Allergic rhinitis?

[leletmd]

^ 2nd generation anti - histamines such as loratadine, cetirizine, desloratadine and levocetirizine, ebastine, etc are mildly sedating compared to 1st generation anti-histamines (diphenhydramine, hydroxyzine, chlorphenamine). Longer acting din ang 2nd generation anti - histamines compared to 1st generation anti - histamines.

[snowyice]

i have allergic rhinitis too but when I stopped working hindi na siya malalala but it's there everyday as in lagi akong may sipon lately I noticed kapag nagkakasipon ako nagiging sinusitis na siya.  This year lang...haaay ang hirap

[leletmd]

@snowyice:
The mere fact that your symptoms are there everyday and it leads to sinusitis (already a complication of allergic rhinitis) means that your symptoms are inadequately treated. Classification wise, you are already in the persistent stage if your symptoms are occurring daily which means you should be on maintenance meds.

[snowyice]

kasi naman I went to sa pulmonologist forgot the name but my MIL said it's Gloria Arroyo's pulmo binigyan ako ng meds for 3 weeks gumaling ako for 1 week after that bumalik ulit.  Simula nun nawalan na ako ng ganang uminum ng meds for my allergic rhinitis feeling ko magiging walking drug store ako dito.

[leletmd]

@snowyice:
Allergic rhinitis is a life long disease so medications are really meant to be taken for a long time. Aside from taking maintenance meds, follow up check ups with your allergologist or ENT is also essential since dapat mamonitor ang response to the meds.

[snowyice]

=(

[birchtree]

@leletmd: Ano po ang difference ng allergic rhinitis sa sinorhinitis (not really sure if this is the right term) pero parang ganito ang dinig ko sa sinabi ng pulmonologist. I was diagnosed with sinorhinitis 2 weeks ago. Nagsabay-sabay iyong tonsillitis ko, ubo, sipon and ear pain sobrang hirap noon, couldn't sleep kasi sobra ang cough ko that time.

[leletmd]

@birchtree:
Sinorhinitis is a broad term which means involvement of the sinuses (sino) and the nasal turbinates (rhinitis). It can either be infectious or allergic in nature. Pwede rin combination ng allergic rhinitis with sinusitis.

[snowyice]

@letletmd ask ko lang po advisable po ba ang immunotherapy sa bata?  I'm having difficulty with my son dahil super grabe ng rhinitis niya and I can't do anything for him kabikabila ang construction ng building dito sa amin kaya talagang naliligo kami sa alikabok and sobrang init ng panahon ngayon.  I can't keep my son naman in the house.  What doctor should I see Pediapulmo or Pedia ENT?  Thanks!

[cheskacruz]

@doc leletmd: I posted here kasi my eldest has allergic rhinitis. Pero just this November, I thought I was only having bad colds, but to my surprise it lasted for 2 weeks, for 1 month and until now. Ang hirap-hirap pala ng may allergic rhinitis. Hindi ako makapagwork ng maayos dahil dito, siguro 100x a day ako bumabahing at walang katapusan yung sipon ko... Huhuhuhu 

[whitebishop]

try taking supplements grapeseed extract and vit c dito medyo nag improve ang immune system ko at nawala ang allergic rhinitis. you can buy them from mercury, watson's healthy options or gnc.

[leletmd]

@snowyice:
How old is your child? How is his allergic rhinitis being managed? Is he able to express how he feels?
We consider starting immunotherapy when:
a. patients are unable to avoid their allergic triggers (triggers are determined by history and confirmed by skin testing; thus, hindi pwede yung hula lang na trigger)
b. Patients show no improvement despite having good compliance with maintenance medications
c. Patients have side effects from using maintenance medications
d. Quality of life is affected and complications arise from severe rhinitis

Allergologists are the only ones trained and licensed to give immunotherapy. It is a very long process and thus, requires good compliance on the part of the patient. I suggest you have your child evaluated by an allergologist if you have not done yet before.

@cheskacruz:
Most of the time, we get patients who are brought in by parents who are in denial that they have allergic rhinitis themselves pero mas prominent pa ang allergic shiners and nasal twang nila compared to their kids. Most of the time kasi sanay na sa symptoms kaya di na napapansin and when complications arise, saka napapansin ang symptoms.
I hope you get proper treatment for your allergic rhinitis. It seems your symptoms are already on the persistent side and is affecting your quality of life. Pag ganyan kasi, dapat naka maintenance meds ka na. I suggest you consult an allergologist if you have not done so.

@whitebishop:
Nothing wrong with taking supplements like vitamin c, zinc and probiotics to boost the immune system but they are best taken for prevention and not for treatment of symptoms.
The key to treatment of allergic disorders is finding out your specific trigger and avoiding the triggers. Once symptoms are already present, there is a need for proper medication and not just as needed medication.

[snowyice]

^he is 7 years old.  The doctor prescribed Sterimar and Xyzal til the end of the holiday, take a bath 2x a day.  Tapos nun check up again.  She said kapag walang nangyari sa maintenance meds then we will have a skin test na.  Malakas ang pag inhale exhale niya yun ang nangyayari.

[cheskacruz]

@cheskacruz:
Most of the time, we get patients who are brought in by parents who are in denial that they have allergic rhinitis themselves pero mas prominent pa ang allergic shiners and nasal twang nila compared to their kids. Most of the time kasi sanay na sa symptoms kaya di na napapansin and when complications arise, saka napapansin ang symptoms.
I hope you get proper treatment for your allergic rhinitis. It seems your symptoms are already on the persistent side and is affecting your quality of life. Pag ganyan kasi, dapat naka maintenance meds ka na. I suggest you consult an allergologist if you have not done so.

Thank you Doc. I haven't had any check-ups yet but I will this January after all my workload and the occasions. Salamat as always for your advices.

[leletmd]

^he is 7 years old.  The doctor prescribed Sterimar and Xyzal til the end of the holiday, take a bath 2x a day.  Tapos nun check up again.  She said kapag walang nangyari sa maintenance meds then we will have a skin test na.  Malakas ang pag inhale exhale niya yun ang nangyayari.

If his symptoms involve nasal congestion then Xyzal and sterimar may not be enough to control his symptoms. Nasal steroids kasi ang kailangan to remove the inflammation.

[snowyice]

^super hirap lumabas ng sipon niya.  He is asking me to take him to the doctor again today ang hirap hirap daw huminga.  My SIL asked me to nebulize him but he said it didn't work daw.  I tried AVAMYS before pero dumudugo yung ilong niya dun e kaya we stopped

[leletmd]

^ How did you spray the avamys? Nosebleeds from nasal steroids are most often due to improper technique. If it is sprayed straight into the nostril, the spray might hit the nasal septum and cause perforations leading to nose bleeds. It should be sprayed away from the midline kasi.

[khriseeee]

Doc you mentioned vasomotor rhinitis, how is this different from allergic rhinitis?

I get allergies from strong fumes such as perfumes and detergent, and extreme weather changes. I was once even allergic to the sun, getting attacks only whe. Exposed to sunlight, even if it wasn't hot.

To this day, i will always have a sneezing fit and runny nose when i wake up in the morning. It will usually go away after an hour or two unless i am exposed to something else that will trigger my allergies again.

[leletmd]

@khriseeee:
Rhinitis can be grouped into either: Allergic rhinitis and non - allergic rhinitis.
Types of non - allergic rhinitis include vasomotor, infectious, gustatory, hormonal, rhinitis medicamentosa, etc. The different types of rhinitis differ in the cause/triggers as well as the symptoms.
For example:
Infectious rhinitis - caused by viral infections such as the rhinovirus (common cold), influenza virus (flu), RSV (bronchiolitis), etc. Symptoms: whitish to yellowish purulent nasal discharge persistent throughout most of the day accompanied by fever, body aches, head ache, sore throat, etc.
Hormonal - brought about by pregnancy, menstruation, even hypothyroidism
Gustatory - rhinitis caused by eating spicy food
Rhinitis medicamentosa - nasal congestion brought about by taking or using nasal decongestants for a long period of time
Vasomotor rhinitis - there is inflammation of the nasal mucosa due to exposure to irritants such as strong fumes from smoke and perfumes, changes in weather, increase in humidity, emotions/stress.

Contrary to what you posted, you don't really get allergic rhinitis from exposure to perfumes and detergents and extreme weather changes because we don't consider those as allergens. You also do not get allergic rhinitis from exposure to the sun. Rather, the symptoms or attacks you experience from getting exposed to sunlight may be due to humidity change, bringing about vasomotor rhinitis.
Irritants are different from allergens. Irritant directly cause symptoms to the nasal mucosa whereas allergens trigger the immune system to produce antibodies against them, leading to symptoms.
Irritants - strong fumes, weather changes, chemicals, emotions/stress, dust
Allergens - pollens, house dust mites, molds, cat/dog dander, feather, kapok
Alikabok or dust is an irritant, not an allergen. It's the house dust mite that causes the allergic symptoms.
We do not do skin testing to irritants like smoke or perfumes.
There are cases wherein patients have allergic rhinitis with vasomotor component. The morning attacks you mentioned are most likely due to exposure to house dust mites while you were sleeping (classic symptoms kasi ito ng patient na allergic sa house dust mites) so it is possible that you have both allergic rhinitis and vasomotor rhinitis. I suggest you seek consult with an allergologist so you can find out for sure (since what I posted is an "opinion" based on what you posted and not a diagnosis; diagnosis requires complete history and physical examination) if you have just vasomotor rhinitis or a combination of both allergic and vasomotor rhinitis.

[cerelina]

My 3weeks old baby has been diagnosed wiyh allergic rhinitis by her pedia, its been 4 days since he prescribed salinase the problem is that the mucus is too sticky and she cannot feed because she cant breath properply when feeding if its allergic rhinitis then it will only disappear once she doesnt get exposes to allergens right? The pedia identified the possiblity of powder and cologne to be the culprit of her allergy since then stopped using powder and cologne but we are still hearing mucus/wheezing when she breathes.