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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Differences between Allergic Rhinitis and the Common Cold

The differences between allergic rhinitis and the common cold are very clear. Allergic rhinitis lasts longer and causes patients to experience sudden bouts of sneezing in the morning, continuous clear nasal discharge, bilateral nasal congestion, and also includes symptoms such as itchy eyes and nasal issues. On the other hand, the common cold generally lasts for a shorter period and is usually caused by a virus or bacteria due to lowered immunity, leading to both systemic and local symptoms. Patients with a cold may experience fever, dizziness, headache, muscle weakness, muscle soreness, nasal congestion, sneezing, runny nose, sore throat, and coughing. In terms of treatment, allergic rhinitis requires symptomatic anti-allergy treatment, while the common cold needs symptomatic anti-inflammatory treatment and generally improves gradually over about a week, whereas allergic rhinitis requires a longer process.

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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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Does allergic rhinitis cause a fever?

Allergic rhinitis generally rarely involves a fever. This is because the main pathogenic mechanism of allergic rhinitis is exposure to allergens, which triggers the body's autoimmune response, leading to common clinical symptoms such as itchy nose, clear nasal discharge, and sneezing, and it may persistently recur. However, overall, it is caused by the body's immune allergic response, without obvious acute bacterial or viral infection, so the likelihood of causing a fever is small. Therefore, in terms of treatment, if there is a fever, it is necessary to investigate whether there is an acute viral or bacterial infection. This can be done by observing clinical symptoms, examining the conditions inside the nasal cavity, and combining this with routine blood tests, which essentially can confirm and determine the diagnosis.

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How to completely cure allergic rhinitis?

Allergic rhinitis currently has many treatment methods, but overall, only a minority of patients can be completely cured; most patients focus primarily on controlling symptoms and alleviating the condition. At present, the main treatment method for allergic rhinitis is medication. If it's purely a mite allergy and there are no other allergens, desensitization treatment can be considered. Currently, this involves subcutaneous injections or sublingual immunotherapy. Overall, about 60% to 70% of patients can achieve a complete cure with this treatment. However, for other allergies or those that cannot be identified, the focus is primarily on control and relief; it is very difficult to achieve a complete cure with either medication or surgery.

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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.)