{"id":1681,"date":"2017-08-03T18:38:51","date_gmt":"2017-08-03T18:38:51","guid":{"rendered":"http:\/\/papergp.com\/index.php\/ent\/allergic-rhinitis\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"allergic-rhinitis","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/ent\/allergic-rhinitis\/","title":{"rendered":"Allergic Rhinitis"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags<\/li>\n<li>Others &#8211; sneezing, itching, runny nose, seasonal, year-long, asthma, eczema, impact<\/li>\n<li>Examine<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Skin prick tests &#8211; more reliable than food alergen testing<\/li>\n<\/ul>\n<\/li>\n<li>Explanation<\/li>\n<li>Treatment\n<ul>\n<li>Lifestyle\n<ul>\n<li>allergen avoidance (see below)<\/li>\n<li>Nasal douching &#8211; NeilMed<\/li>\n<\/ul>\n<\/li>\n<li>Medications\n<ul>\n<li>Oral antihistamines\n<ul>\n<li>First line: Cetirizine<\/li>\n<li>Second line: Fexofenadine 120mg OD<\/li>\n<\/ul>\n<\/li>\n<li>Intranasal steroids (for 2-3 months)<\/li>\n<li>oral Prednisolone 30mg OD (non-EC coated) for 5-10 days<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Follow-up \/ Safety-net\n<ul>\n<li>Check nasal-spray technique<\/li>\n<li>Consider<\/li>\n<li>Refer to ENT\n<ul>\n<li>resistant to treatment<\/li>\n<li>Samter&#8217;s triad (sensitivity to aspirin\/NSAIDs, nasal polyps, asthma)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Notes<\/h4>\n<ul>\n<li>If grass pollen (symptoms late spring\/early summer) &#8211; avoid grassy, open spaces particularly early morning and evening, keep windows shut<\/li>\n<li>If house dust mites &#8211; burdensome strategies but consider in confirmed allergy<\/li>\n<li>Nasal spray technique\n<ul>\n<li>Shake bottle<\/li>\n<li>Look down<\/li>\n<li>Use right hand for left nostril<\/li>\n<li>Aim towards outside wall of nostril (not midline)<\/li>\n<li>Do not sniff hard<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags Others &#8211; sneezing, itching, runny nose, seasonal, year-long, asthma, eczema, impact Examine &nbsp; Clinical management Investigations Skin prick tests &#8211; more reliable than food alergen testing Explanation Treatment Lifestyle allergen avoidance (see below) Nasal douching &#8211; NeilMed Medications Oral antihistamines First line: Cetirizine Second line: Fexofenadine 120mg OD Intranasal steroids (for &hellip; <a href=\"https:\/\/papergp.com\/index.php\/ent\/allergic-rhinitis\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Allergic Rhinitis<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":346,"menu_order":136,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1681","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1681","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1681"}],"version-history":[{"count":5,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1681\/revisions"}],"predecessor-version":[{"id":2004,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1681\/revisions\/2004"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/346"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1681"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}