Post-Run Allergic Reactions: Symptoms and Solutions - Otolaryngology

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After running, my eyes itch, my nose itches, and I sneeze?


I had a sore throat before running.
After my run this afternoon, my eyes suddenly became itchy, my nose was itchy, and I started sneezing uncontrollably.
Then my eyes swelled up, and my palms also became itchy.
After about half an hour, my eyes gradually returned to normal.
However, now I have nasal congestion, a sore throat, and sneezing.
I remember from middle school that I had a test done, and the doctor mentioned something about sinusitis.
I don't quite understand it.
I just want to know what my condition is and if it will persist.

Xuan Xuan, 10~19 year old female. Ask Date: 2016/04/15

Dr. Zheng Jueyi reply Otolaryngology


Hello: The sudden onset may be related to an allergy.
If symptoms persist without improvement, it is advisable to seek medical evaluation.
Thank you! Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/15

More Info


It sounds like you are experiencing symptoms consistent with an allergic reaction, which can be triggered by various factors, including environmental allergens, physical exertion, or even pre-existing conditions like sinusitis. Based on your description, it seems that after your run, you developed itchy eyes, a runny nose, sneezing, and swelling around the eyes, which gradually subsided. However, you are now left with nasal congestion, a sore throat, and ongoing sneezing.


Understanding Your Symptoms
1. Allergic Reaction: The symptoms you experienced immediately after running—itchy eyes, sneezing, and swelling—are classic signs of an allergic reaction. This could be due to pollen, dust, or other allergens present in the environment where you were running. Physical activity can exacerbate these reactions as it increases your breathing rate and exposure to airborne allergens.

2. Sinusitis: You mentioned having a history of sinusitis. Sinusitis can cause nasal congestion, facial pain, and pressure, which may worsen with physical activity or exposure to allergens. If you have chronic sinusitis, it can lead to increased sensitivity to allergens, resulting in more pronounced symptoms during or after exercise.

3. Post-Exercise Symptoms: After running, your body may react to allergens more intensely, especially if you were already experiencing throat discomfort before your run. The combination of physical exertion and exposure to allergens can trigger a heightened immune response, leading to the symptoms you described.


Potential Solutions
1. Antihistamines: Over-the-counter antihistamines can help alleviate symptoms of allergic reactions, such as itching, sneezing, and nasal congestion. Consider taking an antihistamine before exercising, especially if you know you will be exposed to allergens.

2. Nasal Corticosteroids: If you have chronic nasal symptoms, a nasal corticosteroid spray may help reduce inflammation and congestion. These are often recommended for individuals with allergies or sinusitis.

3. Avoiding Triggers: If you are aware of specific allergens that trigger your symptoms (like pollen during certain seasons), try to avoid outdoor activities during peak allergen times. You can also monitor local pollen counts and plan your runs accordingly.

4. Hydration and Humidification: Staying hydrated and using a humidifier at home can help soothe your throat and nasal passages, especially if you are experiencing dryness or irritation.

5. Consulting a Specialist: If your symptoms persist or worsen, consider consulting an allergist or an ear, nose, and throat (ENT) specialist. They can perform tests to identify specific allergens and recommend appropriate treatments, which may include allergy shots or other therapies.


Conclusion
Your symptoms appear to be related to an allergic reaction, possibly exacerbated by your pre-existing throat discomfort and physical activity. While these reactions can be uncomfortable, they are often manageable with the right approach. If your symptoms continue or if you experience more severe reactions, it is essential to seek medical advice to rule out any underlying conditions and receive tailored treatment.

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