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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Running Nose, Headaches, Earaches, Itchy Eyes, Tiredness. Why Do These Symptoms Occur?

Yes, I do. I seem to have year-round allergies. Runny nose, stuffy nose, headaches, earaches, itchy eyes, etc. I have tried pretty much everything from over the counter to alternative methods. I see a nutritionist. But I still have these symptoms. Worse at work (dusty warehouse, cardboard, etc) Even going outside triggers worse symptoms. I live in Wi. Do you have any other advise or ideas that would work. I prefer all-natural treatments/methods. Thanks, Judy
Sat, 16 Nov 2013
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General & Family Physician 's  Response
hello there!
Your history and presentation is the classic one for allergic rhinitis.

you need 3 phases for management

1)Avoidance:
Avoiding exposure to allergens such as pollen, dust mites, and mold to a minimum and all other environmental control measures.

2)Medication therapy

a-Second-generation antihistamines
Cetirizine (Zyrtec) Levocetirizine (Xyzal) Cetirizine and pseudoephedrine (Zyrtec-D) Fexofenadine/pseudoephedrine (Allegra-D)
Loratadine/pseudoephedrine (Claritin-D 24 Hour, Claritin-D 12 Hour)

b-Leukotriene receptor antagonists
Montelukast (Singulair)

c-First-generation antihistamines
Chlorpheniramine (Chlor-Trimeton) Diphenhydramine (Benadryl, Benylin) Hydroxyzine (Atarax, Vistaril, Vistazine)

d-Decongestants
Pseudoephedrine (Sudafed)

e-Nasal corticosteroids
Mometasone (Nasonex) Beclomethasone (Beconase AQ, QNASL) Budesonide inhaled (Rhinocort Aqua) Fluticasone (Flonase) Ciclesonide (Omnaris) Fluticasone furoate (Veramyst) Triamcinolone (Nasacort AQ)

f-Intranasal antihistamines
Azelastine (Astelin) Olopatadine intranasal (Patanase)

g-Intranasal cromolyns
Cromolyn sodium (Nasalcrom)

h-Intranasal anticholinergic agents
Ipratropium (Atrovent Nasal Spray 0.03%)

3) immunotherapies
if the above two precautions could not modify your condition then i am afraid you would need a step up. that is immunotherapy

There are sublingual and subcutaneous immunotherapies SLIT SCIT. you can discuss the possibility with your doctor.

4) see the Otorhinolaryngologist for ruling out surgivcally treatbale causes or complications of allrgic rhinitis like deviated nasal septum, chronic sinusitis polyps or turbiectomies for relief.

I hope i was of some help

regards
Dr S Khan
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General & Family Physician Dr. Chirag Soni's  Response
Welcome to HCM.
You have allergic episodes and most likely due to working in the dusty warehouse and particular smell from card board.
You have to take montelucast/levocertizine to subside allergic episodes.
It is better to leave this place otherwise cover your nose with your handkerchief during working hours.
Avoid triggering factor is the best remedy to avoid allergic episodes.

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3 Doctors agree with this answer


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Running Nose, Headaches, Earaches, Itchy Eyes, Tiredness. Why Do These Symptoms Occur?

hello there! Your history and presentation is the classic one for allergic rhinitis. you need 3 phases for management 1)Avoidance: Avoiding exposure to allergens such as pollen, dust mites, and mold to a minimum and all other environmental control measures. 2)Medication therapy a-Second-generation antihistamines Cetirizine (Zyrtec) Levocetirizine (Xyzal) Cetirizine and pseudoephedrine (Zyrtec-D) Fexofenadine/pseudoephedrine (Allegra-D) Loratadine/pseudoephedrine (Claritin-D 24 Hour, Claritin-D 12 Hour) b-Leukotriene receptor antagonists Montelukast (Singulair) c-First-generation antihistamines Chlorpheniramine (Chlor-Trimeton) Diphenhydramine (Benadryl, Benylin) Hydroxyzine (Atarax, Vistaril, Vistazine) d-Decongestants Pseudoephedrine (Sudafed) e-Nasal corticosteroids Mometasone (Nasonex) Beclomethasone (Beconase AQ, QNASL) Budesonide inhaled (Rhinocort Aqua) Fluticasone (Flonase) Ciclesonide (Omnaris) Fluticasone furoate (Veramyst) Triamcinolone (Nasacort AQ) f-Intranasal antihistamines Azelastine (Astelin) Olopatadine intranasal (Patanase) g-Intranasal cromolyns Cromolyn sodium (Nasalcrom) h-Intranasal anticholinergic agents Ipratropium (Atrovent Nasal Spray 0.03%) 3) immunotherapies if the above two precautions could not modify your condition then i am afraid you would need a step up. that is immunotherapy There are sublingual and subcutaneous immunotherapies SLIT SCIT. you can discuss the possibility with your doctor. 4) see the Otorhinolaryngologist for ruling out surgivcally treatbale causes or complications of allrgic rhinitis like deviated nasal septum, chronic sinusitis polyps or turbiectomies for relief. I hope i was of some help regards Dr S Khan