United Airways: Nose (Allergic Rhinitis) connected to Lung (Asthma)

I always tell my patients that controlling nasal symptoms is very important for good control of asthma. That is, rhinitis (inflammation of the nose leading to runny nose, congestion, sneezing, etc.) precedes the development of asthma and can be a major factor contributing to uncontrolled asthma. 

This is “United Airways” disease. So much so that, about 20-30% of patients with rhinosinusitis have asthma, and more than 90% of asthmatics have rhintis symptoms. In children, the infection of the paranasal sinuses is frequently related to the development of lower airway disease in allergic patients. The nasal lining is connected to the lung lining. Infected sinuses harbor proliferating bacteria.The postnasal drip from the nose and sinuses, containing inflammatory blood cells, bacteria and chemicals, drips down into the lungs through the epiglottis. Hence, an asthma attack is likely to occur in patients with infectious sinusitis.

Based on above, in my clinic, I strongly focus on the importance of control of allergic rhinitis to my patients. Apart from affecting the patient’s quality of life on it's own, it can also lead to development and persistence of asthma. I always stress on treating rhinitis aggressively. This involves avoidance strategies of triggers and lifestyle modifications, nasal corticosteroid or antihistamine sprays to reduce inflammation, oral antihistamines to relieve itching, sneezing & runny nose, and allergen immunotherapy (allergy shots), only if it is correct for you. Control Rhinitis. Avoid asthma exacerbations. Call 208-377-4000 today or use our online form to schedule an appointment.