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Suggest Treatment For Non-allergic Rhinitis
Question: I've been diagnosed with non allergic rhinitis. Basically I've had allergy problems for a long time and no one has found a cure or what I'm allergic too through many skin tests and blood tests and elimination diets and sinus scans. I don't get typical allergy symptoms of runny nose or sneezing- it seems it's all in the skin. I feel fluid build up and move in my face and it causes very dark circles under my eyes and headaches at times as well as just being a constant annoyance. I take sertraline but there's no reported side effects of this. I'm 31 and have had it for about 12 years and don't know what else to do now. Help please
Brief Answer:
chronic idiopathic urticaria- needs evaluation.
Detailed Answer:
Hi,
I had gone through your question and understand your concerns that you are having chronic head-ache with facial oedema.
As per your clinical details, it appears to be facial angioedema or chronic idiopathic urticaria secondary to stress.
With out running nose and sneezes confirms, you do not have non allergic rhinitis.
Angioedema similar to urticaria, the swelling occurs in a lower layer of the dermis than in urticaria, as well as in the subcutis. This swelling can occur around the mouth, eyes or face. it could be allergic or non allergic.
They are different types, can be excluded with detailed history and managed accordingly. In non-allergic angioedema, antifibrinolytics such as tranexamic acid or ε-aminocaproic acid may be effective. for these treatment measures, you need to have consultations with allergiologist and ent surgeon.
Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
chronic idiopathic urticaria- needs evaluation.
Detailed Answer:
Hi,
I had gone through your question and understand your concerns that you are having chronic head-ache with facial oedema.
As per your clinical details, it appears to be facial angioedema or chronic idiopathic urticaria secondary to stress.
With out running nose and sneezes confirms, you do not have non allergic rhinitis.
Angioedema similar to urticaria, the swelling occurs in a lower layer of the dermis than in urticaria, as well as in the subcutis. This swelling can occur around the mouth, eyes or face. it could be allergic or non allergic.
They are different types, can be excluded with detailed history and managed accordingly. In non-allergic angioedema, antifibrinolytics such as tranexamic acid or ε-aminocaproic acid may be effective. for these treatment measures, you need to have consultations with allergiologist and ent surgeon.
Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
At first I thought it was angioedema but everything I read on it indicated swelling would occur and digress eventually but mine seems to be constant for the most part. I haven't heard of the different kinds of angioedema. What are the other kinds?
I'm interested in the antifibrinolytics. I haven't heard of that treatment before.
I'm interested in the antifibrinolytics. I haven't heard of that treatment before.
Brief Answer:
allergy test/ lab tests
Detailed Answer:
Hello again,
Thanks for considering my answer and for your follow up.
Angioedema types
1. allergic- requires allergy tests.
2. Drug induction- with ACE inhibitors (used in hypertension).
3. Hereditary- C1-INH deficiency (requires lab tests).
4. Acquired - antifibrinolytics used.
For exact cause and exclusion of different types, you need to see allergist ant ent surgeon.
Hope, I have answered your query.
Take care
allergy test/ lab tests
Detailed Answer:
Hello again,
Thanks for considering my answer and for your follow up.
Angioedema types
1. allergic- requires allergy tests.
2. Drug induction- with ACE inhibitors (used in hypertension).
3. Hereditary- C1-INH deficiency (requires lab tests).
4. Acquired - antifibrinolytics used.
For exact cause and exclusion of different types, you need to see allergist ant ent surgeon.
Hope, I have answered your query.
Take care
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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