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Chronic Allergic Rhinitis

Allergy
Aravind SubramanianGender: MaleAge: 34 years (Adult) Chronicity: 10 years

Presenting Complaints & History

  • Severe morning sneezing paroxysms
  • Profuse watery nasal discharge
  • Intense itching in eyes, nose, and palate
  • Chronic nasal congestion and head heaviness

Clinical Assessment

A 34-year-old school teacher from Thrissur suffering from chronic allergic rhinitis for 10 years. Symptoms are severely triggered by classroom chalk dust, morning cold air, and seasonal changes. Previously dependent on daily oral antihistamines and corticosteroid nasal sprays, which only provided temporary relief and caused nasal dryness.

Diagnostic Investigations: Total IgE: 840 IU/ml (normal < 100); Absolute Eosinophil Count (AEC): 680 cells/mcL.

Homeopathic Therapeutics & Management

Constitutional homeopathic evaluation highlighted marked sensitivity to cold air, paroxysms of sneezing with watery nose and eyes, and relief from warm drinks. Remedy chosen to stabilize the mast cell membranes, modulate hyper-reactive mucosal immunity, and desensitize against local inhalant allergens.

Selected Constitutional Remedies: Sabadilla and Arsenicum Album

Lifestyle & Nutritional Support

Use dust mask during chalk usage; daily warm steam inhalation; avoidance of refrigerated foods and direct exposure to early morning cold breeze.

Clinical Outcome

Follow-up Period: 1 year
  • 50% reduction in morning sneezing frequency after 4 weeks
  • Antihistamines tapered off completely by the end of Month 3
  • Total IgE levels dropped to 195 IU/ml at the 6-month check
  • Complete resolution of nasal blockage and head heaviness at 12 months
Medically reviewed by Dr. Navaneeth K. Unni
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