1,721,020 research outputs found
Rhinitis and rhinosinusitis: When to think allergy and what to do
No full text Rhinitis and sinusitis are very common conditions seen in primary care. Most sufferers can be helped by accurate diagnosis and medical treatment. Simple measures include douching the nose with saline and avoiding provoking factors such as allergens and pollutants, including environmental tobacco smoke. Additionally, pharmacotherapy can be useful for allergic rhinitis, and involves topical nasal corticosteroids, antihistamines or a combination of the two intranasally. Immunotherapy is reserved for those whose symptoms remain uncontrolled despite pharmacotherapy, and who have one or two major allergens driving their disease. Rhinosinusitis, whether acute or chronic, involves impaired sinus ventilation and drainage due to inflammation, which can be eosinophilic, neutrophilic or a combination of the two. Medical treatment should be tried initially, unless the patient has orbital cellulitis or intracranial signs in which case urgent surgical attention is needed. Few patients need referral to secondary care, but it is important to be able to identify them correctly. Rhinitis and rhinosinusitis are commonly seen in primary care. Practice nurses are well placed to diagnose and treat both conditions effectively in most patients. Glenis Scadding provides an overview of both conditions </jats:p
Non-surgical treatment of adenoidal hypertrophy: The role of treating IgE-mediated inflammation
No full text
Seasonal allergic rhinitis: fluticasone propionate and fluticasone furoate therapy evaluated
No full text
- …
