Allergic rhinitis is a group of symptoms affecting the nose. These symptoms occur when you breathe in something you are allergic to, such as dust, animal dander, or pollen. Symptoms can also occur when you eat a food that you are allergic to.
This article focuses on allergic rhinitis due to plant pollens. This type of allergic rhinitis is commonly called hay fever or seasonal allergy.
Hay fever; Nasal allergies; Seasonal allergy; Seasonal allergic rhinitis
Causes, incidence, and risk factors
An allergen is something that triggers an allergy. When a person with allergic rhinitis breathes in an
Hay fever involves an
Plants that cause hay fever are trees, grasses, and weeds. Their pollen is carried by the wind. (Flower pollen is carried by insects and does not cause hay fever.) Types of plants that cause hay fever vary from person to person and from area to area.
The amount of pollen in the air can affect whether hay fever symptoms develop.
- Hot, dry, windy days are more likely to have a lot of pollen in the air.
- On cool, damp, rainy days, most pollen is washed to the ground.
Hay fever and allergies often run in families. If both of your parents have hay fever or other allergies, you are likely to have hay fever and allergies, too. The chance is higher if your mother has allergies.
Symptoms that occur shortly after you come into contact with the substance you are allergic to may include:
Itchynose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Watery eyes
Symptoms that may develop later include:
Stuffy nose(nasal congestion) Coughing
- Clogged ears and decreased sense of smell
- Sore throat
- Dark circles under the eyes
- Puffiness under the eyes
- Fatigue and irritability
Signs and tests
The health care provider will perform a physical exam and ask about your symptoms. You will be asked whether your symptoms vary by time of day or season, and exposure to pets or other allergens.
Allergy testing may reveal the pollen or other substances that trigger your symptoms.
If your doctor determines you cannot have skin testing, special blood tests may help with the diagnosis. These tests, known as IgE RAST tests, can measure the levels of allergy-related substances.
A complete blood count (CBC) test called the
LIFESTYLE AND AVOIDING ALLERGENS
The best treatment is to avoid the pollens that cause your symptoms. It may be impossible to avoid all pollen. But you can often
You may be prescribed medicine to treat allergic rhinitis. The medicine your doctor prescribes depends on your symptoms and how severe they are. Your age and whether you have other medical conditions, such as asthma, will also be considered.
For mild allergic rhinitis, a nasal wash can help remove mucus from the nose. You can buy a saline solution at a drug store or make one at home using one cup of warm water, half a teaspoon of salt, and pinch of baking soda.
Treatments for allergic rhinitis include:
Antihistamines work well for treating allergy symptoms. They may be used when symptoms do not happen often or do not last long. Be aware of the following:
- Many antihistamines taken by mouth can be bought without a prescription.
- Some can cause sleepiness. You should not drive or operate machines after taking this medicine.
- Others cause little or no sleepiness.
- Antihistamine nasal sprays work well for treating allergic rhinitis. Ask your doctor if you should try these medicines first.
Nasal corticosteroid spraysare the most effective treatment for allergic rhinitis.
- They work best when used nonstop, but they can also be helpful when used for shorter periods of time.
- Many brands are available. You will need a prescription from your doctor.
- Corticosteroid sprays are generally safe for children and adults.
- Decongestants may also be helpful for reducing symptoms such as nasal stuffiness.
- Do not use nasal spray decongestants for more than 3 days.
- Leukotriene inhibitors are prescription medicines that block leukotrienes. These are the chemicals that the body releases in response to an allergen that also trigger symptoms.
Most symptoms of allergic rhinitis can be treated. More severe cases need allergy shots.
Some people, especially children, may outgrow an allergy as the immune system becomes less sensitive to the trigger. But once a substance, such as pollen, causes allergies, it often continues to have a long-term effect on the person.
Calling your health care provider
Call for an appointment with your health care provider if:
You have severe hay fever symptoms
Treatment that once worked for you no longer works
Your symptoms do not respond to treatment
You can sometimes prevent symptoms by avoiding the pollen you are allergic to. During pollen season, you should stay indoors where it is air-conditioned, if possible.
Related:Allergic rhinitis – what to ask your doctor – adult, Allergic rhinitis – what to ask your doctor – child, Allergies, Asthma, Immune response, Allergic reactions, Allergen, Antibody, Atopic dermatitis, Drowsiness, Anaphylaxis