Can Allergic Rhinitis Trigger Asthma Symptoms? Your Condition

Can allergic rhinitis trigger asthma?

Hello.
I would like to ask about my condition.
I have allergic rhinitis, which started when I was 15 or 16 years old, and I am now 22.
I have never had asthma, but I often sneeze.
A few months ago, I managed to control my allergic rhinitis with medication, and I have not experienced any runny nose symptoms for over three months.
However, recently I have been experiencing occasional chest tightness, a feeling of tightness in my neck, and difficulty breathing (I need to take deep breaths).
Sometimes I also feel chest pain when breathing, and I have been awakened 2 to 3 times while sleeping because I couldn't catch my breath, requiring me to elevate my pillow.
Currently, I do not have any coughing symptoms, so I am unsure if these symptoms are related to my allergic rhinitis causing respiratory issues (a few months ago, my IgE level was 306).
What should I do about these symptoms? Thank you.

A-Wen, 20~29 year old female. Ask Date: 2020/07/05

Dr. Zhang Weidong reply Traditional Chinese Medicine

Hello, A-Wen; Asthma is caused by hypersensitivity of the airways, leading to allergic reactions to various triggers, which results in airway swelling, constriction, and increased mucus production.
This manifests in the following symptoms: (1) difficulty breathing, (2) wheezing, (3) chest tightness, and (4) chronic cough.
This is related to your constitution, as individuals with a sensitive constitution may also experience atopic dermatitis, allergic rhinitis, and other issues, although the timing and causes of these flare-ups may differ.
From a traditional Chinese medicine perspective, you may want to consult a TCM practitioner to address both issues simultaneously.
Currently, it is an appropriate time for the application of Sanfu plaster treatment, which you could try, as it may yield good results.
Wishing you good health.
Zhang Wei-Dong, Department of Traditional Chinese Medicine, Changhua Hospital.

Reply Date: 2020/07/05

More Info

Allergic rhinitis can indeed trigger asthma symptoms, and your situation highlights the interconnectedness of these conditions. Allergic rhinitis, commonly known as hay fever, is characterized by symptoms such as sneezing, nasal congestion, and runny nose due to an allergic reaction to airborne allergens like pollen, dust mites, or pet dander. While you have not previously experienced asthma, the inflammation and irritation caused by allergic rhinitis can lead to bronchial hyperreactivity, which may manifest as asthma-like symptoms.

Your recent symptoms of chest tightness, difficulty breathing, and episodes of waking up at night gasping for air are concerning and warrant further evaluation. These symptoms could indicate that your airways are becoming reactive, which is a hallmark of asthma. The fact that you have a high IgE level (306) suggests a significant allergic response, which can correlate with increased airway sensitivity and inflammation.

Asthma is characterized by airway inflammation, bronchoconstriction, and increased mucus production, leading to symptoms such as wheezing, coughing, chest tightness, and shortness of breath. In some individuals, especially those with a history of allergic conditions, allergic rhinitis can precede the development of asthma. This is often referred to as the "allergic march," where allergic conditions progress from one to another over time.

Given your symptoms, it is crucial to consult with a healthcare provider, preferably an allergist or a pulmonologist, who can perform a thorough evaluation. This may include a physical examination, a detailed history of your symptoms, and possibly lung function tests such as spirometry to assess your airway responsiveness. Additionally, they may recommend allergy testing to identify specific triggers that could be exacerbating your symptoms.

In the meantime, managing your allergic rhinitis effectively is essential. This may involve the continued use of antihistamines, nasal corticosteroids, or other allergy medications as prescribed by your doctor. If asthma is confirmed, a treatment plan may include bronchodilators (such as albuterol) for quick relief of symptoms and inhaled corticosteroids to reduce inflammation in the airways.

It is also important to monitor your symptoms closely. If you experience worsening shortness of breath, increased frequency of nighttime awakenings due to breathing difficulties, or any other alarming symptoms, seek medical attention promptly. Asthma can be a serious condition, and timely intervention is key to managing it effectively.

In summary, while allergic rhinitis can trigger asthma symptoms, it is essential to undergo a comprehensive evaluation to determine the exact nature of your symptoms and to develop an appropriate management plan. Your health and well-being are paramount, and addressing these symptoms early can help prevent further complications.

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