Runny Nose (Rhinorrhea): Or something else? Differential Diagnosis

Respiratory System (J00-J99)

  • Allergic rhinitis (hay fever).
  • Common cold (common cold)
  • Endocrine rhinitis – for example, during hormonal changes in pregnancy or when taking hormonal drugs during menopause.
  • Hyperreflective rhinitis – triggered by disturbed function of the autonomic nervous system.
  • Idiopathic rhinitis – rhinitis with unknown cause.
  • Upper respiratory tract infection
  • Polyps – mucosal growths of the nasopharynx.
  • Postinfectious rhinitis – after viral or bacterial infections.
  • Rhinitis atrophicans – inflammation due to the destruction of the mucosa after surgery or injury.
  • Rhinitis in rhinoliths – rhinitis in nasal stones.
  • Rhinitis medicamentosa – see under medications.
  • Rhinitis sicca anterior – inflammation in the anterior portion of the nose.
  • Serous rhinorrhea of the elderly
  • Toxic-irritant rhinitis – triggered by chemicals such as chlorine or cigarette smoke.
  • Nonspecific granulomatous rhinitis – rhinitis with nodules due to inflammation.
  • Sinusitis (inflammation of the paranasal sinuses).

Blood, blood-forming organs – immune system (D50-D90).

Skin and subcutaneous (L00-L99).

  • Impetigo (pustular lichen, moist grind).
  • Syphilis (lues) – sexually transmitted infectious disease.
  • Tropical diseases – such as leprosy or leishmaniasis.
  • Tuberculosis (consumption)

Infectious and parasitic diseases (A00-B99).

  • Herpes simplex (→ infected nasal mucosal lesions).
  • Infection with the bacterium Corynebacterium diphtheriae.

Neoplasms – tumor diseases (C00-D48).

  • Malignant neoplasms of the nose, unspecified (e.g., rhinitis associated with tumors of the nasal cavity).

Psyche – nervous system (F00-F99; G00-G99).

  • Cluster headache – trigeminal autonomic headache; pain occurs in attacks and is unilateral and severe; usually localized behind the eye
  • Cocaine abuse (cocaine addiction).

Injuries, poisonings, and other consequences of external causes (S00-T98).

  • Barotrauma – condition occurring primarily in divers due to rapid changes in air pressure.
  • Chemical irritation caused by smoke or exhaust fumes.
  • Head injuries with rhinoliquorroe (cerebrospinal rhinorrhea) – CSF (nerve fluid) discharge from the nose (e.g., cerebrospinal fluid fistula)

Other causes

  • Foreign body (in infants/children).
  • Gustatory rhinorrhea – occurrence of a watery runny nose after eating.

Medication

Environmental stresses – intoxications (poisonings).

  • Chemical irritation caused by smoke or exhaust fumes.