Can immunotherapy cure my nasal congestion and sneezing?

Question

Hello doctor,

I have been dealing with severe, constant nasal congestion, frequent sneezing fits of 20-25 sneezes in a row, a clear, runny nose, and intensely itchy eyes, nose, and throat for most of the year, especially in spring and fall. My symptoms are so severe that I can not sleep due to complete nasal blockage, I am constantly tired and foggy during the day, and I have significant difficulty concentrating at work due to drowsiness and malaise.

I wake every morning with thick post-nasal drip, sore throat from mouth breathing, dark circles under my eyes, and swollen eyelids. I have tried multiple over-the-counter antihistamines (Cetirizine, Loratadine, Fexofenadine), nasal steroid sprays, and oral decongestants, but they provide inadequate relief or cause severe drowsiness, dry mouth, or nosebleeds. Symptoms are triggered by tree pollen, grass, ragweed, dust mites, pets, and mold. Please tell me,

What do I have: seasonal or allergic rhinitis?
Should I get allergy testing (skin prick or blood)?
Would immunotherapy help?
What about prescription antihistamines or nasal sprays?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Your symptoms suggest moderate to severe allergic rhinitis, likely due to seasonal allergens. Allergens can be dust mites, mold, or pets. For allergy testing, skin prick is usually the first choice; a blood test, if skin testing is not possible, can help identify exact triggers and guide treatment.

You can use home remedies such as

Use saline nasal rinses.
Stem inhalation.
Wash bedding weekly in hot water.
Use a dust-mite-proof pillow.
Mattress covers.
Keep windows closed during high pollen days.
Shower and change clothes after outdoor exposure.
Use a high-efficiency particulate air (HEPA) air purifier.
Keep indoor humidity below 50%.
Avoid carpets if possible.
Elevate your head while sleeping to reduce post-nasal drip.

If symptoms are severely affecting sleep and work, immunotherapy can help when medicines fail. Allergy shots usually take three to six months to start helping and three to five years for full benefit, while sublingual tablets work similarly but only for certain allergens.

Prescription options include stronger antihistamines, combination nasal sprays, or nasal sprays for a runny nose. Allergies can worsen over time and can develop in adulthood, and some people need long-term treatment, though immunotherapy can reduce dependence on medicines.

I hope this information helps you.

Feel free to ask further queries.

Thank you.