Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Allergic Rhinitis: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Also known as hay fever, allergic rhinitis symptoms include sneezing, watery eyes, stuffy itchy nose, and a sore, scratchy throat. People also show symptoms like eczema,that is dry itchy skin that can blister and weep.Pollen mainly triggers this allergic reaction and causes the body to overreact and become sensitized. Other possible allergens may include grass, dust mites, cockroaches, cigarette smoke, and perfume.

Hay fever is caused by histamine, a natural chemical which is secreted when our body comes into contact with an allergen. Histamine helps to defend our body from allergens and can cause hay fever.

There are two types of allergic rhinitis- seasonal and perennial. Seasonal fever occurs during spring or fall and is mainly caused by pollens. Perennial prevails throughout the year in response to indoor allergens.

Treatment of allergic rhinitis can be categorized under 3 major heads. These are- (1) environmental control measures and allergen avoidance, (2) pharmacological management, and (3) immunotherapy.

Environmental control measures and allergen avoidance

Environmental and allergen avoidance can be possible if one restricts going out to much in seasons when these can be more harmful. One can take a shower after outdoor exposure as that helps to remove the pollens or allergens from the body. environmental control measures and allergen avoidance Bed linens, carpets and rugs should be washed thoroughly. Carpeting should be removed.

pharmacological management

Pharmacotherapy of allergic rhinitis include intranasal corticosteroids, oral and topical antihistamines, decongestants, intranasal cromolyn (Nasalcrom), intranasal anticholinergics, and leukotriene receptor antagonists. Intranasal corticosteroid treatment is recommended alone for mild to moderate disease as an initiating therapy.Moderate to severe diseases should be treated with the other mentioned procedures. Patients with severe diseases who do not respond to oral or topical treatments should be referred for immunotherapy.

Immunotherapy

It consists of a small amount of allergen extract placed sublingually or subcutaneously over the course of a few years, with maintenance periods typically lasting between three to five years. Sublingual immunotherapy (SLIT) involves placing a tablet containing a mixture of several allergens under our tongue and is an effective way to treat severe cases of allergic rhinitis. However, side effects may cause anaphylaxis.

Other treatments include acupuncture,nasal saline irrigation,butterbur supplements,honey(raw, organic varieties),probiotics.

How is the treatment done?

For mild and moderate treatment, Intranasal corticosteroids alone is recommended. This treatment includes several categories like Beclomethasone (Beconase), Budesonide (Rhinocort) Ciclesonide (Omnaris) Flunisolide etc. All these treatments require a minimum age of 6 years. It inhibits the influx of inflammatory cells and starts action in less than 30 minutes. These should be taken one or twice daily for a week/month./ year according to doctor’s advice.

For moderate to severe rhinitis treatment, antihistamines are used along with decongestants, intranasal cromolyn (Nasalcrom), intranasal anticholinergics, and leukotriene receptor antagonists.Oral and intranasal antihistamines like cetirizine Desloratadine Levocetirizine help to bocks the H1 receptors and starts action within 15 to 30 minutes. These usually occur in the form of sprays and tablets. Oral decongestants like pseudoephedrine acts by vasoconstriction and requires a minimum age of 12 years. Intranasal cromolyn that is Cromolyn (Nasalcrom) inhibits histamine release and thus prevents the occurrence of rose fever. Mechanism of Intranasal anticholinergics like Ipratropium (Atrovent) include blocking acetylcholine receptors and that of Leukotriene receptor antagonists (Montelukast) include inhibiting leukotriene receptors.

Immunotherapy is applied only when the disease attains a chronic stage and is resistant to the previous cures. Here a small amount of allergen extract is given to the patient sublingually or subcutaneously over the course of a few years to treat allergens. Recombinant DNA technology and Omalizumab (Xolair), an anti-immunoglobulin E antibody are also effective in the treatment of hay fever and have shown positive results.

Who is eligible for the treatment? (When is the treatment done?)

Different treatment procedures of allergic rhinitis or hay fever have different minimum age criterion. However, patients till the age of 56-60 can be eligible for the treatment. Leukotriene receptor antagonists treatment can be started right from the age of 6 months while Fluticasone propionate under Intranasal corticosteroids treatment requires a minimum age of 12 years.

Who is not eligible for the treatment?

Pregnant women are prone to risks for treatment. Women specially under category C that is risk not rukes out should avoid allergic rhinitis treatment during the prenancy months. New born babies are not eligible as they might develop severe sid effects.

Are there any side effects?

Although allergic rhinitis is not an extremely serious condition, it can interfere with many important aspects of life. Possible side effects of undergoing rose fever treatement include itching in the mouth or ear and throat irritation. In rare cases, SLIT treatments can cause anaphylaxis. Patients often feel tired, miserable, or irritable.

What are the post-treatment guidelines?

Athough allergic rhinitis keeps recurring even after treatment, it is best for people to avoid exposure to cigarette smoke, pets, and allergens to which they have a known sensitivity. People should prefer staying indoors during times when pollens are abundant in the air, keep the doors and windows shut during allergy season. Mouth and nose should be covered with masks to prevent inhaling the dust particles and associated allergens. Keeping clean and being precautioned to avoid further complications in allergies must be noted by patients.

How long does it take to recover?

If the symptoms last for less than 6 weeks, then the treatment of rhinitis takes a shorter time period. Medication helps cure the acute disorders and helps restore normalcy. However, if symptoms last more than 6 months then it is termed chronic rhinitis and cure of this is a time taking process. It takes the entire year for the patient to get better. In worse cases, patients continue taking medicines lifelong.

What is the price of the treatment in India?

The cost incurred in the treatment of allergic rhinitis vary from person to person. Medicines as cheap as less than Rs. 5 to more than Rs 100 is available. Fexofenadine (Rs 123.56) is the costliest and Levocetirizine is the cheapest (Rs 2.5). However, the total cost depends on the respective doctors and the duration of treatment depending on the degree of allergy.

Are the results of the treatment permanent?

Allergic rhinitis can be cured permanently by undertaking homeopathy treatment for two to three sessions. Allergies are tough to get rid of. Enhancing body immunity to resist such reactions can help to prevent rhinitis permanently. Treatments help to suppress the symptoms and the root cause and can thus help in permanent resolving of the problem if individuals take proper care endlessly.

What are the alternatives to the treatment?

Minute allergic rhinitis can be brought under contol without medical treatment by using natural alternative methods. To reduce allergy symptoms, a low fat, high carbohydrate diet with lots of water is advised. Vegetable and vitamin intake will help the body improve upon its immunity. Acupuncture is a useful and prevalent way of treating those suffering from allergic rhinitis. herbs like butterbur,stinging nettle, tinospora cordifolia and astragalus help in natural cure of the disease. Also, patients may resort to homeopathy and ayurvedic cure of the disease.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Medium Time For Recovery: High Price Range: NA

Popular Health Tips

Allergic Rhinitis - Everything That You Ought To Know

MBBS, MS - ENT
ENT Specialist, Delhi
Allergic Rhinitis - Everything That You Ought To Know
An estimated 10 to 30 percent of people across the world suffer from Allergic rhinitis. Allergic rhinitis, more commonly known as hay fever, is a condition wherein the immune system overly responds to allergens resulting in inflammation in the nos...
2876 people found this helpful

Allergic Rhinitis: Everything You Need to Know

MBBS Bachelor of Medicine & Bachelor of Surgery, Diploma In Otorhinolaryngology (DLO), DNB - ENT, Allergy Testing
ENT Specialist, Gurgaon
Allergic Rhinitis: Everything You Need to Know
Allergic Rhinitis or Hay Fever is an allergic reaction that affects the upper respiratory passage. As of 2016, about 20-30% of the Indian population has been affected by allergic rhinitis, with the count going up to about 62% in Asia. Like other a...
2707 people found this helpful

Excessively Serious Allergic Reaction - Common Signs You Must Not Ignore!

MBBS, Diploma In Tropical Medicine Health, MRCP(UK)
Allergist/Immunologist, Hyderabad
Excessively Serious Allergic Reaction - Common Signs You Must Not Ignore!
A very serious allergic reaction, Anaphylaxis requires immediate attention and treatment. Common allergies usually affect a certain part of the body, while a person affected by Anaphylaxis may develop a life-threatening allergic reaction in multip...
4029 people found this helpful

How Do You Know It Is A Nasal Allergy?

DNB (ENT), MBBS
ENT Specialist, Bangalore
How Do You Know It Is A Nasal Allergy?
Have you been sneezing frequently? Have you been feeling congestion in the chest or have a stuffy, itchy or a runny nose? If yes, it is possible that you may be suffering from nasal allergy. It is an inflammatory reaction caused due to dust mites,...
4237 people found this helpful

Viral Throat Infection - 6 Ways They Can Be Managed!

MS- ENT
ENT Specialist, Jaipur
Viral Throat Infection - 6 Ways They Can Be Managed!
The common reason why most of us get throat infections is because they are viral in nature. This means that if one person gets a throat infection then he transmits it to others by touching, coughing and sneezing etc. Viral throat infections can be...
2318 people found this helpful

Popular Questions & Answers

Had protected sex with a prostitute. Weeks later I develop running nose, 2 weeks after cough comes and 3 days after muscle pain, fatigue and high temperature. I took malaria drug combusinate and antibiotics augmentin. I'm done with my malaria drug and I still have fever at night. I'm not yet done with augmentin because I have been taking it for 2 days now. Running nose and cough is clearing up. Please do you think I have contacted hiv from protected sex with a prostitute.

MBBS, DDV, FCPS, APEX, Diplomat American Board of Sexology
HIV Specialist, Mumbai
There are 20 other stds beside hiv. In addition you can pick up flu, common cold or even allergies. To better understand the risk and consequences of stds please take private consult with audio video chat and then I can guide you properly and expl...

I've been using Otrivin for about 4 years now and I cannot stop using it now. I always have cold and never once Running nose, always Clogged nose.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - ENT
ENT Specialist, Trivandrum
Otrivin should not be taken for more than 5 days. Continuous use of it causes a condition called Rhinitis medicamentosa which is the rebound nasal congestion and nasal block, You should stop using such medication and do proper consult and follow a...

I am suffering from allergic rhinitis. I hv also DNS problem. I always fel a discomfort around my eyes and nose. A burning sensation always prevail in my nose. I use fluticasone nasal spray when the symptoms become more worst. please sugest something.

MBBS, Diploma in Otorhinolaryngology (DLO), DNB - ENT
ENT Specialist, Mumbai
Your symptoms are suggestive of allergic rhinitis for which fluticasone spray is very effective and it can be used for longer duration on continuous basis but take treatment only after consulting doctor.
1 person found this helpful

I am suffering from common cold for last 5 days with block runny nose. I am coughing also but last 2 days in the morning when cough there is little blood in phlegm only in the morning no other symptoms. Please help. I am also suffering from seasonal allergy.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - ENT
ENT Specialist, Trivandrum
Please refer to my reply to other patients. Do saline douching and steam inhalation. Do check if your phlegm has any yellowish colour. Your symptoms leds to a provisional diagnosis of sinusitis with rhinitis. If you have any other queries, please ...

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Nasal Allergies and Nasal Polyps
Causes, symptoms and preventions for Nasal Allergy Causes, symptoms and preventions for Nasal Allergy Hello! I am doctor Sunil Agarwal, senior ENT Consultant at Paras Hospital Gurgaon. I did my MBBS in MS from a prestigious college of Delhi that i...
Play video
Nasal Allergy (Allergic Rhinitis)
Here are allergic issues of the Nose Hello, I am Dr. Manish Prakash, senior ENT consultant at Mayom Hospital, Gurgaon. Today we are going to talk about allergic issues of the nose. More commonly nasal allergies are referred to as Allergic Rhinitis...
Play video
Allergic Rhinitis
Hello Lybrate users. This is DR. Lenin, ENT DR, practicing at Ameerpet Sri ENT clinic and you can contact me through Lybrate. And I graduated my MBBS from Osmania medical college and also I graduated my MSC ENT from the same Osmania medical colleg...
Play video
Allergic Rhinitis And Bronchitis In Children
Hello Friends! Aaj ka hmara topic hai bachon me allergic rhinitis or allergic bronchitis. Ye aaj kal bachon me bhut jyada paya jata hai. Bachon ko baar baar cold, cough, vomiting ka problem rehta hai. Patients islia apne bachon ko doctor ke pass b...
Play video
Allergic Rhinitis
Hello! I am Dr. Sanjay, an ENT Consultant. Today we will have a small discussion on a very common problem which is called allergic rhinitis. so what is a allergy? Allergy is a reaction of the body to a normal substance which is usually harmless an...
Having issues? Consult a doctor for medical advice