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Physical exam for allergic rhinitis

Healthwise
By Debby Golonka, MPH

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To help diagnose allergic rhinitis, your doctor will examine your:

  • Eyes, to see if they are swollen, teary, or red, or if you have other signs of long-term (chronic) allergies.
  • Nose, for swollen nasal mucous membranes and structural defects.
  • Ears, for fluid in the middle ear and the appearance of the eardrum.
  • Sinus areas, for tenderness and signs of infection.
  • Mouth, to see whether you have changes from breathing only through your mouth.
  • Back of throat, for signs of postnasal drip or infection, such as red, raised, bumpy tissue.
  • Chest and lungs, for signs of infection or asthma.
  • Skin, for signs of allergy, such as hives or eczema.

Children with allergic rhinitis may have the:

  • “Allergic salute.” Your child may often rub his or her nose upward with the palm of the hand to reduce itching and to open the nasal passages.
  • “Allergic crease.” Your child may often rub his or her nose and have a crease on the bridge of the nose.
  • “Allergic shiner.” Your child may have dark color under the eyes caused by long-term nasal blockage and swelling under the eyes.

Credits

Author Debby Golonka, MPH
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Caroline S. Rhoads, MD - Internal Medicine
Specialist Medical Reviewer Harold S. Nelson, MD - Allergy and Immunology
Last Updated August 8, 2007
Last Updated: 08/08/2007