Pregnancy is a special and beautiful journey in a woman's life, but the dramatic fluctuations in hormone levels can trigger a series of bodily changes, one of which is pregnancy rhinitis, a common yet often overlooked problem. According to statistics, approximately 20%-30% of pregnant women experience symptoms such as nasal congestion, runny nose, and sneezing. These symptoms are highly similar to those of the common cold or allergic rhinitis, but require more careful management due to medication restrictions during pregnancy.
Four Core Symptoms of Pregnancy Rhinitis
Persistent Nasal Congestion: "Breathing Difficulty" Worsened at Night
Nasal congestion in pregnancy rhinitis is often bilateral and persistent, especially when lying down due to increased nasal congestion. This differs from the periodic nasal congestion of the common cold and is not accompanied by systemic symptoms such as fever and muscle aches. A 28-week pregnant mother once described, "Every night when I lie on my side, my lower nostril is completely blocked, forcing me to breathe through my mouth, which leads to dry mouth and even snoring."
Clear nasal discharge: The endless "nose-blowing marathon"
Estrogen-stimulated hypersecretion of the nasal mucosa causes a large amount of thin, clear discharge. Some pregnant women need to blow their noses every hour, which can damage the skin of the nasal vestibule in severe cases. It's important to distinguish this from allergic rhinitis: The nasal discharge of pregnancy rhinitis is usually clear and colorless, while allergies may be accompanied by systemic allergic reactions such as itchy eyes and rashes.
Continuous morning sneezing: A "sensitivity trigger" from cold air
Increased sensitivity of the nasal mucosa can cause pregnant women to experience sneezing paroxysms, sometimes 5-10 times in a row, when exposed to cold air, dust, or odors. This reaction is not related to allergens but rather to hormonal abnormalities in vasomotor function. 4. Decreased Sense of Smell: The Regret of Food Becoming "Tasteless"
Approximately 30% of pregnant women experience decreased olfactory sensitivity, which is associated with nasal airway obstruction and edema of the olfactory mucosa. When cooking, pay special attention to safety hazards such as gas leaks. It is recommended to install a gas alarm.
Scientific Diagnosis: Three Steps to Confirming Pregnancy Rhinitis
Symptom Checklist
Does the nasal congestion change with body position (e.g., worsens when lying flat)?
Is the nasal discharge clear and watery without an odor?
Are there no symptoms of infection such as fever or sore throat?
Did the symptoms begin in the second trimester and continue to worsen?
If all four items are met, pregnancy rhinitis is highly likely.
Assisted Medical Examination
Nasal Endoscopy: Directly observes the nasal mucosa for pale, edematous appearance and clear, thin discharge.
Serum IgE Test: To rule out allergic rhinitis (IgE levels are usually normal in pregnancy rhinitis).
Sinus CT: A low-dose scan can be performed during the second trimester to evaluate nasal structure, but it is not recommended unless necessary.
Key Differential Diagnosis Points
Differentiation from Colds: Colds have a short duration (7-10 days) and are accompanied by fever and sore throat; pregnancy rhinitis persists throughout pregnancy or up to 4 weeks after delivery.
Differentiation from Allergies: Allergies involve a clear history of exposure to allergens and may be accompanied by itchy eyes and rashes; pregnancy rhinitis is non-allergen-specific.
Non-Drug Relief Options
Nasal Irrigation: A Daily "Cleansing Ritual"
Recommended Product: DeepCozy Electric Nasal Irrigator
This smart nasal irrigator offers the following advantages:
Precise Pressure Control Technology: Uses micro-pulsed water flow to gently irrigate the nasal cavity, avoiding the excessive pressure and earaches associated with traditional irrigators.
360° Rotating Nozzle: Flexible adjustment angles accommodate different nostril structures, ensuring a deep clean.
Medical-Grade Material: Made of food-grade silicone, the nozzle avoids chemical irritation and is sterilizable at high temperatures.
Smart Memory: Automatically remembers the last used mode, eliminating the need for repeated settings.
Instructions:
Rinse each nasal cavity once daily, morning and evening, with 200ml of normal saline (isotonic or 3% hypertonic). Lean forward and breathe through your mouth to avoid coughing. Gently blow your nose after rinsing, avoiding excessive force.
Environmental Control: Create a "Rhinitis-Friendly" Home
Humidity Management: Use a humidifier to maintain indoor humidity at 50%-60%. Change the water and clean the water tank daily to prevent mold growth.
Allergen Isolation: Wash bedding weekly with 55°C water, cover pillows and mattresses with anti-mite covers, and avoid pets or flowers.
Air Purification: Choose an air purifier with a HEPA filter to filter out particles like pollen and dust mites. Open windows for ventilation for 15 minutes daily (avoid smog).
Physical Therapy: Simple, Effective, and Instant Relief
Warm Nasal Compress: Apply a 40°C hot towel to the bridge of the nose and frontal sinuses for 10 minutes, 2-3 times daily. This can promote blood circulation and relieve nasal congestion. Steam inhalation: Boil purified water and then cool it naturally to 60°C. Steam your face for 5 minutes, 20 cm from the water surface, taking care to avoid burns.
Nasal dilator patches: Apply to the outer nostrils before bed. The mechanical support expands the nasal airway area and improves nighttime breathing.
Coping calmly: A positive attitude towards pregnancy rhinitis
Although pregnancy rhinitis can be uncomfortable, most symptoms resolve on their own within 4 weeks after delivery. Expectant mothers can boost their coping skills by:
Keeping a symptom diary: Record the degree of nasal congestion, amount of nasal discharge, and triggers daily for your doctor's reference during follow-up appointments.
Joining a maternity community: Share experiences with other expectant mothers and gain psychological support.
Regular prenatal checkups: Provide timely feedback to your doctor about changes in nasal symptoms and adjust your care plan.
Pregnancy is a miracle of life, and pregnancy rhinitis is just a small part of this journey. With sound judgment, safe care, and a positive attitude, expectant mothers can navigate this challenging period smoothly and welcome a healthy baby.
