Best Doctor for Allergy Treatment in Mumbai Allergic rhinitis, or allergic rhinosinusitis, is characterized by paroxysms of sneezing, rhinorrhea, and nasal obstruction, often accompanied by itching of the eyes, nose, and palate. Post nasal drip, cough, irritability, and fatigue are the other common symptoms. Allergic rhinitis may be classified as intermittent or persistent and it may be mild or moderate – severe. It is associated with significant morbidity and expense. Seasonal allergy rhinitis is usually caused by pollen from trees, grasses, and weeds. Perennial rhinitis usually reflects allergy to indoor allergens like dust mites, cockroaches, mold spores or animal dander. The following are proposed or identified risk factors for allergic rhinitis : family history, male sex, birth during pollen season, firstborn status, early use of antibiotics, maternal smoking exposure in the first year of life, exposure to indoor allergens, such as dust mite antigen, serum IgE more than 100 IU/ml before age 6, presence of allergen specific IgE. Young children typically do not blow their noses, and instead, they may repeatedly snort, sniff, cough, and clear their throats. Sleep disturbed breathing is one of the most important sequelae of untreated allergic rhinitis patients. Fatigue and generalized malaise are common. Routine laboratories are usually normal. Neither peripheral eosinophil counts nor total serum immunoglobulin levels (IgE) are sensitive enough to help diagnose allergic rhinitis. Up to 50 percent of patients with asthma have allergic rhinitis. The glucocorticoid nasal sprays are the most effective pharmacologic therapy for allergic rhinitis. The management of an individual suffering from allergic rhinitis should always be under the supervision of a specialist.