Troubled by allergic rhinitis? Try these suggestions from famous experts.

When Wei is in September, the sequence belongs to Sanqiu. For people with allergic rhinitis, this beautiful autumn is not perfect. In addition to spring, autumn is also a high incidence period of seasonal allergic rhinitis.

Abstract: Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital

Chief physician Wang Xiangdong

Beware of the culprits of seasonal attacks

Allergic rhinitis is an inflammatory reaction of the nose caused by body contact with some allergens. The main symptoms are paroxysmal sneezing, runny nose, stuffy nose and itchy nose, and some patients are accompanied by itching, tears, jealousy and other eye symptoms. If you have the above symptoms, you can initially suspect allergic rhinitis.

Allergic rhinitis can be divided into seasonal and perennial. Seasonal allergic rhinitis (also known as pollinosis) mostly occurs in spring or autumn, which is closely related to the spread of weeds and pollen in spring and autumn. Especially in northern China, allergic rhinitis in autumn is mainly caused by pollen transmission of Artemisia, Chenopodium, Ambrosia and Humulus. Although the symptoms of most patients can be obviously relieved or even completely subsided after flowering, it is more and more troublesome every year.

Don't try the "indigenous method" easily.

Some patients with short course of disease think that nasal congestion and runny nose are not serious diseases, so they can forbear or use some "indigenous methods" and "net red drugs", and then ask someone to bring some "specific drugs" from abroad, which can achieve good results. Is that really the case?

First of all, "minor illness" will not only reduce the quality of life and work efficiency, but also further lead to more serious diseases such as otitis media, sinusitis and asthma; Those who suffer from nasal symptoms for a long time may even have mental symptoms such as anxiety. Secondly, some non-standard treatment methods and drugs have not been widely promoted and applied in this information age, which must be due to their lack of scientific basis or uncertain factors. Therefore, once suffering from allergic rhinitis, it is recommended to standardize treatment.

For people who have obvious symptoms or can't avoid allergic environment in their work and life, it is suggested to go to the hospital for a clear diagnosis first, and if necessary, they can do allergen testing to further understand their own situation, so as to avoid contact with allergens in a targeted manner and prevent and treat them more effectively. Under the guidance of doctors, patients can take targeted medication according to their personal medical history and symptoms. It is very important to take medicine regularly according to the doctor's advice. Commonly used drugs include nasal spray hormones and oral or nasal spray antihistamines. If serious symptoms such as asthma, allergic conjunctivitis and systemic allergy have already appeared, it is also necessary to see the timely joint treatment of relevant departments.

Improve rhinitis. Remember these points.

How to deal with and prevent allergic rhinitis in life? It is clear that the common causes of autumn attacks are the pollen of Artemisia argyi, Chenopodium album, ragweed and Humulus Humulus, and it is ideal to avoid allergenic pollen as much as possible. It is suggested to actively stay away from the environment with high pollen concentration and wear protective masks and nasal masks when going out; In terms of time, try to avoid traveling or playing when the temperature is high and the light is good, which is conducive to the production of a large number of pollen. In the period of obvious pollen diffusion, reducing indoor ventilation or temporarily moving to coastal areas with humid climate and less pollen can also improve symptoms.

In addition, we should pay attention to climate change, don't smoke, increase physical exercise, eat more foods rich in vitamin C and probiotics, and adjust immunity. Try to stay away from second-hand smoke and air pollution and reduce irritation to nasal mucosa. In view of pollen allergy in autumn, it is a good habit to wash the nasal cavity with normal saline every day, which can clean up the accumulated secretions and allergens in the nasal cavity in time.

Nasal irrigation is simple and effective.

Text: Department of Allergy, Peking Union Medical College Hospital

Deputy Chief Physician Tang Rui

With the coming of allergic season, patients with allergic rhinitis and sinusitis have to face the stimulation of various inhaled allergens, sneezing and runny nose. Nasal irrigation is an effective method to relieve the above symptoms. How to wash properly to get twice the result with half the effort?

Nasal irrigation is a common method to dilute nasal mucus, clean nasal mucus, nasal scab and allergens, and is suitable for allergic rhinitis, sinusitis and acute upper respiratory infection. Both adults and minors can use nasal irrigation. But when otitis media or severe nasal congestion can't ventilate, nasal irrigation should not be used. Nasal irrigation can not replace drug treatment, and the role of irrigation can not be overestimated.

Flushing solution, flusher, how do you choose?

In order to avoid possible pollution sources in the irrigation solution, distilled water, sterile water or boiled water should be used for nasal irrigation. Because the bacteria in tap water may stay in the nasal cavity, causing serious infection and even life-threatening, if you wash the nasal cavity with tap water, you must ensure the purity of tap water and avoid accidental infection. Patients can also use special nasal irrigation devices and irrigation solutions. The washing liquid is an isotonic solution made by adding sodium chloride into pure water, which is safe and moist. Please consult a regular pharmacy about the selection of nasal irrigator and the ratio of irrigation solution. In addition, after washing your nose, be sure to clean the flusher, dry it naturally and store it in a clean and dry environment.

Specific methods of nasal irrigation

The specific method of nasal cavity irrigation is to lean forward 45 degrees, rotate the head to make one nostril face down, and insert the water outlet into the higher nostril. In the process of nose washing, you need to open your mouth and breathe to avoid choking water due to nose breathing. Try to let the water rushing out of the nasal cavity flow out of the other nostril. If water enters your mouth, spit it out. Even if the lotion is swallowed by mistake, it will not affect health. After nasal irrigation, gently remove the irrigation fluid remaining in the nasal cavity.

It should be noted that nasal irrigation every day 1 time is helpful to dilute nasal mucus, reduce nasal mucus and remove nasal mucus and allergens. After the nasal symptoms are relieved, you can continue to insist on nasal irrigation three times a week. The effect of nasal irrigation usually appears after 1 ~ 2 times of irrigation. Continuous irrigation can make the effect more obvious, which is helpful to improve the symptoms of rhinitis, sinusitis and nasal congestion of upper respiratory tract infection and improve the quality of life. If the salt content of nasal lavage fluid is too high, it may cause local irritation. According to the explanation, the salt concentration in irrigation solution can be reduced and the water temperature can be increased.