Allergic rhinitis - Hay fever

Very low urgency
Very common-

Inflammation of the lining of the nose.

Depending on the cause, there are two types of rhinitis: allergic and non-allergic. The former is an immunological reaction to specific known substances, such as allergens.

The most common symptom is nasal congestion due to mucus, usually a clear liquid. This is accompanied by irritation of the nasal ala, itchy eyes and redness of the conjunctiva, sneezing, an irritating cough and a change in the nasal voice. In severe cases there may also be difficulty in breathing, especially when lying down, and if this persists at night it may affect the patient's ability to sleep and cause other symptoms such as headaches, difficulty concentrating, etc.

Diagnosis is made by history, physical examination, laboratory tests and skin allergy tests.

Treatment is aimed at eliminating the cause and relieving the symptoms: nasal decongestants, corticosteroids and nasal rinses with hypertonic seawater.

Bibliographic references
  1. David Peden. An overview of rhinitis. UpToDate. Jun 16, 2016.
  2. Brozek JL, Bousquet J, Baena-Cagnani CE, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol 2010; 126:466.
  3. Wallace DV, Dykewicz MS, Bernstein DI, et al. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol 2008; 122:S1.
  4. Gautrin D, Desrosiers M, Castano R. Occupational rhinitis. Curr Opin Allergy Clin Immunol 2006; 6:77
  5. Joshua A. Boyce, K. Frank Austen. Trastornos de la lesión mediada por mecanismos inmunitarios. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 2121: 2124
  6. T. Gallart. Enfermedades alérgicas mediadas por anticuerpos IgE (Hipersensibilidad inmediata o alergia atópica). Farreras Rozman. Medicina Interna. Volumen 2. 12º edición.2708:2709.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Sneezing


    Nose blocked with mucus


    Itchy nose


    Runny nose


    Itchy eye

Symptoms to watch out for

Abundant nasal bleeding that doesn't stop with local compression
Repetitive rhinitis episodes
History of another kind of allergy
History of asthma

Self-care

Avoid exposure to the allergen (dust mites, pollen, fungi, animal fur, etc.).
Use saline solution aerosols to eliminate allergens from the nasal fossae.
Check with your general practitioner for nasal aerosols with glucocorticoids.
If nasal congestion and a runny nose is present, use nasal inhalers containing antihistamines and/or decongestants.