10-minute consultation: Rhinitis

doi:10.1136/bmj.324.7334.403

BMJ 2002;324:403 ( 16 February )

Primary care

10-minute consultation

Rhinitis

This is part of a series of occasional articles on common problems in primary care

Samantha Walker, head of research ^a, Aziz Sheikh, NHS R&D national primary care training fellow ^b.

^a National Respiratory Training Centre, 10 Church Street, Warwick CV34 4AB, ^b Department of General Practice and Primary Health Care, Imperial College School of Medicine, London W6 8RP

Correspondence to: S Walker s.walker@nrtc.org.uk

The first 150 words of the full text of this article appear below.

A woman presents in early summer with a history of progressively worsening symptoms of a constant runny nose and frequentsneezing bouts. She was prescribed antihistamine tablets manyyears ago, which were helpful but made her drowsy. Lately, shehas used "over the counter" decongestant nasal sprays, which,although initially helpful, now do not relieve symptoms. Tiredand upset, she wants to know what else might help.

Table Removed (Available Only in the Full Text)

What issues you should cover

Is this really rhinitis? Rhinitis is defined as two or more of the following symptoms, which must last for an hour or moreon most days: nasal blockage, sneezing, rhinorrhoea, and nasalitch.
Does the problem disrupt work and sleep? Does it interfere with relationships or cause socialembarrassment?
What is the underlying cause? Does the patient have a personal or family history of allergy? Allergy is by far the commonestcause of chronic symptoms. If it is seasonal (hay fever), pollensand . . . [Full text of this article]

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