How to diagnose allergic rhinitis?

Written by Li Rui
Otolaryngology
Updated on December 24, 2024
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Allergic rhinitis is a relatively common otolaryngological disease, with numerous clinical symptoms. The most common symptoms are itchy nose, clear runny nose, and sneezing. In terms of examination, an allergen test can first be conducted to help identify the specific types of allergens. Currently, a skin prick test or blood test can be considered; both methods can determine the specific allergens. In daily life, it is necessary to avoid these as much as possible. Secondly, a nasopharyngoscope examination should be conducted. Through the nasopharyngoscope examination, the extent of the inflammatory response inside the nasal cavity can be determined. At the same time, it also helps to investigate other diseases in the nasal cavity or nasopharynx.

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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 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 Zhang Jun
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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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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 Li Rui
Otolaryngology
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How to treat allergic rhinitis?

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)