Nasal Allergies: Symptoms, Diagnosis, and Treatment

Q: Nasal Allergies: Symptoms, Diagnosis, and Treatment

Hello, in response to your question： 1. <br>Allergy symptoms can vary in intensity depending on individual constitution. <br>A blood test to identify specific allergens can help in avoiding symptom flare-ups. <br>2. <br>Some individuals are more sensitive to temperature changes.

Nasal issues?

Hello Dr.
Hu, I would like to ask you a few questions:
1.
I have had allergies since childhood, waking up every day with sneezing and a runny nose.
However, in recent years, my condition has improved; as long as I don’t sneeze in the morning, I won’t have a runny nose for the rest of the day.
Does this mean my allergies have become milder? If I want to minimize the frequency of my allergies, should I get a blood test to identify my allergens?
2.
My sister did not have any allergy issues initially, but in recent years, she has started experiencing the same symptoms I had as a child, sneezing and a runny nose upon waking.
My dad insists that she lie down whenever he sees her like this, claiming that lying down for half an hour will help her feel better.
I am skeptical about this approach.
Could lying down potentially cause other issues, such as post-nasal drip or discomfort in the throat? If this is incorrect, could you please explain and provide the proper approach? Thank you!

N, 20~29 year old female. Ask Date: 2010/08/14

Dr. Hu Kexin reply Otolaryngology

Hello, in response to your question: 1.
Allergy symptoms can vary in intensity depending on individual constitution.
A blood test to identify specific allergens can help in avoiding symptom flare-ups.
2.
Some individuals are more sensitive to temperature changes.
Resting upon waking until the body adapts to the external temperature may alleviate symptoms; lying down can also be beneficial.
You can initially cover your mouth and nose with a blanket and remove it once you have adjusted to the external temperature, possibly not needing to wait for half an hour.

Reply Date: 2010/08/14

More Info

Understanding nasal allergies, particularly allergic rhinitis, is crucial for managing symptoms and improving quality of life. Allergic rhinitis is a common condition characterized by symptoms such as sneezing, runny or stuffy nose, itchy eyes, and postnasal drip, which can significantly impact daily activities and sleep quality.

Symptoms of Allergic Rhinitis
The symptoms you described, such as sneezing and a runny nose upon waking, are classic signs of allergic rhinitis. The fact that your symptoms have improved over the years suggests that your allergy may be less severe now, or you might have developed some tolerance to certain allergens. Common triggers for allergic rhinitis include pollen, dust mites, pet dander, and mold.

Diagnosis
To determine the specific allergens causing your symptoms, it is indeed advisable to undergo allergy testing. This can be done through skin prick tests or blood tests that measure specific IgE antibodies to various allergens. Identifying the triggers can help in avoiding them and tailoring your treatment plan effectively.

Treatment Options
1. Avoidance: The first step in managing allergies is to avoid known triggers. For example, if dust mites are a problem, using allergen-proof covers on pillows and mattresses, washing bedding in hot water, and maintaining low humidity can help.

2. Medications: Over-the-counter antihistamines (like cetirizine or loratadine) can help alleviate symptoms. Nasal corticosteroids (like fluticasone or mometasone) are also effective in reducing inflammation and controlling symptoms. Decongestants can provide temporary relief but should not be used for extended periods.

3. Immunotherapy: For long-term relief, allergy shots (immunotherapy) can be considered. This treatment gradually desensitizes the immune system to specific allergens.

Regarding Your Sister's Symptoms
As for your sister's recent onset of symptoms, it is not uncommon for individuals to develop allergies later in life. Your father's suggestion to have her lie down may not be the best approach. Lying down can indeed lead to postnasal drip, which may cause throat discomfort or exacerbate coughing.
Instead, the following measures can be more effective:
- Elevate the Head: When sleeping, using an extra pillow to elevate the head can help reduce nasal congestion and postnasal drip.

- Stay Hydrated: Drinking plenty of fluids can thin mucus and help alleviate congestion.

- Use a Humidifier: Keeping the air moist can help soothe irritated nasal passages.

- Nasal Irrigation: Using saline nasal sprays or a neti pot can help clear allergens and mucus from the nasal passages.

Conclusion
In summary, understanding your allergies and their triggers is essential for effective management. Allergy testing can provide valuable insights, and a combination of avoidance strategies, medications, and possibly immunotherapy can significantly improve your quality of life. For your sister, encouraging her to adopt proper management techniques rather than lying down may help alleviate her symptoms more effectively. If symptoms persist or worsen, consulting with an allergist or an ENT specialist would be beneficial for both of you.

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