Causes
There
are many substances in the environment which when inhaled cause allergic
rhinitis. They include;
1. House dust mites,
which are found in mattresses, pillows, beds, and carpets. It is not the dust
mites that cause rhinitis, but rather a chemical in their excrement. Dust mites
are present all year round.
2. Pollen from trees,
grass, and weeds.
3. Animal fur, hair,
and their urine and saliva. Household pets, such as dogs and cats, are common
culprits, but some people are affected by horses, rabbits, and rodents, such as
guinea pigs and hamsters.
4. Cockroaches
5. Allergens in the
work environment, such as wood dust, flour dust, or latex.
Aggravating
factors
Some
people have a genetic predisposition to allergic rhinitis, but it is the
exposure to environmental factors that increases the risk of getting the
condition and its subsequent severity. The environmental factors can be indoor
or outdoor, and occupational.
The
indoor factors include tobacco smoke, nitrogen dioxide from gas fired ovens,
and formaldehyde in building materials. The home environment (like carpets)
enhanced the survival of house dust mites. Outdoor factors include exhaust
fumes from motor vehicles, particularly diesel, carbon monoxide, nitric oxide,
and ozone.
Occupational
pollutants include compounds like isocyanates and hexachloroplanates.
Associated
conditions
There
is a strong association between allergic rhinitis and asthma. About three
quarters of patients with asthma also have allergic rhinitis. Allergic rhinitis
frequently worsens asthma.
Sinusitis,
which is an infection of the cavities inside the forehead and cheek bone
(sinuses), is a common complication of allergic rhinitis. The normally air –
filled with mucous instead, and if it is not drained away, infection from
bacteria and viruses can ensue.
The
allergen which affects the nose can also affect the sinuses. The usual symptoms
are pain in the forehead, face or teeth, blocked or running nose, greenish or
yellowish nasal discharge, coughing, and even fever.
Infections
of the middle (orititis media) occur because the ear is connected to the nose
by the Eustachian tubes, which can get infected. This condition is more common
in children who have earache and even fever.
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