Severe Allergy Symptoms: When to Seek ENT Care - Otolaryngology

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Allergic symptoms


Hello, yesterday I experienced an itchy throat and a sensation of needing to cough, with my temperature ranging between 37.3 and 37.7 degrees Celsius.
I also felt a bit dizzy and lightheaded.
Although I have no known exposure history, I am still concerned about the possibility of having contracted an infection, so I visited an ENT clinic for evaluation.
The doctor examined my throat and nose and mentioned that my allergies were quite severe, prescribing throat pain relief and allergy medication.
I have a cat at home, and both my father and brother have allergic rhinitis.
Recently, I had a period of skin itching, especially at night, and my eyes were itchy a couple of times, but I haven't experienced those symptoms lately.
After taking the medication yesterday, my temperature is now around 36.7 to 36.8 degrees Celsius, and my throat symptoms have improved.
However, I am still worried because I usually do not have symptoms of allergic rhinitis, and I had no allergy symptoms during my visit yesterday.
I am puzzled as to why the doctor said my allergies were severe after examining my nasal cavity.
Could there be another underlying cause?

Lily, 20~29 year old female. Ask Date: 2021/07/09

Dr. Zheng Jueyi reply Otolaryngology


Hello, if there is improvement with medication, you may start with self-monitoring.
However, if you are concerned about potential exposure to infection or have a history of contact with infected individuals or gatherings, it is recommended to visit a nearby hospital for screening.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/07/09

More Info


Severe allergy symptoms can be quite distressing and often lead individuals to seek medical attention, especially when symptoms like throat irritation, coughing, and a general feeling of malaise arise. In your case, it seems that you experienced throat itching and a slight fever, which prompted you to visit an ENT (Ear, Nose, and Throat) specialist. The doctor diagnosed you with severe allergies and prescribed medication to alleviate your symptoms.

Allergies can manifest in various ways, and their severity can fluctuate based on several factors, including environmental triggers, exposure to allergens, and individual sensitivity. In your situation, the presence of cats in your household may be a significant factor, especially since both your father and brother have a history of allergic rhinitis. Cat allergens are known to be potent triggers for allergic reactions, and they can cause symptoms even in individuals who may not have previously exhibited noticeable allergic responses.

Your symptoms of throat irritation and the feeling of dizziness could be attributed to several factors. Allergic reactions can lead to inflammation in the throat and nasal passages, which might explain the discomfort you felt. Additionally, the body's immune response to allergens can sometimes cause systemic symptoms like fatigue or a feeling of being unwell, which might contribute to your dizziness.

It's also worth noting that allergies can sometimes present with atypical symptoms. For instance, some individuals may experience skin reactions, such as itching or rashes, even if they do not have a history of skin allergies. The fact that you experienced skin itching previously, particularly at night, suggests that your body may be reacting to allergens in your environment, even if those symptoms have subsided recently.

Regarding your concern about whether your symptoms could be due to another underlying condition, it is essential to consider that allergies can mimic or overlap with other health issues. For example, viral infections can also cause throat irritation and fever. However, since your symptoms improved after taking the prescribed allergy medication, it indicates that allergies are likely the primary cause of your discomfort.

If your symptoms persist or worsen, or if you develop new symptoms such as difficulty breathing, swelling of the face or throat, or severe dizziness, it is crucial to seek immediate medical attention. These could be signs of a more severe allergic reaction, such as anaphylaxis, which requires urgent care.

In summary, while your current symptoms align with severe allergies, it is always prudent to remain vigilant about any changes in your health. If you continue to experience symptoms or have concerns about other potential causes, consider following up with your healthcare provider for further evaluation. They may recommend allergy testing or additional treatments to help manage your symptoms effectively.

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