Date:

Presented By: Dr. Shweta Yadav

Department of Practice of Medicine
Topic: Allergic rhinitis.
Definition:
• Allergic rhinitis (AR) is an
atopic disease
characterized by symptoms
of nasal congestion, clear
rhinorrhea, sneezing,
postnasal drip, and nasal
pruritis. It affects one in six
individuals and is
associated with significant
morbidity, loss of
productivity, and
healthcare costs.
Types of Allergic Rhinitis:
Signs and Symptoms of Allergic Rhinitis:
Pathogenesis of Allergic Rhinitis:
Diagnosis:
Treatment and Management:
Prevention:
• 1.Ars alb -Thin, watery, excoriating discharge. Nose feels
stopped up. Sneezing without relief. Complaints worse in
open air. Burning and bleeding.
• 2.Natrum mur – Violent, fluent coryza, lasting from one to
three days, then changing into stoppage of nose, making
breathing difficult. Discharge thin and watery, like raw white
of egg. Violent sneezing coryza. Infallible for stopping a cold
commencing with sneezing. Use thirtieth potency. Loss of
smell and taste. Internal soreness of nose. Dryness.
• 3.Sulphur -Herpes across the nose. Nose stuffed indoors.
Imaginary foul smells. Alæ red and scabby. Chronic dry
catarrh; dry scabs and readily bleeding. Polypus and
adenoids
• 4.Sabadilla – Spasmodic sneezing, with running nose. Coryza
with severe frontal pains and redness of eyes and
5.Allium cepa- Sneezing, especially when entering a warm
room. Copious, watery and extremely acrid discharge.
Feeling of a lump at root of nose. Hay-fever. Fluent coryza
with headache, cough, and hoarseness. Polypus
6. Tuberculinum – Enlarged tonsils. Hard, dry cough during
sleep. Expectoration thick, easy; profuse bronchorrhœa.
Shortness of breath. Sensation of suffocation, even with
plenty of fresh air. Longs for cold air. Broncho-pneumonia in
children. Hard, hacking cough, profuse sweating and loss of
weight, rales all over chest. Deposits begin in apex of lung
(Repeated doses).
7.Arundo -Hay-fever begins with burning and itching of
palate and conjunctiva. Annoying itching in the nostrils and
roof of the mouth. Coryza; loss of smell. Sneezing, itching of
nostrils
• 8.Merc sol – Much sneezing. Sneezing in sunshine. Nostrils raw, ulcerated;
nasal bones swollen. Yellow-green, fetid, pus-like discharge. Coryza; acrid
discharge, but too thick to run down the lip; worse, warm room. Pain and
swelling of nasal bones, and caries, with greenish fetid ulceration. Nosebleed
at night. Copious discharge of corroding mucus. Coryza, with sneezing; sore,
raw, smarting sensation; worse, damp weather; profuse, fluent.
• 9.Kali bich – Snuffles of children, especially fat, chubby babies. Pressure and
pain at root of nose, and sticking pain in nose. Septum ulcerated; round ulcer.
Fetid smell. Discharge thick, ropy, greenish-yellow. Tough, elastic plugs from
nose; leave a raw surface. Inflammation extends to frontal sinuses, with
distress and fullness at root of nose. Dropping from posterior nares . Loss of
smell. Much hawking. Inability to breathe through nose. Dryness. Coryza, with
obstruction of nose. Violent sneezing. Profuse, watery nasal discharge.
Chronic inflammation of frontal sinus with stopped-up sensation.
• 10.Ammonium mur- Free acrid, hot watery discharge corroding the lip.
Sneezing. Nose sore to touch; ulcerative pain in nostrils. Loss of smell.
Obstructed, stuffy feeling; constant and unavailing efforts to blow it out.
Itching.