Rhinitis is your body’s reaction to irritants and allergens, particularly in your nose.

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Rhinitis is a condition that causes inflammation in the nose and a triggered release of histamine in the body from airborne allergens. This trigger of histamine directly impacts the nose and eyes, creating the irritating sensation, we commonly refer to as "allergies.”

Common symptoms of rhinitis include sneezing, an itchy nose and itchy, watery eyes. If you have nasal discharge, this is usually a strong indication of rhinitis as well.

Rhinitis can often be a temporary condition, and resolves itself in a few days. However, for some people it can be a long term problem that causes discomfort and aggravation.

At our Del Rey MD locations in Southern California and Los Angeles, we have a number of specifically designed treatments available to patients who want relief and respite from the symptoms of rhinitis.

Why Would You Need Rhinitis Treatment?

Your nose produces mucus, a fluid which is normally thin and clear. It’s designed to stop dust and debris, as well as prevent allergens from reaching your lungs. Mucus can trap substances like pollen, bacteria, viruses and dust.

When your body and nose are functioning normally, mucus drains down your throat. You don’t even know it’s there most of the time because it’s thin and produced in small amounts.

However, when you have an allergic reaction or your nose becomes irritated, this mucus becomes thick and yellow, and may be produced in greater amounts, from the front and the back of your nose. The substances in the mucus can lead to irritation in the back of your throat and may cause coughing.

Candidates who are ideal for treatment for rhinitis typically have reactions to changes in the environment. Examples include pollen given off by trees, grass, and weeds, hormonal changes, medicines and overuse of topical nose sprays, smoke, and certain foods or spices.

In addition, there are a number of different types of rhinitis that patients can experience.

Typically, patients with acute rhinitis are having an allergic reaction or experiencing a viral illness, while patients experiencing allergic rhinitis have symptoms due to histamine being released in the body.

If you are experiencing itching, swelling, and fluid buildup in the lining of your nasal passages, sinuses, and eyelids, these are all indications you would be a good candidate for rhinitis treatment.

Other patients may experience seasonal allergic rhinitis; for example, hay fever. This type of rhinitis occurs in the spring and fall, when different pollen from trees, grasses and weeds are in the air.

Perennial allergic rhinitis is a result of allergens patients have a reaction to all year long. Dust mites, mold, animal dander and cockroach debris can cause perennial allergic rhinitis.

Non-allergic rhinitis is related to smoke, chemicals or other irritating environmental conditions.

At Del Rey MD, some of our patients experience rhinitis due to hormonal changes. Other patients have physical defects of the nose; for example, a deviated septum, which can cause non-allergic rhinitis. Medications and overuse of nasal sprays can also contribute to the condition.

Infectious rhinitis is considered to be the most common type of rhinitis, which is simply another way of referring to the common cold. A cold affects the mucus membranes of the nose and sinus cavities, causing an infection.

What Are the Treatments for Rhinitis?

While there is no surgical treatment for allergic or non-allergic rhinitis, at our Del Rey MD locations in Marina del Rey, Long Beach, Lancaster, and Bakersfield, we have a number of ways to treat the condition, which revolve around alleviating symptoms.

First, one of our team of top-reviewed ear, nose and throat specialists conducts a thorough examination to establish if the patient is displaying symptoms of rhinitis.

Medications known as antihistamines can help treat the underlying cause of allergic rhinitis. Over-the-counter medications, including saline nasal sprays, decongestants, corticosteroid nasal sprays and allergy shots may all provide relief. However, it may be decided that over-the-counter or prescribed medications cannot support the patient's recovery.

At Del Rey MD, when patients come to our practice, it is usually because they have not found relief by using medications. Our sinus specialist may recommend an in-office CT scan to ascertain if a procedure is necessary. Once you have been assessed, a decision can be made as to the right procedure to alleviate your symptoms.

Balloon Sinus Dilation

At Del Rey MD, 100% of our balloon sinus dilation procedures are performed in the office. Our team has a vast amount of experience, so patients typically get through the procedure with the least amount of pain and the quickest recovery time.

During a Balloon SinuplastyTM, or balloon sinus dilation, one of our Del Rey MD sinus specialists uses a nasal spray with an anesthetic agent to numb the nose. Cotton soaked in a topical agent is used to numb the nose and sinuses even further.

The sinus balloon is inserted into the nasal passage and slowly inflated to restructure the blocked sinuses, so sinus drainage can return to normal during the entirely pain-free procedure.

Our sinus specialist then deflates and removes the balloon. How long the procedure takes depends on your specific condition and anatomy. Typically, patients spend around one and a half to two hours at the practice for the entire treatment process. This allows time for pre-treatment preparation and post-treatment examination.

Usually, a patient leaves our office and returns to work or school the same day or the next. We believe our patients get a superior quality of care because we do the highest number of balloon sinus dilation procedures in the state of California.


In some cases, the best treatment plan to pursue is the ClariFix procedure, as it is viewed as a better solution to alleviating rhinitis symptoms. ClariFix is a clinically-proven, minimally invasive cryotherapy, or localized freezing, of the inflamed area in the nose.

Using a small probe, one of our team can target the posterior nasal nerve and freeze the area, which alleviates irritation in the nose. During the procedure, patients typically experience a little pressure and a cold sensation in the nose. The procedure takes around 10 minutes to administer, and it usually takes between two and six weeks post-treatment to see improvements.

Del Rey MD is one of the recognized practices in the state of California carrying out the ClariFix procedure to alleviate the symptoms of chronic and allergic rhinitis. Dr. Sigari was one of the first physicians to introduce the process in Southern California. As a result, he and his expert teams in Marina del Rey, Long Beach, Lancaster and Bakersfield, have a superior amount of experience with providing ClariFix as a successful solution to rhinitis issues, and have seen more patients as a result of their expertise.


At Del Rey MD we offer RhinAer as a procedure to ease the discomfort and severe symptoms of rhinitis. One of our ENT physicians applies local anesthesia to numb the inside of the nose so the treatment is as pain-free as possible.

One of our sinus specialists then inserts a small wand into the nostril. The process uses low-temperature radiofrequency (RF) energy. RhinAer can precisely target and calm overactive nerves, by emitting the frequency from the end of the wand. The procedure can assist in reducing the production and flow of unwanted mucus. Another benefit of the treatment is that RhinAer can shrink inflamed soft tissue which leads to relief in congestion.

RhinAer treatment can be done in a matter of minutes, with patients able to go back to their daily lives with very minimal downtime.

In a study1 on the effectiveness of RhinAer as a treatment for rhinitis, 96% of patients treated with the procedure reported an improvement in their rhinitis symptoms at six months, with symptoms improving on average by 61%.

Dr. Sigari and his team are top-reviewed rhinitis specialists. He and his staff regularly attend seminars and research courses to build in-depth knowledge on ear, nose and throat procedures.

1 https://aerinmedical.com/company-news/fda-clearance-nonsurgical-procedure-chronic-rhinitis/

What Are the Positive Outcomes of Treating Rhinitis?

Patients who have had their symptoms for rhinitis treated successfully frequently find they can once again enjoy outdoor activities such as exercising, and time with family and friends.

Patients say previous to having their condition managed, it was often incredibly uncomfortable to be outside as pollen and other irritants made their symptoms frustrating. After treatment, patients have the ability to breathe easily, and the freedom to choose exactly what they want to do, giving them a vastly improved quality of life.

Common Questions Associated with Rhinitis?

How do you know what type of rhinitis you have?

When you come for your first appointment at Del Rey MD, one of our sinus specialists will do an in-depth assessment of your condition to ascertain what type of rhinitis you are experiencing. Your treatment plan is then devised to suit your specific needs.

How long does it take to treat rhinitis?

Your individual course of treatment, whether it is prescribed medication, over-the-counter medication, or involves non-invasive surgery, will determine how long it will take for your treatment to take effect.

Is rhinitis viral or bacterial?

Acute rhinitis typically stems from viral infections, but it may also be a result of allergies, bacteria, or other causes. Chronic rhinitis usually occurs with chronic sinusitis.

Is rhinitis treatment covered by insurance?

Many health insurance companies now recognize the benefit of balloon sinus dilation, ClariFix, and RhinAer as necessary treatments for rhinitis and will cover the procedure when it is medically necessary. Since medical insurance plans are always changing, we recommend you contact your insurance provider to see if the procedure is covered or ask our office staff to assist you with this.

Schedule an Appointment with Del Rey MD, the Top Reviewed Rhinitis Specialist

If you have a recurring or persistent rhinitis problem, it is likely your condition can be treated. Dr. Sigari and his expert team of ear, nose and throat specialists at one of our Del Rey MD locations in Marina del Rey, Long Beach, Lancaster, or Bakersfield to discuss your options to see if you are suitable for treatment at your consultation.

Contact our practice in Marina del Rey, Long Beach, Lancaster or Bakersfield today to book an appointment.