Allergies & Immunity

Allergic Rhinitis: More Than a Nuisance

It worsens asthma and disrupts sleep and concentration.

Dr. Sophie Renard

Allergist

6 min read
Medical illustration of Allergic Rhinitis: More Than a Nuisance

In simple terms

Allergic rhinitis affects 10-30% of adults. Untreated, it impairs daytime performance more than most realise.

What you need to remember

  • TreatmentIntranasal steroids are the cornerstone
  • ImmunotherapySubcutaneous or sublingual immunotherapy modifies the disease for selected allergens and is the only treatment that can reduce long-term progression.
  • AvoidancePollen forecasts, indoor mite reduction, frequent washing of bedding in hot water.

Sneezing, nasal congestion, clear runny nose, itchy eyes, often seasonal but can be year-round (mites, animal dander).

Treatment

  • Intranasal steroids are the cornerstone
  • Second-generation antihistamines (oral or intranasal)
  • Combination sprays (steroid + antihistamine)
  • Saline nasal irrigation

Immunotherapy

Subcutaneous or sublingual immunotherapy modifies the disease for selected allergens and is the only treatment that can reduce long-term progression.

Avoidance

Pollen forecasts, indoor mite reduction, frequent washing of bedding in hot water.

Rinsing your nose with saline before bed reduces nighttime symptoms significantly during pollen seasons.

The words explained

Medical terms used above, in everyday language.

Symptom
A sign you can feel or see that something is wrong, like pain, tiredness or a rash.
Immune system
Your body's defence team: cells that fight germs and repair damage.

When should you see a doctor?

  • Your symptoms last more than a few weeks or keep coming back.
  • They get worse quickly, or stop you doing everyday things.
  • You notice sudden pain, breathing trouble, fainting or bleeding — seek urgent care.
  • You already take medication and want to change anything about it.

This article explains general health information. It does not replace advice from your own doctor.

Frequently asked questions

What is Allergic Rhinitis: More Than a Nuisance?
Allergic rhinitis affects 10-30% of adults. Untreated, it impairs daytime performance more than most realise.
What are the main symptoms or signs of Allergic Rhinitis: More Than a Nuisance?
Common signs vary from person to person. The article above lists the symptoms to watch for, how they progress, and when they need medical attention.
When should you see a doctor for Allergic Rhinitis: More Than a Nuisance?
See a doctor if symptoms last more than a few weeks, get worse quickly, stop you doing everyday things, or if you notice sudden pain, breathing trouble, fainting or bleeding.