Allergy

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Allergic Rhinitis / Nasal Allergies

Allergic Rhinitis or nasal allergies are common conditions that affects up to 15-30% of adults in the United States. This condition occurs when your immune system develops a hypersensitivity to otherwise harmless particles in the environment. This leads to unnecessary inflammation in the linings of the nasal passages. Symptoms of allergic rhinitis are:

  • Thin mucous producion/runny nose
  • Post nasal drip
  • Sneezing
  • Itchy/watery eyes
  • Nasal congestion

Typically allergic rhinitis symptoms come and go throughout the year depending on what you are allergic to, but can also be year round.

Treatments

The first line treatment of allergic rhinitis is environmental controls to avoid exposure to allergens. This can include things like dust covers for bedding or a high efficient air filter (HEPA).

Second line treatments are medications to control your body's response to allergens. Oral antihistamines are the most common medications used for this (Zyrtec®, Allegra®, Claritin®, Benadryl®, etc.). These medications work by blocking histamine, which is the primary mediator of inflammation in allergic responses. Leukotriene inhibitors are another class of medications (Singulair) that block another cause of inflammation in allergic patients. Their effect is not as stong as antihistamines and are typically used in patients with asthma in addition to allergies.

Nasal steroids sprays (Flonase®, Nasocort®, Nasonex®, etc. ) are safe to use on a daily basis and are now largely over-the-counter. These sprays are non-addictive and typically do not cause any long term changes to the nasal passages. Their most common side effect is nose bleeds, which occur only in a small % of patients and often are due to improper spraying techniques. Recent evidence has also shown that these sprays may increase the pressure inside of the eye and should be used with caution in patients with glaucoma.

Nasal antihistamine sprays (AstelineⓇ, PatanaseⓇ, DymistaⓇ, etc) are also safe to use on a daily basis and work by blocking the effects of allergens in the nasal lining. These sprays are most effective at improving sneezing and runny nose.

What if medications for allergies do not work?

For patients with moderate to severe allergies who do not respond to allergy medications, an option is immunotherapy.Immunotherapy works by desensitizing your immune system to certain allergens (think pollens, dust, animal dander) by continually exposing you to those allergens. This sounds simple, but must be done in a very specific fashion and concentrations built up over time to have an effect.

The first step of immunotherapy is allergy skin testing - this is where small amounts of the most common allergens in our area are injected just under the skin to determine what you are allergic to and how severe is your reaction.

Once it is known what exactly you are allergic to, these allergens are either injected under your skin on a weekly basis (subcutaneous immunotherapy or SCIT), or made into drops to place under your tongue daily (sublingual immunotherapy or SLIT). Again, the concentrations are specifically controlled to each patient's allergic reactions.

Immunotherapy is an advantageous form of treatment because after 3-5 years of treatment, symptom control is often permanent.

Allergy Department

At Southwest Ohio ENT, the Allergy departments experienced staff, is here to help you through the process of Immunotherapy. We have four treatment offices to choose from; Dayton, Centerville, Englewood and Troy. Each office is staffed with our Allergy Technicians. They are there to answer questions, address concerns and help you stay informed about your progress.


Immunotherapy Injection Hrs

Effective March 1st

Dayton

1222 S Patterson Blvd,
Ste. 360
Dayton, Ohio
937-496-2620 Ext. 454

Mon. 8:00 AM-12:45 PM
Mon. 1:30 PM- 5:45 PM
Fri. 9:00 AM-11:30 AM
Fri. 1:30 PM- 4:30 PM

Centerville

6601 Business Pkwy,
Ste. 200
Dayton, Ohio 45459
438-3100

Tue. 8:00 AM - 12:15 PM
Tue. 1:30 PM - 5:30 PM
Wed. 8:00 AM - 12:00 PM
Wed. 1:30 PM - 5:00 PM

Englewood

9000 N. Main St., Ste 319
Dayton, Ohio 45415
937-832-1772

Tue. 8:00 AM - 11:30 AM
Tue. 1:30 PM - 4:30 PM
Thur. 8:00 AM - 11:30 AM
Thur. 1:30 PM - 4:30 PM

Troy

1930 Prime Court,
Ste 104
Troy, Ohio 45373
339-2511

Wed. 8:00 AM - 11:30 AM
Wed. 1:00 PM - 4:30 PM
Thur. 8:00 AM - 11:30 AM
Thur. 1:00 PM - 4:00 PM

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Locations

Dayton

1222 S Patterson Blvd,
Ste. 400
Dayton, Ohio 45402
P: (937) 496-2600
Map | Directions

Centerville

6601 Centerville Business PKWY,
Ste. 200
Dayton, OH 45459
P: (937) 496-2600
Map | Directions

Dayton Children's

One Children's Plaza
Lower Level/Area LC
Dayton, OH 45404
P: (937) 496-2600
Map | Directions

Englewood

9000 N. Main Street,
Suite 320
Dayton, Ohio 45415
P: (937) 496-2600
Map | Directions

Troy

1930 Prime Court
Suite 104
Troy, Ohio 45373
P: (937) 496-2600
Map | Directions