Gustatory Rhinitis: Why Your Nose Runs While Eating

Though it may be a bit embarrassing once I’m eating in public or within the firm of others, I by no means thought an excessive amount of about it. However recently, I’ve been pondering concerning the what and why behind my long-term nasal overactivity, together with if one thing extra critical may very well be at play.

Forward, Ashley Agan, MD, an otolaryngologist (aka ENT physician) with UT Southwestern Medical Middle, unpacks why your nostril could run once you eat and what you are able to do to cease it.

Gustatory rhinitis, the who-knew purpose your nostril runs whereas consuming

It seems that there’s a medical time period for a food-induced runny nostril: gustatory rhinitis. Based on Dr. Agan, the precise mechanism of why it happens stays unclear, however she shares the place the present consensus stands. “It’s hypothesized that stimulation of the trigeminal nerve causes a reflex resulting in parasympathetic activation, which causes the nostril to run,” she explains.

The biggest and most complicated of the 12 cranial nerves, the trigeminal nerve is accountable for facilitating sensations to the face, mucous membranes, and different components of the top. In different phrases, stimulating it could drive that inopportune post-nasal drip once you’re attempting to get pleasure from your meal in snot-free peace.

“Having different types of rhinitis, like allergic rhinitis, could make sufferers extra prone to expertise gustatory rhinitis.”
—Ashley Agan, MD, otolaryngologist (ENT physician) with UT Southwestern Medical Middle

Some individuals could also be extra susceptible to creating gustatory rhinitis than others. “Having different types of rhinitis, like allergic rhinitis, could make sufferers extra prone to expertise gustatory rhinitis,” Dr. Agan shares. Furthermore, she says that it’s extra generally seen in older adults. In the meantime, a 2010 review within the journal Rhinology provides that individuals can develop the non-immunological situation on account of cranial nerve dysfunction in addition to following sure surgical procedures and traumas.

Meals that trigger gustatory rhinitis

Particular meals and drinks are mostly related to gustatory rhinitis, so that you may need to intention to restrict your consumption if always looking for the closest serviette grows tiring. (Nonetheless, a 2008 study within the Annals of Allergy, Bronchial asthma & Immunology discovered that 65 p.c of individuals selected to not keep away from their causative meals, and practically half have been unbothered by their signs.)

“Sizzling or spicy meals are the most typical triggers,” says Dr. Agan. Per a 2021 review within the Journal of Medical Medication, the most typical dietary instigators include capsaicin, together with:

1. Sizzling chili and purple peppers
2. Cayenne
3. Tabasco sauce
4. Onions
5. Vinegar
6. Mustard

Sadly, these are all staples in my common rotation, and my nostril acts up even when I stick with colder and milder fare. What provides?

“It is a benign situation, however whether it is bothersome, it’s best to search recommendation from an otolaryngologist. Usually, it may be handled fairly simply with ipratropium bromide nasal spray. There may be additionally a process to deal with/ablate the posterior nasal nerve, which is efficient as nicely.”

Gustatory rhinitis remedy

Dr. Agan confirms that I’m not alone, as gustatory rhinitis has the power to rear its head when consuming or ingesting something. Although inconvenient, the silver lining is that it’s not a trigger for concern. “It is a benign situation, however whether it is bothersome, it’s best to search recommendation from an otolaryngologist,” she shares. “Usually, it may be handled fairly simply with ipratropium bromide nasal spray. There may be additionally a process to deal with/ablate the posterior nasal nerve, which is efficient as nicely.”

Each are good choices if you wish to cease the sniffle and defeat the drip for good when it’s time to eat. However within the meantime, maintain your tissues useful on the desk and don’t neglect to sanitize your arms post-use—particularly when you’re eating family-style and dealing with the identical condiments, drinks, and utensils.