Rosalyn Carson-DeWitt, MD
Allergic rhinitis is the set of symptoms that occurs when you breathe in substances you are allergic to. These substances are called allergens and are small proteins.
An allergic reaction occurs when your body's immune system overreacts to an allergen. When you breathe in an allergen, cells in your nasal passages release a chemical called histamine. Histamine causes your nose to feel itchy. Histamine also causes swelling and mucus production in the nasal passages.
Factors that increase your chance of developing allergic rhinitis include:
Allergic rhinitis can cause the following symptoms:
Your doctor will try to find out which allergens you are allergic to. You may be referred to an allergist or immunologist. This is a doctor who specializes in allergies.
Tests may include:
A tiny bit of an allergen is placed under the skin with a needle. The doctor watches to see if the skin in that area becomes red, raised, and itchy. This can be done for multiple allergens at the same time.
A small sample of blood is taken and tested for different allergens.
You breathe in air containing an allergen. The doctor will watch to see if you have an allergic reaction, such as wheezing or trouble breathing. This test is usually reserved for research settings.
The most effective way to treat allergies is to avoid the allergen. Since this can sometimes be difficult or impossible, other treatments are available.
Treatments may include:
Your doctor may advise:
With immunotherapy, small amounts of allergens are injected over weeks, months, or even years. The goal is to make your body's immune system less sensitive to those allergens. This treatment may be effective in reducing or eliminating the symptoms of allergic rhinitis.
may also be used. This type of treatment involves putting the allergic substances under the tongue, rather than using allergy shots.
The following strategies may help
prevent allergic rhinitis
American Academy of Allergy, Asthma, and Immunology
Asthma and Allergy Foundation of America
Allergy Asthma Information Association
Allergic rhinitis. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated October 24, 2012. Accessed October 31, 2012.
Allergic rhinitis (hay fever). American College of Allergy, Asthma, & Immunology website. Available at:
http://www.acaai.org/allergist/allergies/types/rhinitis/Pages/default.aspx. Accessed August 18, 2014.
Rhinitis. American Academy of Allergy Asthma & Immunology website. Available at:
http://www.aaaai.org/conditions-and-treatments/allergies/rhinitis.aspx. Accessed August 18, 2014.
8/11/2006 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Durham SR, Yang WH, Pedersen MR, et al. Sublingual immunotherapy with once-daily grass allergen tablets: a randomized controlled trial in seasonal allergic rhinoconjunctivitis.
J Allergy Clin Immunol. 2006;117:802-809.
8/27/2013 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Kim JM, Lin SY, Suarez-Cuervo C, et al. Allergen-specific immunotherapy for pediatric asthma and rhinoconjunctivitis: a systematic review. Pediatrics. 2013 Jun;131(6):1155-67.
Last reviewed August 2014 by Marcin Chwistek, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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