Patient: Description of condition (onset, main symptoms, hospital visited, etc.): From the beginning of this year, I started to have symptoms of rubbing my nose and eyes, after that I developed sneezing and coughing, basically mainly in the morning, I saw many hospitals, took Chinese and Western medicine, and said it was allergic cough and allergic rhinitis. Allergens were checked and not found, but the total IGE was positive, a plus. Now the allergic cough is better, it’s the rhinitis that hasn’t gotten better. I have to sneeze about 10 times every morning, and sometimes I have clear water-like snot when I sneeze, but it’s a little sticky. No nasal congestion. Now I’m using endosulfan, I’ve been using it for a month, and I’ve been taking cisplatin for 2 months. I’ve also taken ketotifen and Clorox, but they don’t seem to have any effect. But the symptoms are sometimes good and sometimes bad, sometimes not even one a day, sometimes to play, usually two in a row. I would like to ask the director: 1. Is this allergic rhinitis? What should we do to determine this?
2. If so, is our treatment correct? Do we still need to use endosulprad? After a month of spraying with no obvious effect, I’m thinking of giving up. Or is there something wrong with my method? The doctor didn’t tell us when to spray, but he said once a day is enough, and I usually spray at night. I usually spray at night. And will it affect the effect if the child always has to get up and move around after spraying?
3. I feel that hormones are not always very good. Or should I take Chinese medicine?
4.Some doctors say that allergic rhinitis is not easy to see, and it depends on long-term medication, is that true? Some doctors also say that when the child is older and has better resistance, it will naturally get better? How is it? Thank you!
Wang Yaowen, Department of Otolaryngology, Ningbo First Hospital: In terms of the child’s symptoms, allergic rhinitis is very likely. However, if the diagnosis is confirmed, an allergen test is needed. Allergen tests are currently conducted using foreign imported drugs, so there is a possibility of false negatives.
In terms of treatment, it is correct, but also persistent, when spraying slightly against the lateral wall of the nasal cavity. In the nasal blowing clean when the inhalation sprayed in, you can spray at night, if the good spray activity will not affect the effect.
Some of the Chinese medicine is effective for people to consider trying.
Allergic rhinitis treatment is more trouble, but it is true that some children will grow up to be naturally well, in the attack period or need to use drugs to control.