The patient will experience the symptoms only during a time of the year when seasonal rhinitis attacks, usually varies seasonally. Allergic rhinitis is caused by an exposure to an outdoor allergen such as pollens, environmental molds, or sometimes, foods (Marple, Fornadley, Patel, Fineman, Fromer, Krouse, Lanier, Penna, PharmD, and the American Academy of Otolaryngic Allergy Working Group on Allergic Rhinitis, 2007). However, other patients may s experience symptoms all year-round and this is called perennial rhinitis. It may be caused by exposure to indoor allergens such as animal dander or dust mites. About 40% of patients suffer from both seasonal and perennial rhinitis this is why allergic rhinitis was classified by frequency and severity of symptoms (Storms, 2002).
The Gallup Study of Allergies (2005) has established that allergic rhinitis is characterized by sneezing, rhinorrhea, nasal discharge, nasal congestion, itchy or watery eyes, or headaches. Common mediators are histamine and leukotrienes. While the disease itself is not very serious, the symptoms of allergic rhinitis are bothersomeand considered by by many patients as serious and debilitating. Some 59% of patients with allergic rhinitis consider their condition moderately severe or severe. It was indicated in the study that in one out of five patients, they feel their health care provider downplay their allergy symptoms (Gallup Study of Allergies, 2005). ...
However, the most appropriate allergy treatment should be based on the results of allergy tests, medical history such as triggers and seasonality of symptoms, family history of allergies, past and current treatment, and severity. Medical practitioners, however, should take into consideration patient expectations and tolerances. “Treatment can include avoidance of allergen, pharmacotherapy, and/or allergen immunotherapy. The treatment plan must also consider co-morbid conditions,” (Marple et al, 2007, S108). Affected persons can still lead normal and productive lives through proper management and patient education. Treatment should have a rapid onset and convenience, safe and cost effective, immune tolerant, improved patient adherence, and recognized and treatment co-morbidities (Marple et al, 2007). Allergic rhinitis impacts on patient well-being and functioning as it impairs the quality of life such as vitality, psychological and social aspects of the patients’ lives, energy and behavior of children, cognitive functioning and mood, and school or work performance (Tanner et al, 1999). Children with symptomatic allergic rhinitis are inattentive, absent-minded, irritable, preoccupied, or impaired in learning and school performance. Children aged 10 to 12 years had significantly deficient learning retention as exaggerated by the use of a sedating antihistamine and partially mitigated by the use of a non-sedating antihistamine as compared to children without the disease (Vuurman et al, 1993). It is highly possible that allergic children may be asked to leave the classroom due to disruptive behavior. Worse if they may be misdiagnosed as having