RHINITIS ALLERGIC

Description

  • It is an IgE-mediated immunologic response of nasal mucosa to airborne allergens and is characterized by watery nasal discharge, nasal obstruction, sneezing, and itching in the nose

Etiology

  • Inhalant allergens -pollen from the trees and grasses, spores, house dust, debris from insects, or house mites are common offenders. Food allergy is rarely an important cause
  • Genetic predisposition- chances of children developing an allergy are 27% and 47% respectively if one or both parents suffer from allergic conditions

Types

Symptoms

There is no age or sex predilection, It may start in infants as young as 6 months or older people

  • Paroxysmal Sneezing 10-20 sneezes at a time
  • Nasal obstruction
  • Watery nasal discharge 
  • Itching in the nose
  • Itching may also involve eyes, palate, or pharynx
  • Bronchospasm

Nasal signs

Allergic salute 

  • A black line across the middle of the dorsum of the nose due to constant upward rubbing of nose simulating a salute 

Allergic nasal crease Ocular signs 

  • Oedema of lids
  • Congestion and cobblestone appearance of the conjunctiva
  • Allergic shiners - dark circles under the eyes

Otologic signs 

  • Retracted tympanic membrane or serous otitis media as a result of eustachian tube blockage

Pharyngeal signs 

  • Granular pharyngitis

Laryngeal signs 

  • Hoarseness and oedema of the vocal cords

Investigation

  • Total and Differential count
  • Nasal smear
  • Skin tests- to identify the specific allergen
  • Radio allegro sorbent test (RAST)

Treatments

  • Avoidance of allergens
  • Treatment with drugs
  • Immunotherapy

Ayurvedic Treatment

  • Advice to avoid seetha viharas and aharas

Internal Medicines

  • Dashamoola katutraya Kashaya
  • Amrutha rajanyadi kashaya
  • Ardraka ksheera prayoga
  • Surasaasavam
  • Punarnavasavam
  • Amrutharishtam
  • Sireesharishta
  • Mukkamukkudadi gutika
  • Sudarshanam gutika
  • Vilwadi gutika
  • Thaleesadi Choorna
  • Vyoshadi vataka
  • Haridra khandam
  • Dashamoola rasayana
  • Pippali rasayana
  • Agasthya rasayana

Procedures

  • Kabala - Triphala kashaya +Trikatu choorna
  • Thala - Rasnadi
  • Dhoopana - Haridra varthi
  • Nasya - Surasa swarasa + Saindava + Honey (Chronic cases)
  • Leech therapy – over the forehead (Chronic cases)
  • Shirodhara - surasadi taila (Chronic cases)
  • Oil for head – Lakshadi Kera, Nirgundyadi Kera, Asanavilwadi Kera

Department

Salakya - ENT

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