Manifestations of Allergic Rhinitis

Written by Deng Bang Yu
Otolaryngology
Updated on September 03, 2024
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Allergic rhinitis is a type of hypersensitivity disease, with clinical symptoms primarily presented in the nasal cavity. Its main manifestations are nasal congestion, nasal itching, abundant clear nasal discharge, continuous paroxysmal sneezing, and reduced sense of smell. If the allergies in allergic rhinitis are not effectively controlled, the allergic symptoms may progress downward, potentially leading to allergic pharyngitis, characterized by an itchy throat, dry cough, and hoarse voice. If it continues to develop further, it can lead to allergic asthma. This is clinically referred to as "one airway, one disease." Therefore, it is crucial to actively intervene and provide appropriate treatment for allergic rhinitis.

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Written by Zhang Jun
Otolaryngology
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How to deal with allergic rhinitis?

Allergic rhinitis occurs due to reduced immunity and resistance when the nasal cavity inhales relevant allergens. Allergens may include dust, pollen, mites, and the direct stimulation of cold and warm air, leading to symptoms in patients such as bilateral nasal congestion, paroxysmal sneezing and nasal discharge after waking. Upon examination, bilateral pale, swollen inferior turbinates can be found, and the prick test is positive. In terms of treatment, patients first need to visit a hospital to check for allergens and identify the substances they are allergic to, while also avoiding these allergens as much as possible and wearing masks. During the acute phase, patients also need to take some anti-allergy medications orally. When the patient moves past the acute phase and enters the remission phase, it is necessary to exercise to enhance their immunity and resistance, which gradually leads to the recovery from allergic rhinitis. (The use of medication should be under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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How to treat allergic rhinitis?

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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Causes of Mite Allergic Rhinitis

Allergic rhinitis caused by mites is a common ailment in daily life, often occurring in southern regions, with over 90% being allergic to dust mites. Allergens can be identified through allergen tests. Patients with allergic rhinitis often experience a series of symptoms such as nasal itchiness, runny nose, and sneezing. After confirming an allergy to dust mites, it is important to frequently wash and sun-dry bedding in daily life, keep bed hygiene products clean, and prevent mite breeding that triggers allergic rhinitis. If an allergic rhinitis episode occurs, the patient can use steroid nasal sprays and oral antiallergic medications to control the onset of allergic rhinitis. (Specific medications should be used under the guidance of a physician.)

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Written by Li Rui
Otolaryngology
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Is allergic rhinitis hereditary?

Allergic rhinitis indeed may have a certain genetic predisposition, but it is not absolute. Generally, it is associated with an imbalance in one's immune system. In terms of treatment, it is necessary first to perform an allergen test to identify specific allergens and try to avoid exposure to them in daily life. One can also consider medication, commonly using nasal sprays and oral medications, primarily targeted antiallergic treatment to control and alleviate the condition and stabilize symptoms. However, generally speaking, most patients cannot be completely cured. If both parents have allergic rhinitis, there is a relatively higher likelihood of passing it on to their children. Therefore, timely prevention and appropriate treatment measures are also necessary. Note: Medications should be used under the guidance of a doctor.

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Written by Li Rui
Otolaryngology
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How to diagnose allergic rhinitis?

Allergic rhinitis is a relatively common otolaryngological disease, with numerous clinical symptoms. The most common symptoms are itchy nose, clear runny nose, and sneezing. In terms of examination, an allergen test can first be conducted to help identify the specific types of allergens. Currently, a skin prick test or blood test can be considered; both methods can determine the specific allergens. In daily life, it is necessary to avoid these as much as possible. Secondly, a nasopharyngoscope examination should be conducted. Through the nasopharyngoscope examination, the extent of the inflammatory response inside the nasal cavity can be determined. At the same time, it also helps to investigate other diseases in the nasal cavity or nasopharynx.