Seriousness of allergy rhinitis

December 11, 2009 by admin  
Filed under Diseases And Conditions

Alexander Chong asked:


What is actually allergy rhinitis? Allergy rhinitis is an allergic disease, which is caused by the sensitinogen that reacting on the mucous membranes in the nasal cavity. It has two types; those are perennial and seasonal allergic rhinitis. Perennial allergic rhinitis occurs throughout the year; whereas, seasonal allergic rhinitis usually occurs during the blossoming or flowering season. In this season, plants start to release their pollen for breeding purpose. Pollen is one of the sensitinogens to the allergic rhinitis. Clinical features of allergic rhinitis are; itching in the nose, sneezing, watery nasal discharge and nasal obstruction. There are about 20 % of adults and children have seasonal or perennial allergic rhinitis.

Although it is prevalence in most of the countries regardless tropical or seasonal, most of the conditions are not treated adequately and the consequence is that allergic rhinitis becomes chronic. The chronic state of allergic rhinitis usually will lead to more serious complications of the upper and lower airways such as asthma, sinusitis and otitis media with effusion. Otitis media is an inflammation of the middle ear. Fluid is built up in the middle ear and causes temporary lose of hearing. However, if this chronic disease is not treated properly, it may lead to permanent hearing impairment.

 A few medical scientists had carried out surveys to study the epidemiologic links between allergic rhinitis and other airway diseases. What they had found out were, 78% of patients who had asthma were also had allergic rhinitis. They also found out that 99% of adults and 93% of adolescents, who had allergic asthma, also had allergic rhinitis. Besides, the other study that had been carried out for 23 years was found out that college students who previously had allergic rhinitis had three times higher the possibility to have asthma compared to those students who had not had allergic rhinitis What is actually allergy rhinitis? Allergy rhinitis is an allergic disease, which is caused by the sensitinogen that reacting on the mucous membranes in the nasal cavity. It has two types; those are perennial and seasonal allergic rhinitis. Perennial allergic rhinitis occurs throughout the year; whereas, seasonal allergic rhinitis usually occurs during the blossoming or flowering season. In this season, plants start to release their pollen for breeding purpose. Pollen is one of the sensitinogens to the allergic rhinitis. Clinical features of allergic rhinitis are; itching in the nose, sneezing, watery nasal discharge and nasal obstruction. There are about 20 % of adults and children have seasonal or perennial allergic rhinitis.

Although it is prevalence in most of the countries regardless tropical or seasonal, most of the conditions are not treated adequately and the consequence is that allergic rhinitis becomes chronic. The chronic state of allergic rhinitis usually will lead to more serious complications of the upper and lower airways such as asthma, sinusitis and otitis media with effusion. Otitis media is an inflammation of the middle ear. Fluid is built up in the middle ear and causes temporary lose of hearing. However, if this chronic disease is not treated properly, it may lead to permanent hearing impairment.

A few medical scientists had carried out surveys to study the epidemiologic links between allergic rhinitis and other airway diseases. What they had found out were, 78% of patients who had asthma were also had allergic rhinitis. They also found out that 99% of adults and 93% of adolescents, who had allergic asthma, also had allergic rhinitis. Besides, the other study that had been carried out for 23 years was found out that college students who previously had allergic rhinitis had three times higher the possibility to have asthma compared to those students who had not had allergic rhinitis before.

Many researches and works had been carried out to study the epidemiologic link between allergic rhinitis and sinusitis. The results had been well documented. The earlier study showed that 53% of children, who had allergic rhinitis, also had sinusitis. They proved this from the children abnormal sinus radiographs. Whereas, recent study showed that up to 70% of children, who had allergy and chronic rhinitis, had abnormal sinus radiographs. 78% of the patients who had recurrent sinus infection, rhinitis allergy was coming together with their extensive sinus disease. For the children who had otitis media with effusion, 40 to 50% of them had allergic rhinitis. This was confirmed by positive allergy skin tests or increased serum IgE antibodies to specific allergens test.

Scientist had proposed a model for the development of sinusitis and otitis media. Their proposed model assumes that the earliest cause for sinusitis is not bacterial infection but it is due to the obstruction in the nasal cavity, which hinders the normal movement of air and secretions in and out of sinuses. Virus that causes nasal inflammation is upper respiratory tract infection (URTI) type, which is called rhinovirus. Research had been carried out to study the effect of this virus to the nasal diseases. The result showed that when rhinovirus is inoculated into the nasal passage of a group people, one third of these people would develop sinus abnormities and typical sinus disease symptoms. Another study also showed that 87% of healthy adult, who voluntarily went through self-diagnosed colds, had maxillary sinuses illness.

Fluid inside the sinus cavity must be drained normally to keep the nasal healthy. When nasal being infected by bacteria or virus, or exposure to allergen, dust or chemicals, thicken secretion will be developed and it has higher possibility blocks the narrowed sinus ostia (opening that connect to the sinus cavity). Accumulation of these secretions in the sinus cavity will lead to further obstruction, mucosal swelling and also thicken the sinus mucosa. This will create an anaerobic environment that further favorite the bacterial growth and lead to infection. Congested sinus ostia must be resolved if not, it will lead to recurrent acute and eventually chronic nasal disease. This model also explained why chronic sinusitis is resistant to the antimicrobials treatment alone. To treat the sinusitis properly, antihistamines and corticosteroids have to be used as a combination with the antimicrobials treatment.

A similar model had been developed by scientist to explain the occurrence of otitis media with effusion. 83% of the children had at least once occurrence of acute otits media by the time they reach 3 years old. This model hypothesizes that nasal inflammation that is caused by allergens or URTIs virus will further cause inflammatory swelling and obstruction of the Eustachian tube. Obstruction of the Eustachian tube will increase negative pressure in the middle area and without improper ventilation; fluids will accumulate in the middle ear. Obstructed Eustachian tube will open occasionally with an effusion and this will **** the inner nasal secretion, which contain bacteria, virus and allergens into the middle ear cavity. Consequently, this will cause acute bacterial otitis media.

From the information above that have been gathered from various scientific publications, we know that common nasal allergy should not be left untreated. This is because it will lead to obstruction, fluid accumulation, bacterial infection and acute disease. If these diseases are not treated properly or successfully, a chronic state of inflammation, nasal congestion, and sinus infection will be developed. And it can further cause mucosal damage and ultimately, chronic disease. If the disease spreads to the middle ear, it will cause permanent hearing impairment

 



Common Causes For Seasonal Allergies

November 9, 2009 by admin  
Filed under Diseases And Conditions

Chris Marshall asked:


Seasonal Allergies usually occur during spring, fall and summer. Winter is not a common time for Allergies because there are not as many plants in bloom during this time due to the cold weather. When plants bloom and flourish, so do seasonal Allergies but this does not mean that this allergy is caused mainly by plants. The weather can also play a big role in triggering seasonal allergies.

Seasonal Allergies Due To Pollen And Dust

Pollen is one of the main causes of seasonal Allergies as well as dust and mold spores. These are common occurrences during spring and summer as well as during fall. The pollen from plants can cause serious hay fever in some individuals who are highly sensitive to the allergens they contain. Pollen tends to become airborne when the right season comes and these cause allergic reactions in individuals.

There is actually little that you can do about being allergic to pollen, dust and mold spores. Seasonal Allergies are usually controlled and not eliminated with the use of antihistamines. Although, not all areas of the city may have pollen, mold spores or dust, chances are, whenever you go around the city, you will encounter airborne mold spores, pollen and dust separately. If you are sensitive to any of these allergens, then you are highly likely to have an allergic reaction.

What To Expect From Seasonal Allergies

Seasonal Allergies usually manifest themselves as sneezing, runny noses, itchy eyes and other allergic rhinitis symptoms. You might initially think that you have a cold but actually there is a great deal of difference between the two. Seasonal Allergies are usually not accompanied by fever whereas a cold is and a cold usually lasts for around 10 days compared to seasonal Allergies that last for as long as you are exposed to the allergens.

Seasonal Allergies also react well to antihistamines whereas colds to decongestants. Allergies that rely on seasons also occur during summer, spring and fall compared to a cold that usually occur during winter. Allergies are also dependent on the individual’s reaction to allergens while colds can be transmitted from one person to another.

As stated earlier, these kinds of Allergies react well to antihistamines. Some may need stronger medication to control but the key is to lessen your exposure to the allergens. Allergens updates are also posted by the government to help out those who are sensitive to hay fever and other allergens.