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VEI Clinic · Allergic Rhinitis

When medication is not enough:
allergic rhinitis care

Allergic rhinitis occurs when the nasal lining reacts excessively to substances such as pollen, dust mites or animal hair, causing repeated sneezing, clear nasal discharge, congestion and an itchy nose. At VEI Clinic, we review your symptoms and living environment, with medication as the basis of treatment. For symptoms that are difficult to control with medication or recur each season, we discuss allergy injections containing immunoglobulin.

VEI Clinic, Gangnam — VEI Clinic · Allergic Rhinitis

Allergic Rhinitis or a Cold?

A cold usually improves in about a week and may come with fever or body aches. Allergic rhinitis causes sneezing, clear nasal discharge and itching of the nose and eyes without fever. These symptoms may last for weeks or recur in certain seasons or places.

Treatment Options

  • Reducing triggers: washing bedding, managing indoor humidity and ventilation, and limiting time outdoors on high-pollen days
  • Oral medication: antihistamines to reduce sneezing, nasal discharge and itching
  • Nasal sprays: steroid sprays to reduce inflammation in the nasal lining, most effective with consistent daily use
  • Allergy injections: considered after consultation when medication does not adequately control symptoms

Allergic Rhinitis Injections (Histamine-Globulin)

These injections combine human immunoglobulin and histamine, with the aim of reducing the body's excessive response to histamine. They are usually given under the skin once or twice a week, with progress reviewed after several injections.

Responses vary widely, and the injections do not help everyone. We discuss them with people who want to reduce their medication use or whose symptoms become severe each season before proceeding.

Precautions

Because it contains an ingredient from human blood, tell us if you have ever reacted to this injection or to immunoglobulin. It is not given during a severe asthma attack, just before or during a menstrual period, if you are or may be pregnant, or if you are severely weakened.

Swelling or itching at the injection site can occur, and a severe allergic reaction such as shock is possible in rare cases, so we observe you briefly after each shot. Because it is made from human blood, the risk of infection or blood clots cannot be ruled out completely. Seek emergency care right away if you become short of breath, have chest pain, or notice pain and swelling in one arm or leg.

What to Expect

  • History: seasons when symptoms are worse, your living environment, current medications and whether you have asthma
  • Exam: checking your nose, with blood tests for allergens if needed
  • Treatment: medication prescriptions or an allergy injection plan
  • Follow-up: adjusting medication and the number of injections based on changes in symptoms

The VEI Clinic Approach

An internal medicine specialist first listens to your symptoms and reviews your living environment. If medication can control your symptoms, we use it first. Before allergy injections, we explain why they may be needed and their limitations. If we suspect a structural nasal problem or sinusitis, we recommend ear, nose and throat care.

FAQ

Frequently asked questions

How many allergic rhinitis injections do I need?

They are usually given once or twice a week for several sessions before we review your progress. The number depends on your symptoms and response.

Can I stop my medication after the injections?

This varies from person to person. Some people can reduce their medication, while others see little benefit. We adjust medication based on your progress.

Are these the same as steroid injections?

No. They contain immunoglobulin and histamine, with no steroids.

How can I tell whether I have a cold or allergic rhinitis?

Sneezing, clear nasal discharge and itching that last for weeks without fever or recur each season are more likely to be allergic rhinitis. We distinguish them through an examination.

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