Allergic Rhinitis: Symptoms, Treatments, and Relief Options - Otolaryngology

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Allergic rhinitis, commonly known as hay fever, is an inflammatory condition of the nasal passages that occurs when the immune system overreacts to allergens in the air. Symptoms can include sneezing, runny or stuffy nose, itchy eyes, and postnasal drip, which can lead to throat irritation and coughing. Your description of symptoms—dry throat, sticky nasal discharge, swollen tongue with indentations, and a rough texture on the upper lip—suggests that you may indeed be experiencing allergic rhinitis, especially since these symptoms recur with changes in weather or after periods of fatigue.

The symptoms you are experiencing, such as nasal congestion, throat irritation, and the sensation of mucus in the throat, are typical of allergic rhinitis. The redness in your nasal passages and the swelling of your tongue could indicate an allergic reaction, possibly exacerbated by environmental factors such as pollen, dust, or pet dander. The fact that these symptoms occur two to three times a year aligns with the seasonal nature of many allergies.

In terms of treatment, antihistamines like Levocetirizine and Cetirizine are commonly used to relieve symptoms of allergic rhinitis. These medications work by blocking histamine, a substance in the body that causes allergic symptoms. They can help reduce sneezing, runny nose, and itching. Both medications are generally well-tolerated, but they can cause side effects such as drowsiness, dry mouth, or dizziness in some individuals. If you are considering taking these medications, it is advisable to start with a lower dose to assess your tolerance.

Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), can be effective for reducing inflammation and relieving pain. It may help alleviate throat discomfort and any associated pain. However, it does not address the underlying allergic response and should not be relied upon as a primary treatment for allergic rhinitis. It is also important to use ibuprofen as directed, as overuse can lead to gastrointestinal issues or kidney problems.

Rest is crucial for recovery, especially if you are feeling fatigued. Adequate sleep and hydration can support your immune system and help your body manage allergic reactions more effectively. Additionally, avoiding known allergens, if possible, can help reduce the frequency and severity of your symptoms.
If your symptoms persist or worsen, it may be beneficial to consult an allergist for further evaluation. They can perform tests to identify specific allergens and may recommend additional treatments, such as nasal corticosteroids, which can reduce inflammation in the nasal passages, or allergy shots (immunotherapy) for long-term relief.

In summary, your symptoms are consistent with allergic rhinitis, and medications like Levocetirizine or Cetirizine can be effective for symptom relief. Ibuprofen may help with throat discomfort, but it is not a substitute for allergy treatment. Prioritize rest and consider consulting a healthcare professional for a comprehensive management plan tailored to your needs.