How to treat allergic rhinitis?

Written by Deng Bang Yu
Otolaryngology
Updated on September 08, 2024
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Allergic rhinitis refers to a pathological reactive disease of the nasal cavity caused by an allergy to certain substances. The main clinical treatments for allergic rhinitis include the following points: First, it is essential to avoid contact with the allergens that cause allergic rhinitis as much as possible. Second, medication treatment is implemented, mainly antiallergic drugs such as loratadine and cetirizine. Additionally, local use of corticosteroid nasal sprays is used for treatment. Third, specific desensitization treatment can be carried out, mainly for mite allergies. Fourth, some surgical interventions can be performed, such as surgery to correct the nasal framework and turbinate reduction treatment for enlarged inferior turbinates, or corrective treatment for a deviated nasal septum. These treatments are auxiliary and help improve allergic rhinitis but are not direct treatments for the condition. (Medication usage should be based on specific circumstances and under the guidance of a doctor.)

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Written by Xu Qing Tian
Otolaryngology
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Does allergic rhinitis cause coughing?

Allergic rhinitis can cause symptoms of coughing, as the allergens that patients come into contact with lead to hypersensitivity in the upper airways, triggering bronchospasm. Thus, patients experience irritative coughing and related phenomena. For coughs caused by allergic rhinitis, the primary treatment involves the use of anti-allergy medications. In daily life, it is first necessary to avoid contact with allergens, and allergen testing can be conducted to identify the specific allergens affecting the patient. Additionally, during episodes of allergic rhinitis, patients should use antihistamines, leukotriene inhibitors, and steroid nasal sprays to control the episodes of allergic rhinitis and reduce the symptoms of coughing. (The use of medications should be under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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Do allergic rhinitis need to be treated?

Allergic rhinitis generally requires treatment, but it also needs to be combined with clinical symptoms and the degree of inflammatory response. If the symptoms of allergic rhinitis are not severe and the inflammatory response is very mild, this situation may consider avoiding contact with allergens and then regularly re-examining to observe changes in the condition. If the symptoms are relatively obvious, such as frequent itching in the nose, running clear nasal discharge, sneezing, and a more severe inflammatory response, it is indeed necessary to consider timely treatment. In terms of treatment, medication is the main method, such as using oral medications and nasal spray medications for anti-allergy treatment. A small number of patients may consider desensitization treatment or surgical treatment. However, most patients still focus on controlling and alleviating the condition, and it is difficult to cure completely. (Please use medication under the guidance of a professional physician)

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Written by Li Rui
Otolaryngology
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How to check for allergens in allergic rhinitis

Allergic rhinitis can be screened for allergens. Currently, allergy testing is mainly conducted through two methods. The first method is blood testing, and the second method is a skin prick test. Blood testing is more commonly used and typically involves various allergens, such as dust, pollen, pets, hair, and it could also be due to allergies to seafood or mold, plants. Both skin prick tests and blood tests can be used. If one method does not provide sufficiently clear results, both types of allergen tests can be performed simultaneously for a more accurate comparison.

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Written by Deng Bang Yu
Otolaryngology
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How to Diagnose Allergic Rhinitis

Allergic rhinitis is a common and frequently occurring disease clinically. The definite diagnosis of allergic rhinitis primarily relies on the following points: First, the medical history, such as a history of living in an allergenic environment or a family history, along with a past history of the condition. Second, the clinical manifestations of allergic rhinitis, such as rhinitis, paroxysmal sneezing, a large amount of clear watery nasal discharge, and upon nasal examination, the nasal mucosa appears pale and swollen with clear watery discharge present in the nasal cavity. Additionally, supportive examinations can reveal an increase in eosinophils or lymphocytes in the complete blood count, or the detection of allergens, and specific IgE tests, etc. With these medical histories, clinical symptom manifestations, and supportive examinations, allergic rhinitis can be definitively diagnosed.

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Written by Li Rui
Otolaryngology
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Allergic rhinitis should be seen in the department of otolaryngology.

It is recommended to see an otolaryngologist for allergic rhinitis, as it is a relatively common nasal disease. The clinical symptoms include an itchy nose, runny clear nasal discharge, and frequent sneezing. Regarding treatment, it mainly involves oral medications and nasal sprays, specifically targeted anti-allergy treatments, and allergen screening can also be conducted. In daily life, it is necessary to avoid contact with allergens as much as possible. For patients who are solely allergic to mites, desensitization treatments can be considered, which may effectively cure the condition in some patients, although individual differences exist.