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Allergy Articles & Updates

Hayfever / allergic rhinitis

8/4/2020

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Hayfever
























🌞As the weather warms up, starts raining less and flowers start blooming, my clinic begins getting filled with (as Prof Warner likes to call them) itchy, sneezy, wheezy patients.⁣
https://www.itchysneezywheezy.co.uk
⁣
💐And this because they suffer with Allergic rhinitis, which is an inflammation of the nasal mucosa caused by an airborne allergen.⁣
These can be either tree pollen or grass pollen.

The name Allergic Rhinitis wasn't used until the 20th Century.
Initially it was called "Summer Catarrh" as described by Dr Bostock, when an association was made with the hay season.
Due to that is was then commonly called "Hayfever", with the name persisting up to now.

The name "Allergic Rhinitis" is the true name of this pathology.
Allergic due to the reaction being made by allergens.
Rhinitis is due to the combination of two Greek words:
  • Rhino - Nose
  • Itis - Inflammation

The main cause, aroud Spring and Summer, is Pollen.
Being it from Trees or from Grasses.

But Allergic Rhinits can also be due to other airborne allergens. Such as:
  • House dust mites
  • Pets
  • Moulds
  • Cockroaches
  • Rodents

⁣⁣
⚠️On its own, it is not life threatening.⁣⁣
⚠️The main problem is when associated with poorly or uncontrolled asthma.⁣⁣
⚠️Can also be troublesome for sufferers of Pollen Food Syndrome/Oral Allergy Syndrome. ⁣⁣
The most common symptoms are: ⁣⁣
🔶️Sneezing⁣⁣
🔶️Itching: Nose, eyes, ears, palate⁣⁣
🔶️Runny nose⁣⁣
🔶️Blocked nose⁣⁣
🔶️Loss of smell⁣⁣
🔶️Headache⁣⁣
🔶️Earache⁣⁣
🔶️Runny and/or red eyes⁣⁣
🔶️Swollen eyes⁣⁣
🔶️Tiredness⁣⁣
⁣⁣
✅Skin prick tests are the main source for diagnosis.⁣⁣
💉Blood tests can eventually be done, mainly in primary care.⁣⁣
⁣⁣
❓What to do:⁣⁣
  1. Control the environment and avoid allergens, mainly by decreasing exposure⁣⁣
  2. Ask your GP either for 💊medication or referral to an Allergy Service
  3. Medication - steroid nasal sprays, antihistamine nasal sprays, antihistamine eye drops, oral antihistamines (please see my post on COVID-19 and Allergy on my Instagram page)⁣⁣
  4. Immunotherapy, when the two above did not manage to control symptoms⁣⁣
⁣⁣
𝘚𝘰𝘰𝘯 𝘐'𝘭𝘭 𝘮𝘢𝘬𝘦 𝘢 𝘱𝘰𝘴𝘵 𝘰𝘯 𝘗𝘰𝘭𝘭𝘦𝘯 𝘍𝘰𝘰𝘥 𝘚𝘺𝘯𝘥𝘳𝘰𝘮𝘦 𝘢𝘯𝘥 𝘦𝘹𝘱𝘭𝘢𝘪𝘯 𝘴𝘺𝘮𝘱𝘵𝘰𝘮𝘴, 𝘪𝘯𝘷𝘦𝘴𝘵𝘪𝘨𝘢𝘵𝘪𝘰𝘯 𝘢𝘯𝘥 𝘵𝘳𝘦𝘢𝘵𝘮𝘦𝘯𝘵. ⁣⁣
𝘒𝘦𝘦𝘱 𝘺𝘰𝘶𝘳 𝘦𝘺𝘦𝘴 𝘱𝘦𝘦𝘭𝘦𝘥!⁣


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    Dr Costa is a Consultant Paediatrician and fellow of the Royal College of Paediatrics and Child Health.

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