Chronic rhinitis refers to the frequent occurrence of symptoms such as nasal itching, sneezing, watery nasal discharge, or nasal congestion in patients without a cold or flu, lasting or accumulating for more than 1 hour per day. The common types of chronic rhinitis include allergic rhinitis, local allergic rhinitis, eosinophilic non allergic rhinitis, and idiopathic rhinitis (vasomotor rhinitis). Senile rhinitis usually refers to elderly people suffering from rhinitis, rather than a specific type of rhinitis. As age increases, the symptoms of allergic rhinitis often alleviate. Many people who suffered from allergic rhinitis when they were young may naturally alleviate their symptoms in old age, or even recover without treatment. However, the symptoms of idiopathic rhinitis may worsen, with exposure to cold air, alternating heat and cold, irritating odors, spicy food, alcohol consumption, etc., all of which may lead to more pronounced nasal symptoms, especially increased runny nose. Allergic rhinitis can be diagnosed through allergen testing. Common allergens include dust mites, fungi, animal fur, grass pollen, and tree pollen. The commonly used detection methods include skin prick test and serum allergen specific IgE detection. The skin prick test is simple, fast, and cost-effective, but it may be influenced by subjective factors and carries a risk of allergic reactions, making it unsuitable for individuals with severe allergies. In addition, the skin reactivity of elderly people is reduced, and their sensitivity to stimuli is not as good as when they are young, which may lead to insufficient response in skin prick tests, resulting in inaccurate false negative results. Therefore, elderly patients can choose serum allergen specific IgE testing, which has the advantages of high accuracy, minimal interference from external factors, and is applicable to all patients. When elderly people suffer from chronic rhinitis, in addition to common symptoms such as nasal itching, sneezing, nasal congestion, and runny nose, other problems may also accompany them. The sense of smell in elderly people is already declining, and chronic rhinitis can further exacerbate the decline in sense of smell. Elderly patients with chronic rhinitis are prone to coughing and phlegm production, especially after waking up in the morning, which may be caused by nasal reflux. In addition, due to the weakened moisturizing and warming functions of the nasal mucosa, elderly people may also experience dryness, scabbing, pain, and occasional bloody nasal discharge. In daily life, patients with chronic rhinitis should pay attention to the following points: ensuring indoor air circulation, keeping the air fresh, and avoiding contact with known allergens; Pay attention to keeping warm and prevent colds; Regularly use physiological saline to clean the nasal cavity and keep it clean; Avoid overexertion and ensure adequate sleep; Quit smoking and limit alcohol consumption, reduce the intake of spicy and greasy foods; Exercise appropriately to improve physical fitness. The methods for treating chronic rhinitis generally include drug therapy, desensitization therapy, and surgical treatment. The commonly used drugs for treating chronic rhinitis include nasal corticosteroids, nasal sprays or oral antihistamines, leukotrienes, and cholinergic inhibitors. These drugs can have anti-inflammatory and anti-inflammatory effects, anti allergic effects, relieve nasal congestion, and reduce secretions, but they need to be used reasonably under the guidance of a doctor. Meanwhile, patients with chronic rhinitis should use nasal decongestants such as ephedrine, selezoline, and hydroxymetazoline with caution to avoid drug-induced rhinitis caused by long-term use. Desensitization therapy is a targeted treatment for allergic rhinitis. Although the treatment time is long, patients can alleviate symptoms, reduce or even discontinue other medications during the treatment period, and the effect can last for several years after treatment. If drug therapy or desensitization therapy is ineffective or accompanied by serious complications, patients may consider surgical treatment, such as correction of nasal septum deviation, partial inferior turbinate resection, and pterygoid nerve transection. (New Press) (The authors are the chief physician and deputy chief physician of the Department of Otolaryngology, Head and Neck Surgery at Tongji Hospital affiliated with Tongji Medical College, Huazhong University of Science and Technology)