Allergic rhinitis is like this.

Written by Zhang Jun
Otolaryngology
Updated on March 21, 2025
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Allergic rhinitis is primarily caused by the inhalation of allergens into the nasal cavity after the body's immunity and resistance has decreased, leading to acute, allergic symptoms. Patients may experience paroxysmal sneezing, generally more than three sneezes, and in severe cases, up to dozens. Symptoms also include itchy nose, itchy eyes, bilateral nasal congestion, and a large amount of worm-like secretions flowing from the nasal cavity. During the examination with a nasal endoscope, pale and swollen nasal concha mucous membranes can be observed on both sides with positive prick tests. In the middle and common nasal passages, abnormal secretions can cover the area. For treatment, allergic rhinitis initially requires hospital examination for allergens, while also avoiding allergens, and taking oral anti-allergy medications. Additionally, patients are advised to engage in physical activities such as swimming and running to enhance immunity and resistance, which can lead to gradual improvement.

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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.

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Written by Deng Bang Yu
Otolaryngology
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Manifestations of Allergic Rhinitis

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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What department should I go to for allergic rhinitis?

Allergic rhinitis is recommended to consult an otorhinolaryngology department. Currently, allergic rhinitis is mainly due to an imbalance in one's own immune system, which, upon contact with external allergens, triggers an allergic reaction in the body. It is a relatively common nasal disease, hence the recommendation to visit an otorhinolaryngology department. Regarding examinations, allergen testing and nasal endoscopy are required. The main purpose is to identify the relevant allergens and to determine the presence of any neoplasms in the nasal and nasopharyngeal areas, such as nasal polyps. In terms of treatment, it primarily involves medication. Currently, the treatment mainly considers the use of oral medications and nasal spray medications for allergy treatment. Additionally, the use of saline to rinse the nasal cavity can be considered, along with regular follow-ups. However, overall, most patients with allergic rhinitis focus on controlling the condition, as it is difficult to completely cure.

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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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Is allergic rhinitis hereditary?

Allergic rhinitis indeed may have a certain genetic predisposition, but it is not absolute. Generally, it is associated with an imbalance in one's immune system. In terms of treatment, it is necessary first to perform an allergen test to identify specific allergens and try to avoid exposure to them in daily life. One can also consider medication, commonly using nasal sprays and oral medications, primarily targeted antiallergic treatment to control and alleviate the condition and stabilize symptoms. However, generally speaking, most patients cannot be completely cured. If both parents have allergic rhinitis, there is a relatively higher likelihood of passing it on to their children. Therefore, timely prevention and appropriate treatment measures are also necessary. Note: Medications should be used under the guidance of a doctor.