Role of nasal douching in chronic allergic rhinitis

Rajiv Kumar Saxena ,Hemendra Bamaniya ,Harjinder Singh Bhuie

doi:10.17511/jooo.2019.i02.07

Rajiv Kumar Saxena , Hemendra Bamaniya + Show 1 more

Open Access

https://doi.org/10.17511/jooo.2019.i02.07

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Abstract

Objective: The present study was carried out to evaluate the role of nasal douching in the treatment of allergic rhinitis using daily allergic rhinitis symptom score. Material & Methods: 120 patients of chronic allergic rhinitis who attended otorhinolaryngology outdoor of Ananta Institute of Medical Sciences, Rajsamand, Rajasthan were included in the study.patients were divided into two equal groups viz. group A (n=60) in which patients were treated with antihistamincs, leukotriene receptor antagonists and intranasal steroid sprays and group B (n=60) in which isotonic saline nasal douching was advised to the patients three times a day as an adjunctive to the medical treatment. Patients were followed up after 2 week and 4 weeks. Mean daily allergic rhinitis symptom score were calculated at each follow up and compared between the two groups. Results: out of 120 patients, 63 were male and 57 were female. Age of the patients ranges from 20 to 60 years with the mean age of 36.5 years. Mean daily rhinitis scores of group A and group B were 14.6±1.6 and 14.3±2.0 respectively (p value- 3.661) which was reduced to 8.9±2.1 and 7.1±1.8 respectively and the difference was found to be statistically significant ( p value <0.0001). At 4th week follow up, the scores of were further reduced to 3.8±1.7 and 2.2±0.9 respectively and the difference was found to be statistically significant (p value <0.0001). Conclusion: Nasal douching is an effective method to manage symptoms of allergic rhinitis when used along with other medical treatment including intranasal steroids, antihistaminics and leukotriene receptor antagonists.

Highlights

Rhinitis is defined as an inflammation of nasal mucosa and is characterized by symptoms like nasal itching, clear rhinorrhoea, nasal obstruction and sneezing
Types of participants: All the 120 patients included in the study were divided into following two groups: Group A (n=60): patients were treated with antihistamincs, leukotriene receptor antagonists and intranasal steroid sprays
Group B (n=60): isotonic saline nasal douching was advised to the patients three times a day as an adjunctive to the treatment with antihistaminics, leukotriene receptor antagonists and intranasal steroids

Summary

Introduction

Rhinitis is defined as an inflammation of nasal mucosa and is characterized by symptoms like nasal itching, clear rhinorrhoea, nasal obstruction and sneezing. When symptoms of rhinitis are triggered by an allergen, the resulting condition is referred to as allergic rhinitis. Allergic rhinitis may be seasonal, perennial, or may occur sporadically after specific exposures. Allergic rhinitis can be intermittent (< four days/week or four weeks/year) or persistent (>four days/week, or four weeks /year). Allergic rhinitis leads to a significant impairment in the quality of life of the patients when measured by various quality of life instruments [1,2]. It can lead to fatigue and daytime sleepiness, reduced work productivity, impaired cognitive functioning, reduced learning abilities, and impaired sleep [1,3,4,5,6,7,8,9,10]

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