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How can chronic allergic rhinitis be managed effectively?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello Doctor,

I am a 23-year-old male who has been suffering from allergies for the past six years, with symptoms worsening in the winter. In the early morning, I experience up to 10 consecutive sneezes. If I consume cold foods, I have a runny nose throughout the day along with severe sneezing. I also experience itching and watering of my eyes. Currently, I am undergoing homeopathic treatment and use Fexofenadine 125 mg during episodes of severe sneezing. Could you please advise on a solution to help me overcome this condition?

Thank you.

Hello,

Welcome to icliniq.com.

Based on the information you have provided, my diagnosis is allergic rhinitis. However, to confirm this, I recommend two tests: serum IgE and absolute eosinophil count. Both are blood tests. While allergies cannot be completely cured, they can be managed effectively. With patience and perseverance, you can control the symptoms and reduce their impact on your daily life.

Here are some precautions and suggestions to help you manage this problem:

  1. Avoid smoke, dust, and polluted areas. If you must go to such areas, wear a mask.
  2. Do not smoke or use snuff. Refrain from drinking alcohol, and if you do, avoid mixing drinks or consuming fancy flaming shots. Passive smoking is also harmful.
  3. When you wake up, fold the bedspread carefully without shaking it, and then take it outside and shake it vigorously to remove dust, dandruff, dead skin cells, and dried cosmetic powders.
  4. Wash bed linens, curtains, and carpets once a week. Items that cannot be washed should be dusted outside the house. Change pillowcases every four to five days and wash them with extra soap.
  5. Keep a record of your daily activities, especially on days when you experience allergy symptoms. Note the places you visit, activities you do, and foods you eat. This can help identify potential allergens.
  6. During strong winds, which can carry dust, pollen, and other particles, stay indoors and keep windows closed. Open windows in the early morning for ventilation and keep them closed during rush hours or heavy traffic.
  7. Avoid sleeping directly under a fan or air conditioner. Set the air conditioner to a comfortable temperature with adequate humidity.
  8. Drink 1.05 to 1.32 gallons of lukewarm water daily and consume hot meals rather than cold ones.
  9. Eat a nutritious diet rich in proteins, green leafy vegetables, vitamins, and minerals. Include amla (gooseberry) in your diet daily, as it is an excellent source of Vitamin C and helps prevent infections.
  10. Avoid cold foods, alcohol, and aerated cold drinks.
  11. Dry your hair soon after washing and avoid applying oil for extended periods.
  12. Consider taking a multivitamin supplement for one month.

If the tests confirm that you are suffering from allergies, we can prescribe steroid nasal sprays such as Mometasone Furoate or Fluticasone Propionate. These sprays will significantly reduce local inflammation in the nose and alleviate allergic symptoms like a runny nose. However, they need to be used continuously for one or two months. They are safe and do not have the side effects associated with systemic steroids. Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.

I am uncertain about the effectiveness of homeopathic medicines for this condition. You should use your discretion when considering homeopathic treatments. On the other hand, Ayurvedic medicines, being entirely natural (as claimed by manufacturers and Ayurvedic pharmacies), can be combined with allopathic treatments without concern for adverse interactions.

Thanks for using icliniq, and have a nice day.

The Probable causes

The probable causes include dust, dust mites, smoke, pollution, wind, pollen, sawdust, husks, agricultural dust, and industrial air. Additionally, food allergies to items such as prawns, peanuts, milk, and gluten can also be contributing factors.

Investigations to be done

Investigations to be conducted include measuring the serum IgE levels, determining the absolute eosinophil count, and performing a total blood count.

Differential diagnosis

Differential diagnoses to consider include allergic rhinitis and non-allergic rhinitis with eosinophilia syndrome.

Probable diagnosis

The probable diagnosis is allergic rhinitis.

Medically reviewed byiCliniq medical review team

Published At June 7, 2017
Reviewed AtAugust 16, 2024

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