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 Zhang Jun
Otolaryngology
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Allergic rhinitis typical symptoms

Allergic rhinitis is caused by the body's immunity and lower resistance after inhaling relevant allergens in the nasal cavity. Allergens can include mites, dust, pollen, and direct stimulation by cold and warm air, which can cause patients to have paroxysmal sneezing upon waking up. Typically, there are more than three sneezes, and in severe cases, dozens can occur. There is also continuous discharge of clear watery nasal mucus, bilateral nasal congestion, which alternates from side to side. During examination, evident pale swelling of the bilateral inferior turbinates can be found, and the surface may be covered with abnormal secretions. In treatment, allergic rhinitis firstly requires symptomatic antiallergic treatment and, most crucially, patients need to regularly exercise to enhance their immunity and resistance, for allergic rhinitis to gradually improve.

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Written by Xu Qing Tian
Otolaryngology
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Should people with allergic rhinitis avoid certain foods?

Patients with allergic rhinitis need to avoid certain foods. Allergic rhinitis is a common otolaryngological disease, mainly caused by the patient's exposure to allergens in food or air, leading to acute edema and congestion of the nasal mucosa. Allergens can be varied, including dust mites and pollen in the air, as well as foods like seafood, fish, and shrimp. Therefore, if allergic rhinitis is caused by food allergens, especially fish and seafood, patients should be cautious and avoid consuming these foods in daily life. Additionally, patients should also reduce the intake of spicy and irritating foods, as these may also exacerbate and cause recurrent allergic rhinitis.

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Written by Li Rui
Otolaryngology
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What is the best treatment for allergic rhinitis?

There are various treatment options for allergic rhinitis. Firstly, it is advisable to perform allergen testing. If the allergy is due to dust mites, desensitization treatment could be considered, which may completely cure some patients. If other allergens are involved, or if no specific allergens can be detected, treatment primarily involves oral medications and sprays, which is a commonly used method, but may lead to recurrent symptoms. Drug treatment mainly aims to control the condition and stabilize symptoms rather than cure them. In cases where conventional drug treatment is ineffective, surgery might be considered for a small number of patients, but it generally does not cure the condition either. Most patients focus on controlling the condition and stabilizing symptoms, requiring long-term follow-up and avoiding contact with allergens.

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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 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.