Allergic rhinitis: I've been suffering from a stuffed up, itchy nose and fits of sneezing continually throughout the past year. As a child, I had hay fever, but my symptoms were confined to the summer months. Is it the same thing?
It sounds like you're suffering from allergic rhinitis, a condition that produces symptoms of fitful sneezing, nasal itching and a stuffy nose.
Sufferers often feel generally miserable and battle to control these and other possible symptoms, such as postnasal drip, watery eyes and sinus pain.
Allergic rhinitis occurs when the immune system produces antibodies against airborne substances such as dust, mould, pollen and smoke.
It is characterised by an inflammation of the nasal mucus membranes which happens when the cells in the nose and surrounding tissues release histamine and other chemicals.
Seasonal rhinitis or hay fever is an allergic reaction to grasses and pollens and typically occurs when there is a high concentration of these allergens in the air during spring and summer. Perennial rhinitis is caused by airborne allergens or irritants which are present all year round.
I've been using a nasal spray regularly and, although it helped initially, my symptoms have now returned worse than ever. Why has this happened?
With prolonged or constant use, nasal sprays can lose their effectiveness. Initially, the sprays shrink the nasal lining, giving relief to the worst of the symptoms. However, over time, the mucus membranes react by swelling even more than before, creating a vicious circle.
Known as the rebound effect, it can take weeks for the swelling to subside, even after you've stopped using the sprays. As prevention is better than cure, it's important that you identify and avoid where possible the substances that are causing the condition.
See your GP about a suitable combination of antihistamines, corticosteroids and decongestants which can be taken orally or nasally. A saline (salt and water) based nasal spray will help dry up the lining of the nose while avoiding the rebound effect.
My kids got a cat just over a year ago. Is it possible that I'm allergic to him?
Quite definitely. Animal hairs and dander, as well as mites and cigarette smoke can cause constant allergic rhinitis. If your symptoms developed shortly after your cat's arrival, then I suggest it may be time to find your moggy an alternative home!
Marion Kerr