HomeAnswersAllergy SpecialistallergenI have been sneezing and coughing due to an allergy. Can you please help?

How to manage home dust and home dust mite allergy?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 31, 2022
Reviewed AtDecember 19, 2023

Patient's Query

Hi doctor,

I recently did an allergy test, and I want to show the report and consult with you. I have a problem with sneezing and coughing.

Hello,

Welcome to icliniq.com.

I can understand your concern. You mentioned that you have been sneezing and coughing. Do you have a history of food or drug allergies? Are you asthmatic? Your allergy test results showed that you have elevated serum IgE (344). High IgE levels are usually associated with allergies. You also had positive results to house dust and house dust mites (Dermatophagoides pteronyssinus and Dermatophagoides farinae). Based on your symptoms (sneezing and coughing) and your allergy test results, my impression is that you have allergic rhinitis with a hyperreactive airway. Your allergies are triggered by house dust and house dust mite. Allergies like this can be controlled. The first thing to do is avoid exposure to dust and house dust mites. This would involve getting rid of clutter in the room that might collect dust (books or magazines). Curtains and carpets have to be cleaned or washed. Bed linens have to be changed weekly. Use a vacuum cleaner to clean the room or house daily. Change your pillows every few months as these can collect dust or dust mites. Mattresses have to be aerated as well and changed if it has been used for years. The second line of managing allergic rhinitis would be by using medications. You can take any non-sedating antiallergy pills that you can buy over the counter and take this once a day. If this does not help, then use a topical corticosteroid nasal to protect your nasal lining from an allergic reaction once the dust or dust mites enter your nose. The last step would be immunotherapy to house dust mites. This can be done by injection or even with a tablet given under the tongue. My advice, for now, would be for you to try and modify your environment so you can avoid the dust or dust mites and take antiallergy tablets if needed. If this does not help, please visit an allergist in your area so the doctor can prescribe you nasal sprays and assess your response to the treatment, and advise you if you need immunotherapy as well. I hope this helps.

Patient's Query

Hello doctor,

Thank you for your response.

Can you suggest some medicines which will help in reducing the problem?

Hello,

Welcome back to icliniq.com.

You can try tablet Loratadine 10 mg once a day for one week. You can get it over the counter. You can even extend it for two weeks and see how it goes.

Patient's Query

Hello doctor,

Thank you for your response, but I think this will be a temporary solution.

Hello,

Welcome back to icliniq.com.

Yes, I agree. Allergy has a genetic predisposition, so we can only try to control it. Please see a doctor in your area who can prescribe a corticosteroid nasal spray. Usually, this can give good control. In the meantime, you can also try using saline nasal sprays or wash to help with the symptoms. So far, only immunotherapy can give you very good control, especially in case of allergies.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Radela Yvonne L. Ramos-cortes
Dr. Radela Yvonne L. Ramos-cortes

Allergy Specialist

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