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Q. Nothing seems to help my allergic rhinitis. What should I do?

Answered by
Dr. Shyam Kalyan. N
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 24, 2017

Hello doctor,

I have been diagnosed with allergic rhinitis. I saw many doctors and had a nasal septum deviation surgery last year too, to control the allergies but nothing helped. I have to take antihistamines twice every day. I take 180 mg Telfast. The symptoms are very similar to having the flu. I have a runny nose, watery eyes, sneezing, extremely itchy nose, and cough every now and then. It is impossible to control them now. Every morning, when I wake up, I wake up to these severe symptoms. The below-listed things seem to help during the symptoms.

  1. When I drink a cup of hot tea after I wake up.
  2. When I wear a cap during the night (helps a lot with the morning crisis).
  3. When I apply some pressure on my nose, on both sides.
  4. When I take any medicine that has an antihistamine.
  5. When I avoid usage of AC (but I live in a very hot country).

Thank you for your help.

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Hello,

Welcome to icliniq.com.

  • Allergy is a genetic disorder and does not have a permanent cure. When we know we are allergic to some substance, the best way to avoid allergy is to stay away from it. This form of allergen-avoidance is not practical in your case.
  • To establish that it is allergy indeed, we must have the values of serum IgE. When it is elevated, it signifies an allergy.
  • Next, we will find out which substance or protein is causing the allergy in your system. For the same, we have a skin prick test as well as comprehensive allergy profile. Once we know the causative factor, allergy can be offset by avoiding that particular agent carefully.
  • If the allergen is ubiquitous, then we may need to perform immunotherapy to make you immune to the allergen. Immunotherapy can be done subcutaneously or sublingually.
  • In addition to the above, we should rule out any possible foci in the nasal cavity and sinuses. For the same, a CT scan of the paranasal sinuses is essential as is a diagnostic nasal endoscopy done in an ENT's office.
  • If you have any reports, kindly attach those in the next query. We shall have a thorough look. Till then, continue Fexofenadine 120 mg with Montelukast and Nasonex spray (Mometasone).

Do revert with all the details.

Revert with more information to an allergy specialist online --> https://icliniq.com./ask-a-doctor-online/allergy-specialist


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