Paediatrics: Allergic rhinitis

2021-03-04 12:00 AM

Up to 20% of the population have symptoms of allergic rhinitis, which include nasal congestion, itching, sneezing, and discharge.

Allergic rhinitis

Up to 20% of the population have symptoms of allergic rhinitis, which include nasal congestion, itching, sneezing, and discharge.

Diagnosis

History

  • Identify the seasonality of the symptoms and history of atopy.
  • Take a history of environmental exposures such as parental smoking, pets, dust mite, stuffed toys, carpet, bedding, etc.

Examination

Check for:

  • mouth breathing;
  • postnasal drip;
  • cough;
  • nose rubbing;
  • suborbital venous congestion;
  • watery-red eyes.

Investigation

  • Skin tests for specific antigens.
  • Specific serum IgE measurements.

Treatment

Allergen avoidance

  • Dust covers on bedding.
  • Avoid stuffed toys.

Symptom relief

  • Antihistamines.
  • Montelukast.
  • Intranasal steroids