone changes (e.g., pregnancy, puberty, HRT, birth control)
Underactive thyroid (hypothyroidism)
Certain medications (e.g., ACE inhibitors, beta blockers, aspirin, ibuprofen)
Overuse of decongestant nasal sprays

Diagnosis

Doctor assesses your symptoms
Review of your medical history
Ruling out allergies (e.g., with allergy tests)
Physical examination of nasal passages

Treatment & Management

Avoid known triggers
Over-the-counter antihistamines
Nasal sprays to unblock your nose
Salt water nasal sprays or rinses
Prescription nasal sprays (if symptoms are severe)
Adjusting medications that may be causing symptoms

Prevention

Identify and avoid personal triggers
Use nasal sprays only as directed
Practice regular nasal rinsing with saline solution
Manage any underlying health conditions
Avoid overuse of decongestant nasal sprays

Available Treatments

Explore our range of treatment options for Non-allergic rhinitis: