Rhinitis treatment focuses on relieving symptoms, preventing future episodes and avoiding triggers. The treatment plan depends on the type of rhinitis and the cause of the problem. Allergies are the most common cause of rhinitis, and can be either seasonal or perennial (occurring year-round). Perennial rhinitis is usually caused by environmental factors like irritants, such as cigarette or perfume smoke, cleaning products, strong odors, and chemicals.비염한의원
The main symptom of allergy-induced rhinitis is itching in the nose and eyes. Other symptoms include nasal congestion, runny nose or nosebleeds, sinus pressure and headaches. Some people also have sneezing, itching in the throat and nose, or mouth breathing during sleep. Some patients also have dark circles under the eyes, called allergic shiners. The first step in diagnosing rhinitis due to allergies is taking a detailed patient history and performing a physical exam of the nose, ears, nasal sinuses, sinus roof and posterior oropharynx (the area of the throat at the back of the mouth), skin and chest.
A physical examination can reveal symptoms such as sneezing, itching of the nose and throat, congestion or stuffiness, runny nose or nosebleeds, itchy nose and eyes and nasal discharge that is yellow or green in color. The doctor will ask questions about the frequency and duration of symptoms, as well as how they affect your quality of life.
Allergies are the most common cause for rhinitis, but sometimes it can be difficult to tell the difference between a cold and allergies. Colds are caused by more than a hundred different strains of virus and last about one week. Allergies are caused by specific allergens and last as long as the allergen is in the air (usually 2-3 weeks).
To diagnose your rhinitis due to allergies, your doctor will probably perform an allergy skin test or a blood test, which can identify the specific allergens that cause your rhinitis. Skin testing involves applying tiny amounts of commercial extracts of allergens to the skin on your forearms or back, and pricking the extract with a small needle. Within 15-20 minutes, if you are allergic to the allergen, your skin will develop a wheal-and-flare reaction, or hives. A blood test, called a radioallergosorbent test (RAST), can identify antibodies to specific allergens.
If you have allergies, your doctor will recommend an intranasal corticosteroid spray or oral and topical antihistamines, decongestants or leukotriene receptor antagonists to relieve your symptoms. Oral second-generation antihistamines, such as desloratadine (Aerius), fexofenadine (Allegra) or loratadine (Claritin) are the most commonly used first-line pharmacological treatments for allergic rhinitis. Newer prescription drugs, such as budesonide (Nasalcort) and rupatadine (Rupall), are also available.라경찬한의원
Chronic nonallergic rhinitis is less common and is often hard to treat, but it can be helped by avoiding triggers, using a Neti pot or bulb syringe for nasal irrigation, using a humidifier, drinking lots of liquids, and exercising regularly. If your symptoms are not relieved by these home remedies, you may need to talk to your doctor about other medications, such as a nasal steroid spray or a combination of the above.