Allergic rhinitis/When is it necessary to think of an allergic rhinitis?

Allergic rhinitis/When is it necessary to think of an allergic rhinitis?

There exist two types of allergic rhinitides: intermittent allergic rhinitides (generally seasonal, due to the hay cold) and persistent allergic rhinitides.

A season ago for the Allergic Rhinitis!

The idea that one is usually done in connection with the Allergic Rhinitis, pleasing to consider this one only with the approach of the beautiful days, when spring returns.

But alas, which says Allergic Rhinite, only one embarrassment caused by pollens and the graminaceous ones does not mean. Other allergens, many and varied (acarina, moulds, cockroaches, animals…) in are also in the beginning.

Why consult your doctor?
It was shown that the people suffering from persistent allergic rhinitis, with the nose which runs and which is stopped, have a quality of life which can be faded. Indeed, the allergic rhinitis causes sleep disorders and an embarrassment during the daily activities, all this involving of tiredness being able to go until sick leave and absences to the school. Your doctor, thanks to a precise interrogation and various tests, will be able to pose the allergic diagnosis of rhinitis and to propose solutions to you.

Which are the possible causes of allergic rhinitis?
The allergic rhinitis is often caused by pollens, especially in spring. There exist 3 vegetable big families with pollens allergisants: trees, the graminaceous ones and the herbaceous ones (wild grasses). The types of pollens responsible for this allergic rhinitis, also called hay cold, can vary according to the areas and the seasons. The hay cold appears by 3 signs almost always present:

the nose which runs like a fountain,
stopped nose,
frequent sneezes.
Other demonstrations can be also very awkward like: itchings of the eyes, nose, back gorges, a sand feeling in the eyes which cry, a decreased sense of smell, dry cough.

The allergic rhinitis can also be caused by other types of allergens (acarina, moulds, cockroaches, animals…), persons in charge generally of persistent rhinitis.

Why should your allergic rhinitis be looked after?
The Allergic Rhinitis seems so frequent and to relate to a so great number of people, whom it is often standardized and scorned.  Drip with the nose, “Head cold” as said our grandmothers, sneezes with repetition, which make smile or aggravate… all these signs must alert us when they perdurent. However often, one does not pay to it sufficiently attention, and the gesture of the disposable handkerchief, quickly taken and also quickly sent in the basket is almost automatic. But also “symptomatic”!

Even if that made smile, it is necessary to worry some. Because one knows from now on – the studies showed it – that more than 20% of the people suffering from allergic rhinitis also have asthma and that 80% of asthmatic have also a rhinitis. The stake is thus important.

Which is the treatment of the allergic rhinitis?
The treatment of the allergic rhinitis rests on the ousting of the allergens, the drugs and the specific immunothérapie (desensitizing).

The ousting
Some councils of good sense allow to reduce the symptoms of the rhinitis. They are function of the allergens in question. It is difficult to avoid pollens unless changing climate at the time of the pollinic season. Nevertheless, some simple precautions make it possible to reduce the quantities of inhaled pollens:

To get information about the weather conditions before a walk in the countryside: the quantity of pollens in the air increases the days of wind and in particular before the storms;
Not to drive convertible at the time of the pollinic peaks;
To rinse the long hair, the evening before lying down, after a walk;
To prevent sleeping the open window if the bed is close to the window;
To close the windows when the grass is mowed.
If you are allergic to the acarina, a total control of the environment can be to you proposed, in particular on the level of the room: cover anti-acarina on the level of the mattress, pillows and feather bed, diagrid with slats with feet a sufficient height (the mattress should not be posed directly on the ground), absence of bedhead upholstered, regular treatment of the fitted carpet by an acaricide.

It is also necessary to avoid mural fabrics, the double drapes, the bedside rugs in skin of animal, and to reduce in a room of child the number of cuddly toys. It is necessary to prefer the libraries closed with the simple shelves where books pile up.

If you are allergic to an animal, to separate remainder from it the best solution. If that is not possible, it is necessary at least to prohibit the access of the room for the animal, even if one is absent.

The purifiers of air with filter HEPA (High Effectiveness on the Air Particles) reduce the density of the allergens in the air.

If you are allergic to the moulds, a regular ventilation of the parts decreases their development. Work of the habitat is sometimes necessary in the event of infiltrations of water or escapes. The presence of an aquarium or vats with water reserve for the house plants supports the proliferation of the moulds. Of course, do not forget the most harmful pollutant for the nose: tobacco smoke.

Drugs
The drugs used to treat an allergic rhinitis depend on the frequency of the symptoms and their intensity. The most used drugs are the antihistamines. They act quickly on the nasal flow and nasal itchings, like on the signs associated with the rhinitis like the ocular symptoms often met in the allergies to pollens. They are less active on the nasal obstruction. Local corticoids have an action anti-inflammatory drug. In the form of nasal pulverizations, they are frequently prescribed in the event of allergic rhinitis. They are active on all the symptoms of the allergic rhinitis and in particular on the nasal obstruction. The antileucotrienes can be used to treat the asthmatic patients having an associated allergic rhinitis. Relieving congestion local, active only on the nasal obstruction, must be used only in short cure (maximum 5 to 7 days of continuation).

Desensitizing (or immunothérapie specific) There exist 2 types of desensitizing:

The subcutaneous way: one systematically injects with the allergic person an amount of the extract of allergen to which it is allergic;
The sublingual way: one deposits regularly under the language extracts it from the allergen.
An effective desensitizing must be prolonged at least 3 years.