Viral Rhinitis
Viral rhinitis, commonly known as the common cold, is an
upper respiratory tract infection primarily affecting the
nasal passages. It is one of the most frequent illnesses
worldwide, affecting people of all ages, particularly during
the colder months.
by Ravi Sah
Causes of Viral Rhinitis
1 Rhinoviruses
Responsible for the majority of cases.
2 Coronaviruses
Another frequent cause.
3 Other Viruses
Adenoviruses, respiratory syncytial virus (RSV), and
parainfluenza viruses are less commonly involved.
Transmission of Viral Rhinitis
Airborne Droplets Direct Contact
Spread through airborne droplets from Spread by direct contact with contaminated surfaces.
coughs and sneezes.
Symptoms of Viral Rhinitis
Nasal Congestion Stuffy or runny nose.
Sneezing Frequent sneezing is common.
Sore Throat Mild to moderate throat irritation.
Cough Often dry or slightly productive.
Headache Mild to moderate in severity.
Fatigue General feeling of tiredness
and malaise.
Low-grade Fever Especially in children.
Diagnosis of Viral Rhinitis
Clinical Diagnosis Additional Investigations
Diagnosis is primarily clinical, based on the Viral Culture or PCR Testing: To identify the
patient's symptoms and physical examination. specific virus, usually only done in severe
cases or during outbreaks.
Complete Blood Count (CBC): To differentiate
from bacterial infections if necessary.
Pharmacological Management of
Viral Rhinitis
Analgesics and Antipyretics
Acetaminophen or ibuprofen for pain and fever.
Decongestants
Oral (pseudoephedrine) or nasal (oxymetazoline) decongestants to relieve
nasal congestion.
Antihistamines
First-generation antihistamines (e.g., diphenhydramine) can reduce nasal symptoms.
Cough Suppressants and Expectorants
Dextromethorphan for dry cough and guaifenesin for productive cough.
Non-Pharmacological Management of
Viral Rhinitis
Hydration
Drinking plenty of fluids to stay hydrated.
Rest
Adequate rest to help the body recover.
Humidification
Using a humidifier to moisten dry air and soothe nasal passages.
Saline Nasal Sprays
Complications of Viral Rhinitis
1 Secondary Bacterial Infections
Sinusitis, otitis media, or bronchitis can develop.
2 Asthma Exacerbation
Viral rhinitis can trigger asthma attacks in
susceptible individuals.
3 Chronic Rhinitis
Prolonged symptoms, especially in individuals
with allergies.