Anatom3D
ENCZDE
Download

Allergic rhinitis (hay fever)

Rhinitis allergica · Alergická rýma (senná rýma)

What it is

IgE-driven nasal inflammation to pollen, dust mites or pets.

Symptoms & signs

  • Sneezing
  • runny blocked nose
  • itchy eyes
  • postnasal drip
  • worse in season

🚩 Get help if…

  • see a doctor soon Blocked on one side only, or blood from one nostril
  • see a doctor soon Wheeze, cough or tight chest in the pollen season
  • see a doctor soon Facial pain with fever, or swelling around the eye

Where it strikes

Medical treatment

  • Intranasal steroid spray (the mainstay)
  • antihistamines
  • allergen immunotherapy (disease-modifying; benefit can outlast treatment)
  • montelukast
  • sublingual immunotherapy tablets for grass, tree, ragweed and house-dust mite allergy — licensed in the US and EU

Natural & lifestyle

  • Allergen avoidance and mite-proof bedding
  • saline nasal irrigation
  • HEPA filters
  • shower after outdoor exposure

Emerging & experimental

  • Anti-IgE for severe cases

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Butterbur (Petasites) — small trials found it as good as cetirizine; use only extracts free of the liver-toxic alkaloids mixed evidence
  • Acupuncture — trials show modest benefit mixed evidence
  • Local honey — popular belief; one small trial positive, others not mixed evidence
  • Quercetin and nettle — small or no trials early / small studies

ICD codes