Rhinitis is inflammation of the inner lining of the nose. Allergic rhinitis is characterized by an itchy/runny nose, sneezing, and nasal congestion. Other allergic symptoms include itchy ears and throat, Eustachian tube problems, red/watery eyes, cough, fatigue/loss of concentration/lack of energy from loss of sleep, and headaches or facial tenderness. Rhinitis can be either acute or chronic. Seasonal allergic rhinitis (also called hay fever) is usually caused by pollen in the air, and sensitive patients have symptoms during peak times during the year. Perennial allergic rhinitis, a type of chronic rhinitis is a year-around problem, and is often caused by indoor allergens, such as dust and animal dander. Symptoms tend to occur regardless of the time of the year. Non-allergic rhinitis (also called vasomotor rhinitis) occurs in those patients in whom an allergic cause cannot be identified. Vasomotor rhinitis is thought to occur because of abnormal regulation of nasal blood flow. Post-nasal drip is a mucous accumulation in the back of the nose and throat leading to or giving the sensation of mucus dripping downward from the back of the nose. Chronic rhinitis is characterized by persistent irritation and inflammation of the lining tissues of the nose. One of the most common characteristics of chronic rhinitis is post- nasal drip. Post-nasal drip may lead to chronic sore throat. Post-nasal drip can be caused by excessive or thick secretions or an impairment in the normal clearance of mucus from the nose or throat.

Common allergic conditions : Hay Fever - Hay fever (Allergic Rhinitis) is the most common of the allergic diseases and refers to seasonal nasal symptoms that are due to pollens. Year round or perennial allergic rhinitis is usually due to indoor allergens, such as dust mites or molds. Symptoms result from the inflammation of the tissues that line the inside of the nose (mucus lining or membranes) after allergens are inhaled. Adjacent areas, such as the ears, sinuses, and throat can also be involved. The most common symptoms include: Runny nose Stuffy nose Sneezing Nasal itching (rubbing) Itchy ears and throat Post nasal drip (throat clearing)

Allergy Terminology : Acute Rhinitis - Inflammation of the nose that occurs for only a few days. Typically this is caused by a virus ("a cold"); if it goes on beyond a week then it is probably bacterial. Allergens - Normally harmless substances which cause an exaggerated allergic reaction (inflammatory response) in sensitive people. Allergic Rhinitis - Medical term for hay fever, a condition due to allergy that mimics a chronic cold. (Hay fever is a misnomer since hay is not a usual cause of this problem and there is no fever. Many substances cause the allergic symptoms in hay fever. Allergic rhinitis is the correct term for this allergic reaction. (Rhinitis means "irritation of the nose" and is a derivative of Rhino, meaning "nose.") Symptoms include nasal congestion, a clear runny nose, sneezing, nose and eye itching, and tearing eyes. Post-nasal dripping of clear mucus frequently causes a cough. Loss of smell is common and loss of taste occurs occasionally. Nose bleeding may occur if the condition is severe. Eye itching, redness, and tearing frequently accompany the nasal symptoms. Chronic Rhinitis - inflammation of the nose that goes on for weeks to months which is different from "a cold", and may be caused by allergy, nasal irritants, structural, or physiological problems. Hay Fever - A seasonal allergy to airborne particles characterized by runny/itchy nose and eyes, sneezing, itchy throat, excess mucus, and nasal congestion. It is a misnomer because it is not caused by hay and it does not produce a fever. Non-Allergic Rhinitis - Inflammatory condition of the nose without an obvious allergy cause. Post Nasal Drip - Mucous accumulation in the back of the nose and throat leading to or giving the sensation of mucus dripping downward from the back of the nose. Summer Cold - Similar to hay fever. Also a misnomer because it is not caused by a virus. Vasomotor Rhinitis - Similar to non-allergic rhinitis, thought to be mediated by an abnormal neuronal control of the blood vessels supplying the nose.

An allergy refers to a misguided reaction by our immune system in response to bodily contact with certain foreign substances. It is misguided because these foreign substances are usually harmless and remain so to non- allergic people. Allergy-producing substances are called "allergens." Examples of allergens include pollens, dust mite, molds, danders, and foods. To understand the language of allergy it is important to remember that allergens are substances that are foreign to the body and can cause an allergic reaction in certain people. When an allergen comes in contact with the body, it causes the immune system to develop an allergic reaction in persons who are allergic to it. When you inappropriately react to allergens that are normally harmless to other people, you are having an allergic reaction and can be referred to as allergic or atopic. Therefore, people who are prone to allergies are said to be allergic or "atopic." Austrian pediatrician Clemens Pirquet (1874-1929) first used the term allergy. He referred to both immunity that was beneficial and to the harmful hypersensitivity as "allergy." The word allergy is derived from the Greek words "allos," meaning different or changed and "ergos," meaning work or action. Allergy roughly refers to an "altered reaction." The word allergy was first used in 1905 to describe the adverse reactions of children who were given repeated shots of horse serum to fight infection. The following year, the term allergy was proposed to explain this unexpected "changed reactivity."