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 Li Rui
Otolaryngology
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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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Written by Li Rui
Otolaryngology
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What are the allergens of allergic rhinitis?

Allergic rhinitis is a relatively common otolaryngological disease with various clinical symptoms. The most common symptoms include itchy nose, clear nasal discharge, and sneezing. It is advisable to consider allergen testing. Common allergens in clinical settings include seafood, cats, dogs, pollen, and there may also be dust, mugwort, and pigweed. There is generally significant individual variation, and clear identification can be acquired through skin prick tests or blood tests. Once identified, it is necessary to avoid contact with the allergens in daily life as much as possible. Additionally, if the clinical symptoms are severe, it may be necessary to combine oral medications and nasal sprays for targeted treatment.

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Written by Zhang Jun
Otolaryngology
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Can people with allergic rhinitis eat mangoes?

For allergic rhinitis, it is first necessary to go to the hospital for a detailed examination of allergen antibody tests to identify the substances causing the allergy. If you are allergic to mangoes, then you must avoid eating mangoes. Allergic rhinitis is mainly caused by a decrease in the body's immunity and resistance, leading to localized symptoms after the nasal and oral cavities come into contact with an allergen. Patients may experience symptoms such as sneezing fits in the morning, runny nose with clear mucus, bilateral nasal congestion, nasal itching, and eye itching. During the examination, pale and swollen nasal conchae mucosa can be observed, and the prick test is positive. In terms of treatment, during the acute phase of allergic rhinitis, symptomatic antiallergic treatment is required first. Patients also need to avoid allergens, wear masks, avoid spicy and irritating foods, exercise regularly to enhance immunity and resistance, and avoid catching colds, which can gradually lead to improvement.

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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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Is allergic rhinitis easy to treat?

Allergic rhinitis is a relatively common disease in otolaryngology, and overall, its treatment is quite simple. Most patients consider pharmacotherapy, primarily consisting of oral medications and nasal sprays, which are targeted anti-allergy treatments. After pharmacological treatment, most patients can effectively control their condition and alleviate symptoms. However, in general, allergic rhinitis is mainly managed rather than cured, as curing it is quite difficult. It is advisable to undergo allergen testing and avoid contact with allergens in daily life as much as possible. For patients who are solely allergic to mites, there is an opportunity for desensitization therapy, which can potentially cure a portion of patients. Nevertheless, whether through pharmacotherapy or desensitization therapy, a large number of patients cannot be completely cured. Therefore, the focus is mainly on controlling and stabilizing the condition. (The use of medications should be under the guidance of a doctor.)