19Feb

Allergic rhinitis: how to distinguish from catarrhal and how to treat

Symptoms and treatment of an allergic rhinitis differ from signs and methods of therapy of usual rhinitis. This is explained by the fact that this type of disease does not occur due to cold, but because of a specific inadequate response to allergens, mainly due to hereditary predisposition. The material is devoted to how to distinguish an allergic rhinitis from a cold, and what effective drugs are used to treat it.

Symptoms of an allergic rhinitis and its symptoms

An allergic rhinitis occurs due to the ingress of various allergens into the human body, usually by inhalation( the so-called inhalation route).The development of this disease contributes to a predisposition to this kind of allergic reactions. This inclination is hereditary or acquired by repeated contact with an allergen, for example, in persons working with allergic substances. With repeated contact with the allergen, the mucous membrane of the pharynx, the paranasal sinuses, the trachea, and also the bronchi are involved in the process.

A sign of an allergic rhinitis is the pale mucous membrane of the nose, swollen nasal concha. The use of vasoconstrictive drugs does not lead to their reduction, since it does not allow to remove the puffiness of these tissues.

This disease differs from vasomotor rhinitis in that people with an allergic rhinopathy, history or close relatives often have an indication of other manifestations of allergy( bronchial asthma, urticaria, eczema, migraine, Quincke's edema, etc.), andalso intolerance of some food products( crabs, caviar, individual types of fish or meat, nuts, strawberries, oranges, strawberries, etc.).

The most persistent symptom of the allergic rhinitis is eosinophilia in the peripheral blood, as well as in the contents of the paranasal sinuses( usually the transudate) and detachable from the nose. If a certain allergen is established, then it is possible to confirm the state of excessive sensitivity to it with the help of a skin allergic test.

Medical preparations for the treatment of allergic rhinitis

Before the treatment of an allergic rhinitis, first of all, you need to eliminate the contact of the patient with the allergen. If this is not possible, then sensitivity to it should be reduced with the help of specific hyposensitization - the systematic introduction of an allergen extract in small, but increasing with time doses. If the allergen failed to be established, therapy aimed at neutralizing the biologically active substances, especially histamine, which is released during the course of the allergic reaction, is shown. Than to treat an allergic rhinitis after elimination of contact with an allergen? Usually prescribed antihistamines( dimedrol, suprastin, diprazine, tavegil, diazolin, etc.).Also effective treatment of allergic rhinitis with drugs prednisone, prednisolone, triamcinolone, dexamethasone inside or topically in the form of ointments or drops in the nose. Hydrocortisone is admissible to administer endonasal 15 mg in each nasal concha 8-10 times.

A non-smooth effect is the introduction of a medical preparation of gamma-globulin of 0.3-0.4 ml in the lower nasal concha, as well as 6-8 injections with intervals of 2-4 days endonasal. Assign a 5% solution of aminocaproic acid 2 tbsp.spoons every 4 hours 5 times a day. The course is 2-3 weeks. In addition, the ultrasound probe is injected into the tissues of the lower shells, phonophoresis splenin, cryotherapy, electrophoresis( Scherbak collar), 5% calcium chloride solution. In order to facilitate breathing when the puffiness of the mucous membrane is strong, naphthysine( sanorin) or galazoline is prescribed.

Therapy of an allergic rhinitis is very difficult and requires systematic observation of the doctor for the patient.