How to deal with allergic rhinitis?

Written by Zhang Jun
Otolaryngology
Updated on May 05, 2025
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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 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 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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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 Li Rui
Otolaryngology
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Permanent cure for allergic rhinitis

Currently, most cases of allergic rhinitis are difficult to cure completely. According to existing medical methods and research, if it's solely a mite allergy, some patients can consider undergoing desensitization treatment, which involves taking medication subcutaneously or sublingually over a long period, approximately two to three years. Overall, some patients can achieve a cure, but if it's other allergies or if the allergen cannot be clearly identified with current medical methods, the primary approach is control of symptoms using conventional medications. Whether it's medical treatment or surgical intervention, it's still difficult to achieve a complete cure. Thus, generally speaking, the treatment of most cases of allergic rhinitis focuses on control and alleviation.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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Allergic rhinitis symptoms

Allergic rhinitis is a common disease in otolaryngology, often occurring throughout the year. It can be categorized into perennial allergic rhinitis or seasonal allergic rhinitis. Perennial allergic rhinitis may be related to dust, talcum powder, dust mites, or animal dander, among others. Seasonal rhinitis is often associated with hay fever. Therefore, it is necessary to determine the type of allergic rhinitis based on the patient's season of onset and the allergens involved. Common symptoms include nasal congestion, runny nose, sneezing, itching of the nose, and itchy eyes. Perennial allergic rhinitis occurs throughout the year, whereas pollen-induced allergic rhinitis, or seasonal rhinitis, tends to have more severe symptoms during the blooming season of spring.