Allergic Rhinitis and Asthma

How do doctors diagnose allergic rhinitis?

When assessing whether someone has allergic rhinitis, doctors consider symptoms, find out about the person’s everyday environment, do a physical examination, check asthma control and check for allergies.
 
Talk to your doctor if:
  • your symptoms started and whether they have become better or worse over time
  • you usually have symptoms at particular times of the year
  • anything or any places seem to make symptoms better or worse
  • you have any known allergic conditions (including asthma due to allergies, skin allergies) and whether family members have allergies
  • you have tried any medicines, such as over-the-counter nasal sprays or tablets, and whether they made a difference
Your doctor may:
  • measure how well your lungs are working, using a spirometer, or arrange for you to have this test- If you normally test your own lungs using a peak flow meter each day, bring your results
  • offer allergy tests – either skin-prick tests or blood tests – or arrange for you to have these tests done by a specialist. [Other methods that claim to test for allergy (e.g. cytotoxic food testing, kinesiology, Vega testing, pulse testing, reflexology and hair analysis) are not useful tests and should not be used]
  • suggest that you try using a nasal spray for a few weeks and come back
  • refer you to an allergy specialist or an ear, nose and throat surgeon
You may need to see a specialist if you have any symptoms that are not typical of allergic rhinitis, such as long-term sinus problems, polyps in the nose, pain, loss of hearing or sense of smell, persistent cough, or if only one nostril is always blocked or bleeding..