How to treat allergic rhinitis?

Written by Li Rui
Otolaryngology
Updated on September 28, 2024
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The treatment of allergic rhinitis is currently mainly divided into three categories: The first category is pharmacotherapy, the second is desensitization therapy, and the third is surgical treatment.

Pharmacotherapy generally focuses on nasal sprays and oral medications, which are targeted anti-allergy treatments. This method primarily controls and stabilizes the symptoms but is unlikely to provide a cure.

Desensitization therapy is mainly suitable for patients who are solely allergic to mites. Some patients may achieve a cure after undergoing desensitization therapy.

Surgical treatment can also be considered, but it is not the first choice. It is mainly used for patients who do not respond well to conservative medication and have particularly severe symptoms. In such cases, surgery might be considered because, whether through pharmacotherapy or surgical treatment, most patients aim primarily to control the disease rather than achieving a cure.

(Please use medication under the guidance of a doctor)

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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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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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Where to apply moxibustion for allergic rhinitis?

Allergic rhinitis is a common clinical disease. Apart from medication, we can also use moxibustion to enhance the body's resistance and reduce local congestion of the nasal mucosa in allergic rhinitis, achieving the purpose of disease prevention and treatment. Where do we usually apply moxibustion? If it involves distant moxibustion, it usually targets acupuncture points that enhance the body's resistance, such as Zusanli and Guanyuan, which are very effective points. Moxibustion can also be applied to Xuehai. Additionally, we can moxibust certain local points such as Yingxiang and Yintang to relieve nasal congestion and alleviate clinical symptoms like swelling of the nasal mucosa. Of course, moxibustion can also be applied to some points on the back related to the lungs, including lung meridian points and Gaohuang, all of which are effective in treating and preventing allergic rhinitis.

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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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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.