What is allergic rhinitis?
Allergic rhinitis is defined as allergic symptoms in the nasal passage. Allergic rhinitis can be seasonal (occurring during specific seasons) or perennial (occurring year round). The allergens that most commonly cause seasonal allergic rhinitis include pollens from trees, grasses and weeds, as well as spores from fungi and moulds. The allergens that most commonly cause perennial allergic rhinitis are house dust mites, cockroaches, animal dander and fungi or moulds. Perennial allergic rhinitis tends to be more difficult to treat.

How does allergic rhinitis occur ?
This condition occurs when allergens (allergy- causing substances) come into contact with the nose, and usually also the ears, sinuses, and the throat. When allergens come in contact with the lining of the nose and sinuses, they trigger the cells to release the chemical histamine, which causes the allergy symptoms described below.

What are the symptoms?
Nasal congestion 
Sneezing 
Watery " runny nose" 
Itchy eyes,nose,or throat 
Puffy eyes or 'allergic shiners'
Post nasal drip 
Tears 
These symptoms may occur during a certain season or year long. They can occur at any age. 

Risk factors for allergic rhinitis?
Allergies can affect anyone, but you re more likely to develop allergic rhinitis if your family has a history of allergies. Some external factors can trigger or worsen this condition, including:

cigarette smoke
chemicals
cold temperatures
humidity
wind
air pollution
hairspray
perfumes
colognes
wood smoke
fumes
Ayurvedic concept of rhinitis
As per Ayurveda, Allergic rhinitis is compared with Vata- Kaphaja pratishaya. The concept of Ama, Asatmya and virudh aahara also predict the allergic conditions.

Ama is the product of impaired digestion and metabolism. It affects Rasa and Rakta Dhatu leading to manifestation of Pratishyaya. Wrong food combinations (Virudh aahar) having antagonist properties like fish with milk, fruit juice with milk, clarified butter with honey, ice cream after night meals, etc. leads to allergy.

Ayurveda believes in balancing the three doshas present in the human body, thus treating the disease on the whole. Treatment involves clearing the sinuses and expelling phlegm, alleviating the relevant dosha and detoxification. To permanently resolve this disorder, dietary and lifestyle adjustments may be necessary in addition to the strengthening of the immune system. Panchakarma is an effective means of treating Allergic Rhinitis.



Ayurvedic treatment for allergic rhinitis:
If the symptoms are severe and in chronic conditions, Vamana Panchakarma treatment, followed by Virechana is administered. This helps to relieve Ama and balance Tridosha.
In some cases, where the patient has normal digestion strength, Nasya treatment (nasal drops therapy) is administered with herbal oils such as Anu taila or Shadbindu Taila. 
After the above Panchakarma treatments, Ayurvedic medicines are administered to improve respiratory immunity and strength of upper respiratory tract.
Useful Ayurvedic medicines in treating allergic rhinitis:

Nimbarajanyadi tablet   Contains neem and turmeric as main ingredients.
Chavikasavam   Fermented Ayurvedic liquid, also used in urinary tract disorders.
Mahalaxmi Vilas Ras   Also useful in the treatment of skin diseases, diabetes, Sinus, non healing wounds, etc.
Other medicines: Narada lakshmi vilas rasa, Anand bhairava rasa, tribhuvan kirti rasa, shringarabharaka rasa, Mayur shringa bhasma, Abhraka bhasma, Lavangadi pills, Sitopaladi choorna, Marichayadi yoga, vyoshadi pills, Khadiradi pills are suggested.

Diet management:

Take  Light food, lukewarm water, Kapha nashaka foods like little spicy food, saindhav salt, legumes, soups etc.
Avoid heavy food, fermented food, congestive food, too hot or too cold food, soar food, non vegetarian food, sweets, banana, curd, yogurt, ice creams, deserts, cakes, yellow grams, etc.
Avoid Alcohol and cold beverages. 
If you wish to discuss about any specific problem, you can consult an ayurveda.

Allergic Rhinitis - Signs That You are Suffering from it

What makes your nose bleed in the summer season?

Nosebleeds are a common occurrence, and may indicate a severe medical condition. The rupture of the blood vessels within the front and back of the nose can cause such bleeding. These blood vessels are very tender and, thus, bleed easily.

There are two kinds of nose bleeds: namely anterior and posterior nosebleeds.

An anterior nosebleed occurs when the blood vessels at the front of the nose break or rupture, giving rise to bleeding. A posterior nosebleed is when the rupture takes place in a deeper part of the nose. The latter is more dangerous because blood can flow down the back of the throat.

Some of the causes of nose bleeding are:

- Trauma to the face, such as a punch on the face
- Repeated bouts of nose picking or irritation can also cause nosebleed
- Although rare, inability of the blood to clot can also cause the nose to bleed
- High blood pressure can also be a contributing factor

According to some people, cold can cause your nose to bleed. This holds true to an extent. Among the many reasons that can cause the nosebleed, summers serve as one.

This is because:

- Summer months are dry and hot, both of which are bad for your nose. The protective coating of mucus present within the nasal cavity can get dry due to low humidity in the hot months. The loss of the mucus causes your nasal cavity to be prone to dryness, leading to subsequent bleeding.

- The heat also has another damaging effect, as summers tend to intensify allergy, and an allergic reaction can cause nosebleeds.

Washing your nose with cool water and avoiding being subjected to direct sunlight may help to prevent nosebleeds.



What makes your nose bleed in the summer season?

A nosebleed also called epistaxis medically is normally not dangerous, but if you are old nosebleeds come with a number of risks. Treating a bloody nose incorrectly can only make it more dangerous, because of prolonged bleeding. Before we explain the ways to stop nosebleeds, let s take a look at its causes:
Nosebleeds usually start from just inside the entrance of the nostril. But, why? Because the blood vessels here are quite fragile and are also prone to rupture easily. This is the reason why children suffer from nosebleeds so easily. Other common reasons are

A blocked nose due to colds
Picking one's nose roughly
Blowing one's nose
Injuries
Use of cocaine
A nosebleed usually lasts for about 10-20 minutes and is usually easy to treat. But in some conditions, this bleeding can be profuse and last longer like in cases of 

Heart failure
Blood clotting disorders
Due to 'blood thinning' medicines
Hypertension
Bleeding can sometimes also happen in areas further back in the nose due mostly to injuries and disorders of the nose.

Treatment
Usually, nosebleeds can be stopped using simple first aid.

Sitting up straight helps, especially along with tipping your head forward. It is vital that you don t tip your head backwards as this can allow the blood to go down your throat and cause vomiting. And this can make your nosebleed worse. So, take care to spit out the blood in your mouth and not to swallow it.
To stop a nosebleed, pinch the soft, cartilaginous part of your nose using your thumb and forefinger. Spraying your nose with a medicated nasal spray before pinching it can help the bleeding to stop faster. Apply pressure for 10 minutes to get results. Check if your nosebleed has stopped after 10 minutes if it s not; apply pressure for another 10 minutes. Nosebleeds usually stop after 10 to 20 minutes of pressure.
Use an ice pack to your nose and cheeks. This will constrict the blood vessels in the nose and stop the nosebleed.
Use a saline- or water-based nasal gel inside your nose to stop bleeding.
Remember not to blow your nose or insert anything into your nose for at least 12 hours after your nosebleed is over.
If the bleeding doesn t stop even after 20 minutes of applying direct pressure, it s prudent to rush to a doctor. He will treat your nose to stop the bleeding.
In a few rare cases, the bleeding is so severe that a blood transfusion is needed, and surgery may be needed to stop it.

Nosebleed - How It Can Be Stopped?

A blocked nose is not only annoying, but is extremely discomforting. Several reasons can be held responsible for it and common cold is certainly not the only one. Some other reasons include:
1. Flu
2. Allergy
3. Sinus

Therefore, the remedial measures for blocked nose vary, depending on the cause that led to it. Some of the ways by which you can redress this problem are:

Use a humidifier: Sinusitis is often held responsible for a clogged nose, a condition that is almost always accompanied by severe pain. In such a situation, placing a humidifier in a room proves to be extremely beneficial. This machine treats blocked nose by converting the water to moisture. This fills up the room and significantly increases the humidity of the room. Therefore when you breathe, the humid air soothes the inflamed blood vessels in the nose and helps you to breathe properly.
Take a hot shower: When you find it difficult to breathe, a quick hot shower can go a long way in curing the discomfort. The logic that operates is the steam generated from the hot shower thins the mucus and also considerably reduces the inflammation in the nose, allowing you to breathe normally.
Drink lots of water: Though the suggestion may seem incredible, drinking water actually helps in un-blocking that blocked nose. When you drink a lot of water, the mucus in the nostrils is thinned, at the same time it pushes back the accumulated fluids, thereby curbing the condition of blocked nose.
Using a saline spray: This is one of the most ancient and trusted ways of treating blocked nose. By administering a saline or a nasal spray, the moisture in your nostrils increases and radically diminishes the inflammation.
Use warm compresses: Using a warm compress has been the most reliable form of medication in times of high temperature and also at times of blocked nose. The compress that was dipped in hot water, when placed on the nose and forehead helps to unblock the nasal passages. The soothing effect of the warm compresses reduces the inflammation and facilitates the process of breathing.

Blocked Nose: 5 Remedies For It!

Having a foreign object stuck inside a child s ear or nose is an issue many parents encounter, especially while their child is a toddler. At the early developmental stages, it s natural for children to be curious and attempt such things. It is also quite common for children as well as adults to get insects caught inside their nose or ear. In situations such as this, it s best not to worry, as people tend to aggravate the situation when they panic.
The first thing you should try if you have any foreign object stuck inside your nose is to blow your nose. Be careful not to push too hard so as to not risk injury. Often children will be able to expel foreign objects from their nose only when asked to blow their nose.

If the foreign object in question is not stuck up the nose, but up the ear, or if blowing your nose has not helped, you should try and remove the object with a pair of clean tweezers. Do not try to use household items other than tweezers, as they might push the object further up the cavity. Do keep in mind to have someone help you while removing foreign objects from your own ear as well as to keep in mind to be extra careful not to be too harsh as you might puncture your ear drum. If the foreign object is stuck up your child s nose or ear and they refuse to keep still, it s best to take them to a professional.

What can an ENT specialist do?
If you have a foreign object stuck in your nose or ear and can t get it out easily, it s safest to go to the doctor rather than risk hurting yourself or your child. An Ear-Nose-Throat Specialist can use a local anesthetic to numb the area and use their expertise to better navigate the cavity and remove the object from the ear or nose. If the object is too far up the nose to reach, the ENT Specialist can administer medication to induce a nosebleed which will naturally dislodge the object from the cavity without having to insert anything into it.

When faced with problems such as a foreign object stuck in the ear or nasal cavity, it s best to consult a professional as soon as possible instead of leaving the problem untouched for a long duration of time, as activities such as sniffing or scratching may further aggravate the issue.

Foreign Body Inside Ear, Nose Or Throat - What To Do And What Not To?

What is a foreign body (FB)?
Foreign body or FB is an object or piece of extraneous matter that has entered the body by accident or design. It is common to see certain items getting stuck in the ear, nose or throat especially, in young children. While most of the time they do not raise an alarm, however, sometimes they can lead to severe consequences like rupture of the eardrum or even choking.

How do FBs affect ear, nose and throat?

Children over 9 months develop an ability to pick up objects. As they explore the environment around them, they tend to put items such as peas, beans, marbles, beads, cotton, paper, etc, in their mouth, nose or ears. Similar trend may be seen in adults with mental disorders.
Trauma/ fall/accident can force FBs like rock, pebbles into the ear, nose or throat.
Adults while riding a bike or sleeping on the ground (campsites) can have insects: flies, ants, roaches fly into the nose or ear.
Choking occurs when FBs block the airway, common reasons are: not chewing the food properly, diseases like Parkinsonism, drinking alcohol or certain drugs that slowdowns the process of swallowing.
Managing FB in the ear, nose and throat

Foreign bodies in the ear
Symptoms: Pain in the ear, discharge or bleeding from the ear, feeling of fullness or pressure in the ear and dizziness and nausea in extreme cases.

Management: 

Make sure the patient is sitting in an upright position, pull the pinna or outer semicircle of the ear towards the back. This can help you see the object clearly and also loosen it to wiggle out. If you can see the object clearly, use a tweezer to grasp the object and gently remove.
In case a live insect gets trapped inside the ear lie down and place few drops of warm vegetable or baby oil. Use oil only if symptoms of eardrum perforation like pain, bleeding/discharge from the ear is absent.
Tilting the head to the affected side can facilitate gravity to dislodge the object.
Foreign bodies in the nose:
Symptoms: Pain and difficulty in breathing from that side of the nose.
Management: Keep the uninvolved nostril closed by pressing a finger against the side of the nose and gently ask the person to blow from the affected nostril.

Foreign bodies in the throat:
Symptoms: Choking, inability to breathe and speak 
Management: Perform Heimlich maneuver: abdominal thrusts, if trained otherwise, it is advised to call for medical help immediately.

How can you prevent foreign bodies from entering your ear, nose, throat?

Discourage talking, playing, laughing when food is in the mouth.
Do not give whole grapes, popcorn, nuts to children below 3 years.
Keep small objects out of reach of small children.
Teach children to avoid placing objects into their nose, ears.

Presence Of Foreign Bodies In Ear/Nose/Throat - How It Can Be Managed?

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