Allergic Rhinitis-Induced Anxiety and Depression: An Autobiographical Case Report

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2023 Apr 27

PMID 37102007

Authors

Saranya Ramsridhar

Affiliations

Soon will be listed here.

Abstract

Allergic rhinitis (AR) formerly perceived to be a nuisance disease is of global health concern now, causing significant economic and social burden worldwide. It is a common inflammatory condition of the nasal mucosa characterized by four cardinal symptoms: nasal pruritus, sneezing, rhinorrhea, and nasal congestion. Poorly controlled AR can also lead to impairment in sleep and a decrease in school/work performance, thereby affecting the quality of life. In addition, AR can produce serious mental and psychological disorders such as depression and anxiety. Yoga can be used as an alternative therapy to treat AR as it has been proven to have beneficial effects in alleviating the symptoms of AR and can also have an overall relaxing effect on the body and mind. The aim of this case report is to share my first-hand experience of enduring endless suffering due to AR because of my negligent behavior. My chronic symptoms that did not resolve on medication led me to anxiety and depression, and I finally resorted to yoga and meditation to battle the disorder.

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References

Small P, Keith P, Kim H . Allergic rhinitis. Allergy Asthma Clin Immunol. 2018; 14(Suppl 2):51. PMC: 6156899. DOI: 10.1186/s13223-018-0280-7. View

Jaruvongvanich V, Mongkolpathumrat P, Chantaphakul H, Klaewsongkram J . Extranasal symptoms of allergic rhinitis are difficult to treat and affect quality of life. Allergol Int. 2016; 65(2):199-203. DOI: 10.1016/j.alit.2015.11.006. View

Settipane R . Complications of allergic rhinitis. Allergy Asthma Proc. 1999; 20(4):209-13. DOI: 10.2500/108854199778339053. View

Mou Y, Wang H, Zhang W, Zhang Y, Ren C, Song X . Allergic Rhinitis and Depression: Profile and Proposal. Front Psychiatry. 2022; 12:820497. PMC: 8764374. DOI: 10.3389/fpsyt.2021.820497. View

Yamanaka-Takaichi M, Mizukami Y, Sugawara K, Sunami K, Teranishi Y, Kira Y . Stress and Nasal Allergy: Corticotropin-Releasing Hormone Stimulates Mast Cell Degranulation and Proliferation in Human Nasal Mucosa. Int J Mol Sci. 2021; 22(5). PMC: 7967145. DOI: 10.3390/ijms22052773. View

El Hennawi D, Ahmed M, Farid A . Psychological stress and its relationship with persistent allergic rhinitis. Eur Arch Otorhinolaryngol. 2015; 273(4):899-904. DOI: 10.1007/s00405-015-3641-6. View

Robles-Figueroa M, Bedolla-Barajas M, Morales-Romero J, Pulido-Guillen N, Bustos-Gutierrez L . Allergic Rhinitis Is Associated With Loss of Energy and Concentration Difficulty: A Cross-sectional Study. Am J Rhinol Allergy. 2019; 34(1):108-114. DOI: 10.1177/1945892419877554. View

Carlson R, Hering P . Allergic shiners. JAMA. 1981; 246(8):835. View

Nur Husna S, Tan H, Md Shukri N, Mohd Ashari N, Wong K . Allergic Rhinitis: A Clinical and Pathophysiological Overview. Front Med (Lausanne). 2022; 9:874114. PMC: 9021509. DOI: 10.3389/fmed.2022.874114. View

10.

Chellaa R, Soumya M, Inbaraj G, Nayar R, Saidha P, Menezes V . Impact of Hatha Yoga on the Airway Resistances in Healthy Individuals and Allergic Rhinitis Patients. Indian J Otolaryngol Head Neck Surg. 2019; 71(Suppl 3):1748-1756. PMC: 6848408. DOI: 10.1007/s12070-017-1098-1. View

11.

Bjermer L, Westman M, Holmstrom M, Wickman M . The complex pathophysiology of allergic rhinitis: scientific rationale for the development of an alternative treatment option. Allergy Asthma Clin Immunol. 2019; 15:24. PMC: 6469109. DOI: 10.1186/s13223-018-0314-1. View

12.

Chanta A, Klaewsongkram J, Mickleborough T, Tongtako W . Effect of Hatha yoga training on rhinitis symptoms and cytokines in allergic rhinitis patients. Asian Pac J Allergy Immunol. 2019; 40(2):126-133. DOI: 10.12932/AP-260419-0547. View

13.

Shedden A . Impact of nasal congestion on quality of life and work productivity in allergic rhinitis: findings from a large online survey. Treat Respir Med. 2005; 4(6):439-46. DOI: 10.2165/00151829-200504060-00007. View

14.

Girsh L . Allergic rhinitis, a common cause of recurrent epistaxis in children. AMA J Dis Child. 1960; 99:819-21. DOI: 10.1001/archpedi.1960.02070030821017. View

15.

Meng Y, Wang C, Zhang L . Advances and novel developments in allergic rhinitis. Allergy. 2020; 75(12):3069-3076. DOI: 10.1111/all.14586. View

16.

Kiecolt-Glaser J, Heffner K, Glaser R, Malarkey W, Porter K, Atkinson C . How stress and anxiety can alter immediate and late phase skin test responses in allergic rhinitis. Psychoneuroendocrinology. 2009; 34(5):670-80. PMC: 2819057. DOI: 10.1016/j.psyneuen.2008.11.010. View

17.

Patterson A, Yildiz V, Klatt M, Malarkey W . Perceived stress predicts allergy flares. Ann Allergy Asthma Immunol. 2014; 112(4):317-21. PMC: 4120667. DOI: 10.1016/j.anai.2013.07.013. View

18.

Craig T, McCann J, Gurevich F, Davies M . The correlation between allergic rhinitis and sleep disturbance. J Allergy Clin Immunol. 2004; 114(5 Suppl):S139-45. DOI: 10.1016/j.jaci.2004.08.044. View