Allergic rhinitis

Allergic rhinitis-Allergic rhinitis is an allergic inflammation of the nasal airways.
In this slide we can get info about its causes,symptoms,prevention & treatment.This slide helps people to know about this disease.

1. ALLERGIC RHINITIS RESPIRATORY DISEASE Presented by: Afsana tajmim Dept. of pharmacy, Jessore university of science & technology

2. DEFINITION Allergic rhinitis is an inflammation to the lining of the nose caused by inappropriate hypersensitivity reaction to an allergen. Allergic rhinitis is an IgE-mediated immunological reaction.

3. Seasonal allergic rhinitis ( Hay fever or Rose fever ): This occurs during times of the year when allergens are in the air. Perennial( Persistent) allergic rhinitis : This condition is caused by allergens .

4. AETIOLOGY Atopy Allergens : S easonal : Pollen , Fungus Perenninal : Dust mite, domestic pets, cockroaches Occupational : Flour, Animal , Wood, Latex , Paint Hormonal

5. Food induced: Nuts,fish , prawns, legumes ,milk, chesse ,egg, meat, citrus fruits ,wines. Drug induced: Aspirin, other NSAIDs , anti- hypertensives , oral contraceptive pills. Nasal (Nasal irritants) : Traffic fumes , tobacco smoke ,mosquito repellents, perfumes ,scented sticks, domestic sprays, bleaches Anatomic defect Immunodeficiency disease

6. SYMPTOMS Rhinorrhea Itchy (nose , mouth , eyes ,throat ,skin or any area) Problems with smell Sneezing Tearing eyes Stuffy nose (nasal congestion) Coughing Clogged ears Sore throat Dark circles under the eyes Puffness under the eyes Fatigue & irritability Headache Mouth breathing

7. DIAGNOSIS Physical exam ( eyes, ears, nose , oropharynx,lung ) CBC Test Nasal smear examination for eosinophils : Mucus is examined for the presence of eosinophil cells, which indicate an allergic reaction. Skin prick test: A method for medical diagnosis of allergens that attempts to provoke a small, controllled , allergic response. Radio – allergo – sorbent test (R.A.S.T): A radioimmunoassay test to detect certain types of immunoglobulin-bound allergens responsible for tissue hypersensitivity. Diagnostic nasal endoscopy C.T. scan

8. MANAGEMENT Lifestyle change & avoiding allergens : Avoid cigarette smoke & traffic fumes. Avoid cold drinks , ice cream, very cold air, cold bath. Avoid mosquito repellents, strong perfumes , scented sticks & cosmetics. Have a balanced diet & exercise regularly to improve body immunity. Adequate fluid intake to loosen nasal secretion. Control drugs to prevent attack Avoid sulfite-containing foods. Avoid occupational irritants. Visit doctor regularly & follow doctor’s advice. Allergy shots( immunotherapy) Medication

9. MEDICATION Leukotriene receptor antagonists: Montelucast ( Montene - sq .) Anti- cholinergics : Ipratropium bromide nasal spray( Rynaspray -sq.) H1-antihistamines: Systemic : Cetirizine( Alatrol -sq.), Fexofenadine( Fexo -sq.), Loratidine ( Loratin -sq.) Levocetrizine ( Curin-Beximco ), Desloratidine ( Sedno -sq.) Topical : Azelastine spray( Snizex -sq.) Mast cell stabilizers: Sodium cromoglycate ( Nacromycin -sq.) Ketotifen ( Alarid-sq )

10. Systemic: Phenylephrine Pseudoephedrine( Preecof-Incepta ) Topical: Xylometazoline ( Antazol -sq.) Oxymetazoline ( Nocon -sq.) Hypertonic saline Nasal: Beclomethasone ( Decomit-Beximco ) Budesonide( Aeronoid-Beximco ) Fluticasone( Perinase-Beximco ) Mometasone Injection: Methylprednisolone Oral: Prednisolone Nasal decongestants Corticosteroids

11. REFERENCE www.thirdage.com www.wikipedia.com www.webmd.com www.pubmed.com www.themedicalpostnet.com www.lungusa.org www.nhlbi.com www.freeonlinedictionary.com www.myoclinic.com www.encyclopediaabritanica.com

12. THANK YOU