Allergic Rhinitis: Myths and Effective Solutions - Traditional Chinese Medicine

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Allergic rhinitis


Hello Dr.
Lin: I previously saw a claim on television from a certain traditional Chinese medicine clinic stating that issues such as persistent runny nose, constant sneezing, and post-nasal drip caused by nasal allergies are due to the presence of polyps in the nose, which can be resolved without surgery by applying medication to make the polyps fall off on their own.
Is this true? I have suffered from nasal allergies for many years and would like to know if there are any permanent solutions.
I would greatly appreciate your advice!

Ya Ken, 20~29 year old female. Ask Date: 2008/04/24

Dr. Lin Qingzhong reply Traditional Chinese Medicine


Dear User,
1.
Your condition suggests that you may have allergic rhinitis, which is a common condition.
Chronic allergic rhinitis is often triggered by environmental factors that provoke an autoimmune response.
The most common allergens identified in clinical practice include air conditioning, dust mites, and polluted air.
Traditional Chinese medicine (TCM) treatment typically focuses on tonifying the lungs and boosting qi, using herbal remedies tailored to the patient's constitution.
It is also beneficial to engage in regular exercise, take steam baths, and minimize exposure to air conditioning to help regulate your constitution, all of which can yield positive results.
2.
Allergic rhinitis and nasal polyps are distinct pathologies.
Although both can cause nasal congestion, their underlying mechanisms differ.
It may be incorrect to assume that nasal polyps develop as a result of allergic rhinitis.
The presence of nasal polyps can be confirmed through nasal endoscopy or rhinoscopy performed by an otolaryngologist.
Allergic rhinitis is related to an immune response triggered by allergens, leading to the production of IgE antibodies, which is different from the formation of polyps.
3.
Surgical intervention is not necessary for allergic rhinitis.
The notion that medication can cause polyps to fall off naturally may involve corrosive topical treatments, which raises concerns about potential side effects and feasibility.
It is advisable to consult the Department of Health and the National Association of Traditional Chinese Medicine Practitioners.
Generally, TCM practitioners exercise caution in adhering to regulations regarding such treatments.
4.
Allergic rhinitis is caused by allergens and is prone to recurrence, making it difficult to eliminate completely.
The key to management is avoiding allergens, maintaining an active lifestyle, dressing appropriately for temperature regulation, and receiving individualized TCM treatment based on your constitution to improve your condition.
Wishing you good health,
Dr.
Lin Ching-Chung
Director of Traditional Chinese Medicine
Fengyuan Hospital
Assistant Professor

Reply Date: 2008/04/24

More Info


Allergic rhinitis, commonly known as hay fever, is a prevalent condition that affects millions of people worldwide. It is characterized by symptoms such as sneezing, runny or stuffy nose, itchy eyes, and postnasal drip. The condition is often triggered by allergens such as pollen, dust mites, mold, and pet dander. Understanding the myths surrounding allergic rhinitis and exploring effective solutions is crucial for managing this condition effectively.

One common myth is that nasal polyps, which are non-cancerous growths in the nasal passages, can be treated solely with topical medications without the need for surgery. While some medications, such as corticosteroids, can reduce the size of nasal polyps and alleviate symptoms, they do not eliminate the polyps entirely. In cases where polyps are large or causing significant obstruction, surgical intervention may be necessary. It is essential to consult with a healthcare professional to determine the best course of action based on the severity of the condition.

Another misconception is that allergic rhinitis is merely a seasonal issue. While many individuals experience symptoms during specific seasons (e.g., spring due to pollen), others may suffer from perennial allergic rhinitis, which occurs year-round due to indoor allergens. Understanding the triggers is vital for effective management. Keeping a symptom diary can help identify specific allergens and patterns, allowing for targeted treatment.

When it comes to treatment options, several effective solutions exist. Antihistamines are commonly used to relieve symptoms of allergic rhinitis. They work by blocking the action of histamine, a chemical released during an allergic reaction. Over-the-counter options like cetirizine (Zyrtec) and loratadine (Claritin) are popular choices. However, some individuals may experience side effects such as drowsiness, particularly with first-generation antihistamines like diphenhydramine (Benadryl).

Intranasal corticosteroids, such as fluticasone (Flonase) and mometasone (Nasonex), are considered the most effective treatment for allergic rhinitis. They reduce inflammation in the nasal passages, providing relief from congestion, sneezing, and runny nose. These medications are safe for long-term use and can be used daily during allergy seasons or year-round for perennial allergies.

Additionally, saline nasal sprays can help moisturize the nasal passages and flush out allergens, providing symptomatic relief. Immunotherapy, or allergy shots, is another long-term solution for individuals with severe allergic rhinitis. This treatment involves gradually exposing the patient to increasing amounts of the allergen, helping the immune system build tolerance over time.

Lifestyle modifications can also play a significant role in managing allergic rhinitis. Keeping windows closed during high pollen seasons, using air purifiers, and regularly cleaning bedding and carpets can help reduce exposure to allergens. Wearing a mask when outdoors during peak pollen times can also be beneficial.

In conclusion, while myths surrounding allergic rhinitis persist, understanding the condition and its treatment options is crucial for effective management. It is essential to consult with a healthcare professional to develop a personalized treatment plan that may include antihistamines, intranasal corticosteroids, saline sprays, and lifestyle modifications. For those with persistent symptoms or complications like nasal polyps, further evaluation and potential surgical intervention may be necessary. By taking proactive steps, individuals suffering from allergic rhinitis can significantly improve their quality of life and reduce the impact of this condition on their daily activities.

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