J30.4
DESCRIPTION
Recurrent inflammation of the nasal mucosa due to hypersensitivity to inhaled allergens. May present with a running, itchy nose and eyes, and excessive sneezing (runner) and/or with nasal obstruction (blocker). Look for salute sign and allergic "shiners". Recurrent symptoms or lasting longer than 14 days.
GENERAL AND SUPPORTIVE MEASURES
- Avoid allergens and irritants.
MEDICINE TREATMENT
During periods of exacerbation of symptoms, a short course of antihistamine can help:
- Cetirizine, oral, as a single dose at night if the predominant symptoms are sneezing, nasal itching and rhinorrhoea:
- Children 3–12 years: 5 mg.
- Children older than 12 years: 10 mg.
If poorly controlled/severe:
- Corticosteroid aqueous nasal solution, e.g.:
- Budesonide, 100 mcg, 1 spray into each nostril 12 hourly.