Does allergic rhinitis cause a fever?

Written by Li Rui
Otolaryngology
Updated on September 16, 2024
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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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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.

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Written by Li Rui
Otolaryngology
53sec home-news-image

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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Written by Li Rui
Otolaryngology
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How to completely cure allergic rhinitis?

For allergic rhinitis, most patients mainly focus on controlling and stabilizing the condition, and only a small portion of them can be completely cured, mainly those who are solely allergic to mites. It is advisable to first undergo allergy testing. If the test results show only a simple mite allergy, and the allergic reaction is severe (exceeding three levels), desensitization treatment could be considered. Currently, this mainly involves sublingual immunotherapy or subcutaneous injections. Most patients can achieve clinical cure with this treatment; however, a minority may only experience relief without achieving complete cure. Overall, for allergic rhinitis, most patients cannot be completely cured. (Use of medication should be under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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Early symptoms of allergic rhinitis

The symptoms of allergic rhinitis are numerous, with common ones including repeated itching of the nose, runny nose, and sneezing. Some patients may also experience nasal congestion and itchy eyes. Therefore, upon experiencing these symptoms, one should visit an otolaryngology clinic and consider undergoing a nasal endoscopy and allergen test to identify specific allergens and assess the degree of inflammation. Generally, treatment can involve oral medication and nasal spray medications. Additionally, using saline solution to rinse the nasal passages can be helpful during treatment, requiring regular follow-up to monitor treatment effectiveness. Moreover, it is necessary to avoid contact with substances that are likely to cause allergies as much as possible. Most patients can gradually stabilize with timely treatment.

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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.