Rhinitis treatment with herbs, vitamins, supplements probiotics, natural therapy by Ray Sahelian, M.D.
February 8 2016

Rhinitis is a common condition, which affects 20 to 40 percent of the western population. Patients with rhinitis can be separated into two groups, those with allergies (allergic rhinitis) and those without allergies but still have nasal symptoms (nonallergic rhinitis). See the allergy link provided for natural ways to treat rhinitis with herbs, vitamins and supplements.

Eye allergy or reaction to rhinitis?
The itchy, watery eyes that plague allergy sufferers may be, at least in part, a reflex response triggered by the nose. When an allergen is introduced into one nostril, the other nostril will respond, demonstrating what's known as a "nasonasal reflex. Since the eyes and nasal cavity share a nerve supply, it's possible that ocular hay fever symptoms aren't only related to direct exposure to the allergy-producing substance, but could also be a result of a similar reflex response.

Sneezing and itchy eyes are more common with allergic rhinitis.

Allergic rhinitis is clinically expressed by sneezing, runny nose, nasal itching and congestion. It is an allergen-driven mucosal inflammatory disease which is modulated by immunoglobulin E. Epidemiological studies have indicated that prevalence of allergic rhinitis continues to increase, and it has been a worldwide health problem that places a significant healthcare burden on individuals and society.

Stinging nettle extract and allergic rhinitis
Nettle extract (Urtica dioica) affects key receptors and enzymes associated with allergic rhinitis.Phytother Res. 2009.A nettle (urtica dioica) extract shows in vitro inhibition of several key inflammatory events that cause the symptoms of seasonal allergies. These include the antagonist and negative agonist activity against the Histamine-1 (H(1)) receptor and the inhibition of mast cell tryptase preventing degranulation and release of a host of pro-inflammatory mediators that cause the symptoms of hay fevers. The nettle extract also inhibits prostaglandin formation through inhibition of Cyclooxygenase-1 (COX-1), Cyclooxygenase-2 (COX-2), and Hematopoietic Prostaglandin D(2) synthase (HPGDS), central enzymes in pro-inflammatory pathways.

Probiotics for allergic rhinitis
Probiotics for the treatment of allergic rhinitis and asthma: systematic review of randomized controlled trials.
Ann Allergy Asthma Immunol. 2008. We evaluated the clinical evidence for the use of probiotics as a therapeutic modality for allergic rhinitis and asthma. Probiotics may have a beneficial effect in allergic rhinitis by reducing symptom severity and medication use. Many more good-quality studies are needed to resolve this issue.

I am a 74 year old married man, living in Britain. I have severe non-allergic perennial rhinitis, which I have 365 days per year; but ONLY at night, when I get into bed. I was cleared of any allergies, on the Schick test, and have tried about every nasal spray, plus saline solution spray, all with very limited success; but most nights, with none! Could you please inform me, of the best 2 or 3 nasal sprays I could try, or any other treatment? I have also had my nasal linings cauterised and reduced, again with no success! My local Allergy Clinic has confirmed that I am NOT allergic to anything; but cannot explain why I get this problem EVERY night, in bed! Things are so bad, I spend hours each night, trying to fall asleep, because I cannot sleep, with a blocked nose, and I will not breathe through my mouth! I have had this terrible problem for some 8 years now.

Ann Allergy Asthma Immunol. December 2013. Sleep impairment and daytime sleepiness in patients with allergic rhinitis: the role of congestion and inflammation. To investigate the association of rhinitis with stress, fatigue, decrease productivity, inflammation, and sleep disordered breathing. Medical literature obtained from OVID and PubMed searches in February 2013 using the search terms "sleep," "rhinitis," "allergic rhinitis," "somnolence," and "fatigue". Studies were selected based on the US Preventive Services Task Force levels 1, 2, and 3. Allergic rhinitis is a disease that severely affects patients' quality of life and is increasing in prevalence worldwide. Nasal congestion is reported as the most common and bothersome symptom; it is often associated with sleep-disordered breathing, a likely cause of sleep impairment in rhinitis-affected individuals. The end result is a reduced quality of life and productivity and an increase in daytime sleepiness, fatigue, and stress. Current treatment modalities include intranasal corticosteroids, which have been found to reduce nasal congestion. Clinical trials on intranasal corticosteroids have provided data on sleep-related end points, and these studies report that the improved nasal congestion is associated with improved quality of life with better sleep and reduced daytime fatigue. Alternate therapies, including montelukast, also decrease nasal congestion and positively influence sleep, but to a lesser extent. This review examines nasal congestion and cytokine changes and the associated sleep impairment in allergic rhinitis patients and the effect on daytime performance. It elaborates the adverse effects of disturbed sleep on quality of life and how therapies directed at reducing nasal congestion can relieve such effects.