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Many illnesses which are thought by the patient to be
a simple condition may actually be a sign of a more serious illness or lead to
serious problems if not treated appropriately. A medical evaluation is
needed to make sure the patient has a simple upper respiratory tract
infection and not suffering from acute sinusitis, a condition that if
left untreated can lead to
intracranial
(within the skull)
complications. Patients
presenting with edema of facial structures or
erythema
(redness) over the
perinasal
(next to the nose) sinuses should be evaluated for hospitalization and
intravenous medications.
Search PubMed for Allergic Rhinitis
Search PubMed for Nasal Allergies
Many of the medications listed on this web site may have over-the-counter
generic counterparts which are less expensive and may be equally effective. Please
consult a pharmacist regarding generic substitutions.
Go To
Nasal Allergies - Information
for patients.
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Before You Go To The Doctor
Before a patient visits a doctor, there are several things that he/she needs to do to
prepare for the visit. The patient should be told what to expect and what
to bring to the office at the time they schedule the visit.
First, patients should bring a list of all their medications, dosages and when
they are supposed to take them. Even better, they should bring the medications with
them. Remember,
medications are not just prescription drugs but also eye drops, ointments and
medications bought over-the-counter. Some eye drops can contain beta-blockers
and can cause serious reactions
during allergy testing and many over-the-counter medications were prescription
drugs just a few years ago. Antihistamine usage can also cause
false positive results in an allergy test. It is not uncommon after a
negative allergy test for patients to remember a single over-the-counter cold
pill that they took which upon closer examination contained an antihistamine.
In addition, patients should know their prescription and over-the-counter drug allergies. This
is very important. Many medications may cross-react and lead to dangerous
complications if used together.
Next, patients should be knowledgeable about their other medical problems. Many allergy
and sinus medications are contraindicated in certain medical conditions. For example: Decongestants may worsen
hypertension
pressure and may cause severe reactions in diabetics. Antihistamines may cause
urinary retention in patients with prostatic
hypertrophy
.
Patients should bring all X-rays and
results of all recent laboratory tests to the office. If they
have had recent sinus X-rays, blood tests or allergy tests bring the results and
X-rays to the office. This information will be needed in evaluating and treating
their case. If the doctor has to get this information after the patient visit, it may
delay the beginning of treatment and may be an added expense.
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The information in this site is provided for educational purposes only, and is not intended
to be a substitute for a physician, physician assistant or nurse practitioner consultation.
Patients should consult their own
health care professional about any opinions or recommendations with respect
to your own medical condition and symptoms.
Page last updated
07/13/2008 Number of Hits Since 5/1/2001
Number of Visits Between 5/1/2001 and 6/26/2008 -
44,427
Copyright 1999, 2001,
2002, 2005, 2008
Kevin T Kavanagh,
All Rights Reserved
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