Allergic disorder

Question 1

Management of allergic rhinitis

Answer 1

• Avoiding triggers
• Nasal irrigation with saline
• Intra-nasal or oral anti-histamines

If initial measures are ineffective then
- regular intranasal steroids

(Oral steroids can be used in severe cases which affect quality of life)

Referral to ENT should be considered if:
- There are red flag features suggesting an alternative/serious diagnosis
- Refractory cases
- Allergen testing is needed

Question 2

Types of allergic rhinitis

Answer 2

seasonal: symptoms occur around the same time every year. Seasonal rhinitis which occurs secondary to pollens is known as hay fever

perennial: symptoms occur throughout the year

occupational: symptoms follow exposure to particular allergens within the work place

Question 3

Allergic rhinitis features

Answer 3

sneezing
bilateral nasal obstruction
clear nasal discharge
post-nasal drip
nasal pruritus