A cold does not go away for a long time: what to do and how to treat a protracted illness. How to treat a prolonged runny nose in an adult? Folk remedies for protracted rhinitis how to treat

18.01.2023

R initis, or in other words, a runny nose that lasts more than 10-14 days, is considered protracted in medical practice. This condition is not the norm and requires mandatory diagnosis, since it can have different causes, but similar symptoms. Depending on the underlying cause, the treatment is also different.

Ignoring a runny nose or incorrect therapy can lead to complications, the list of which includes: sinusitis, sinusitis of various origins, tonsillitis, laryngitis, tracheitis and others.

What you need to know about the etiology of the process and how to cure a protracted runny nose should be understood in more detail.

A prolonged runny nose in an adult occurs as a result of prolonged exposure to the mucous membranes of the nasal cavity of an irritating factor.

Such factors may be:

viruses;
bacteria;
allergens;
medications.

It is important to understand the difference between acute and chronic rhinitis. The acute form is a primary immune reaction to the ingress of pathogenic and opportunistic microorganisms on the mucous membranes of the nasal passages, which includes the secretion of nasal mucus, swelling, fever.

In a protracted phase, the pathological process passes if the treatment was started out of time, or carried out incorrectly. Bacteria spread deeper and colonize new areas of the body - the paranasal sinuses, pharynx or auditory tube.

From this we can conclude that a runny nose that does not go away for a long time is already a secondary symptom of a deep inflammatory process.

What are these processes:

chronic inflammation of the sinuses - sinusitis, sinusitis;
chronic inflammation of the pharyngeal tonsils and pharynx - tonsillitis and pharyngitis;
smoking, including passive;
uncontrolled and prolonged use of vasoconstrictor nasal drops;
dry indoor air;
pathological curvature of the nasal septum, congenital or resulting from a trauma to the nose;
congenital anomalies in the structure of the conchas of the nasal cavity - in this case, a runny nose worries a person from an early age of life.

The main types of rhinitis of a protracted course and their symptoms

Depending on the nature of the origin of a protracted runny nose, there are several types, the clinical symptoms of which also differ.

Rhinitis classification

Types of protracted rhinitis	Causes
Catarrhal (may be atrophic and hypertrophic)	It is characterized by the localization of the inflammatory process in all parts of the nasal cavity. Depending on the severity of the flow, the mucous membranes of the nose become thinner and deformed, which causes atrophic rhinitis, or, conversely, grow and thicken, resulting in progressive hypertrophic rhinitis. Depending on the nature of origin, catarrhal rhinitis can also be viral or bacterial.
Allergic	It develops under the influence of allergens on the respiratory system, which can be dust, tobacco smoke, mold fungus, plant pollen, poplar fluff, pet hair, household chemicals.
medical	It develops as a result of prolonged use of vasoconstrictor nasal drops, which leads to addiction to the body and the need to increase the doses of the drug, and then to a complete lack of effect.
Vasomotor	Most often occurs in pregnant women and is due to changes in the hormonal background. Also, vasomotor rhinitis is a consequence of excessively dry and dusty indoor air that the patient breathes.

Common symptoms of chronic rhinitis are nasal congestion, profuse discharge, impaired nasal breathing and smell. Each type of rhinitis has its own clinical manifestations.

catarrhal rhinitis

A runny nose of viral origin is characterized by nasal congestion, tissue swelling, sneezing, redness of the skin around the vestibule of the nasal cavity due to constant irritation by flowing secretions (the mucus contains a large amount of salts that adversely affect the skin around the nose and cause it to burn).

The first 3-4 days of discharge from the nose are transparent, mucous, on the 5th day they acquire a yellowish tint and become thicker. In the case of improper treatment or its absence, the secondary bacterial flora joins the viral rhinitis and then the discharge from the nose becomes green and has an unpleasant odor.

With atrophic lingering rhinitis, the patient is prone to frequent nosebleeds, complains of dryness and itching in the nose, the formation of crusts, which, when removed, leave ulcerative and erosive formations on the surface of the mucous membranes.

Hypertrophic catarrhal rhinitis is characterized by a violation of smell, the appearance of bad breath, chronic nasal congestion, which does not go away even after the use of vasoconstrictor nasal drops.

Allergic

It is characterized by sudden swelling of the mucous membranes, itching, burning in the nose, constant sneezing, profuse clear watery snot, paroxysmal cough.

At the same time, tears may flow from the eyes, redness of the conjunctiva, swelling of the eyelids is observed. In severe cases, allergic rhinitis can be complicated by swelling of the tissues of the laryngopharynx and asphyxia (suffocation).

medical

This type of prolonged runny nose is characterized by persistent nasal congestion, which disappears only for a short time after the use of nasal vasoconstrictor drops. The patient complains of a worsening sense of smell, lack of air, headache and dizziness. There is little or no discharge from the nose. Read more about medical rhinitis in.

Vasomotor

They are an inevitable companion of expectant mothers and persons who are constantly in a room with heaters turned on. Clinically, vasomotor rhinitis is manifested by nasal congestion and a deterioration in the sense of smell, which increases in the supine position, as a rule, when going out into fresh air, especially in foggy weather, all unpleasant symptoms disappear on their own.

General principles of treatment

You can cure a protracted runny nose only if you know exactly the cause of its occurrence - for this you should consult an otolaryngologist.

The general principles of therapy that are used for all types of prolonged rhinitis are:

indoor air humidification- to maintain the optimal level of humidity, use a humidifier, or simply hang wet terry sheets near heating appliances;
plentiful drink - alkaline mineral waters, warm tea, compote, juice, cranberry juice, rosehip broth are suitable (the liquid helps to remove toxins from the body, helps to thin viscous mucus, and prevents the spread of infection to the lower respiratory tract);
inhalations - carry out thermal, steam, through a nebulizer. A good effect is brought by special pharmacy solutions for inhalation (for a nebulizer) or essential oils, herbal decoctions (for steam inhalers), a detailed description of the process and drugs is in this article;
symptomatic remedies– lavages, vasoconstrictive nasal drops, nasal oil solutions, antihistamines and hormonal metered sprays;
physiotherapy procedures- are carried out during the period of remission (subsidence) of an acute inflammatory process and are effective in viral and bacterial rhinitis.

Treatment of the allergic form

Treatment of chronic rhinitis in adults of allergic origin begins with finding out the allergen that provoked this condition, and stopping contact with it. To do this, you need to contact an allergist to conduct skin tests.

In the event that it is impossible to completely stop contact with him, for example, with rhinitis against the background of flowering herbs and trees, the doctor selects medications that will help relieve swelling and alleviate the patient's condition.

To facilitate nasal breathing, the patient is prescribed:

Nazivin;
Farmazolin;
Naphthyzin;
Rinazolin;
Xylometazoline.

Drops are used only if necessary, but not more than 2 times a day, in order to prevent addiction, and the total duration of therapy is no more than 3-5 days.

The list of medicines is as follows:

Avamis metered spray;
Nasonex;
Allergodil;
Flixonase.

The duration of the course of treatment is determined by the doctor, depending on the severity of the allergy and the individual characteristics of the body, usually it is at least 7-10 days.

In severe allergic rhinitis, accompanied by swelling of the tissues of the pharynx and conjunctivitis, additional drugs of general action from the group of antihistamines are prescribed:

Suprastin tablets;
Tavegil;
Loratadine;
Diazolin;
Claritin.

Treatment of a protracted bacterial form

Treat a protracted runny nose with yellow, or should be treated mainly with antibiotics, since such symptoms indicate the addition of a bacterial flora.

A topical antibiotic in the form of a metered nasal spray is Isofra. The active ingredient of the drug Framycetin is an antibiotic from the group of aminoglycosides.

A huge advantage of the drug is that Isofra acts locally, practically without being absorbed into the general bloodstream. The drug is highly effective in the treatment of complicated bacterial rhinitis, nasopharyngitis, sinusitis and sinusitis. It can be used as an independent tool, and as part of complex therapy.

Antibacterial agents of systemic action (Amoclave, Augmentin, Sefpotek) are used in case of attachment of other symptoms in the form of headache and ear pain, general weakness, about an increase in body temperature of more than 38.1 degrees, Ibuprofen is prescribed.

Preparations based on colloidal silver help to dry the irritated mucous membrane and disinfect it well - Protargol or Kollargol, and mucolytics will help thin the thick nasal mucus Sinupret and Gelomirtol. There will be more snot, but a more liquid consistency, which will facilitate their removal.

Before instillation of any medicine, the patient should thoroughly clean the nose of accumulated mucus and crusts by washing it with saline at the rate of 1 teaspoon per 0.5 liter of warm water.

Never start burying antibiotics in your nose on your own, as they are absolutely ineffective against a viral infection. The diagnosis of bacterial rhinitis is made on the basis of the results of bakposev from the nasal cavity.

Treatment of the vasomotor form

In adults, vasomotor rhinitis has many forms and causes - from dusty air and an allergic reaction to endocrine disorders in the body (more). Even an experienced doctor is not always able to establish its true etiology.

Without diagnosis, treatment is symptomatic and is limited to the use of local hormonal ( Avamys, Nasonex) to eliminate edema and rinse the nasal passages with saline solutions.

In pregnant women, vasomotor rhinitis is caused by hormonal changes, so any therapy will be ineffective and may even harm the fetus.

The phenomena of a prolonged runny nose in this case will pass after childbirth on their own. To facilitate nasal breathing, the expectant mother is recommended to be outdoors more often, monitor the humidity in the room, and ventilate the room more.

To eliminate dryness in the nose, you can use pharmacy solutions for washing and moisturizing the nasal cavity:

Aqualor shower;
Aquamaris;
Salin;
Humer;
But-salt.

You can also use the usual isotonic sodium chloride solution 0.9% - it and all of the listed drugs are absolutely safe and can be used from the first days of pregnancy.

Treatment of protracted catarrhal rhinitis

Treatment of catarrhal rhinitis is divided into general and local. Local therapeutic actions are aimed at eliminating the symptoms of the disease that prevent the patient from fully breathing:

cleansing and moisturizing the nasal cavity from mucus and crusts - saline solutions based on sterile sea water or saline sodium chloride solution are used;
vasoconstrictor nasal drops - quickly relieve swelling of the tissues, reduce the secretion of mucus from the nose, facilitate breathing;
local antiseptics - a solution of Miramistin, Furacilin and Chlorhexidine is used to wash the nasal cavity from accumulated pathological mucus and destroy the infection in the nose;
oil drops and sprays - use Pinosol, Evkazolin, these are preparations with essential oils of mint and eucalyptus, which promote the healing of microscopic cracks on the mucous membranes of the nasal cavity, and also create an invisible protective film on their surface that prevents the mucous from drying out.

General therapeutic actions are inhalation. The procedure can be performed over a basin of hot water, where essential oils or a decoction of medicinal plants are added - the patient first cleans the nose of crusts and mucus and calmly breathes steam through the nose, covering his head with a sheet.

After such steam inhalation, the outflow of mucus improves, sputum is expectorated, swelling of the mucous membranes decreases, and nasal breathing is facilitated. The procedure also has contraindications, so you should consult your doctor before starting treatment. Read more about all types of inhalation procedures.

A safer and more effective treatment for chronic rhinitis in adults is inhalation through a nebulizer. A certain dose of a medicinal solution is poured into the device, a mask is put on the face, the nebulizer is plugged into the network and the spray mist is calmly inhaled through the nose. Read the rules for the procedure and the list of medicines in.

The device delivers the medicine directly into the nasal cavity, which provides a quick and pronounced therapeutic effect.

Catarrhal protracted rhinitis is a focus of chronic infection, which in itself reduces immunity and contributes to the constant reproduction of the bacterial flora.

To enhance the body's defenses and speedy recovery, immunostimulants based on human interferon are prescribed - in the form of nasal drops, inhalation solutions or rectal suppositories (suppositories in the rectum).

These drugs are:

Interferon lyophysiat;
Viferon;
Nazoferon - nasal spray;
Laferobion suppositories.

Patients should pay close attention to their diet - food should be fortified and easily absorbed by the body.

After eliminating the acute symptoms of the disease, the catarrhal form is successfully treated with physiotherapeutic procedures:

Laser therapy;
electrophoresis;
Salt "caves";
Aromatherapy.

Therapy of drug-induced rhinitis

Drug protracted rhinitis is the result of prolonged and uncontrolled use of nasal drops with a vasoconstrictive effect, as a result of which the body develops an addiction to the active substance, and mucosal edema becomes a constant companion.

To stop this condition, patients are advised to regularly moisten the nasal mucosa with saline or saline solutions based on sterile sea water, monitor the level of indoor air humidity, and walk more, especially in cloudy foggy weather.

In severe cases, to cure addiction, the patient is prescribed Dexamethosone injections, which are injected directly into the nasal concha - this method of therapy allows you to quickly remove swelling of the tissues and instantly ease breathing. After a hormonal injection, the patient is prescribed a course of treatment from 5 to 7 days Avamys, Nasonex or Flixonase.

The use of hormonal drugs for the treatment of drug-induced rhinitis on its own can lead to serious complications - only an otolaryngologist can make such a decision, if all the above methods have not led to the desired result.

how to cure chronic rhinitis

In contact with

Prolonged runny nose, or chronic rhinitis, is characterized by severe inflammation of the nasal mucosa. The disease delivers a lot of discomfort to the child, causes difficulties with sleep and breathing. In most cases, rhinitis is a complication of infectious respiratory pathologies, the therapy of which was carried out incorrectly. Before treating a chronic runny nose in a small child or teenager, the pediatrician will conduct a series of laboratory tests. This is necessary to establish the cause of rhinitis and assess the general state of health. Immunomodulators, antibiotics, antihistamines can be included in the therapeutic scheme of nasal pathology.

Basic principles of treatment

Prolonged runny nose is diagnosed in children much more often than in adults. The nasal passages in babies are narrow and are at the stage of formation, and the area of \u200b\u200bthe mucous membrane is small. There are still too few glands in it to cope with infectious or allergic agents. Therefore, without proper treatment, a prolonged runny nose in children may not go away for a month. This does not mean that it will disappear after all - rhinitis will take on a chronic stage of the course, dangerous for its complications.

For the treatment of prolonged nasal congestion in young children, an integrated approach is practiced, which consists in carrying out the following activities:

frequent rinsing of the nose;
inhalation;
the use of vasoconstrictor drops;
course intake of multivitamins with trace elements;
treatment of comorbidities.

Protracted snot in a small child also appears for natural reasons, for example, during teething. In this case, pediatricians recommend rinsing children's noses with isotonic sodium solution 5-6 times a day or using pharmaceutical preparations in the form of nasal sprays or drops. Chronic rhinitis develops in a child living in a room with an unsuitable microclimate. Dry stale air seriously worsens the condition of the nasal mucosa.

Treatment of a protracted runny nose of any etiology (viral, allergic, bacterial) should begin with the creation of a comfortable environment for children, which significantly speeds up recovery:

Humidity. To increase the concentration of water vapor in the room, you can purchase a household air humidifier, carry out frequent cleaning, or hang a wet cloth on the heating radiator.
Temperature. In the room where the sick baby is located, the air temperature should vary between 21–23 ° C. Higher values have a negative effect on the nasal mucosa and contribute to the rapid spread of infectious and allergic agents.
Fresh air. It is necessary to air the child's room several times a day. A constant supply of fresh air has a positive effect on microcirculation in the sinuses.

If the baby does not have a high temperature, then walking in the nearest square or park will help to cope with a prolonged runny nose. Chronic rhinitis does not go away for a long time due to reduced immunity. Walking or playing on the playground will increase the body's resistance to bacterial and viral pathogens, strengthen the defenses.

Cope with a protracted runny nose of bacterial or viral origin will help vasoconstrictor drops in the nose

Nasal lavage

Before carrying out the treatment procedure, the mucus accumulated there should be removed from the nasal passages. An older child should blow his nose well, and newborns and toddlers will need the help of parents. On the shelves of pharmacies there is a wide range of aspirators. Devices are simpler in appearance and functionally similar to a small-volume syringe. More expensive models (Otrivin) are equipped with interchangeable nozzles and a hollow tube for mucus suction. After cleansing the sinuses, rinse the child's nose thoroughly. What is it for:

remove severe puffiness;
stop the inflammatory process;
remove infectious and allergic agents from the mucous membrane;
remove toxic compounds that release viruses and bacteria in the course of their life;
prevent the spread of pathogenic microorganisms into the lower respiratory tract.

Washing the nose with a prolonged runny nose is the most important part of the treatment, often helping to avoid the use of antibiotics and sulfonamides in children. Procedures are carried out at home using a warm saline solution. To prepare it, you should dilute a teaspoon of rock or sea salt in a liter of boiled water and strain. Pharmacies sell 0.9% sodium chloride solution, packaged in bottles of 100, 200, 400 ml, at a very affordable price. Under the beautiful name "water of the Adriatic Sea" hides the usual salt solution. It is part of the following drugs:

Morenazole;
Aqua Maris;
Physiomer;
Aqualor Baby;
Rinosol.

For washing the nose, infusions of medicinal plants are great: chamomile, calendula, sage, St. John's wort. Herbs contain essential oils, phytoncides, flavonoids and organic acids, which exhibit pronounced anti-inflammatory and disinfectant activity. To prepare a useful infusion, you should pour a tablespoon of dry vegetable raw materials with a glass of boiling water, leave for two hours and strain.

Inhalations

Experienced parents are well aware of how to cure a prolonged runny nose in a child quickly and effectively. To do this, you need to use an ultrasonic or compressor nebulizer and an isotonic sodium chloride solution, which is poured into a special compartment of the device. During operation, the drug is converted into a fine vapor, which is evenly distributed on the nasal mucosa. This form of the drug allows you to achieve the maximum therapeutic effect:

nasal congestion disappears and the child's breathing is facilitated;
the mucous membranes of the nasal passages are moistened;
the severity of edema decreases.

With an abundant accumulation of thick mucus in the nose, tightly attached to the inner wall, the pediatrician recommends using mucolytic solutions with acetylcysteine for inhalation. After the drug enters the nasal mucosa, the viscosity of sputum decreases, and it is easily evacuated when blown out.

For inhalation, you can use an ordinary enameled cup or small saucepan. There are advantages to this type of treatment. The fact is that most nebulizers are not designed to use infusions of medicinal herbs and essential oils. But with the help of a conventional container, you can easily carry out physiotherapy manipulation. To stop the inflammatory process and facilitate the baby's breathing, essential oils of such plants are used:

thyme;
lemon or peppermint;
eucalyptus;
fir, spruce, pine;
marigold.

If the runny nose does not go away for a long time, then you need to add 4-5 drops of any essential oil to a liter of hot water and mix thoroughly. Then tilt the child over the container and cover him with his head with a terry towel. One inhalation session lasts about 10 minutes, and 2-3 procedures are allowed during the day. Instead of essential oils, you can use herbal infusions.

Well eliminates nasal congestion combined decoctions of thyme, mint and eucalyptus leaves. Procedures are contraindicated for children with individual sensitivity to essential oils due to the likelihood of developing an allergic reaction. Also, inhalations are not carried out at elevated body temperature or an acute inflammatory process occurring in the body.

During the treatment of a chronic runny nose in children, you can remove mucus from the nasal passages using an aspirator

Nasal congestion treatment

To ease the breathing of young children and adolescents, pediatricians prescribe vasoconstrictor nasal sprays and drops. The active ingredient in most of them is xylometazoline. This chemical compound constricts blood vessels and eliminates swelling of the mucous membrane. Thanks to the relief of breathing and the return of the sense of smell, children's appetite improves and falling asleep is stabilized. What local remedies can a pediatrician prescribe for the treatment of a protracted runny nose:

Tizin Xylo;
Xymelin;
Galazolin;
Xylene;
Rinostop.

Despite the high efficiency of vasoconstrictor drops and sprays, the duration of their use should not exceed five days. This group of drugs has a significant drawback - they provoke addiction. That is, the child has difficulty breathing, it seems to him that without a spray and drops he can suffocate, although his nasal mucous membranes are in perfect order. It is very difficult to get rid of this form of addiction, therefore, one should not neglect the medical recommendations on the duration of the course of treatment.

Many pediatricians prefer to prescribe herbal nasal remedies for nasal congestion to children.

These drugs include spray and drops Pinosol with essential oils of eucalyptus and pine. There is also an ointment of the same name, intended for application to the mucous membranes of the nasal passages. Pinosol can be used in the treatment of children older than three years and is not suitable for those babies who have individual sensitivity to essential oils.

Treatment of infectious chronic rhinitis

Quite often, self-medication becomes the cause of the development of chronic rhinitis. Parents use drops and sprays to eliminate nasal congestion. Indeed, the child's breathing improves for some time, but the factor provoking a prolonged runny nose has not disappeared anywhere. Its role is usually played by viruses and pathogenic bacteria - the causative agents of tonsillitis, bronchitis, influenza, tracheitis, sinusitis. If they are not removed in a timely manner from the upper respiratory tract, then there is a high probability of developing serious complications, for example, atrophic rhinitis.

A solution of colloidal silver quickly and effectively copes even with a prolonged runny nose in children

Bacterial

The results of laboratory studies of a biological sample will help to establish the species of an infectious agent. If pneumococci, staphylococci, streptococci are detected, the pediatrician includes antibacterial or antimicrobial drops and sprays in the therapeutic regimen:

Isofra;
Vibrocil;
Rinofluimucil;
Polydex;
Bioparox.

The course application of these allows you to quickly and effectively treat protracted thick snot. When a runny nose occurs against the background of a bacterial respiratory infection, the doctor will prescribe suspensions or syrups with antibiotics to the baby. Preparations are selected individually, taking into account the results of laboratory diagnostics. As a rule, protected semi-synthetic penicillins (Panklav, Augmentin, Amoxiclav, Flemoklav) or macrolides (Azithromycin, Clarithromycin) become drugs of first choice.

In the treatment of chronic rhinitis, Protargol solution has proven itself well. This organic colloidal silver compound can be used to treat children from two years of age. A 1% or 2% solution of Protargol destroys pathogenic microorganisms, stops inflammation, sanitizes the nasal passages. The drug can be purchased at large pharmacies, where they manufacture ointments, suspensions, emulsions according to doctor's prescriptions. Colloidal silver is also part of the Sialor drug, which is available in the form of nasal drops and spray.

Viral

A runny nose may not go away for a long time in a child after a viral illness. Such a serious residual phenomenon indicates incorrectly selected drugs used in the treatment of influenza, tonsillitis, bronchiolitis, or non-compliance with the recommendations of the pediatrician. Modern antiviral drugs are not used to eliminate chronic rhinitis. Firstly, doctors are extremely skeptical about the action of most of them (Arbidol, Anaferon, Kagocel) due to the lack of an evidence base for their effectiveness. Secondly, drugs whose antiviral activity has been confirmed by clinical trials (Tamiflu, Relenza) are used only at the initial stage of a respiratory disease.

For the treatment of a protracted runny nose of viral origin, the following are used:

frequent rinsing with saline solutions;
inhalation;
course intake of balanced vitamin complexes with microelements - Supradin, Pikovit, Vitamishki, Multitabs, Centrum.

If the baby's immunity is weakened, then pediatricians prescribe immunostimulants and (or) immunomodulators to strengthen the defenses of the child's body. Tsitovir, Immunal, tinctures of lemongrass, pink rhodiola, ginseng and eleutherococcus have proven themselves well. Viferon rectal suppositories, nasal drops and spray Grippferon, Interferon in solution are used as immunomodulators. They do not show side effects and are used in the treatment of prolonged rhinitis in babies from the first day of life.

In the treatment of a child with an allergic lingering rhinitis, antihistamine sprays and drops are used.

Treatment of allergic rhinitis

Protracted runny nose of allergic origin has recently been diagnosed very often. Doctors attribute this to poor ecology, a variety of food additives and an abundance of household chemicals on store shelves. When various compounds of the gland enter the nasal passages, they produce mucus, which causes a constant runny nose. The resistance of the child's body to allergic agents is low, so this form of rhinitis develops rapidly. In addition to nasal congestion, the child may experience sneezing, watery eyes, and in some cases itchy skin.

Allergic rhinitis responds well to antihistamine nasal drops and sprays:

Cromoglin;
Allergodil;
Nasonex;
Kromoheksal;
Flixonase.

Of no small importance in the treatment of protracted rhinitis is the conduct of special tests to identify an allergic agent. If nasal congestion arose during the spring flowering of trees and shrubs, then first of all suspicion falls on pollen. Often, bird feathers, animal hair, new household chemicals (washing powder, furniture polish) act as allergic agents.

The treatment of any runny nose in children should only be handled by a pediatrician. If necessary, doctors of a narrow specialization are connected to therapy - an otolaryngologist, an allergist, an immunologist. If a child has nasal congestion lasting more than three days, parents should contact a medical institution for qualified help.

Nasal congestion is a symptom that accompanies most of the SARS. Thus, the body gets rid of pathogenic microflora. But, when the general signs of a cold have passed, and congestion has remained, it is necessary to look for an individual approach to the treatment of protracted rhinitis.

Normally, shortness of breath and mucus secretion recede in 7-10 days and do not require special medical treatment. If a runny nose lasts longer than a week, one of the following reasons is to blame:

allergy;
dry air in the room;
untreated infections;
hormonal disruptions (including during pregnancy);
failures in the regulation of vascular tone also lead to a prolonged runny nose in adults;
deviated septum due to trauma. As a rule, in this case, breathing of one nostril is difficult;
inflamed adenoids and their uncontrolled growth;
bacterial pathogens.

How to treat a chronic runny nose

Regardless of the factors provoking the disease, it is necessary to follow the general scheme of therapy. It necessarily includes strengthening the immune system and preventing relapses.

To cure a protracted runny nose, first of all, conditions favorable for the body are necessary:

optimal microclimate in the apartment;
limitation of stressful situations;
minimum communication with patients;
full sleep;
daily outdoor walks.

Prolonged nasal congestion requires complex treatment, which includes the use of medicines, folk remedies and procedures.

Pharmacy medicines for a protracted runny nose

The use of medications should be under the close supervision of an otolaryngologist. The doctor will prescribe drugs to restore the mucosa, strengthen the walls of blood vessels and reduce the inflammatory process.

Vasoconstrictor

Vasoconstrictor drops stimulate adrenoreceptors, which are located on the surface of the nasal mucosa. As a result of their exposure, the vessels narrow and the swelling temporarily subsides. They are prescribed in the very "heyday" of the infection: when the discharge is abundant and transparent. The most common:

Naphthyzin;
Farmazolin;
Otrivin;
Vibrocil.

Antibiotics

The action of antibiotics is aimed at eliminating pathogenic microflora and removing the inflammatory process. In therapeutic practice, most often prescribed:

Clarithromycin;
Erythromycin;
Augmentin;
Ceftriaxone.

The right type of medication helps stop the development of purulent sinusitis or sinusitis. Together with antibiotics, the doctor prescribes drugs that support the intestinal microflora (for example, Linex).

Antiviral

Regardless of the manufacturer, the active ingredient in all antiviral nasal drops is interferon. It stops the spread of a viral infection. Options:

Viferon;
Nazoferon;
Genferon.

The use of drugs of this type is advisable only in the initial stages of the disease (no more than 5 days).

Moisturizers

When excessive dryness of the mucosa is observed, its intensive moisturizing is necessary. Deal with it:

Nazivin;
Pinosol;
Rinofluimucil.

Such drops are indicated if the patient has fragile vessel walls or is in frequent contact with hot air.

homeopathic

Homeopathy is the perfect balance between safety and efficacy for various types of rhinitis. It is effective at the onset of respiratory infections and allergic reactions:

Euphorbium Compositum;
Rinitol Edas-131;
Allium chain.

Antihistamines

Antihistamines reduce the body's response to the allergen. They act on the immune system by blocking histamine receptors. Available in the form of drops and sprays:

Allergodil spray;
Tizin Allergy;
Kromoheksal.

To effectively eliminate the problem, you will also need anti-allergic drugs in the form of tablets (Zirtek, Erius, Tsetrin). In the case of a prolonged pronounced reaction, it is possible to prescribe hormonal drugs (Flikonase, Nazarel, Nasonex).

Saline solutions

For all types of rhinitis, it is advisable to use saline solutions. They are safe for patients of any age, compatible with different types of drugs. They can be prepared at home or bought at a pharmacy:

But-salt;
Aquamaris;
Marimer;
Nazomarin.

Salt solutions qualitatively cleanse the mucous membrane and remove pathogenic microflora. They must be used until complete recovery and after, for preventive purposes.

Folk remedies for a protracted cold

In combination with medicines, you can use folk remedies for the treatment of a protracted runny nose. They will help improve the general condition, relieve congestion and reduce nasal discharge.

Many doctors testify in favor of breathing exercises. This is the simplest treatment option with folk remedies:

Close your right nostril with your finger and take a few deep breaths through your nose.
Change nostrils and repeat the exercise.
Take 2-3 breaths in through the right nostril and out through the left. Repeat vice versa.
The final stage: a deep breath through the nose and exhale through the mouth.

If there is no temperature, but a runny nose in an adult does not go away for a long time, it is useful to steam your legs. Salts and essential oils can be added to the baths. Soak your feet in hot water for 15-20 minutes, then put on woolen socks and spend at least an hour in bed.

Drops prepared at home

Incorrect prescription of pharmaceutical products can only aggravate the cause. Unlike medicines, self-prepared drops do not cause adverse reactions if the correct composition is used. Given the nature of the disease, the doctor may recommend instilling a nose with one of the following compounds:

aloe juice. It is used not only for a simple cold, but even for sinusitis. It relieves puffiness and instantly facilitates breathing;
beet juice. Liquefies and removes thick mucus from the sinuses;
onion juice diluted with water. Has an antibacterial and anti-inflammatory effect;
Peach oil. Suitable for separating dried mucus, strengthens blood vessels and moisturizes the mucosa.

Washing

At home, an effective, and most importantly, safe procedure for a prolonged runny nose is washing the nose. This procedure is carried out using a pipette, a teapot, a syringe (without a needle). The following solutions are suitable for washing:

Saline. Dissolve a tablespoon of sea salt in a glass of boiled water.
Chamomile-salt. In a glass of decoction of chamomile flowers, dissolve a tablespoon of sea salt.
Eucalyptus. Take 1 tsp for a glass of water. eucalyptus oils.

To prevent rhinitis, one wash daily is enough, and for treatment it is necessary to repeat the procedure at least three times a day. The optimal time is one hour after eating. The temperature of the solution should be comfortable - 36-38 degrees. Correct technique:

Lean over the sink and turn your head.
Take a deep breath and open your mouth to prevent liquid from entering your airways.
Insert the device for washing 1-2 centimeters into the nostril, which is located on top.
Slowly pour the solution in so that it pours out of the other nostril.
Repeat the procedures on the other side.

Physiotherapy for chronic rhinitis

If outpatient treatment fails, the patient is referred to a hospital. Visible improvements can be achieved by manipulating the influence of physical factors (ultrasound, current, heat). In ENT departments, the following types of procedures are used:

inhalation. They soothe the inflamed mucosa, relieve swelling, promote the removal of thick mucus. As a solution for the treatment of prolonged rhinitis, herbal infusions, coniferous extracts, citrus oils are suitable;
ultraviolet irradiation. Useful for heavy nasal discharge. The course of treatment - up to 5 days, 0.5-2 minutes in each nasal passage daily;
laser therapy. It is prescribed for serious damage to the mucous membrane. Usually 2-3 sessions of several minutes are enough;
UHF therapy. During the procedure, ultra-high frequency waves are directed to the affected area. Deep tissue heating occurs. To eliminate acute rhinitis, 3 procedures are needed every day, for vasomotor - 1 time per day for 7-10 days;

The most radical solution for a prolonged runny nose in adults is surgical intervention. It is resorted to if conservative treatment does not give any results. This may be a vasotomy, removal of adenoids, polyps, or alignment of the nasal septum.

Vasotomy is used to treat vasomotor rhinitis. During the operation, a dissection is performed at the junction of the vessels of the mucosa and the periosteum. The procedure is performed under local anesthesia and takes no more than 10 minutes. Within a few hours after vasotomy, a decrease in mucosal edema is observed.

A comprehensive scheme for a long runny nose

In order to completely cure a long runny nose, complex therapy is necessary: elimination of severe symptoms, local effects and strengthening of immunity.

With prolonged rhinitis, it is important to follow the treatment order: rinse the nose at least 4 times a day, instill drops - 5-7 times. Antibiotics for rhinitis that has dragged on are usually taken twice a day. A prolonged runny nose in an adult requires treatment with vitamins C and P - they will strengthen the walls of blood vessels.

Approximate scheme:

Three times a day, bury the nose with vasoconstrictor drops.
When breathing improves, flush both nasal passages with saline.
Washing and home inhalations are best done in the morning.
At a temperature not higher than 37.2, you can steam your legs before going to bed.
If nasal congestion is observed, again drip vasoconstrictor drops at night.

Taking the following preventive measures, you can get rid of a long runny nose in a few days:

hardening;
walks in the open air;
balanced diet;
taking vitamin preparations.

Cautions

Regardless of the severity of the symptoms, persistent rhinitis is a reason to see a doctor. The disease can be of completely different etiology and therefore how to cure a prolonged runny nose in an adult is decided by the ENT.

You should visit an otolaryngologist if:

runny nose persists for more than 10 days;
there were unpleasant sensations in the sinus area (above the eyebrows or around the nose);
rhinitis is accompanied by acute headache;
hearing has decreased or a characteristic “clicking” in the ears is observed.

A prolonged runny nose in an adult is not a diagnosis, but simply a symptom of an illness, perhaps even a chronic one. At the first signs of the disease, professional diagnosis is necessary. The specialist will select the optimal course of therapy that will help get rid of discomfort in the shortest possible time.

Very often, patients come to the doctor who complain of a prolonged runny nose. This ailment usually appears with the development of a cold. But when its duration is more than two weeks, it is already worth thinking about the reasons for its occurrence. If there is a prolonged runny nose in an adult, treatment should begin as soon as possible.

Adults try not to pay special attention to the common cold. It is not perceived as a disease, but sometimes a serious illness is hidden under it.

A prolonged runny nose in an adult occurs for several reasons.

The development of chronic rhinitis. This type of disease manifests itself due to damage to the mucous membrane of the nasal passages.
This condition may be preceded by several factors in the form of a constant stay in a room where the air is too dry or a high temperature is observed, inhalation of chemicals, long exposure to cold and radiation effect.
But the main reason for the manifestation of chronic rhinitis is regular inflammatory processes that occur in the nasopharyngeal region and paranasal sinuses.
At the same time, other factors in the form of diseases of the cardiovascular system, kidney disease, alcohol dependence, problems in the endocrine and nervous systems can also affect the development of this disease.
A prolonged runny nose of a chronic nature can develop as a result of deformity of the nasal septum or other anatomical structures or long-term use of vasoconstrictors.
The appearance of sinusitis. This type of disease is characterized by damage to the paranasal sinuses, which are located in the cheekbones or forehead. The pathological process occurs due to infectious diseases in the nasal cavity, the presence of adenoids or polyps in the nose, curvature of the septum.
Protracted rhinitis in this case has a bacterial form and is quite dangerous, as it can spread to nearby organs.
Sinusitis is characterized by a rise in temperature up to 38 degrees, a painful feeling in the forehead or cheekbones, difficulty in breathing and nasal congestion. And the main symptom is the formation of yellowish or greenish snot.
The development of allergic reactions. Incessant rhinitis lasting more than three to four weeks indicates the occurrence of an allergic reaction. This type of disease is characterized not only by nasal congestion and discharge, but also by sneezing. The patient also complains of redness of the eyes, itching, tearing.
A prolonged runny nose in an adult occurs due to increased susceptibility to irritants in the form of pet hair, household chemicals, plant pollen, food products, and decorative cosmetics.

Allergic rhinitis can be year-round and seasonal. But in both cases, the elimination of the allergen and the treatment process are required.

There are other causes of a long runny nose in the form of:

injury to the mucous membrane of the nasal passages;
getting a foreign body into the nasal passages;
the development of a viral disease and the addition of a secondary infection;
weakened immune function and proliferation of adenoids.

The main signs of a protracted runny nose are usually attributed to:

regular secretion of mucus of a different nature;
difficulty in nasal breathing for a long time;
manifestation of itching in the nasal passages;
the presence of constant pain in the head;
accumulation of mucus in the nasopharyngeal region;
manifestation of insomnia and chronic fatigue.

If you experience such symptoms, you should immediately consult a specialist.

Prolonged runny nose treatment

How to cure a prolonged runny nose in an adult? If the runny nose is prolonged and lasts more than two weeks, you need to visit a doctor and conduct an examination. This will allow you to find the cause and build the right treatment tactics.

If the patient has medicamentous vasomotor rhinitis, then therapeutic measures consist in the complete rejection of the use of vasoconstrictors.
In this case, the use of medications will not help solve the problem. But how to treat vasomotor rhinitis?

You can only resort to procedures of the operational type. These include:

laser treatment;
carrying out physiotherapy;
implementation of surgical interventions.

How to treat a prolonged runny nose if it has an allergic form? The first step is to eliminate the allergen. If it is difficult for the patient to determine it, then you need to pass a special analysis for immunoglobulins.

After that, drug therapy is prescribed, which includes:

taking antihistamines in the form of Tavegil, Zodak, Erius;
the use of corticosteroid sprays in the form of Nasonex, Avamys, Fluconase;
the use of decongestants in the form of Vibrocil.

It is strictly forbidden to use vasoconstrictors in the form of Nazivin, Naphthyzinum or Xilin, since such a process will cause even more swelling of the tissues.
How to treat a prolonged runny nose, if it has developed into sinusitis? It is impossible to completely cure the disease. Periodically, with a weakened immune function, it will reappear.

Treatment for a chronic runny nose is:

in taking antipyretics and painkillers. They should be taken only at the moment when the patient's temperature rises above 38 degrees and there is a strong pain in the head, cheekbones and forehead. The patient can take Paracetamol, Ibufen, Analgin;
in the use of vasoconstrictors. With sinusitis, patients are often prescribed Rinofluimucil. Its effect is aimed not only at removing puffiness and restoring breathing, but also at pulling out purulent mucus from the sinuses;
in taking antibiotics by mouth. Sinusitis is simply indispensable without these medications, since the disease occurs due to a bacterial infection. The patient is prescribed antibiotics of a protected nature, which practically do not affect the digestive function and at the same time have a double effect on bacteria. These include Amoxiclav, Flemoxin, Augmentin;
in washing the nasal passages with furatsilin and saline. These procedures should be alternated and carried out every two hours.

Sea salt-based products can be purchased at pharmacy kiosks in the form of AquaMaris, Aqualor, Marimer. And you can cook it yourself at home, while using a rubber pear or a syringe.

How to treat chronic rhinitis? This type of disease occurs regularly, but it does not have a bacterial character. It is rarely characterized by an increase in temperature, and therefore it can be treated with:

inhalation methods. Adults can carry out steam inhalations based on herbs, Essential oils or potato broth. You need to perform the procedures no more than three times a day for fifteen minutes;
warming up the feet in hot baths. You can add dry mustard to the water. After performing the manipulations, warm socks should be worn;
massage of the sinuses and wings of the nose. For such purposes, you can use Asterisk or Dr. Mom ointment.

Any process should take place under the supervision of a doctor. This will avoid the development of adverse complications.

Any disease, including a prolonged runny nose, require special recommendations.

Observe the drinking regime. It is important not only with an increase in temperature indicators, but with a long course of the disease. The liquid allows you to remove all harmful toxins and vital processes of bacteria from the body. This process makes it possible to maintain digestive function, help the body produce antibodies, bifidus and lactobacilli.
At the same time, doctors say that you can not only drink plain water, but also fruit drinks from berries, compotes from dried apricots, raisins and prunes, green tea without sugar with lemon and honey.
The volume of fluid per day for adults with illness should be up to three liters.
Ventilate the room as often as possible and humidify the air. In the room where the patient is located, the air temperature should be no more than twenty degrees, and the humidity should be about fifty.
For humidification in modern times, special devices are sold that work silently and can be used throughout the night. At the same time, they take little electricity.
But the easiest option is to hang wet laundry throughout the apartment.
Observe bed rest for three to five days. The most important thing when you are sick is to get plenty of rest. Therefore, it is better not to go outside. In the absence of a high temperature and the manifestation of improvements, you can go outside for a while and breathe fresh air.

After recovery, the patient needs to work on strengthening the immune function. To do this, you need to eat well and make sure that the menu included a lot of vegetables and fruits. It is also necessary, as additional measures, to take fortified complexes and carry out hardening procedures. Along with this, you need to go in for sports and keep your body in good shape. In the season of colds, it is better to avoid hypothermia, contact with sick people and visiting crowded places.

So that the runny nose does not become protracted, you need to contact the doctor in a timely manner, conduct an examination and listen to all the doctor's recommendations.

A prolonged and incessant runny nose is always difficult to tolerate, so they want to get rid of this type of ailment as soon as possible. Usually, in addition to nasal congestion and an acute lack of oxygen, such a runny nose is accompanied by painful sensations in the temples, frontal part and throughout the patient's skull. If you can get rid of the usual rhinitis with the help of any vasoconstrictor drug, then the treatment of prolonged rhinitis in adults is more complex.

It is impossible to get rid of a long runny nose without the help of doctors, since this type of rhinitis is dangerous with complications. Treatment begins with establishing the cause of the formation of the pathological process and identifying all the factors of the disease. Usually the main reason lies in the viral nature of inflammation or due to banal hypothermia. But there are other signs that need to be identified before starting treatment. Only after that the doctor will be able to answer the question of how and how to cure a prolonged runny nose in an adult.

Prolonged rhinitis is considered to be inflammation that lasts from seven days. Such rhinitis should be a cause for concern and force the patient to consult a doctor. Prolonged rhinitis is quite acute, delivering a lot of discomfort to the patient. Usually patients complain of the impossibility of breathing through the nose, pain in the head, severe nasal congestion, chills, fever and fever to frightening degrees.

Feeling worse often at night, so the patient does not get enough sleep, feels tired and loss of efficiency.

Prolonged rhinitis often leads to the formation of more complex symptoms, which you want to get rid of as soon as possible.

To cure a boring runny nose, it is important to establish the factors of its occurrence.

The causes of a long runny nose usually lie in hypothermia, catarrhal inflammation or viral damage to the body. Besides, identify the following reasons:

lack of proper treatment for common rhinitis;
improper use of medicines;
excessive use of vasoconstrictor drops, which often causes drug-induced rhinitis;
often this form of rhinitis occurs due to trauma to the nasal cavity;
mechanical damage to the mucosa;
getting parts from a toy into the nasal cavity;
insect bite;
chemical trauma;
active exposure to aggressive substances, burns;
addiction to addictions;
a prolonged runny nose often occurs due to complications from a cold or flu;
consequences of SARS;
acute or chronic;
sphenoiditis.

In addition, nasal congestion and prolonged secretion of mucous secretion can be formed as a result of prolonged exposure to a room with dry air. The use of air conditioners also often leads to impaired respiratory function.

Weak immunity

A common cause of prolonged runny nose is weakened immune system. This can happen due to chronic inflammation, as well as due to recent colds or viral diseases.

Virus penetration

When diagnosing, it is necessary to check the presence in the body various viruses.

Often it is the infection of the body with viruses from the respiratory group that causes prolonged rhinitis.

Once in the body, they provoke a violation of the functions of the respiratory organ.

In this process, the mucosal cavity is the first to suffer.

The patient at this time feels itching, burning, pain in the nasopharynx, fever and other characteristic signs.

allergic reactions

One of the most common causes of the formation of a painful runny nose is contact with allergens. Annoying rhinitis can form due to an allergic reaction to pollen, seasonal flowers, pets, and food.

Treatment with medicines in this case will be ineffective until the patient finds out the type of allergen. Only by getting rid of it, you can feel the long-awaited relief.

Anatomical pathologies

Often rhinitis is formed as a result of pathological changes in the structure of the nasal cavity. This can happen with prolonged use of vasoconstrictor drops. With improper use of medications, the mucous cavity is seriously modified and brings serious health problems to the patient.

In addition, a deviated nasal septum is also the main cause of a long-term runny nose.

Chronic runny nose

A runny nose can be chronic inflammation. In this case, treatment should begin with establishing the cause of chronic rhinitis. These include:

frequent hypothermia;
untreated inflammation;
weak immunity;
impact of respiratory diseases;
various processes in the upper respiratory tract;
bad habits;
pathological processes;
inborn predisposition.

Treatment of this type takes a long time, so you should prepare for various procedures and bring the therapy to the end.

Additional features

In addition to these signs, rhinitis can be formed due to many other factors. They do not always affect directly, therefore, when they are identified, the help of a doctor is necessary. These factors include:

in the throat, nasopharynx or nasal cavity;
cyst;
mucosal enlargement.

Such signs require immediate medical attention, so prolonged rhinitis cannot be ignored.

Necessary treatment

The doctor cannot prescribe treatment without a personal examination, so the patient needs to be diagnosed.

It is especially important to seek advice from an experienced physician if you are at risk for a malignant or benign neoplasm.

To alleviate the patient's condition even before going to the doctor, it is necessary do the following:

Ventilate your home every hour.
Install a humidifier or use improvised means.
If there are animals in the house, daily cleaning is required twice a day. In the absence of pets, cleaning can be done once a day.
Remove all objects that can accumulate dust from the room.
Monitor the patient's diet.
The patient should drink plenty of fluids. Keep in mind that coffee and tea will not help you feel better. It is best to take plain water.

Such methods will only improve the general well-being of the patient and temporarily reduce the severity of symptoms.

Remedy for a cold

After receiving the tests and the results of the study, the doctor will be able to prescribe medication. Typically, the treatment regimen includes:

Daily rinsing of the nasal cavity with Physiomer or Aqua Maris.
Taking antibacterial nasal sprays - Bioparox, Polydex, Isofra or their analogues.
In the future, the patient will be prescribed broad-spectrum antibiotics - Amoxicillin, Clarithromycin.
The complex treatment includes mucolytics - Fluimucil, Fluimucil Antibiotic IT.

In addition, the course of treatment, regardless of the cause, includes topical vasoconstrictor drops, as well as various anti-inflammatory drugs.

After a week of treatment, the patient is prescribed physiotherapy exercises.

Other procedures

Throughout the treatment, the patient will benefit from rinse the nose with medicinal herbs.

Plants are best purchased at pharmacies, as many fees can provoke an increase in blood pressure or other undesirable signs.

Besides, Doctors often prescribe inhalers. This method will be a good way to alleviate the patient's condition. But such manipulations can be carried out only if there is no purulent discharge.

Other procedures are often thermotherapy, warming up the legs, the use of various lotions. In each case, recipes are selected individually.

Conclusion

Prolonged rhinitis causes poor health and a significant loss of patient performance. Therefore, do not delay treatment and seek medical help in the first week of rhinitis formation.