Also seen if nose drops used more than 4-5 continuous days. There has been some controversy in the literature about whether treating allergic rhinitis aggressively will prevent the onset of asthma. Treatment should include avoidance measures as well as medications. Referral to an allergist should occur when symptoms perist despite medications and simple home precautions or if the patient had complications or when the cause of the symptoms is unclear. Zip-up impermeable covers for mattress and pillows will prevent mold sensitivity and manage house dust mites.
Air cleaners are most useful with smokers in the home.
Saline nose drops can provide symptomatic relief. Efficacy of this treatment has been proven for ragweed, grass, tree pollens and dust mites. It is most effective in seasonal pollinosis, and also can control perennial symptoms. Most physicians overprescribe. Very useful in the infant.