Pediatric Rhinitis Management

Rhinitis (Sensitive nose)

What is Rhinitis (Sensitive nose)?

Frequent clear runny nose, blocked nose, sneezing and itchy eyes? Chances are your child is likely suffering from Rhinitis (sensitive nose) Rhinitis is inflammation of the nasal cavity. Majority of the time, Rhinitis is allergic when it is triggered by exposure to a substance known as allergen (most commonly House Dust Mites). Sometimes, Rhinitis is non-allergic and can be triggered by cigarette smoke, temperature changes, strong odors, hormonal changes and dietary factors.


Rhinitis is diagnosed based on a combination of clinical history, physical examination and occasionally in children, a flexbile nasoendoscopy. In some children, a skin prick test or blood tests may be performed to better understand the reason for the sensitive nose.


Majority of the time, Rhinitis can be treated medically with a combination of allergen or “trigger avoidance” (if possible), nasal steroid sprays (Figure 1) and antihistamines. In suitable children with Allergic Rhinitis, immunotherapy (often called “Allergy Shots”) to desensitize the patient to the allergen may be indicated. If your child continues to suffer from persistent or troublesome blocked nose despite maximal medical treatment, procedures to reduce the size of the inferior turbinate may be indicated (see section on “Inferior Turbinate Hypertrophy”)

When Should You See an ENT Specialist in Singapore?

  • Any ear, nose or throat symptoms that you are troubled with or concerned about
  • Persistent blocked nose with mouth breathing or snoring

Dr Gan provides a comprehensive management in a broad array of Ear, Nose and Throat as well as Head & Neck conditions. He has a special interest in treating various nose and sinus conditions including snoring and Obstructive Sleep Apnoea (OSA)

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