Allergic Rhinitis

Details of specific allergens known to trigger symptoms Exposure to high pollen levels, animals, dust mites, or other environmental factors Current treatment methods (medications, allergen avoidance, etc) and response to treatment Impact of symptoms on sleep

Impact on daily activities and school or work performance Use of over-the-counter or prescription medications and their efficacy Use of complementary and alternative medicine for allergies (e.g., herbal supplements, acupuncture) Previous allergen-specific immunotherapy (allergy shots) and response to treatment History of asthma and its control

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Reports Sneezing Nasal itching Nasal congestion Clear runny nose Postnasal drip Coughing Watery eyes Itchy eyes

Reports No sneezing No nasal itching No nasal congestion No clear runny nose No postnasal drip No coughing No watery eyes No itchy eyes

Report negative symptoms?

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Reports Red eyes Reduced sense of taste or smell Itchy throat Itchy mouth Fatigue Eczema Hives

Reports No red eyes No reduced sense of taste or smell No itchy throat No itchy mouth No fatigue No eczema No hives

Report negative symptoms?

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Red Flag Symptoms

Reports Persistent unilateral symptoms Severe or unusual facial pain Headache Swelling around the eyes Severe blinding headaches Bloody nasal discharge

Reports No Persistent unilateral symptoms No Severe or unusual facial pain No Headache No Swelling around the eyes No Severe blinding headaches No Bloody nasal discharge

Report negative symptoms?

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Red Flag Symptoms

Reports High fever Stiff neck Sensitivity to light Aching in the upper jaw Severe and sudden onset of symptoms Wheezing or chest tightness Breathing difficulties Persistent coughing Sleep disturbances related to nasal congestion

Reports No High fever No Stiff neck No Sensitivity to light No Aching in the upper jaw No Severe and sudden onset of symptoms No Wheezing or chest tightness No Breathing difficulties No Persistent coughing No Sleep disturbances related to nasal congestion

Report negative symptoms?

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Has a history of Asthma Atopic dermatitis Eczema Previous allergic conditions Exposure to secondhand smoke Exposure to air pollution Living in urban areas Low socioeconomic status Family history of allergic rhinitis Exposure to occupational allergens Exposure to occupational irritants Exposure to farming environment during childhood

Has no history of Asthma Atopic dermatitis Eczema Previous allergic conditions No Exposure to secondhand smoke No Exposure to air pollution No Living in urban areas No Low socioeconomic status No Family history of allergic rhinitis No Exposure to occupational allergens No Exposure to occupational irritants No Exposure to farming environment during childhood

Report negative symptoms?

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Use of nasal corticosteroids and response to treatment


Use of oral antihistamines and response to treatment


History of nasal decongestant use and response (topical or oral)


Intranasal cromolyn sodium use and response


Nasal irrigation practices (e.g., saline solution, neti pot)


Any adverse effects experienced with allergy medications or treatments




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Include details about lifestyle modifications to reduce allergen exposure


Interest in allergen-specific immunotherapy


Adherence to prescribed medications and any barriers to adherence


Use of protective measures during high pollen seasons (air purifiers, allergen-proof bedding)


Concerns about long-term medication use and steroid side effects




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Any other relevant details



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