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Allergic Rhinitis

Allergic rhinitis is an inflammation of the membranes lining the nose. The disease is characterized by sneezing, congestion, clear mucous and itchiness in the nasal passages or roof of the mouth. The disease may exist along with allergic conjunctivitis (characterized by itchy, watery eyes that may also be red or swollen). 

Allergic rhinitis may be seasonal or perennial (year round), or may occur sporadically after specific exposures to allergens.


Assessment of the patient begins with:

We pay attention to how your symptoms affect your quality of life, physical and social functioning, mental health, energy level and general health. We also discuss your response to the previous medications you have tried.


Many allergic rhinitis cases do not require testing, but testing can be helpful to:

Skin tests are more sensitive, faster and more cost effective than RAST* testing.

Antihistamines should be stopped 7-10 days before skin testing, but do not need to be stopped prior to RAST serum tests. Intranasal corticosteroids, leukotriene inhibitors, decongestants, oral corticosteroids do not need to be stopped for skin testing.

*RAST (short for “radioallergosorbent") is a blood test used to determine the substances a person is allergic to.


We begin with the simplest, least expensive, least invasive and lowest risk forms of intervention. Then we proceed to more advanced treatment options, as necessary, if the symptoms are not controlled with the first step or two.

We recommend the following step-by-step approach:

Why Come to Michigan for Allergic Rhinitis Treatment?

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