Relationship of Allergic Rhinitis(AR) with Rhinosinusitis/Asthma/Ear discharge/Dentofacial abnormalities & Sleep disorder
What Is Allergic Rhinitis?
It is a reaction of your nose & sinuses to external & internal environment. The problem is more during the wet season Patients usually presents with sneezing, rhinorrhea, nasal obstruction, headache, itching in nose, throat, ear.The patient may have non-nasal symptoms like itchy eyes, headache, fatigue, skin allergy. To prevent complications like rhinosinusitis, asthma, ear discharge, dentofacial abnormalities & sleep disorders, the patient should get examined by ENT surgeon and investigated by nasal endoscopy etc.Treatment consist of nasal spray & antiallergic tablets.
Relationship of AR with Rhinosinusitis(RS)
About 25 to 70% of patients of AR have RS along with Asthma.They present with nasal blockage & discharge, sinus headache, bad breath, breathing difficulty, tightness in chest. Diagnosis is on basis of clinical examination along with collateral investigations like nasal endoscopy, spirometry & CT Scan.
It is managed by antibiotics, antiallergic decongestant tablets along with nasal spray. Surgery if there is nasal polyps, sinus abscess, ophthalmic complications.
Relationship of RS with Asthma
About 40% patient of AR have asthma, vice versa 80% of asthmatics do have AR. The key symptoms of asthma are cough, noisy breathing, breathlessness, chest tightness & excessive sputum production.Diagnosis is on the basis of clinical findings, nasal endoscopy & spirometry. Treatment consist of anti-asthmatic drugs along with supportive therapy and control of GERD, environmental stimulants.
Relationship of AR with Ear Discharge
About 50 to 70 % of kids have blockage of Eustachian tube which connects nose with ear, leading to pus discharge, decrease hearing, blocked ear etc. It is managed by antibiotics, antihistamines along with decongestant & steam inhalation.
Relationship of AR with Dentofacial abnormalities & Sleep disorder
Nearly 50 to 75 % of children’s with uncontrolled AR can have crooked teeth, mouth breathing, snoring etc.
Diagnosis is on basis of clinical findings, sleep study. Treatment consist of long-term management with antiallergic & decongestant medicines.
Checklist for Allergic Rhinitis & Asthma Patients while traveling:
If going to
Dr. Samit S. Bali MBBS, MS (ENT)
E:samitbali@in.com
Follow me on twitter@balinagpur
W:www.baliclinic.net
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