Chronic Allergy with Sneezing, Runny Nose, and Recurrent Throat Infections - #11020
"I have been suffering from allergy for many years. Initially, I used to get continuous coughing episodes that would not stop for a long time. After a few years, the cough reduced, but I started having daily sneezing, runny nose, and excessive nasal mucus. In the current year, my throat has also been getting infected almost every month. I usually take antibiotics and get temporary relief, but the problem comes back again the next month. Along with throat infection, sometimes sneezing and nasal discharge also occur. I want to know the permanent solution for this condition and whether it is due to allergic rhinitis or sinus problem. Please suggest proper tests and long-term treatment." Tried multiple medicines and prescriptions.
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Doctors’ responses
Tarun most probably due to continuous irritation from a trigger is causing coughing and sneezing I would suggest you to visit ENT doctor as he would be able to do physical examination to assess situation better
Your symptoms suggest a chronic allergic condition, likely allergic rhinitis, and possibly recurrent sinusitis given the pattern of sneezing, runny nose, and recurrent throat infections. The first step is to identify potential allergens triggering your reactions. A skin-prick test or specific IgE blood test for common allergens like pollen, dust mites, or mold could be helpful. Based on this, avoidance strategies can play a crucial role. Since allergy symptoms and infections overlap, it’s essential to differentiate: Allergies usually respond well to antihistamines or nasal corticosteroids, like fluticasone or mometasone. For recurrent, severe symptoms, long-term management might include allergen immunotherapy (allergy shots), which can temper your immune response over time. However, the consistent throat infections could suggest recurrent bouts of sinus infection, which might benefit from further imaging, like a CT scan of your sinuses, to assess for chronic sinusitis. Sometimes structural issues, like a deviated septum, can exacerbate these problems. Intermittent antibiotic use for your throat suggests chronic bacterial infection, but recurrent usage isn’t a sustainable solution. It’s important to reserve antibiotics for confirmed bacterial infections—throat swabs can help determine the bacterial cause when infections arise. Furthermore, you might consider a saline nasal rinse daily to clear mucus and allergens from your nasal passages, which can be surprisingly effective. As a permanent solution involves a multifaceted approach, working closely with an allergist or ENT specialist to tailor your treatment plan would provide the most comprehensive care tailored to your needs.
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