Allergic Rhinoconjunctivitis

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What is Allergic Rhinoconjunctivitis?

Allergic rhinoconjunctivitis is a condition that affects the nasal passages and eyes due to an overreaction of the immune system to allergens such as pollen, dust mites, pet dander, mold, or other environmental triggers. It is commonly known as “hay fever” when caused by seasonal allergens, but it can also occur year-round due to indoor allergens.

This condition causes inflammation of the nasal lining (rhinitis) and the conjunctiva of the eyes (conjunctivitis), leading to symptoms such as sneezing, nasal congestion, runny nose, itchy eyes, and watery eyes. While usually not life-threatening, allergic rhinoconjunctivitis can significantly affect quality of life, sleep, and productivity.

Is Allergic Rhinoconjunctivitis common?

Yes, allergic rhinoconjunctivitis is one of the most common allergic conditions worldwide. Seasonal allergies often affect children and adults alike, while perennial (year-round) allergies can impact people with ongoing exposure to indoor allergens such as dust mites or pets.

Can Allergic Rhinoconjunctivitis be cured?

While there is no permanent cure for allergic rhinoconjunctivitis, symptoms can be effectively managed through allergen avoidance, medications, and immunotherapy. With proper treatment, most individuals can lead a normal, symptom-free life.

Causes

What causes Allergic Rhinoconjunctivitis?

Allergic rhinoconjunctivitis is caused by an immune system overreaction to normally harmless substances (allergens). When exposed to an allergen, the body produces antibodies (IgE) that trigger the release of histamine and other chemicals, resulting in inflammation. Common causes include:

  • Pollen – from trees, grasses, and weeds (seasonal allergies)
  • Dust mites – tiny organisms in bedding, furniture, and carpets
  • Pet dander – from cats, dogs, or other animals
  • Mold spores – indoor or outdoor fungal spores
  • Smoke or pollution – which are irritants that can worsen symptoms
  • Occupational allergens – such as chemicals or dust in the workplace

What are the risk factors?

You may be more likely to develop allergic rhinoconjunctivitis if you:

  • Have a family history of allergies, asthma, or eczema
  • Are exposed to allergens regularly, especially during childhood
  • Have other allergic conditions, such as asthma or atopic dermatitis
  • Live in areas with high pollen counts or air pollution
  • Smoke or are exposed to secondhand smoke

With Insurance

Without Insurance

*Price Effective 12/1/2025
$169
Initial Visit
$109
Follow Up

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Symptoms

What are the symptoms of Allergic Rhinoconjunctivitis?

Symptoms may vary in intensity and can be seasonal or perennial depending on triggers. Common symptoms include:

  • Sneezing, often in rapid bouts 
  • Itchy,Runny or stuffy nose (nasal congestion)
  • Itchy or watery eyes
  • Red or swollen eyes (conjunctivitis)
  • Postnasal drip
  • Itchy throat or roof of the mouth
  • Fatigue or difficulty sleeping due to nasal obstruction
  • Reduced concentration or productivity during allergy flare-ups

Persistent symptoms can significantly affect daily activities, school, or work performance.

Diagnosis

How is Allergic Rhinoconjunctivitis diagnosed?

Diagnosis involves a combination of medical history, symptom assessment, and testing, which may include:

  • Physical examination – to check nasal passages, eyes, and throat
  • Allergy testing – skin prick tests to identify specific allergens
  • Blood tests – measuring IgE antibodies to confirm allergic responses
  • Symptom diary – tracking triggers, frequency, and severity of symptoms

A thorough evaluation helps identify specific allergens and guide appropriate treatment.

Treatment

How is Allergic Rhinoconjunctivitis treated?

Treatment depends on symptom severity and triggers and may include:

Lifestyle and environmental changes:

  • Avoiding known allergens (keeping windows closed during high pollen seasons, using HEPA filters)
  • Frequent washing of bedding and curtains to reduce dust mites
  • Minimizing exposure to pets if allergic
  • Reducing outdoor activity when pollen counts are high

Medications:

  • Antihistamines – to reduce sneezing, itching, and runny nose
  • Nasal corticosteroid sprays – to reduce nasal inflammation
  • Decongestants – for short-term relief of nasal congestion
  • Eye drops – to relieve itching and redness
  • Leukotriene receptor antagonists – for allergy-related inflammation

Immunotherapy:

  • Allergy shots or sublingual tablets may help desensitize the immune system to specific allergens over time, reducing long-term symptoms.

With consistent management, most people with allergic rhinoconjunctivitis can control symptoms effectively and maintain a normal quality of life.

References

  • Mayo Foundation for Medical Education and Research. (2024, March 15). Allergic Rhinitis and Conjunctivitis.Mayo Clinic. https://www.mayoclinic.org
  • U.S. National Library of Medicine. (2024, February 28). Allergic Rhinoconjunctivitis. MedlinePlus. https://medlineplus.go
  • American Academy of Allergy, Asthma & Immunology. (2023). Allergic Rhinitis (Hay Fever). https://aaaai.org
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Affordable – with or without insurance

With Insurance

Without Insurance

*Price Effective 12/1/2025
$169
Initial Visit
$109
Follow Up

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