hello I'm dr. Nicholas Cohen and I'm
here to share with you a top 10 list of
tips for rhinitis in pregnancy tip
number one let's first know what
rhinitis in pregnancy is rhinitis just
means you have a stuffy nose or a runny
nose and this topic applies to women who
are pregnant who notice that they have a
stuffy or runny nose there are three
main causes of rhinitis or stuffy nose
in pregnancy the first main cause is
called pregnancy rhinitis it happens in
30% of normal pregnancies and usually
there's just nasal congestion by itself
and usually it resolves two weeks after
you deliver so the one type of runny
nose or stuffy nose in pregnancy is
called pregnancy rhinitis another main
type of rhinitis in pregnancy is called
allergic rhinitis usually women with
allergic rhinitis already had this
condition before they became pregnant
but occasionally women notice there are
allergic rhinitis for the first time in
pregnancy this is due to allergies and
often in addition to nasal congestion
runny nose women will have itchy nose
sneezing itching and irritated eyes so
the first two main causes of rhinitis in
pregnancy or pregnancy rhinitis and
allergic rhinitis the third major cause
is bacterial sinusitis this is an
infection with bacteria and you'll
notice in addition to the runny nose
tenderness or pressure over your sinuses
here your maxillary sinuses here your
frontal sinuses you'll have pain and
tenderness in these areas if you have
possibly possibly if you have bacterial
sinusitis women also tend to have a
fever this is the one of the one this is
the one condition of the three I've
mentioned where you must see a doctor
immediately if you're pregnant and you
sinus pressure in addition to a fever
you absolutely should see your doctor
immediately so the tip number one was
the three main causes of rhinitis
pregnancy rhinitis allergic rhinitis and
bacterial sinusitis tip number two and
the remaining tips are ways to prevent
and treat rhinitis in pregnancy tip
number two is don't smoke there are many
reasons not to smoke for the health of
yourself and for the health health of
your baby you should avoid smoking and
avoid exposure to secondhand smoke
during your pregnancy smoking will make
allergic rhinitis worse as well as
pregnancy rhinitis so and it will lead
to an increased risk of bacterial
sinusitis so for many reasons in
addition to reducing your risk of
rhinitis do not smoke or expose yourself
to smoke during pregnancy tip number
three regular exercise regular exercise
is recommended for all adults including
pregnant women it's recommended that you
exercise for 30 minutes preferably every
day of the week and exercise can just
mean walking at a brisk pace when you
are pregnant it is important that you do
not exercise to the point that you
become out of breath so the way to know
you're exercising is not too intense is
to see if you can carry on a
conversation at the peak of your
exercise you should always be able to
carry on a conversation during the peak
of your exercise when you're pregnant
you should never get to the point where
you have to take a breath to continuous
finishing a sentence tip number four is
to eliminate dust and animal oh by the
way the reason why exercise is effective
not only for your health is it causes
what's called a physiologic nasal
constriction which is basically reduces
the swelling of your nose if you have
pregnancy rhinitis tip number four
eliminate dust and animal dander so this
is a very helpful way of preventing and
treating allergic rhinitis dust mites
and animal dander are two main causes of
allergic rhinitis to eliminate dust
dander it's important to avoid living in
a place where there's carpeting
if you floors are much better because
it's a lot easier to clean dust off
floors if you are not able to avoid
living in an area with carpeting so if
you do have carpets it's important to
vacuum your carpets with a HEPA filter
at least once a week if you have floors
it's important to wash your floor's once
a week you should also clean all
surfaces in your house at least once a
week and you should wash in hot water
and on a hot dryer setting all of your
bedding every week these are helpful
tips for reducing dust in your house
another tip is to use a HEPA filter an
air filter in your house that will
remove many of the particles of dust if
you only can buy one air filter the best
place to have it is in your bedroom
where you spend most of your time in
your house an animal dander is another
thing to reduce during your to reduce
the risk of allergic rhinitis so if you
do have a pet it is preferable that your
pet stay outside tip number five is a
neti pot a neti pot is something you can
buy in the drugstore and it basically
uses normal saline which is just water
with some salt in it and it's a pot that
you use to wash out your nasal passages
you should do this once a day or as
often as needed and it's helpful for
both pregnancy rhinitis and allergic
rhinitis tip number six here are two
other treatments for pregnancy rhinitis
you can elevate the head of your bed
using blocks bricks or other objects
underneath the legs of your bed
to give your bed about a 30 to 45 degree
angle so your head is higher than your
feet this will help with the congestion
that occurs in pregnancy rhinitis
another tip is to purchase
over-the-counter adhesive strips which
are specifically designed to put on your
nose and to dilate your nasal passages
these are two effective ways of reducing
the swelling that occurs with pregnancy
rhinitis tip number seven
nasal chrome so nasal chrome is the
brand name for a chromel and sodium
nasal spray this is something you can
buy over-the-counter and it's
recommended because it's very safe in
pregnancy for patients with mild
symptoms of allergic rhinitis it can be
used in your nostrils as a spray up to
six times each day tip number eight
rhinock or aqua so ryan accord aqua is
the brand name of budesonide intranasal
spray which is a steroid spray that's
safe in pregnancy and is effective if
you have allergic rhinitis and your
symptoms are moderate or severe so again
the chromel and spray which is
over-the-counter is useful if you have
mild allergic rhinitis the riot court or
budesonide spray is by prescription only
it's also safe in pregnancy and it's
recommended if your symptoms are
moderate to severe it's recommended as a
32 microgram spray in each nostril one
spray each day tip number nine is an
oral antihistamine so an oral
antihistamine is not as effective as an
intranasal steroid but it could be used
and it might help some people it's
recommended for allergic rhinitis and
the two safest forms are loratadine ten
milligrams the brand name is clarity or
City reason ten milligrams a day the
brand name of citizen is zyrtec and tip
number ten is to believe in yourself
I presented 10 tips or 9 tips for
treating for identifying and treating
rhinitis and pregnancy they are knowing
how to identify rhinitis not smoking
engaging in regular exercise eliminating
dust and animal dander using a neti pot
for both allergic and pregnancy rhinitis
elevating the head of your bed or using
specially designed tapes for pregnancy
rhinitis using chromel and sodium spray
for allergic rhinitis if it's mild using
budesonide international spray for
moderate to severe symptoms and also
considering an oral antihistamine such
as claritin or zyrtec I hope these tips
have been helpful thank you very much
for listening and have a great day