Pregnancy runny nose and sneezing

Causes, Risks, Treatment, and More

Sneezing During Pregnancy: Causes, Risks, Treatment, and More

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Medically reviewed by Debra Rose Wilson, Ph. D., MSN, R.N., IBCLC, AHN-BC, CHT — By Corinne O'Keefe Osborn on December 1, 2017

Overview

There are many unknowns to pregnancy, so it’s normal to have a lot of questions. Things that used to seem harmless may now cause you anxiety, like sneezing. You may be more prone to sneezing during pregnancy, but rest assured that it:

isn’t harmful to you or your baby
isn’t a sign of a complication
cannot cause a miscarriage

Read on to learn more about sneezing and pregnancy.

Sneezing and pregnancy

Many women sneeze more than normal when they’re pregnant. Doctors call this pregnancy rhinitis. Pregnancy rhinitis is nasal congestion that begins at any point during pregnancy and resolves within two weeks of your baby’s birth. Symptoms include:

runny nose
stuffiness
sneezing

The cause is unknown, but is probably related to hormonal changes.

Allergies

Women with allergies may continue to experience allergy symptoms during pregnancy. This includes seasonal allergies (pollen, hay) and indoor allergies (pet dander, dust mites).

A recent study evaluated decades worth of data from the National Survey of Family Growth. The study found that allergies during pregnancy didn’t increase the risk of adverse birth outcomes, such as low birth weight or preterm birth.

Cold or flu

You might be sneezing because you have a cold or flu. During pregnancy, your immune system is compromised. Normally, your immune system is quick to respond to the harmful germs that cause sickness and disease. When you’re pregnant, however, your immune system is being careful not to mistake your growing baby for a harmful invader. That causes it to react more slowly to actual invaders, like the virus that causes cold symptoms. This means that you’re extra vulnerable to that nasty cold going around the office.

The common cold doesn’t pose any risk to you or your baby, but the flu can be dangerous. If you suspect a flu or a fever, contact your doctor right away.

Risks

Your body is built to keep your baby very safe. Sneezing cannot hurt your baby. Sneezing doesn’t pose any risks to your baby at any stage of a pregnancy. However, sneezing can be a symptom of an illness or disease, such as the flu or asthma.

When you have the flu, so does your baby. When you’re having difficulty breathing, the baby isn’t getting needed oxygen either. Talk to your doctor if you have either the flu or asthma, as there are considerations they may take for pregnancy to ensure good birth outcomes.

Some pregnant women experience a sharp pain radiating around their belly when they sneeze. This can be painful, but it isn’t dangerous. As the uterus grows, the ligaments that attach it to the side of the abdomen are stretched. Doctors call this round ligament pain. Sneezing and coughing can put more pressure on the ligament, causing a stabbing pain.

How to manage sneezing during pregnancy

Anything that you ingest when you’re pregnant can be passed along to your baby. This means you must be careful about what you put in your body, especially when it comes to medication. Some pain relievers, antihistamines, and allergy medications are safe to use during pregnancy. Talk to your doctor about your options.

You may also want to try:

A neti pot. Use a neti pot to clear out your sinuses with a saline solution or distilled water.
A humidifier. Use a humidifier at night to prevent dry air from irritating your nasal passages.
An air purifier. You may be allergic to something in your home or office, like mold or dust. An air purifier can help with this.
A saline nasal spray. Use a saline nasal spray to clear out the sinuses.
Avoiding triggers. If you’re triggered by seasonal allergies or pet dander, change your clothes when you come home and take a shower.
Getting a flu shot. It’s safe and advisable to get a flu shot when you’re pregnant. Try to do it by November so that you’re protected before flu season is in full swing.
Assuming the position. If you have abdominal pain when you sneeze, try holding your belly or lying on your side in the fetal position.
Managing your asthma. If you have asthma, make a plan with your doctor and follow it carefully.
Exercising. Regular, pregnancy-safe exercise will keep you healthy and boost your immune system.
Wearing a pad. If sneezing causes you to expel urine, an absorbent pad can help reduce wetness and prevent embarrassment.
Using a pregnancy belt. A pregnancy belt may help reduce sneeze-related abdominal pain.
Vitamin C-rich foods. Eating foods rich in vitamin C, like oranges, may help naturally boost your immune system.

Seeking help

Sneezing is rarely anything to worry about. If you have asthma, talk to your doctor about which medications are safe to use during pregnancy.

Seek help immediately if you have any of the following symptoms:

difficulty breathing
a fever over 100°F (37.8°C)
trouble keeping down fluids
an inability to eat or sleep
chest pain or wheezing
coughing up green or yellow mucus

Takeaway

Many women sneeze more often during pregnancy. It’s quite common. Your baby is very well protected and won’t be harmed by a sneeze.

If you do have a cold, the flu, asthma, or allergies, speak with your doctor about treatments that are safe during pregnancy.

Last medically reviewed on December 1, 2017

Parenthood
Pregnancy
Pregnancy Health

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Bonham CA, et al. (2017). Asthma outcomes and management during pregnancy. DOI:
10.1016/j.chest.2017.08.029
Dzieciolowska-Baran E, et al. (2013). Rhinitis as a cause of respiratory disorders during pregnancy. DOI:
10.1007/978-94-007-4546-9_27
Erebara A, et al. (2008). Treating the common cold during pregnancy.
ncbi.nlm.nih.gov/pmc/articles/PMC2377219/
Friebe-Hoffmann U, et al. (2017). Pregnancy rhinitis — an update. DOI:
10.1055/s-0042-110325
Influenza (flu) and pregnancy. (2017).
marchofdimes.org/complications/influenza-and-pregnancy.aspx
Turkeltaub PC, et al. (2017). The influence of asthma and/or hay fever on pregnancy: Data from the 1995 national survey of family growth. DOI:
10.1016/j.jaip.2017.03.036

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Dec 1, 2017

Written By

Corinne Osborn

Edited By

Nizam Khan (TechSpace)

Medically Reviewed By

Debra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, CHT

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Medically reviewed by Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT — By Corinne O'Keefe Osborn on December 1, 2017

Pregnancy rhinitis | Pregnancy Birth and Baby

Pregnancy rhinitis | Pregnancy Birth and Baby beginning of content

5-minute read

Listen

If you have unexplained breathing problems, see your doctor as soon as possible. If your breathing problems are very bad and come on quickly, call triple zero (000) for an ambulance.

What is pregnancy rhinitis?

Pregnancy rhinitis usually involves a stuffy nose, itchy eyes, and post-nasal drip. These symptoms seem to come out of nowhere during pregnancy. While it's not a life-threatening medical condition, pregnancy rhinitis can be bothersome. There are things you can do to find some relief.

What are the symptoms pregnancy rhinitis?

Symptoms of pregnancy rhinitis are like those of allergic rhinitis (hay fever). These include:

a runny or congested nose
sneezing
itchy eyes
watery eyes

While it might feel like you are getting a cold, pregnancy rhinitis is not associated with bacterial or viral infection. This means it is not contagious.

CHECK YOUR SYMPTOMS — If you are feeling unwell and not sure what to do next, check your symptoms using the healthdirect Symptom Checker tool.

What causes pregnancy rhinitis?

Rhinitis is an inflammation of the lining of your nose.

People who are affected by allergies may also experience similar symptoms during pregnancy. In these circumstances, symptoms are triggered by one or more allergens. These allergens may be seasonal, such as:

pollens
fungi
moulds

Or they can be perennial (year-round) such as:

dust mites
pets
cockroaches

Rhinitis in pregnancy may also have a non-allergic origin. It's not known exactly why rhinitis occurs more frequently in pregnancy. Some research suggests that factors such as hormones increase the likelihood of rhinitis during pregnancy.

Smoking is also associated with pregnancy rhinitis. It's never too late for future parents to quit smoking.

How is pregnancy rhinitis diagnosed?

Pregnancy rhinitis should be distinguished from other conditions such as infections. Your doctor can do this during a routine visit.

You may have a breathing problem if:

you feel you can't get enough air through both your nose and mouth
you are breathless
you feel like you're being suffocated
your chest feels very tight
you are needing more of your usual asthma or lung medications

If you have unexplained breathing problems, see your doctor as soon as possible. If your breathing problems are very bad and come on quickly, call triple zero (000) for an ambulance.

FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.

How long will my symptoms last?

While pregnancy rhinitis can occur at any time during your pregnancy, it is most common during the first trimester.

Symptoms may last for at least 6 weeks. The good news is they usually disappear within 2 weeks of your baby's birth.

How is pregnancy rhinitis treated?

Your pregnancy rhinitis may be triggered by a known allergen. If this is the case, you can try and avoid or limit your exposure to the allergen.

Nasal irrigation is a drug-free technique to clear out air-borne allergens and mucus from blocked nostrils.

Using salt water (saline) nasal sprays can provide relief and is a good solution during pregnancy.

Persistent symptoms are managed individually. If you have itchy-watery eyes, there are certain eye drops that are approved for use during pregnancy. Similarly, specific medicated nasal sprays and antihistamines can be used.

However, always check with your doctor or pharmacist before taking any medicine while pregnant.

Is there an impact on my unborn baby?

There are insufficient studies to fully understand the impact of pregnancy rhinitis on the growth and development of unborn babies.

However, any condition that reduces your quality of life has the potential to affect your baby. This includes the quality of your sleep during pregnancy.

If you are concerned about your sleep or breathing during pregnancy, speak to your doctor. They can help you find the best way to clear your breathing passages and improve your sleep.

Speak to a maternal child health nurse

Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.

Sources:

Auris Nasus Larynx (Medical Management of rhinitis in pregnancy), American Journal of Rhinology & Allergy (Redefining Pregnancy-induced Rhinitis), International Journal of Chemistry, Mathematics and Physics (Chronic Rhinosinusitis and Its Impact on Pregnancy), South Eastern Sydney Local health District/The Royal Hospital for Women (Hay Fever in Pregnancy and Breastfeeding), The Royal Women’s Hospital (Medicines in Pregnancy), Australasian Society of Clinical Immunology and Allergy (ASCIA) (Allergic Rhinitis Clinical Update)

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: July 2022

Medicines during pregnancy
Cold and flu during pregnancy and breastfeeding
Allergies: controlling your environment
Airborne allergies
Allergies and hay fever during pregnancy

Need more information?

Allergic rhinitis - symptoms, causes and treatment - MyDr.

com.au

Rhinitis means inflammation of the lining of the nose. Allergic rhinitis means that this inflammation is caused by an allergy.

Allergic rhinitis (hay fever)? - Australasian Society of Clinical Immunology and Allergy (ASCIA)

Allergic rhinitis (commonly known as hay fever) affects around 18% of people in Australia and New Zealand. It can affect children and adults.

Allergic Rhinitis (hayfever) - Allergy & Anaphylaxis Australia

Allergic rhinitis (hay fever) is one of the most common allergic conditions affecting 1 in 5 people in Australia. It is caused by the body’s immune system reacting to common allergens in the environment such as pollen, house dust mite, moulds and animal danders (skin cells and fur).

Hay Fever (Allergic Rhinitis) - Australasian Society of Clinical Immunology and Allergy (ASCIA)

The Australasian Society of Clinical Immunology and Allergy (ASCIA) is the peak professional body of clinical immunology and allergy in Australia and New Zealand. ASCIA promotes and advances the study and knowledge of immune and allergic diseases, including asthma.

Immunotherapy for Allergic Rhinitis (Hay Fever) - Allergy & Anaphylaxis Australia

Allergen Immunotherapy (AIT) has been used for over 100 years and is a proven treatment providing long-term relief for hay fever. The aim of AIT is to help people react less to their trigger allergen/s that cause symptoms (such as grass pollen/house dust mite). This means having no/less symptoms and a better quality of life.

Pollen - a trigger for hay fever - National Asthma Council Australia

Plant pollen is well known as a trigger for seasonal allergic rhinitis (hay fever) and seasonal allergic conjunctivitis.

Hay Fever & Asthma | Hay Fever-related Asthma Causes & Symptoms - Asthma Australia

Hay fever is a common allergy, also known as allergic rhinitis, that can also trigger asthma flare-ups. Learn more about hay fever-related asthma & symptoms here.

Other Allergic Conditions - Allergy & Anaphylaxis Australia

Other Allergic Conditions included: Urticaria (Hives), Eczema (Atopic Dermatitis), Allergic Conjunctivitis, Allergic Rhinitis (hayfever), Sinusitis

Thunderstorm asthma - Australasian Society of Clinical Immunology and Allergy (ASCIA)

It seems reasonable to think that rain would relieve allergic rhinitis (hay fever) and asthma triggered by pollen, by washing pollen out of the air. However, rain from some thunderstorms can make some people's symptoms worse. Epidemics of thunderstorm asthma in Australia have occurred in Melbourne and Wagga Wagga.

Allergy Treatments - Australasian Society of Clinical Immunology and Allergy (ASCIA)

The Australasian Society of Clinical Immunology and Allergy (ASCIA) is the peak professional body of clinical immunology and allergy in Australia and New Zealand. ASCIA promotes and advances the study and knowledge of immune and allergic diseases, including asthma.

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Pregnancy rhinitis - why does it occur and how to treat it?
Rhinitis of pregnant women is not dangerous, but worsens the quality of life of a woman during pregnancy.

Article rating

3.20 (Votes: 45)

Contents

How long does pregnancy rhinitis occur and how long does it last? nine0004
Symptoms of pregnancy rhinitis

Causes of pregnancy rhinitis

How to distinguish the symptoms of rhinitis during pregnancy from other pathologies?

Treatment of rhinitis of pregnant women

General recommendations for pregnant women who have symptoms of rhinitis

Drugs for the treatment of rhinitis

Rhinitis of pregnancy (nasal obstruction) is a common pathology that occurs in about 30% of expectant mothers. Manifested by a typical triad of symptoms: nasal congestion, difficulty breathing, the presence of mucous secretions. By itself, it is not dangerous, but worsens the quality of life of a woman during pregnancy. The difficulty of stopping the pathology and relieving symptoms lies in the fact that during pregnancy there are restrictions on the use of a number of physiotherapeutic methods and drugs. nine0007
When does pregnancy rhinitis occur and how long does it last?

Most often, pathology occurs:

up to and including the 20th week of pregnancy - in this case, rhinitis usually resolves on its own (after about a month or two) and does not manifest itself in the later stages;

after the 20th week of pregnancy - this condition can continue until childbirth and after them (after 2-3 weeks).

If the symptoms last longer than two months and are not relieved by any independent action (vasoconstrictor sprays are prohibited!), then the cause may be hiding in a chronic disease. nine0007
Symptoms of pregnancy rhinitis

Difficult nasal breathing, nasal congestion;

Nasal discomfort, sneezing;

Presence of clear mucous discharge;

Feeling of constriction in the region of the nose and sinuses;

Mild headaches.

Difficulty in nasal breathing in the mother leads to sleep disturbance and hypoxia, which is also felt by the fetus.

Causes of pregnancy rhinitis nine0034
The pathogenesis of the disease is still a controversial issue. Most doctors are inclined to believe that it is of a hormonal nature and is associated with an increased level of estrogen and acetylcholine in the blood serum (as a result), which leads to hyperemia of the nasal mucosa and swelling. The concentration of estradiol, estrone, estriol in the bloodstream of pregnant women increases, in some future mothers, for this reason, the shape of the nose may change, it may increase in size.

There is evidence that pregnant women with symptoms of vasomotor rhinitis have elevated serum placental hormone levels. Another reason that can cause long-term nasal obstruction is the tone of smooth muscle cells under the influence of the inhibitory action of the steroid hormone progesterone. It causes fluid retention in the body and has such a side effect on the nasal mucosa. nine0007
Histochemical studies have shown that nasal congestion may occur due to plethora due to hyperactivity of the parasympathetic nervous system in pregnant women.

How to distinguish the symptoms of pregnancy rhinitis from other pathologies?

Symptoms of rhinitis during pregnancy are really similar to manifestations of other diseases, for example, viral infections, sinusitis. It is difficult for a future mother to distinguish a pathology by external signs, therefore a doctor's consultation is necessary. Our clinic employs specialists with extensive experience who will quickly diagnose and prescribe treatment. nine0007
If the symptoms are accompanied by a sore throat, fever, then this indicates the presence of a bacterial and/or viral infection or other inflammatory process.

With sinusitis, mucous discharge may have a yellowish or greenish tinge. When pressing in the area of the maxillary and frontal sinuses, there are painful sensations, when the head is tilted, the pain may intensify. Also, sinusitis often causes an increase in temperature, while with nasal obstruction, such symptoms are not observed. nine0007
Sometimes rhinitis of pregnancy is confused with allergic rhinitis, which may worsen, there may be sensitization to allergens to which patients have not previously reported sensitivity.

Treatment of pregnancy rhinitis

In our clinic, a thorough diagnosis is carried out in order to exclude diseases similar to rhinitis in terms of symptoms. After the examination, individual treatment is prescribed depending on the severity, severity and indications.

Treatment is complicated by the fact that many drugs can cause contraction of the myometrium and fetal circulation or vasoconstriction with impaired placental function. Therefore, a doctor should prescribe drug therapy; you cannot use drugs on your own - they can cause a violation of the development of the fetus. nine0007
General advice for pregnant women with symptoms of rhinitis

Washing the nose with mild saline solution (2 teaspoons of sea salt per glass of water). Salt solution improves the discharge of nasal mucus and reduces the feeling of congestion.

Nasal douches (nose washers) are very helpful. You can use regular saline for them.

Ventilate the room before going to bed, use humidifiers. Dry air can exacerbate unpleasant symptoms. nine0004
Use a high pillow (or multiple pillows) to sleep with your head well above your torso.

Walking in the fresh air before going to bed is useful.

Do morning exercises and breathing exercises several times a day to reduce the symptoms of hypoxia.

Do not wear perfume and stay away from smokers.

Do not use vasoconstrictor nasal drops during pregnancy as they may cause vasomotor rhinitis. nine0007
Preparations for the treatment of rhinitis

Preparations for use during pregnancy are selected with great care and individually. Pregnant women are not given oral systemic corticosteroids, although their effect on the fetus is not fully understood. In some cases, the doctor prescribes corticosteroids in the form of aerosols. Oral antihistamines are also not prescribed due to the increased risk of embryopathies. The choice of physiotherapy is also limited, because most methods negatively affect the development of the fetus. nine0007
If you suffer from rhinitis, headaches or other unpleasant symptoms, we advise you to see a doctor immediately. Timely treatment is the key to the quality of life of the mother, which is very important for bearing the fetus. And also allows you not to miss other more serious diseases that can adversely affect the health of the mother and child.

Important! Do not use drugs that were prescribed to you by a doctor before pregnancy, or drugs prescribed to someone else. nine0007
Rhinitis during pregnancy usually does not pose a threat to either the fetus or the mother, but improper treatment can lead to unpredictable consequences.

Seeing a doctor early can help keep you healthy.
Don't delay treatment, call now. We work around the clock in Moscow.

tel.: 8 (499) 501-15-53 (24 hours)

Rhinitis in pregnancy

Otorhinolaryngologist, surgeon at GMS Clinic Oleg Abramov talks in his article about rhinitis of pregnancy (hereinafter referred to as RH). nine0007

It was no coincidence that I chose this topic after a series of publications on the social network about allergic rhinitis (hereinafter referred to as AR), as recent studies note that although the cause of RB is not completely clear, the combination of AR, which is especially poorly controlled together with RB, can lead to severe nasal congestion, to insufficient oxygen supply, and, as a result, to increased fatigue, irritability, frequent SARS, sleep disturbance, which can certainly affect the development of the fetus. Moreover, the presence of AR is associated with snoring in women during pregnancy, and together they can provoke the development of sleep apnea syndrome (stopping breathing during sleep), which leads to arterial hypertension, preeclampsia, slowed fetal growth and low Apgar scores. Therefore, the relevance of this problem is only growing. nine0007
Definition and concept

Rhinitis of pregnancy is a disease accompanied by nasal congestion and discharge, periodic sneezing without signs of inflammation, allergies, or other causes. This condition can occur in any trimester of pregnancy and usually resolves within two weeks after delivery.

Occurrence

Nasal congestion is a very common problem during pregnancy (occurs in about 65% of cases), which can occur due to various reasons. RB, according to various sources, occurs in 9-40% of cases, and in one of the last observations there is an increasing incidence, that is, most of all RB is observed in the 3rd trimester - 38. 9%, including those who did not have problems in the 1st and 2nd trimesters.

Causes and mechanism of occurrence

The mechanism of occurrence is not fully understood, and it is believed that RB occurs due to hormonal changes, in particular, under the influence of progesterone, estrogen, hCG and other hormones, the concentration of which gradually increases during pregnancy. Some authors believe that the occurrence of RB is associated with the worsening of concomitant AR. Some studies show that hormonal action leads to relaxation of the smooth muscles that make up the vessel wall of the nasal mucosa, resulting in nasal congestion. Such findings are supported by other studies that show that oral contraceptives cause similar effects in the nasal cavity (but not in everyone). Other studies show that elevated body mass index, overweight, multiple pregnancies provoke or aggravate RB. nine0007
Progression and potential risks

RB, in the absence of adequate treatment, has an adverse effect on the course of pregnancy and can lead to the development of rhinosinusitis, which is especially difficult to tolerate in the 3rd trimester. On the other hand, pregnancy is a special period in a woman's life, during which a large number of drugs are prohibited, and ENT pathologies, these restrictions have not been spared either. Very often I hear at the reception: "Doctor, I'm pregnant and I've been suffering with my nose all this time, but the doctors tell me - there's nothing to be done, I need to endure it." On the other hand, the opposite situation is often observed: “Doctor, I am pregnant and I cannot live without vasoconstrictor drops.” These situations, of course, are not correct, since on the one hand there is a way out and optimal treatment, and on the other hand, constant exposure to vasoconstrictor drugs is not a way out of the situation at all. nine0007

Diagnostics

At the moment, there is no specific test to confirm or exclude RB. The diagnosis is made on the basis of the patient's complaints and the exclusion of other pathologies of the nasal cavity.

Choice of therapeutic tactics

Saline solutions

Before considering more serious medications, we should start with our favorite saline solutions. It should be noted that we are not talking about ordinary saline solutions, but hypertonic saline solutions (with an increased salt content, approximately 19-23 g/l). Such sprays are sold in all pharmacies, but they will not be sold to you right away (you need to ask). Several studies have noted significant efficacy in reducing congestion when used in AR, chronic rhinosinusitis. Also, comparative studies show their greater effectiveness compared to conventional isotonic solutions. Examples: Physiomer - hypertonic solution (my favorite), Aqualor-congestion, or Aqualor-severe runny nose, Aquamaris Strong.
nine0033 Doctor, not helping...
As is known from past publications, intranasal glucocorticosteroids (iGCS) are the most effective in the treatment of AR today. They have proven efficacy in reducing nasal congestion, as well as nasal itching and watery eyes, and allow adequate control of symptoms. But, given their hormonal effect and possible harmful effects on the fetus, there are certain risks in their use. It should also be noted that at the moment there are no studies that provide reliable data confirming the danger of their use. Modern ICS — mometasone (nasonex, desrinit) and fluticasone (avamys, flixonase) has a very low systemic bioavailability, less than 1% and proven efficacy, thus can be considered as initial therapy for RB. The studies did not reveal a statistically significant relationship between the development of fetal defects and the use of these drugs. nine0007
Who are the FDA in the US and why is everyone listening to them?

Everything is very simple (it’s a pity that everything is not so simple with us). I copy the explanation from Wikipedia: “An agency of the US Department of Health and Human Services, one of the federal executive departments. The department is engaged in quality control of food products, medicines, cosmetics, tobacco products and some other categories of goods, and also monitors compliance with legislation and standards in this area. nine0007
Budesonide (Tafen Nasal) is classified as category B according to the FDA's classification for drug effects on the fetus, which means that there is evidence that the drug is safe to use during pregnancy. The bioavailability of budesonide is 33%. This drug has moved from group C to group B, thanks to several high-quality studies in Sweden since the beginning of the 21st century, proving its safety.

Also, according to the current recommendations of the American Academy of Allergology and Immunology (AAAAI), ICS are considered safe and effective in the treatment of rhinitis and rhinosinusitis during pregnancy. But at the same time, there is no indication of specific drugs. Other competent medical associations also do not give any recommendations in terms of choosing a drug. Therefore, summing up all of the above, and also according to the latest review, mometasone, fluticasone, budesonide can be considered as safe and effective agents in the treatment of RB. It should also be noted that an experienced ENT doctor should be involved in prescribing the drug and managing the patient, since these drugs are sold without a prescription in the Russian Federation; we strongly recommend not to self-medicate. nine0007

Yes, I will not take these hormones!

In some situations, acute respiratory viral infections during pregnancy may be accompanied (largely due to concomitant RB or AR, or their combination) with a prolonged runny nose, nasal congestion and heaviness in the face - classic symptoms of rhinosinusitis. This disease, if not adequately treated, can lead to serious complications, so the correct diagnosis of this disease is extremely important. Antibiotics of the penicillin series are classified as category B according to the FDA and can be used in the treatment (ORS). If you are allergic to penicillins, some cephalosporins or lincosamides (Clindamycin) may also be used. All of them belong to categories A and B. ICS are included in the treatment standards for acute rhinosinusitis (more details in the next publications) and can provide recovery in combination with saline solutions without antibiotics.
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