Is It Allergic Rhinitis? Symptoms and When to See a Doctor - Otolaryngology

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Allergic rhinitis


Recently, I've been sneezing frequently in the mornings and blowing my nose, sometimes for an entire day.
The nasal discharge is mostly clear.
Could this be allergic rhinitis? Should I see a doctor? Also, sometimes my nose hurts; it hurts when I move or touch it.
Should I get it checked?

Xiao Mi Fan, 10~19 year old female. Ask Date: 2008/10/12

Dr. Hu Kexin reply Otolaryngology


Hello: In response to your description, you likely have nasal allergies.
Further examination is needed to determine whether it is allergic rhinitis or vasomotor rhinitis.
If you are experiencing nasal pain, it is best to consult an otolaryngologist for a detailed examination.
Sincerely, Dr.
Hu Ke-Hsin, Director of the Department of Otolaryngology, Keelung Hospital.

Reply Date: 2008/10/12

More Info


Allergic rhinitis, commonly known as hay fever, is a prevalent condition characterized by symptoms such as sneezing, nasal congestion, runny nose, and itchy eyes. Your description of frequent sneezing and clear nasal discharge aligns well with the typical symptoms of allergic rhinitis. The fact that your nasal discharge is mostly transparent suggests that it is likely due to an allergic reaction rather than a bacterial infection, which typically produces yellow or green mucus.

In allergic rhinitis, the immune system overreacts to allergens, which can include pollen, dust mites, pet dander, or mold. When exposed to these allergens, the body releases histamines and other chemicals, leading to inflammation and the symptoms you are experiencing. The pain in your nose, especially when touched, could be due to inflammation of the nasal passages or sinuses, which can occur in conjunction with allergic rhinitis.

It is essential to consider the duration and severity of your symptoms. If your symptoms are persistent and affecting your daily life, it would be advisable to consult a healthcare professional. A doctor can perform a thorough evaluation, which may include a physical examination and possibly allergy testing to identify specific triggers. This information can help tailor a treatment plan that may include antihistamines, nasal corticosteroids, or other medications to alleviate your symptoms.

In addition to medication, there are several lifestyle modifications you can consider to manage your symptoms better. These include:
1. Avoiding Allergens: Identify and minimize exposure to known allergens. For example, if pollen is a trigger, try to stay indoors on high pollen days and use air conditioning instead of opening windows.

2. Nasal Irrigation: Using a saline nasal spray or a neti pot can help clear allergens and mucus from your nasal passages, providing relief from congestion and irritation.

3. Maintaining Cleanliness: Regularly cleaning your living space to reduce dust and pet dander can help minimize allergic reactions.

4. Monitoring Weather and Pollen Counts: Keeping track of pollen forecasts can help you plan your outdoor activities accordingly.

5. Consulting an Allergist: If over-the-counter treatments are not effective, an allergist can provide specialized care, including allergy shots (immunotherapy) that may help desensitize your immune system to specific allergens over time.

In summary, your symptoms are consistent with allergic rhinitis, and it would be prudent to see a doctor, especially since the pain in your nose could indicate additional complications or the need for further evaluation. Early intervention can lead to better management of your symptoms and improve your quality of life.

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