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Gabriell (dr.) Prinsloo Medical Doctor View profile

The most likely explanation for your symptoms is allergic rhinitis, more commonly known as hayfever. Allergic rhinitis is often seasonal but can also last throughout the whole year, especially when it develops in adulthood. Common symptoms include sneezing, itchy eyes and nose, runny nose as well as blocked nose and sinuses leading to a post nasal drip.

Saline drops and Texa10 are not effective in the management of nasal congestion related to allergic rhinitis. The purpose of saline drops is to moisten the nasal mucous membranes, so that mucous is able to run out rather than blocking the sinuses; however this doesn’t help to decrease mucous production or prevent post nasal drip. Texa10 is a non sedating antihistamine. Oral antihistamines effectively decrease itchy eyes or nose and sneezing, however they do not prevent or improve nasal congestion.

The reason that you get some temporary relief from the Coryx is that it contains pseudoephedrine which decongests the nasal mucous membranes and sinuses. However this is a temporary fix, rather than preventing the problem.

The best medical management for allergic rhinitis is to relieve and prevent the nasal/sinus congestion with a nasal corticosteroid spray (requires a prescription). This would prevent the mucous membranes from swelling and decrease the mucous production, so that the post nasal drip will improve. The one that I recommend is Flixonase which you would use once daily. The corticosteroids in the spray are poorly absorbed from the nasal mucous membranes so it has a minimal effect on the rest of the body.

As the main cause of the hayfever is exposure to allergens, it is useful to have an allergy test to work out what you are allergic to so that you can reduce your exposure. Common allergens include house dust, pollen and animal fur, so it is essential to vacuum carpets regularly especially if you have pets.

The accumulation of mucous in the sinuses and the throat especially while sleeping predisposes to infection. Taking Vitamin C will help to boost your immune system so that you are less likely to develop infections. It is also important to avoid dairy products especially before bed as dairy increases mucous production.

Allergic rhinitis is the most common however, there are other forms of rhinitis (which just means inflammation of the nasal mucous membranes) including non allergic rhinitis or vasomotor rhinitis, as well as other conditions which cause similar symptoms.

I think that the corticosteroid nasal spray would do the trick, however I would recommend consulting an ENT specialist so that he can take a more specific history and examination to confirm the diagnosis, do allergy testing if necessary and then give you a prescription for the medication that you need.


Dr Gabriell Prinsloo

Melissa Usher Dietician View profile

I am unaware of the evidence for avoiding dairy to alleviate sinusitis. Your doctor probably thinks that a dairy allergy is leading to the sinusitis and laryngitis. If this is the case then you need to avoid ALL dairy, including any dairy that is added to other foods. A dairy-free diet contains no milk, cheese, butter, cream cheese, cottage cheese, sour cream, ice cream, whey, casein, or foods that contain any of these ingredients. Please see our Health Notes Section online for Dairy-free diet ideas and foods to avoid. Dairy products are a great source of calcium, so you may want to consider taking a calcium supplement to prevent any deficiencies. Wellness Warehouse has a great selection of dairy-free alternatives as well as an extensive supplement range. Good luck.

Chase (dr.) Webber Naturopath View profile

Your symptoms are typical of non-seasonal allergy linked primarily to dust, animals, grasses, and possible food intolerances. Please read through my health guide on Hayfever - I would also suggest improving your digestion with a good digestive enzyme supplement that contains bromelain and quercitin. A lot of food intolerances arise due to poor digestion and this makes you more sensitive to other allergens. regards Dr Chase Webber ND

Please Note:

The Wellness Q & A is for informational purposes only, and is not intended to diagnose or provide treatment for any condition. If you have any concerns about your health, you should always consult directly with your healthcare professional. Wellness Warehouse will not be liable for any errors in the Wellness Q & A, or for any actions taken in reliance thereon. The advice on the Wellness Q & A is not comprehensive and does not replace the assessment and advice of your own healthcare professional. Consultation with your healthcare professional is extremely important if you are experiencing persistent or severe symptoms.


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