Non-allergic rhinitis

Case history

A 45-year-old male presents with chronic postnasal drainage, cough, and nasal congestion that began approximately 2 years ago but has been getting progressively worse over the past few months. He snores, which results in sore throats in the morning. He experiences pressure over his forehead and behind his eyes along with ear plugging and popping. His symptoms are aggravated by strong odors such as perfumes/fragrances and tobacco smoke in addition to weather changes. He is not bothered by cats, dogs, fresh-cut grass, or dust. He never had these symptoms as a child and has no family history of allergies. These symptoms interfere with his work, as he has to make presentations to clients and is concerned that the constant clearing of his throat is diminishing his effectiveness.