Do you have a stuffy nose, runny nose, and sneezing every day, and still think you have a cold or allergy? In fact, there are many members of the rhinitis family, each with their own "temper tantrums". Understanding them is the key to accurate treatment! Acute rhinitis, also known as cold type rhinitis, has a sudden onset, short course, and can heal on its own. Typical symptoms include nasal congestion, sneezing, and runny nose in the early stage, accompanied by dry throat and sore throat. Subsequently, nasal congestion worsens, and the nasal discharge changes from clear to yellow green sticky purulent, which may be accompanied by general fatigue, low-grade fever, cough, and sputum production. Quickly identify flu season or sudden nasal congestion or runny nose after catching a cold or being tired, accompanied by general discomfort, mostly acute rhinitis. Generally, it can improve on its own within 7 to 10 days. The treatment direction is to use antiviral or heat clearing and detoxifying drugs. Allergic rhinitis, also known as hay fever, sensitive nose, temper, and glassy heart, can get out of control at the slightest touch of stimulation. Typical symptoms include paroxysmal sneezing (continuous multiple episodes), a large amount of watery nasal discharge, nasal congestion, nasal itching, and eye itching. The trigger switch is pollen, dust mites, fungi, cat and dog fur shavings, etc. Quickly identify the main symptoms of itching, sneezing, runny nose, and nasal congestion, and allergen tests often show positive results! If allergens persist, symptoms will persist. Clear treatment direction for allergens, physical isolation, and avoidance of contact with allergens; Use antihistamines (oral or nasal spray), nasal corticosteroids, etc; Perform allergen specific immunotherapy or monoclonal antibody therapy based on allergen results. Vascular motor rhinitis, also known as emotional temperature sensitive rhinitis, has a neurotic temperament and can act like a demon when stimulated. Typical symptoms include alternating cold and heat, air conditioning, odor, emotional fluctuations, sudden nasal congestion, sneezing, and runny nose after consuming spicy food. Key features: Allergen testing is often negative, and the effectiveness of simple anti allergic drugs is limited. Quickly identifying the alternation of heat and cold, and emotional fluctuations that trigger an attack, is not due to allergies or overly sensitive nerves. The treatment direction is to use cholinergic receptor antagonists, and if necessary, nerve block surgery can be performed after evaluation by professional doctors. Chronic simple rhinitis, also known as alternating nasal congestion, causes intermittent illness in the temperament of athletes. Typical symptoms include a clear nose during the day and activity, which worsens at night and when lying down; When lying on the side, the lower nasal cavity is blocked, the upper side is unobstructed, and the nasal mucus is sticky and thick. Quickly identify nasal congestion, sometimes it breaks down and sometimes alternates between left and right "strikes". Nasal turbinate edema, vasoconstrictors are effective and the lesion is reversible. The treatment direction is routine nasal spray medication therapy, and specialized doctors evaluate whether there are structural abnormalities such as deviated nasal septum. Chronic hypertrophic rhinitis, also known as persistent nasal congestion, has a stubborn temper and is difficult to cure. Typical symptoms include bilateral nasal congestion for 24 hours, thick and difficult to blow nasal mucus, decreased sense of smell, headache, stuffy ears, and nasal sounds when speaking. This type of rhinitis can cause nasal turbinate hyperplasia and hardening, poor response to vasoconstrictors, and irreversible lesions. Rapid identification of chronic nasal ventilation and poor efficacy of conventional medication. Evaluate the treatment direction for nasal structural problems, and if necessary, perform surgical treatments such as external displacement of nasal turbinate fracture, partial resection of nasal turbinate, and nasal cavity expansion surgery. Drug induced rhinitis, also known as nasal drip dependence, has a retaliatory rebound in temperament, and the more overuse of medication, the worse it becomes. The typical manifestation is that early use of blood reducing nasal drops can provide rapid ventilation, but as the medication time prolongs, the effect gradually deteriorates and the medication becomes more frequent. After stopping the medication, nasal congestion and rebound worsen, accompanied by dry nasal cavity and decreased sense of smell. Quickly identify rhinitis caused by long-term abuse of decongestants, severe dependence on nasal drops, and significant aggravation of nasal congestion upon discontinuation of medication. Stop using decongestants for treatment! Use cholinergic receptor antagonists, nasal corticosteroids, and other medications to improve the condition of the nasal mucosa. Atrophic rhinitis, also known as empty nose syndrome or stinky nose syndrome, has a special temper and is opposite to other types of rhinitis. Typical symptoms include dry and open nasal cavity, a large amount of dry scabs or yellow green scabs, decreased or lost sense of smell, odor during exhalation, and poor ventilation. Quickly identify the foul odor caused by crusting of the nasal trunk, as well as the large and congested nasal cavity. The treatment direction includes nasal flushing, applying local oily ointment, etc. to keep the nasal mucosa moist, supplementing vitamins and trace elements, and avoiding irritation such as smoking, alcohol, and spicy food. The precautions for dealing with rhinitis by tapping on the blackboard are not to blindly use medication. Different principles of treating rhinitis vary, and it is best not to follow online videos and use medication indiscriminately. Standardized use of nasal decongestants should not exceed one week of continuous use to avoid inducing drug-induced rhinitis. Seek medical attention promptly for long-term nasal congestion, runny nose, and decreased sense of smell. It is recommended to go to the ENT department for clear classification and targeted treatment. Do not use the same medication for all rhinitis! (New Society)