Chronic Rhinitis Treatment

Chronic Rhinitis Treatment San Diego, CA | Silenso Clinic

Characterized by inflammation and swelling of the nose’s mucous membrane, the condition affects everyone at one point or another, as it happens when we get a common cold or mild allergic reaction. However, when rhinitis persists or becomes chronic, it can severely impact a patient’s quality of life daily.

Board-certified otolaryngologist and sleep medicine specialist Dr. Paul Schalch Lepe is an expert in treating chronic rhinitis. If you’re becoming alarmed, distressed, or frustrated by persistent nasal drip, sneezing, or a blocked nose, then you very well could be experiencing chronic rhinitis. To get treatment from one of the industry’s leading experts, call (619) 826-6909 or fill out Dr. Schalch Lepe’s consultation form today. 

What is Chronic Rhinitis?

Chronic rhinitis is recurring or persistent inflammation of the nose, characterized by three or more months of sinus inflammation.

Nasal inflammation is the body’s natural response to preventing harmful foreign bodies from entering the airway, and as such, is part of a healthy immune system.

What Causes Chronic Rhinitis?

You can develop the condition at any age and for a number of environmental or genetic reasons. You might get an infection that turns into chronic sinusitis, have growths in your sinuses, or have allergies that contribute to your condition. 

Man holding his sinuses

The main environmental factors that cause chronic rhinitis include:

  • Fine particles in the air
  • Frequency of respiratory infections and asthma
  • Pollen exposure

The most common genetic factor associated with chronic rhinitis is the HLA-DQ2*03 allele. This gene is responsible for reducing the harm that can be caused by an acute immune response.

If you have this allele, then you are less likely to develop chronic inflammation of the nose. The expression of this gene differs from person to person, which makes it difficult to pinpoint. Patients who lack this allele are more likely to develop chronic rhinitis.

What are the Symptoms of Chronic Rhinitis?

The symptoms of chronic rhinitis are similar to the symptoms of acute rhinitis, but they last for much longer and require ongoing care. Common symptoms of chronic rhinitis are:

  • Nasal congestion
  • Thick nasal discharge
  • Mucus drainage down the throat
  • Loss of smell and taste
  • Facial tenderness
  • Headaches
  • Ear pain
  • Throat soreness
  • Jaw soreness
  • Bad breath

Living with these symptoms for a long time with no relief can be very difficult. Silenso Clinic offers several advanced treatment options to improve your quality of life with chronic rhinitis.

How is Chronic Rhinitis Diagnosed?

Silenso Clinic provides imaging tests and in-office, minimally invasive procedures to diagnose and manage chronic sinusitis. Your provider might use in-office computed tomography (CT) scanning to view your sinuses in a noninvasive way. 

A physical examination of the nose can also reveal signs of inflammation, such as nasal polyps and enlarged blood vessels. One way to diagnose chronic rhinitis is by performing a nasal endoscopy, in which a thin endoscope with a camera is inserted into the nasal passages, allowing the doctor to examine the inside of your nose. Occasionally, allergy testing is also performed to rule out presence of environmental or perennial allergies.

If you’re experiencing returning and persistent symptoms, contact Dr. Schalch Lepe to arrange your consultation to get evaluated.

How Can Chronic Rhinitis be Treated?

The following treatments can effectively treat chronic rhinitis:


ClariFix uses localized freezing (cryotherapy) to freeze an inflamed area in the back of the nose. Using a specialized cooling probe, ClariFix treats patients who suffer from chronic rhinitis to relieve inflammation and pain caused by chronic rhinitis. In addition to being highly effective and convenient, the procedure is proven to be safe and is unlikely to cause side effects.

ClariFix is:

  • A safe procedure
  • Performed in the office
  • Conducted with topical and local anesthesia for patient comfort
  • Long lasting for most patients


RhinAer, a non-invasive treatment, is an excellent option for those who suffer from moderate to severe chronic rhinitis. RhinAer disrupts signals that cause you to feel the symptoms of chronic rhinitis. The RhinAer Stylus allows Dr. Schalch Lepe to address multiple locations, disrupting the posterior nasal nerve (PNN) that triggers rhinitis.

RhinAer offers:

  • A non-invasive solution
  • Better quality of life
  • A quick recovery with no downtime
  • Effective and long-lasting results

Valam® Laser

Laser treatments offer long-term benefits for rhinitis patients. The Valam diode laser presents a new, minimally invasive way to treat chronic rhinitis for patients who do not find relief from other forms of symptom management. Using a diode laser, Valam rhinitis treatments work by precisely resurfacing the areas causing symptoms to occur.

Laser chronic rhinitis treatments offer:

  • Minimal discomfort
  • Long-term effectiveness
  • Short operation time
  • Improvement in quality of life

After reviewing your concerns, symptoms, and images taken during your consultation, Dr. Schalch Lepe will recommend the treatment that he believes will work best for your situation.

Chronic Rhinitis Therapy in Carmel Valley, CA

Dr. Schalch Lepe is a leading breathing and allergy specialist. The complex and difficult to understand nature of chronic rhinitis means treatment needs a customized and open-minded approach from a genuine expert.

Dr. Schalch Lepe prides himself on his personalized approach to ensuring every patient of his is treated according to their circumstances. This is vital in finding an effective, long-term solution to chronic rhinitis and improving quality of life. Arrange your consultation today by calling (619) 826-6909 or filling out his online form. We are located in Carmel Valley and proudly serve patients coming from La Jolla, Carlsbad, Encinitas, Del Mar, Coronado, Eastlake, Chula Vista, Rancho Santa Fe, CA, and other areas of San Diego County.

portrait photo of Dr. Schalch Lepe

Better Breathing Starts Today

Specializing in the treatment of a variety of conditions (deviated septum, nasal obstruction, snoring, obstructive sleep apnea, etc.),  Dr. Schalch Lepe is highly qualified and motivated to provide his patients with the best possible treatment results. Dr. Schalch Lepe takes an in-depth, personalized approach with each patient to ensure they receive the best possible treatment for their situation.

Originally from Mexico City, Mexico, Dr. Schalch Lepe has the unique perspective of having trained in multiple countries. This experience has led him to be sought out by domestic and international patients, many of whom are Mexican ex-pats living throughout San Diego County and Southern California.

San Diego Chronic Rhinitis FAQs

If left untreated for long periods, your condition can cause structural changes in the nose. For example, inflammation around the nasal lining may cause a nasal polyp. This small, benign growth can lead to further complications if left untreated, such as cysts in the nasal cavity and sinusitis. You will also continue to experience the symptoms of rhinitis, leading to decreased quality of life.

While there is no definitive treatment for chronic rhinitis, some of the new technologies and procedures can effectively control symptoms such as nasal discharge, runny nose, congestion and postnasal drip, and decrease or eliminate the need for nasal sprays.

The good news is that many people experience improvement in symptoms for months to years following their procedures. It is also important to evaluate and manage concurrent problems, such as chronic rhinitis.