Need advice on allergic rhinitis and asthma

[Jac902]

Hi I have been having ongoing nasal congestion since last year and decided to go private to see an ent and that’s was fine as I was seen quick and after a few appointments and ct scan and after trying flixonse nasule drops and Avamys nasal spray he said i have allergic rhinitis and chronic sinsusitis. I started taking desloretine 5mg once daily dymista and montelukast plus my asthma inhalers. Was doing fine for a few months. Then last couple months I have has costant headaches nasal congestion and is making my asthma worse. So I decided I will see an Immulogist and get skin prick and blood tests. I have started using a short course of prednisone 30mg for 5 days to keep reduce inflammation in nose and help asthma but not find it helping as much as it should. Can anyone suggest any other treatment or what I should do as waiting list to see immulogist where am from is 4/5months and I feel like I couldn’t wait thst long but opened to trying more or different mediations to get better relief of my symptoms as my sleep iSnt great as night time is always worse.

[persil]

Hi could you try an oral antihistamine

[pink123floyd]

Morning jac902 my daughter in law uses a saline wash which is basically salt water each day when she uses a smal l nasal jug to wash the nostril out is def helped her as she suffered real bad pain when bending her head and headaches hope this helps.Stay safe take care.x

[Poobah]

Seeing an immunologist sounds like the best step. In the meantime though, don't be tempted to use over the counter decongestants. They're designed for short term use, say around 3 days, and can cause rebound congestion if used beyond the initial few days. Allergic rhinitis can be caused by a range of air borne irritants, but certain food and drink can also be culprits. I can't tolerate sulphites, preservatives, alcohol, omega 6 rich foods and aspirin (NSAIDs including ibuprofen). Ironically, if nasal inflammation causes headaches, then even your choice of painkiller could exacerbate the nasal inflammation.

I've only ever had Beconase prescribed and one doctor took time to show me the right technique in order to ensure I was "washing" the steroid around the nasal cavity, before that I was pretty much swallowing the stuff or it was dribbling out of my nose. Even then it took me quite a long time to overcome the inflammation.

And occasionally, infections can arise thanks to the inflammation, so antibiotics may treat any unexpected flare up - trouble is, knowing when it's a bacterial infection. Doctors can be quite reluctant to prescribe antibiotics even on the off chance.

I have noticed that my nasal congestion has been better controlled since I started using Montelukast for my asthma - but again, what works for one person may not work for someone else. I've found trial and error eventually figures out the best meds for me.

[Emaych61]

I’ve also been seen by an ENT specialist. I was put on Dymista, was told to get my GP to recommend an antihistamine that could be taken daily (I’m now on Clarityn) and also given a NeilMed sinus rinse kit and told to use it daily. I have to say that the NeilMed sinus kit has really helped with my recurring sinusitis. It’s not something I use daily (doing so actually increases my sensitivity after a while - but I suspect that’s just me) but even using it on an as and when required basis has been very helpful.