SAY ni DOK | Ano nga ba ang dahilan kung bakit nagkakaroon ng allergic rhinitis ang isang tao?
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00:00 Allergic rhinitis is a test for many.
00:03 But with proper care and knowledge on how to ease it,
00:06 a person with this condition can have a more comfortable life.
00:10 If so, and for us to understand more about what is allergic rhinitis,
00:15 we will be joined by the allergologist, Dr. Maria Socorro Agkawili de Jesus.
00:21 Good morning and welcome to Rise and Shine Philippines, Doc.
00:24 Hi, good morning.
00:26 Hi, good morning Audrey and Miss Leanne and to all of our viewers.
00:32 Doctor, good morning.
00:33 For our viewers who are not familiar with allergic rhinitis,
00:37 can you explain what this is, Doc?
00:40 Okay.
00:41 Allergic rhinitis is a condition where the inside of our nose is swollen.
00:51 It can also be a temporary condition
00:57 because our immune system is sensitive to the things that we are exposed to.
01:07 Okay, Doctor, what is the common cause or what triggers allergic rhinitis, Doc?
01:13 Because we know that since we were young,
01:15 when we were young, they say that if you have a cold or if you have a fever or you have allergies,
01:23 when you cough or sneeze, that is when you will have allergic rhinitis.
01:28 Is this correct, Doc?
01:30 Okay.
01:31 So, this is not related to colds and sneezes.
01:34 The reason for this is the things that we sneeze,
01:38 that we can only smell around us like pollen, dust, and trees.
01:45 We also have the most common thing is house dust mites and our pets' fur,
01:54 dogs, cats, and even ants.
01:57 The materials that are in the cockroaches,
02:02 cockroaches.
02:03 These are the most common. Actually, the most common indoor allergens
02:08 that can be found inside our house that can trigger allergic rhinitis are house dust mites and ants.
02:16 Outdoors, the pollen that comes from trees or grass,
02:22 those are also the common causes of our allergic rhinitis.
02:27 You need to clean your house to avoid these.
02:32 Yes, even if it's just a cockroach.
02:35 Alright, Doc, what are the main symptoms of allergic rhinitis
02:39 and how can we distinguish it from other conditions?
02:44 Okay.
02:45 So, the main symptoms of allergic rhinitis is after we are exposed to a particular allergen that we call around us,
02:55 you can have sneezing or coughing,
02:59 and then you'll run, or your nose will really get stuffy,
03:03 and then our nose will get itchy.
03:05 Sometimes, it's also related to our eyes,
03:08 and the fourth one is when our nose gets itchy.
03:12 So, those are the cardinal symptoms that we call,
03:16 usually, those are the symptoms of a person with allergic rhinitis.
03:21 Now, for adults,
03:23 it's also common that compared to kids,
03:29 sometimes, the runny nose is not that prominent,
03:32 but the one that you always think of is the one that falls behind your nose.
03:37 That's one of the presentations or symptoms of allergic rhinitis.
03:42 So, just like the first mistake that you made,
03:47 how can you differentiate this from other diseases,
03:50 the most common mistake is when you have an upper respiratory tract infection or viral infection.
03:57 When you have a viral infection, it starts with itching nose, runny nose, and your nose gets stuffy.
04:06 But it's not like a viral infection.
04:09 Allergic rhinitis is repeated almost every day or sometimes three to four times a week.
04:17 And usually, their symptoms don't last the whole day.
04:22 Others, it's just half an hour or one hour in the morning or one hour in the evening.
04:28 There are symptoms like that.
04:31 But there are infections like the viral infection.
04:34 Usually, the symptoms are the same as the initial few days of having a viral infection
04:40 because it's not like a runny nose.
04:42 But usually, we differentiate this from people with allergic rhinitis.
04:48 Those who have viral infections, they have persistent symptoms all throughout the day.
04:55 And of course, their symptoms last longer.
04:59 And it's different when you have a combination of body aches,
05:04 and then, you have a fever, and more of viral infections.
05:08 Sometimes, we think it's just an allergy.
05:12 You get it in the morning, and when it comes in the afternoon, it's gone.
05:15 But sometimes, it continues. You don't know the difference.
05:18 But doctor, is there a specific season or environment that is more dangerous to people with allergic rhinitis?
05:25 And how should they prepare for this?
05:28 Because sometimes, when the air conditioner is too cold,
05:31 Change in extreme weather, things like that.
05:35 Change of temperature.
05:37 Okay.
05:38 There's also what we call non-allergic rhinitis.
05:43 So, people with allergic rhinitis, they're more sensitive to pollen, house dust, and mice.
05:52 Sometimes, it's more dangerous if they have a concomitant of non-allergic rhinitis.
05:58 When we say non-allergic rhinitis, the mere fact that there's a change in temperature,
06:03 it can also trigger symptoms that are almost identical to the symptoms of allergic rhinitis.
06:10 Like, if it's too cold, the nose gets blocked.
06:14 And if the environment is too hot, the nose gets blocked.
06:18 Okay.
06:19 Now, there are also people who are more sensitive to pollen.
06:25 Now, there are different plants that bloom, or their pollens, pollen from trees, pollen from grass,
06:34 that only appear once a season.
06:38 So, if that's the season, the blooming season of these plants,
06:42 that's also when their symptoms of allergic rhinitis are more dangerous.
06:47 And then, the change of weather can also make it more dangerous,
06:53 just like people who have non-allergic rhinitis,
06:56 where the mere fact that the temperature around them changes,
07:01 it can trigger symptoms that are almost identical to the symptoms of allergic rhinitis.
07:05 Doc, what are the available medicines or treatment options for allergic rhinitis?
07:11 Okay.
07:12 We can prescribe a lot of medicines for allergic rhinitis.
07:16 But it depends on the severity or the severity of the disease,
07:23 and what kind of medicine we will prescribe.
07:27 But mostly, anyone can know that they have an antihistamine,
07:33 and it can be a medicine for allergic rhinitis.
07:36 We also have decongestants, oral decongestants, and nasal spray decongestants,
07:43 which we usually give to people who have intermittent or very mild allergic rhinitis,
07:50 especially if the symptoms are very mild.
07:53 The most effective medicine for people who have severe allergic rhinitis or persistent allergic rhinitis
08:02 is of course the intranasal corticosteroid, steroidal nasal spray.
08:07 We also have liputrine inhibitors, such as pontilucas.
08:13 And if after all, these pharmacologic treatments,
08:18 the symptoms of allergic rhinitis still do not improve,
08:24 then these people still have hope.
08:27 Do not lose hope because if you are very consistent in drinking and administering your medicines,
08:36 and your allergic rhinitis is not controlled,
08:40 and despite your exposure, you have already reduced the things around you that collect dust mites,
08:48 and yet the symptoms are still there, then we can offer immunotherapy.
08:53 Allergen immunotherapy, this is what we call allergy shots.
08:57 For example, Ms. Diane, even if you are taking medicine,
09:01 and your allergic rhinitis is still affected by your daily activities,
09:06 then if you are positive to certain allergens,
09:09 for example, if you are allergic to the dust mites, then we can do an allergy shot.
09:15 We inject house dust mites into your body for several number of years,
09:21 usually the duration is 3 to 5 years,
09:24 and it really improves the nasal symptoms of people with allergic rhinitis.
09:30 There is no cure for allergic rhinitis, but we can always control it so that you can live a normal life.
09:37 Okay, doctor, this is because in the class of announcers, reporters, and DJs,
09:43 we really avoid gossiping because it will change the quality of your voice.
09:48 You will be irritated while performing your job.
09:51 I know someone who has double dosage of two decongestants and two antihistamines.
09:59 Yes, can we do that?
10:00 To prevent the spread of the disease, is this bad, doctor?
10:06 Yes, of course, if you overdose, it is really bad.
10:12 And be careful when using oral decongestants, especially high blood pressure,
10:18 because it can cause more blood pressure.
10:22 If you have severe symptoms of allergic rhinitis, don't go to the doctor yourself.
10:29 There are people who have severe symptoms of overdosing.
10:36 You need to be advised by your doctor on how to use these.
10:43 Maybe you can't take your regular dosage of your medicine, so we can give you an additional dose to control your symptoms.
10:55 And this will help you with your feelings.
10:58 Consult with experts and not Dr. Google.
11:03 Yes, guilty.
11:05 Yes, a lot of people are guilty.
11:07 And self-medicate.
11:09 Noel, Doc, thank you very much. We learned a lot from you about the condition of allergic rhinitis.
11:15 Thank you very much. We were able to meet Dr. Maria Socorro and Willie DeJesus.