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Ralph and his Allergic Rhinitis
Tuesday, June 05, 2007
I woke up this morning and saw Ralph, my younger son, suffering from allergic rhinitis again. It's difficult when he is under this condition. He becomes irritable because of the frequent sneezing, nasal itching, headache, and the nasal obstruction causing the difficulty in breathing. Maybe its because of the rainy season. Ralph is really that sensitive. Even a little change in the environment will trigger his symptoms.

I worry a lot everytime he has his attack. He cannot tolerate the nasal itching that he would wipe his nose every now and then. He would incessantly do the "allergic salute" which causes his nose to redden and worse bleed. I hope it won't be as frequent as before during the previous school year wherein it has affected his grades. I was expecting then that his attacks will come more frequent during summer time. But it did not.

A week before we had our vacation in Catanduanes, I was able to attend a lecture on allergies sponsored by UCB. In that lecture I learned that it is better to give the antihistamines for allergic rhinitis daily for at least 6 months. This will provide rest to the constant inflammation in the lower airway. This will also lessen attacks. Giving antihistamines during the attack is not anymore beneficial according to the lecturer. It's already late for it to arrest the attack.

Since allergy and allergy-related conditions (asthma, eczema, rhinitis, chronic sinusitis, atopic dermatitis, drug sensitivity, and food allergy) are hereditary, Ralph got his condition from me. Yes, I also have allergic rhinitis and mine also worsened when the rainy season started.

Most of the time people with rhinitis also have asthma. And Ralph also have asthma just like my grandfather. His last attack was 2 years ago. I just hope that he won't have it again especially now that school is about to open.
posted by Amelyn R. Rafael,MD @ 10:29 AM  
6 Comments:
  • At 5:20 PM, Blogger Dine said…

    allergies are difficult to cure, have you heard of the procedure identifying the allergens and desentisizing the patient, over time? very tedious, but i have heard of successful ones.

    anyway, 2 of my 7 kids have this, but they are able to live with it, by taking precautions, and knowing what to take when an attack takes off.

     
  • At 11:23 AM, Blogger Belle TH said…

    you mentioned you to Catanduanes, am from Catanduanes. did you have a chance to go to any resort there?

    i never had allergies until i moved to AZ because of juniper trees. i usually suffer through or part of the time, i take herbal supplements which give me slight relief. most people take the steroid shot which is good for a year. i have only tried it once and i felt good the whole year.

     
  • At 9:01 PM, Blogger Amelyn R. Rafael,MD said…

    Yes,dine,I'm familiar with the procedure. I don't think my son needs it because his attacks are not that frequent.
    Belle th, my husband is from Pandan, Catanduanes. It was my second time to visit the place. Yes, I was able to go to Pandan Resort. Btw, we don't use steroids as first line treatment for allergies. They are usually reserved for the unresponsive ones. In this way, side effects are avoided.

     
  • At 1:01 AM, Blogger Belle TH said…

    then are you familiar of sandro rafael who is also from Pandan? he has a brother who is a doctor, i believe, who lives in the Phil. could you be married to his brother?

    sandro, by the way, was the one who gifted me with my new site, for life daw. that was nice of him.

     
  • At 12:47 PM, Blogger Amelyn R. Rafael,MD said…

    Yes, belle th, sandro is my brother-in-law. Thanks for dropping by. i hope you'll visit again :)

     
  • At 9:55 PM, Blogger Belle TH said…

    small world indeed! thanks doc Amy.

     
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Name: Amelyn R. Rafael,MD
Home: San Fabian, Pangasinan, Philippines
About Me: Family Physician, and Associate Professor (Clinical Anatomy and Medical Physiology)
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