Talk:Allergic rhinitis

From Wikipedia, the free encyclopedia
Jump to: navigation, search
WikiProject Medicine / Translation (Rated C-class, High-importance)
WikiProject icon This article is within the scope of WikiProject Medicine, which recommends that medicine-related articles follow the Manual of Style for medicine-related articles and that biomedical information in any article use high-quality medical sources. Please visit the project page for details or ask questions at Wikipedia talk:WikiProject Medicine.
C-Class article C  This article has been rated as C-Class on the project's quality scale.
 High  This article has been rated as High-importance on the project's importance scale.
Taskforce icon
This article is supported by the Translation task force (marked as High-importance).


The sentence starting with "Rinsing..." under "Management", is rather disjointed.

The sentance "In cases of allergic rhinitis, the most effective way to decrease allergic symptoms is to completely avoid the allergen." is a really stupid thing to say. The most effective way to comabat fear of flying, is to never get on an aeroplane.. — Preceding unsigned comment added by Treva26 (talkcontribs) 09:47, 15 August 2011 (UTC)


Refs do not support this content.

It is postulated that allergic rhinitis (and other allergies) are the result of immune disorders and in some cases autoimmune disorders.[1] While the cause of these disorders is not discovered in most patients, clinical experience suggests a dietary root cause, led by chronic tissue inflammation.[2] Significant clinical evidence to suggest that diets high in carbohydrate (especially in individuals with concomitant high blood glucose levels),[3] high in omega-6 fatty acids (due to metabolism via eicosanoid pathways) [4] and high in gluten contribute directly to autoimmune disorders.[5]

Doc James (talk · contribs · email) 03:34, 13 March 2011 (UTC)



The word "Western" seems to be a euphemism for "european".

16 th[edit]

The Oxford English Dictionary says that the name hay-fever has been used since the 16th century. — Preceding unsigned comment added by (talk) 14:10, 29 May 2011 (UTC)

Allergic rhinitis without specific symptoms[edit]

Some people have atypical symptoms from allergic rhinitis, such as no or almost no symptoms other than fatigue and malaise. I've been looking for a reference that mentions this. It seems to be common knowledge among the allergists I've seen. I found a webpage which does talk about this. I'm trying to find the source for their info.

Can anyone come up with a good reference for allergic rhinitis with no or almost no specific symptoms?

If someone goes to a doctor with fatigue and malaise without other symptoms, allergic rhinitis is a possibility. And I'd like to see a good reference for that, too. Puffysphere (talk) 17:39, 15 January 2012 (UTC)Puffysphere

Local allergic rhinitis section[edit]

I made a new section on local allergic rhinitis.

I thought about making a separate page for LAR.

But the symptoms and treatment of LAR are the same so far as for allergic rhinitis (including allergy shots working!)

So clinically, LAR is a matter of a problem with the current diagnosis of allergic rhinitis - the standard allergy tests can be negative, but you can still have allergic rhinitis from a local allergy.

Physiologically, LAR is quite interesting. Classically allergies were supposed to involve the lymph nodes, so finding that an allergy can be generated locally is novel. This has been dubbed "entopy" (vs atopy). I don't know what evidence there is for entopy in other places in the body besides the nose (like possibly responsible for delayed food allergies), but an Entopy page would be a good idea. Puffysphere (talk) 23:02, 21 January 2012 (UTC)Puffysphere

Hay in hay-fever[edit]

"Ironically, in hay fever, there is neither any fever nor any hay, but since grasses shed their pollens into the air, at about the same time that hay is being cut, the common term hay fever is used."

This seems to suggest that hay itself can't cause hay fever? Surely pollen exists within hay?

- I am allergic to hay. It gives me a rash and also makes me sneeze. I have over 100 different allergies, and hay is one of them. My allergy to hay is different to my allergy to pollens though, which simply make me sneeze. My allergy to grass is different again, as that gives me a rash and makes me a sneeze. And my allergy to dust is different again, as it gives me a small but annoying rash isolated around the eyes, causing me to rub them for relief, leading to having red eyes.

- Put simply, I would say that all of these are distinct and very different types of symptoms. I agree that hay can be a part of it and that it is incorrect to ignore hay as part of allergic rhinitis.

- It also should be noted that some of my allergies do give me a fever, but those are food allergies. I am sure that in some people allergies to the kinds of things mentioned in this article could lead to fever though. (talk) 23:35, 22 November 2012 (UTC)

There were so many problems with that sentence, I changed it. Since hay is not a plant, but an animal feed product made by cutting and drying grasses, a lot of it didn't make sense.
B.t.w, it's also technically incorrect to say that an allergy to hay, to pollen, and to grass, are three different things, since hay is made of grass, and the allergic reaction is to the pollen of the grass. Certainly though, there could be different reactions to different kinds of pollen and other allergens such as dust, and different ways they come into contact with the body.
IamNotU (talk) 15:28, 29 April 2013 (UTC)


The source for this information:

"First generation antihistamine drugs such as diphenhydramine cause drowsiness, but not second- and third-generation antihistamines such as cetirizine and loratadine.[15]"

must be suspect as I can truthfully state that cetirizine reduced me to a useless, depressed, sleep-lusting zombie (but a dry-nosed one!) for the several days that I took it this week while living in a pine forest. EdX20 (talk) 21:59, 27 May 2012 (UTC)

I agree, I think drowsiness is mentioned as a possible side effect for "nonsedating" antihistamines, cetirizine is especially bad for that. Go ahead and find a good reference and modify the article! Puffysphere (talk) 13:56, 12 February 2013 (UTC)
It can be hard to sleep with Hayfever... This might not be a bad thing... There is also a lot of other things that can cause you to become a "zombie"... Tiredness has a lot of Differentials you know... (talk) 11:58, 9 October 2014 (UTC)

"Hay fever" NOT "Hayfever" - Be careful![edit]

Never ever write "Hayfever" because Google is currently showing that, when Google itself autocorrects to "Hay fever" with a space. Remember EVERYONE looks to Dr Wikipedia so it's important to get it right on here :) (talk) 12:09, 9 October 2014 (UTC)

NEJM review[edit]

doi:10.1056/NEJMcp1412282 JFW | T@lk 10:08, 3 February 2015 (UTC)


I would question the statement in the introduction that "Allergic rhinitis is typically caused by environmental allergens". Hay fever is not caused by allergens, it is a reaction to allergens. The evidence appears to be that exposure to allergens when a child reduces the incidence of hay fever in later life. So rather than being caused by allergens, it is more accurate to say that the absence of exposure to environmental allergens when a child can result in a hyper reaction to allergens in adulthood.Royalcourtier (talk) 00:33, 10 November 2015 (UTC)

Yes good point. Should be triggered rather than caused. Doc James (talk · contribs · email) 07:49, 10 November 2015 (UTC)