Die Nase läuft immer häufiger, die Augen brennen nach dem Kuscheln mit dem Vierbeiner, und der Husten hält sich hartnäckig. Was zunächst harmlos wirkt, entwickelt sich mit der Zeit zu einem wiederkehrenden Muster. Irgendwann steht ein Gedanke im Raum, den viele Tierhalter möglichst lange verdrängen: Reagiere ich allergisch auf mein eigenes Haustier? Mit der Diagnose verbinden sich nicht nur medizinische Fragen, sondern auch emotionale. Für viele Menschen gehört ihr Tier selbstverständlich zur Familie. Umso wichtiger ist eine differenzierte Einschätzung. Eine Tierhaarallergie führt nicht automatisch zur Trennung vom Tier. Entscheidend sind eine präzise Diagnostik, eine realistische Bewertung der Beschwerden und ein individuell abgestimmtes Therapiekonzept. Welche Möglichkeiten bestehen und wann eine Veränderung tatsächlich notwendig wird, erfahren Sie im Folgenden.

Was ist eine Tierhaarallergie?

Eine Tierhaarallergie zählt zu den sog. Inhalationsallergien. Das bedeutet: Die allergieauslösenden Stoffe gelangen über die Luft in den Körper. Sie verteilen sich im Raum, werden eingeatmet und kommen zudem mit den Schleimhäuten von Nase und Augen in Kontakt. Dort lösen sie die allergische Reaktion aus. Typische Symptome sind:

• Wiederholtes Niesen
• Allergic rhinitis with constantly running nose and/or impaired nasal breathing
• Juckreiz im Nasen- und Rachenraum
• Gerötete, tränende oder juckende Augen
• Druckgefühl im Bereich der Nebenhöhlen
• Hustenreiz
• Pfeifende Atmung oder Atemnot

Tierhaarallergie: Worauf reagiert der Körper konkret?

Nicht das Haar selbst verursacht die Beschwerden. Verantwortlich sind Eiweißstoffe, die Tiere über Speichel, Hautschuppen, Talg oder Urin abgeben. Diese winzigen Partikel haften am Fell, lösen sich im Alltag ab und verbleiben lange z. B. in der Raumluft oder im Hausstaub.

Bei Katzen spielt beispielsweise das Allergen Fel d 1 eine wichtige Rolle. Hunde produzieren mehrere unterschiedliche Allergene wie Can f 1 oder Can f 2. Auch Pferde, Kaninchen, Meerschweinchen oder Hamster geben eigene, charakteristische Eiweißstoffe ab. Die Zusammensetzung unterscheidet sich je nach Tierart und zum Teil sogar zwischen einzelnen Rassen.

Gelangen diese Partikel auf die Schleimhäute von Nase, Augen oder in die Atemwege, reagiert das Immunsystem bei sensibilisierten Personen übersteigert. Es bildet spezifische IgE-Antikörper gegen das jeweilige Allergen. Beim erneuten Kontakt binden diese Antikörper den Stoff und lösen die Freisetzung von Entzündungsbotenstoffen wie Histamin aus.

Histamin erweitert u. a. die Blutgefäße, steigert die Schleimproduktion und reizt Nervenenden. Dadurch entstehen die typischen Allergie-Symptome.

Wie erfolgt die Diagnostik bei einer Tierhaarallergie?

Besteht der Verdacht auf eine Tierhaarallergie, vereinbaren Sie bitte einen Termin in unserer ENT clinic in Frankfurt. Im Anamnese-Gespräch klären wir, wann und in welchen Situationen Ihre Beschwerden auftreten. Entscheidend ist der zeitliche Zusammenhang mit dem Kontakt zu Hund, Katze oder anderen Tieren. Auch Vorerkrankungen wie Asthma oder andere Allergien beziehen wir in die Einschätzung ein.

Anschließend untersuchen wir Ihre Nasenschleimhaut und beurteilen, ob typische Zeichen einer allergischen Reaktion vorliegen. Zur Absicherung folgen spezifische Allergietests. Ein Hauttest zeigt innerhalb weniger Minuten, ob Ihr Immunsystem auf bestimmte Tierallergene reagiert. Ergänzend kann eine Blutuntersuchung spezifische IgE-Antikörper nachweisen.

Erst das Zusammenspiel aus Beschwerden, Untersuchung und Testergebnissen ermöglicht eine verlässliche Diagnose und bildet die Grundlage für das weitere Vorgehen.

Unbehandelte Tierhaarallergie: Welche Folgen sind möglich?

Bleibt eine Tierhaarallergie unbehandelt, können sich die Beschwerden schrittweise verstärken. Anfangs zeigen sich oft nur leichte Symptome wie Niesen oder gerötete Augen. Mit fortgesetztem Kontakt zu den Allergenen reagiert das Immunsystem in vielen Fällen jedoch zunehmend empfindlicher.

Viele Betroffene entwickeln eine chronische Schleimhautentzündung der Nase. Die Nasenatmung fällt schwer, der Geruchssinn kann nachlassen, und wiederkehrende Nebenhöhlenentzündungen treten auf. Auch der Schlaf leidet unter einer dauerhaft verstopften Nase.

Zudem besteht das Risiko eines sog. Etagenwechsels. Dabei greift die allergische Entzündung von den oberen Atemwegen auf die Bronchien über. In der Folge kann sich z. B. allergisches Asthma entwickeln. Typische Anzeichen sind anhaltender Husten, pfeifende Atmung, Atemnot oder ein Druckgefühl in der Brust, vor allem bei direktem Kontakt mit dem Tier oder in Räumen, in denen sich Tierallergene angesammelt haben.

Eine frühzeitige Diagnostik und konsequente Therapie verhindern in vielen Fällen eine Verschlechterung. Wer anhaltende Beschwerden bemerkt, sollte diese fachärztlich abklären lassen, um langfristige Folgen zu vermeiden.

Muss man das Tier abgeben?

Diese Frage stellen sich viele Betroffene unmittelbar nach der Diagnose. Eine pauschale Antwort gibt es nicht. Entscheidend ist, wie stark Ihre Beschwerden ausfallen, ob sich bereits die unteren Atemwege beteiligen und wie gut sich die Symptome behandeln lassen.

Bei leichten bis moderaten Beschwerden lässt sich das Zusammenleben häufig unter bestimmten Voraussetzungen fortführen. Dazu gehören eine konsequente medizinische Therapie, allergenreduzierende Maßnahmen in der Wohnung und klare Regeln im Alltag, etwa tierfreie Schlafbereiche.

Anders stellt sich die Situation dar, wenn sich allergisches Asthma entwickelt oder schwere Atembeschwerden auftreten. In solchen Fällen kann ein dauerhafter Kontakt gesundheitliche Risiken bergen. Dann sollten wir in einem gemeinsamen Gespräch sorgfältig abwiegen, was medizinisch vertretbar ist.

Tierhaarallergie behandeln: Was ist möglich?

Die Behandlung richtet sich nach der Stärke Ihrer Beschwerden und danach, ob nur die oberen Atemwege oder auch die Bronchien betroffen sind. Ziel ist es, Symptome zu kontrollieren und eine Verschlechterung zu verhindern. Folgenden Optionen gibt es:

Tier behalten bei Tierhaarallergie? Abschließende Einschätzung

Ein Haustier bedeutet Nähe, Freude und oft viele Jahre gemeinsamer Geschichte. Für viele Menschen gehören Hund, Katze oder ein anderes Tier selbstverständlich zur Familie. Entsprechend belastend wirkt die Diagnose einer Tierhaarallergie.

Wir nehmen diese emotionale Dimension sehr ernst. Unser Ziel besteht darin, gemeinsam mit Ihnen Lösungen zu finden, die sowohl Ihre Gesundheit schützen als auch – wenn medizinisch vertretbar – das Zusammenleben mit Ihrem Tier ermöglichen. Dazu prüfen wir alle therapeutischen Optionen und beraten Sie zu sinnvollen Maßnahmen im Alltag.

Stehen jedoch anhaltende Atembeschwerden, ein sich entwickelndes Asthma oder andere gravierende gesundheitliche Folgen im Raum, müssen wir die Situation neu bewerten. In manchen Fällen lassen sich die Rahmenbedingungen anpassen. In anderen kann eine Trennung vom Tier langfristig die sicherere Entscheidung darstellen.

Diese Abwägung treffen wir nicht vorschnell, sondern individuell und mit dem nötigen Einfühlungsvermögen.

Tierhaarallergie behandeln in Frankfurt: Wir von der HNO-Praxisklinik Goethe10 sind für Sie da!

Unser Team verfügt über langjährige Erfahrung in der Diagnostik und Behandlung allergischer Erkrankungen, einschließlich der Tierhaarallergie.

Wenn Sie unter entsprechenden Beschwerden leiden oder Klarheit wünschen, vereinbaren Sie gerne einen Date.

Many people with allergies resort to pills or tablets to treat their symptoms. Nasal sprays. The symptoms subside - but only in the short term, as the incorrect reaction of the immune system still remains. This is precisely where immunotherapy for allergies comes in. It tackles the allergic reaction at its source and gradually acclimatises your body to the triggering allergen. We explain below for whom this method is suitable.

Your immune system in alarm mode: what happens in the body when you have an allergy?

An allergy occurs when your immune system categorises harmless substances as a threat. Pollen, house dust mites or certain foods then trigger a defence reaction. Your body reacts hypersensitively - often to even the smallest amounts of the trigger.

When you first come into contact with the allergen, your immune system produces special IgE-type antibodies. These antibodies attach themselves to so-called mast cells. If contact occurs again, the antibodies immediately recognise the allergen. The mast cells then release messenger substances such as histamine.

Histamine dilates the blood vessels, increases mucus production and irritates nerve endings.

Typical consequences are

• Allergic rhinitis with constantly running nose and/or impaired nasal breathing
• Itchy eyes or skin
• Frequent sneezing
• Swelling of the mucous membranes
• Breathing difficulties
• Skin reactions such as wheals

Not every allergy is the same: an overview of the most important forms

Allergies can be differentiated according to their trigger. Common forms are

Symptoms under control - but the problem remains: Why do classic anti-allergic drugs not eliminate the cause of symptoms?

Antihistamines, nasal sprays containing cortisone or eye drops usually relieve acute symptoms reliably. They block messenger substances such as histamine or slow down the inflammatory reaction in the mucous membrane. Sneezing, itching and swelling are reduced.

However, the actual malfunction of the immune system remains. Your body continues to categorise the allergen as a threat and reacts again the next time it comes into contact with it. The medication therefore controls the symptoms, but does not change the underlying immune response.

What's more, those who treat exclusively symptomatically over a longer period of time often experience an increase in symptoms. From a Hay fever can, for example, lead to the development of allergic asthma (keyword: Floor change).

Not just slowing down, but reprogramming: Why does immunotherapy work for allergies?

Specific immunotherapy starts where the allergic reaction arises: in the misguided learning process of your immune system. Instead of blocking the messenger substances released, it changes the way your body evaluates the allergen.

Repeated, controlled administration of the triggering substance gradually acclimatises your immune system to it. The excessive IgE-mediated defence reaction decreases. At the same time, regulatory mechanisms that support the development of tolerance are promoted. As a result, your body reacts less violently or, ideally, remains symptom-free.

This approach influences the course of the disease in the long term. Many patients require less acute medication over time. It also reduces the risk of a change of stage and the allergy spreading.

Immunotherapy for allergies: What options are there?

Different treatment models are available depending on the allergen, symptoms and individual situation.

In our ENT clinic in Frankfurt we offer you the following measures:

Specific immunotherapy in Frankfurt: treatment for allergies for a better quality of life

Immunotherapy retrains your immune system - it not only alleviates the symptoms, but also changes the way it reacts. For many sufferers, this opens up the possibility of reducing symptoms in the long term and reducing the need for acute medication.

Whether it's pollen, house dust mites or insect venom: a careful Diagnostics forms the basis for a customised therapy concept. We check whether specific immunotherapy makes sense for you, clarify any unanswered questions and provide you with structured support throughout the entire course of treatment.

Arrange your appointment now Date!

If you constantly have to blow your nose, your eyes itch and sneezing attacks seem to come out of nowhere, you may initially assume that you have a flu-like infection. However, there is often something else behind these symptoms, namely an overreaction of the immune system. The body categorises harmless substances such as pollen, house dust mites or animal hair as a danger and reacts with an inflammation of the nasal mucosa. Allergic rhinitis accompanies many patients for years. It occurs seasonally or all year round and can be very stressful. In the following, we will show you what treatment options are available to help you feel better again.

What is allergic rhinitis?

Allergic rhinitis describes an overreaction of the immune system to normally unproblematic environmental substances. The nasal mucosa becomes inflamed as soon as the body comes into contact with the triggering allergen.

How is allergic rhinitis diagnosed?

If you suffer from recurring sneezing attacks, a blocked nose or watery eyes, you should look for the cause in our ENT clinic in Frankfurt should be clarified. Careful diagnosis forms the basis for effective treatment. It proceeds as follows:

No test alone provides a reliable diagnosis. We always interpret the results in conjunction with the symptoms and medical history. This is the only way we can guarantee a precise allergological classification.

How can allergic rhinitis be treated?

The Therapy is based on three central pillars. The aim is to alleviate symptoms, reduce contact with triggers and influence the overreaction of the immune system in the long term.

Allergic rhinitis: Treatment in Frankfurt

Recurring symptoms such as sneezing, blocked nose or watery eyes should be checked by a doctor. A precise Diagnostics shows which allergens trigger your symptoms and which therapy makes sense for you.

Our ENT clinic in Frankfurt offers you modern test procedures and customised treatment options.
Arrange your Date, get advice and regain more freedom in your everyday life!

A slight itch, a brief tickle - and suddenly your attention is focussed entirely on your ear. The sensation usually passes quickly, but sometimes it persists or returns again and again. The reasons for this are as varied as the sensation itself: from dry skin and allergic reactions to inflammation of the ear canal. It's worth taking a closer look, because the ear is more sensitive than you might think.

Where in the ear can itching occur?

A scratching sensation can occur in various areas of the ear.

It most frequently affects the outer part, i.e. the auricle and the external auditory canal. The auricle consists of elastic cartilage covered by a thin skin. This skin continues at the entrance to the ear canal and remains particularly sensitive there.

The external auditory canal is slightly curved inwards and ends at the eardrum, which forms the seal to the middle ear. Its skin has fine hairs and special glands that produce earwax. If its composition or quantity changes, this can easily lead to itching or irritation.

Deeper in the ear - i.e. at the eardrum or in the middle ear - there are hardly any nerve fibres that could trigger itching. Sensations from these areas are therefore usually perceived as diffuse tingling or deep-seated itching, although they originate in the outer ear.

What are the causes of itching in the ear?

Tingling in the ear occurs when the sensitive skin in the ear canal or on the outer ear is irritated. This can manifest itself as stinging, deep-seated tickling or an unpleasant feeling of tension. Some people feel as if there is "something stuck in their ear" that they cannot reach. There are many triggers for this:

Itching in the ear at night

If the itching occurs mainly at night, those affected find it particularly annoying. At night, the ear becomes more quiet - ambient noise is absent and stimuli are perceived more intensely. This also makes a slight tingling or tickling sensation in the ear more noticeable.

In many cases, dry skin or slight irritation of the ear canal is the cause. Allergies, for example to bed linen materials, care products or house dust mites, can also increase the itching.

Itchy ear: when is a visit to the ENT doctor advisable?

Occasional itching in the ear is usually harmless and disappears by itself after a short time. However, if the discomfort becomes more severe or is associated with other symptoms, you should make an appointment at our ENT clinic in Frankfurt so that we can get to the bottom of the cause. Typical warning signs for which a visit to the doctor is recommended are

• persistent or frequently recurring itching that lasts longer than a few days
• Pain, burning or pressure in the ear
• Oozing, redness or swelling of the ear canal or pinna
• Discharge of fluid or pus from the ear
• Hearing losscrackling or dull feeling in the ear
• Odour development from the ear canal
• Itching after an injury or after contact with water while swimming

People with skin diseases, allergies or diabetes should also seek medical advice at an early stage if itching persists, as their skin often reacts more sensitively and infections develop more easily.

Itchy ear: How does the examination at the ENT doctor proceed?

To find the cause of your itchy ear, we take a step-by-step approach at our ENT clinic in Frankfurt:

This systematic examination usually allows the cause of the itching to be quickly localised and treated in a targeted manner.

How can itching in the ear be treated?

Treatment always depends on the cause of the itching. At our ENT clinic in Frankfurt, we take the time to determine the exact cause and tailor the treatment to it.

• For dry skin, we recommend moisturising oils or nourishing ear drops that soothe the skin and restore its natural protective function.
• If an inflammation is present, we treat it - depending on the findings - with anti-inflammatory, antibiotic or antifungal drops to effectively eliminate germs.
• We gently remove earwax deposits under visual control so that the ear canal is clear again and the skin can heal.
• Allergic reactions usually improve if the triggering substance is avoided. In addition, anti-allergic medication or ointments can help to alleviate the irritation.
• We treat accompanying skin diseases in close consultation with dermatologists in order to optimally coordinate the therapy.

We can also advise you on how best to care for your ears in everyday life - for example, by cleaning them moderately, avoiding cotton buds and protecting them from excessive moisture. This will help prevent irritation and maintain the natural balance in the ear in the long term.

Treat itching in the ear in Frankfurt

In some cases, itchy ears are not a harmless nuisance, but a signal from your body. With the right diagnosis and treatment, symptoms can often be alleviated quickly. We are here for you!

Sneezing fits, itchy eyes and a blocked or constantly runny nose - many people are familiar with these symptoms, but the cause often remains unclear. Is it a cold or is there an allergy behind it? A targeted allergy test at the ENT can provide certainty. Modern diagnostic procedures make it possible to precisely identify triggers and initiate appropriate treatment. Below we explain how the tests work - and what they can tell you.

What are the basic types of allergies?

Allergies can be categorised into different types, depending on which substances trigger the reaction and how the symptoms manifest themselves. The most important allergy types are

Pollen allergy (hay fever)

• Triggered by pollen from grasses, trees and herbs
• Typical symptoms: Sneezing, itchy or watery eyes, blocked or runny nose

House dust mite allergy

• Reaction to the excretions of house dust mites
• Symptoms occur more frequently in the morning, as mites are found in mattresses and upholstered furniture
• Frequent complaints: Sneezing, blocked nose, breathing problems

Animal hair allergy

• Caused by proteins in hair, dander, saliva or urine of animals (cats, dogs, rodents, horses)
• Symptoms: Respiratory irritation, skin rashes, itchy eyes

Mould allergy

• Physical reaction to mould spores in damp rooms or in nature
• Symptoms: similar to hay fever, often with additional breathing difficulties

Food allergy

• Immune system reacts to certain proteins in food
• Common triggers: nuts, milk, eggs, fish, soya, gluten
• Complaints: Skin reactions, gastrointestinal complaints, shortness of breath and even anaphylactic shock

Insect venom allergy

• Reaction to stings from bees, wasps, hornets or mosquitoes
• Possible consequences: Severe swelling, circulatory problems or even allergic shock

Contact allergy (contact dermatitis)

• Occurs on direct skin contact with allergenic substances
• Common triggers: nickel, latex, fragrances, preservatives
• Symptoms: redness, itching, blistering

Drug allergy

• Hypersensitivity to certain medications
• Symptoms: vary from skin rashes to severe circulatory reactions

Sun allergy (light dermatosis)

• Overreaction of the skin to UV radiation
• Symptoms: itchy reddening of the skin, blisters or wheals after sun exposure

Allergy test: When should you do one?

An allergy test is useful if there are recurring symptoms whose cause is unclear. Clarification is particularly important if symptoms occur more frequently in certain situations or seasons.

Here are some typical signs and situations in which an allergy test is recommended:

Persistent or seasonal complaints

• Frequent sneezing, itchy or watery eyes, a blocked or Runny nose without recognisable Cold
• Symptoms mainly occur in spring or summer (indication of a pollen allergy)

Respiratory problems

• Regular breathlessness, wheezing or persistent coughing may indicate allergic asthma
• Symptoms worsen in certain environments (e.g. in contact with house dust, animals or mould)

Skin reactions without recognisable cause

• Itching, redness, eczema or hives after contact with certain substances or foods

Suspicion of food allergies

• Stomach pain, nausea, diarrhoea or skin reactions after eating certain foods
• Sudden swelling in the mouth and throat after eating

Recurring complaints indoors

• Symptoms intensify in the home or at night (indication of a house dust mite or mould allergy)
• Complaints occur more frequently after contact with pets

An early allergy test can help to identify the trigger and provide targeted treatment. This can alleviate symptoms and prevent more severe reactions.

Allergy test at the ENT: How we can help you at our practice clinic in Frankfurt

Using specific tests, we can diagnose various allergies and identify their triggers. Our focus is on early diagnosis in order to prevent serious developments such as allergic reactions. Floor change - prevent the transition of an untreated allergy into bronchial asthma.

Allergy testing options at our ENT clinic in Frankfurt:

After the allergy test at the ENT: treatment options for allergies

The treatment of allergies aims to alleviate symptoms and prevent the disease from progressing. The therapy often includes antihistamines or cortisone preparations to alleviate the symptoms. Another option is immunotherapy, in which your immune system is gradually acclimatised to the allergen in order to reduce the readiness to react.

You can find out more here: Allergy treatment in Frankfurt

Simply contact us to arrange an appointment!

Sneezing and a congested or Constantly runny nose - typical symptoms that plague many people, especially in spring and autumn. However, it is not always immediately clear whether they are caused by a cold or hay fever, i.e. an allergic reaction. It is important to make the right distinction, as this determines the appropriate treatment. While a harmless infection usually subsides after a short time, allergic symptoms can persist for weeks or recur repeatedly, significantly reducing quality of life. But how can you recognise what exactly triggers the symptoms? A closer look at the symptoms and their progression provides information.

Hay fever vs. the common cold: what you need to know

Hay fever (also: allergic rhinitis)

Hay fever is an overreaction of the immune system to harmless substances such as pollen from trees, grasses or herbs. As soon as these allergens come into contact with the mucous membranes, the body releases more Histamine a messenger substance that triggers typical symptoms such as sneezing, itching, a runny or blocked nose and watery eyes.

The symptoms occur seasonally when the respective plants are in bloom. In the case of year-round allergic rhinitis, other allergens such as house dust mites or animal dander can also be the cause. If left untreated, hay fever can severely impair quality of life and in some cases lead to chronic symptoms or asthma.

Cold and sniffles

A cold is an infection of the upper respiratory tract caused by viruses, typically accompanied by symptoms such as a sore throat, cough, runny nose, headache, aching limbs and sometimes fever. It is usually transmitted by droplet or smear infection and usually heals on its own within one to two weeks. A cold can be caused by various viruses, such as rhinoviruses or adenoviruses.
A cold (rhinitis) is one of the most common symptoms of a cold. In the case of a viral infection, the nasal mucous membrane swells, produces increased secretions and can cause both a blocked nose as well as nasal discharge. This is usually clear at first and often becomes thicker as the cold progresses.

Hay fever or a cold: how to recognise what you have

As hay fever and a cold are similar in their symptoms, it can sometimes be difficult to distinguish between them. However, some characteristics can help to identify what is behind the symptoms:

Type and duration of symptoms

• Hay fever
  The symptoms occur suddenly and persist for as long as the contact with allergens lasts - often for weeks or months.
• Cold
  The symptoms usually develop gradually and subside after about one to two weeks.

Nasal discharge and sneezing

• Hay fever
  The nose usually runs with a clear, watery secretion. Severe sneezing attacks often occur.
• Cold
  The nasal discharge is initially clear, but often becomes thicker and yellowish or greenish as the illness progresses. A sneeze occurs in the early stages of a cold and is a natural reaction of the body to remove pathogens from the airways.

Accompanying complaints

• Hay fever
  Severe itching in the nose, eyes and sometimes also in the throat is typical. Watery, reddened eyes are common. Fever does not occur.
• Cold
  A sore throat, cough and sometimes fever are often present. Itching, on the other hand, is atypical.

Influence of the environment

• Hay fever
  The symptoms worsen on contact with pollen, for example outdoors or with an open window. The symptoms usually improve indoors or in the rain.
• Cold
  The symptoms remain the same regardless of the environment.

Reaction to antiallergic drugs

• Hay fever
  Antihistamines usually relieve the symptoms quickly.
• Cold
  Allergy medication has no effect.

Hay fever or a cold: an allergy test can provide clarity

If you are unsure or suffer from discomfort over a longer period of time, you should always seek medical advice. A Allergy test helps with the diagnosis and the initiation of the appropriate treatment.

In our ENT practice clinic Goethe10 in Frankfurt allergy diagnosis is carried out using a combination of a detailed medical history, physical examination and specific tests to identify the allergens that trigger the allergy.

We evaluate the results of all tests in the context of the medical history in order to ensure a precise diagnosis and create a personalised treatment plan.

Diagnosed with hay fever: And now?

If you have been diagnosed with hay fever, there are various treatment options available to alleviate the symptoms and prevent long-term complications such as allergic asthma. The therapy depends on the severity of your symptoms and covers three main areas: Allergen avoidance, medication and hyposensitisation.

Treat hay fever: Symptom-free through the allergy season with your ENT clinic in Frankfurt

Every hay fever is individual - so it's worth working with us to find the optimum treatment strategy. With the right therapy, the allergy season can be much more pleasant for you.

Feel free to contact us to arrange an appointment for diagnostics and counselling!

One blocked nose can have a significant impact on everyday life - be it when sleeping, speaking or simply breathing freely. Many people then turn to nasal sprays, which can provide quick relief. But what happens if the medication doesn't work? There can be various reasons for this. We explain which ones and how we can help you at our ENT practice clinic in Frankfurt.

How a nasal spray works

A nasal spray works in different ways depending on the type and active ingredient. The most common variants are decongestant, moisturising and anti-allergic nasal sprays:

Decongestant nasal sprays (alpha sympathomimetics)

They contain active ingredients such as xylometazoline or oxymetazoline, which can damage the blood vessels in the Nasal mucosa narrow. This causes the mucous membrane to swell, the nasal passages become clear again and breathing becomes easier. These sprays take effect within a few minutes and usually last for several hours.

Moisturising nasal sprays

These sprays use saline or hypertonic salt solutions to keep the mucous membranes moisturised. This is particularly helpful in dry air or with mild infections. They work purely mechanically by loosening mucus and supporting the natural cleansing function of the nose. As they do not contain any decongestants, you can use them long-term without hesitation.

Cortisone-containing or anti-allergic nasal sprays

These sprays are mainly used for allergies or chronic nasal complaints. Preparations containing cortisone reduce inflammation and swelling over a longer period of time, but only take effect after a few days. Anti-allergic nasal sprays often contain antihistamines or mast cell stabilisers, which block allergic reactions directly in the nasal mucosa.

Depending on the symptoms, a different nasal spray may therefore be useful.

What happens if the nasal spray doesn't work?

If a nasal spray no longer works as usual, this can have various causes. There are different reasons depending on the type of spray and the individual symptoms:

Familiarisation effect with decongestant nasal sprays

You should only use decongestant nasal sprays for a few days. Prolonged use can lead to your nasal mucous membranes becoming accustomed to the spray and no longer decongest properly without it (Nasal spray addiction). This can cause drug-induced rhinitis - the nose remains permanently blocked, even if there is no longer a cold.

Incorrect application

A nasal spray only develops its full effect when used correctly. Mistakes such as inserting the spray head incorrectly, pulling it up too quickly or failing to inhale briefly while spraying can result in the active ingredient not being optimally distributed.

Active ingredient too weak or unsuitable

Not every nasal spray helps with every cause of a blocked nose. For example, a mild seawater spray can moisturise a dry nose, but cannot relieve acute swelling. Conversely, decongestant sprays also do not help against allergic symptoms.

In which diseases is the nose blocked but a nasal spray is not effective or only partially effective?

If your nasal spray does not work for a long time or the symptoms persist, medical advice is required. Especially if accompanying symptoms such as headaches, a feeling of pressure in the face, frequent Nosebleed or olfactory disorders, you should make an appointment at our ENT clinic in Frankfurt for an examination.

Possible causes include

When the nasal spray doesn't work: Diagnostics and treatment at our ENT clinic in Frankfurt

If your nose remains blocked despite using a nasal spray, there may be an underlying cause. At our ENT practice clinic in Frankfurt, we diagnose possible triggers and determine the best treatment for your individual case.

Thanks to our comprehensive equipment, we can carry out both detailed examinations and surgical treatments directly in our practice clinic, so that all steps of the therapy remain in one hand.

Simply contact us to arrange an appointment!

Recurrent sinusitis can have a significant impact on quality of life and is often associated with persistent symptoms such as a feeling of pressure in the centre of the face, headaches and aching. blocked nose associated. Many sufferers wonder why the inflammation keeps flaring up even though it appears to have healed successfully. The causes can be varied - from anatomical features to allergies. In this article, you will find out which factors can be behind recurrent sinusitis and which treatment options can help to achieve long-term improvement.

What is sinusitis?

Sinusitis is an inflammation of the mucous membranes in the paranasal sinuses. The sinuses are air-filled cavities in the skull that are connected to the nasal cavity. Their main function is to humidify, warm and filter the air that is inhaled. When the Mucous membranes When these cavities become swollen or inflamed, sinusitis occurs.

Typical symptoms of the disease are

• Feeling of pressure in the face (especially over the affected sinuses)
• Clogged or Runny nose
• Yellowish-green nasal discharge
• Headaches and facial pain
• Diminished or absent sense of smell
• General feeling of illness

What are the causes of sinusitis?

There are many causes of sinusitis. The most common triggers include

Can recurrent sinusitis be harmful to your health?

Repeated sinusitis can have a negative impact on health in the long term:

Chronic sinusitis

If the inflammation flares up again and again, the mucous membranes can be permanently damaged, resulting in chronic sinusitis can lead to a severe condition. The symptoms persist for months or years. This can significantly impair quality of life.

Spread of the infection

In rare cases, bacteria or viruses from the sinuses can invade neighbouring areas. This can result in serious complications, such as

• Eye inflammation (orbital phlegmon)
  Infections can spread to the eye socket and cause swelling, visual impairment or even permanent damage.
• Meningitis (inflammation of the meninges)
  If the infection spreads to the meninges, this can be life-threatening.
• Abscesses
  Purulent inflammation can occur in bone or soft tissue.

Impairment of the respiratory tract

Repeated inflammation can permanently narrow the airways, making it difficult to breathe through the nose and causing sleep problems and Sleep apnoea can bring with it.

Worsening of other diseases

Recurrent sinusitis can also exacerbate existing conditions such as asthma or chronic bronchitis, as inflammatory processes can be linked.

General stress on the immune system

Frequent inflammation also puts a strain on the immune system and can increase susceptibility to further infections.

Recurrent sinusitis: What to do?

If sinusitis occurs frequently, it is important to identify the underlying causes and treat them in a targeted manner. This is the only way to prevent future episodes.

Recurrent sinusitis: Diagnosis and treatment at the ENT practice clinic Goethe10 in Frankfurt

Recurrent sinusitis is not only annoying, but can also affect your health in the long term. Without the right diagnosis and treatment, the symptoms can become chronic and significantly impair your quality of life.

We at the HNO-Praxisklinik Goethe10 in Frankfurt are your competent partner when it comes to the treatment of sinusitis & Co. With state-of-the-art diagnostic technology and an experienced team, we determine the individual causes of your symptoms.

If anatomical problems such as a crooked nasal septum or nasal polyps are the cause, we offer gentle surgical procedures. We also support you with innovative treatment approaches for chronic or particularly complex cases.

Simply contact us!

You may be familiar with the situation: your nose is constantly running and tissues are in constant use. Even though it's not hay fever season and you don't suffer from any allergies. If secretions keep running out of your nose, this is not only unpleasant, but also annoying. In this article, we explain the possible causes of a runny nose.

Constant runny nose: These are possible triggers

Everyone knows that a cold makes your nose run. However, some patients also complain of a constantly runny nose. We explain which clinical pictures may be behind this:

Allergic rhinitis

The term "allergic rhinitis" is used to summarise various types of allergic rhinitis that are triggered by allergens in the air. The best-known form is hay fever. In this case, sufferers react to plant pollen, tiny pollen particles from trees, cereals, grasses and herbs in the air. However, reactions to house dust mites, animal hair or mould are also possible. Allergic rhinitis is accompanied by sneezing attacks, runny nose and a runny nose. blocked noseThe first step in therapy is to determine which allergens you are reacting to. The first step in therapy is to determine the allergens to which you are reacting. In our practice we carry out the Allergy diagnostics through.

Vasomotor rhinitis (hyperreflective rhinopathy)

This is a special form of rhinitis that can be accompanied by a constant runny nose. In vasomotor rhinitis, the nasal mucosa reacts hypersensitively to strong odours, hot drinks or strongly spiced food. Severe reactions to a change in temperature or physical exertion in cold air are also possible. Hyperreflective rhinopathy can also occur as a result of physical or emotional stress.

Non-allergic eosinophilic rhinitis (NARE syndrome)

If we cannot diagnose any allergic or infectious triggers for your runny nose, the so-called NARE syndrome may be responsible for your symptoms. Those affected suffer from symptoms such as nasal discharge, sneezing attacks, blocked nose and itching in the nose and throat all year round. This clinical picture is often accompanied by Nasal polyps associated. Non-allergic eosinophilic rhinitis can be treated with cortisone and/or surgical removal of the polyps.

Idiopathic rhinitis

Idiopathic rhinitis is often present if you have repeatedly suffered from rhinitis caused by viruses prior to the symptoms. Your mucous membrane may have become hypersensitive due to the viral infections.

Hormonal rhinitis

If your nose is constantly running, this can also be related to an overactive thyroid gland (known as hyperthyroidism). The thyroid gland produces too many hormones, which can lead to a generally increased sensitivity to temperatures, among other things. The body reacts with a swelling of the nasal mucosa.

The thyroid gland is not the only possible trigger. Swelling of the nasal mucosa can also be caused by a general change in hormone levels, e.g. in pregnant women. Many women who are expecting a baby suffer from a blocked or runny nose due to the altered hormone levels. After the birth, the "pregnancy cold" usually disappears again.

Senile rhinorrhoea (senile drip nose)

The natural ageing process also affects the connective tissue of the nose and the cartilage structures. In many older patients, the nose becomes larger, its tip lowers and the nostrils collapse. Breathing becomes more difficult due to the resulting bottlenecks. In addition, there is an age-related reduction in the number of cells in the nose. This causes the mucous membranes to dry out more. Unpleasant crusts can develop. In senile rhinorrhoea, the body also reacts with excessive secretion production. The nasal mucosa produces too much secretion. In addition, the secretion transport often no longer functions as it used to.

The result: senile rhinorrhoea or senile drip nose. It manifests itself as persistent chronic watery rhinitis. Secretions drip more or less uncontrollably from the nose. External influences such as a change in temperature or spicy food can exacerbate the condition.

Crack in the sieve plate

If your nose is constantly running, there may also be a leak in the sieve plate. This is a wafer-thin bone that separates the paranasal sinus from the organs in the head. Further examinations should be carried out, especially if there is heavy nasal discharge following a head injury, an accident or after an operation. A tear in the sieve plate can lead to cerebrospinal fluid escaping from the skull. This cerebrospinal fluid then flows out via the nose.

Constant runny nose: Clarification by your ENT specialist in Frankfurt

Before we can initiate treatment for your nasal complaints, we need to investigate the cause. In our ENT practice in Frankfurt we first check whether an allergic or infectious cause is the cause of your nasal discharge. There are various diagnostic methods for this, such as Endoscopy of the noseallergy tests, blood analyses or laboratory tests of the Nasal secretions.

The treatment of your runny nose depends on the underlying cause of your symptoms. Possible treatments include medication, household remedies such as nasal rinsing or Surgical measures.

When the nose is blocked, it is very unpleasant and annoying. There are several reasons for obstructed nasal breathing. Treatment varies depending on the underlying cause. It ranges from nasal irrigation and the use of nasal sprays to taking tablets. In some cases, surgery can also be performed in our ENT clinic in Frankfurt become necessary.

If the mucous membrane in the nose swells considerably and produces viscous mucus, the ducts narrow. The result: you get less air. Frequent triggers are infections of the upper respiratory tract caused by viruses and pathogens - in other words, the well-known common cold. However, there are also other causes that can impair nasal breathing.

Reasons for a blocked nose

• Inflammation of the paranasal sinuses (sinusitis)
• Allergies (e.g. hay fever, allergies to house dust or animal hair - the secretion remains clear and the blocked nose is usually associated with frequent sneezing attacks or itchy eyes)
• Effects of poisons or irritants
• Dry air
• Cigarette smoke
• Particulate matter
• Foreign bodies in the nose (especially in children)
• Curvature of the nasal septum
• Nasal polyps
• Enlarged turbinates
• Injuries to the nose, e.g. after accidents or operations
• Tumours in the nose (especially if only one side of the nose is blocked)

Tips for a blocked nose: common remedies to help you breathe freely again

A blocked nose can be treated in various ways. The therapy depends on the cause. There are basically the following options:

Medication

If your nose is blocked, you can use decongestant nasal drops or nasal sprays. But be careful: you should only use the medication a maximum of three times a day and for no longer than a week. Short-term use is generally not expected to have any negative consequences. However, if the drops and sprays are used for longer, the nasal mucosa can become accustomed to the medication. It then demands the medication again and again to reduce swelling. This leads to a nasal spray addiction (also read our blog post: "Nasal spray addiction: What are the consequences?").

Sometimes it is also necessary to take antibiotics. Other options include moisturising seawater nasal sprays or, in the case of an allergy, cortisone nasal sprays or antihistamines.

Inhalation and nasal irrigation

For rhinitis, colds and dry nasal mucous membranes, the daily Inhalationwith warm vapours can help. Inhalation can liquefy the mucus, loosen crusts and moisturise the nasal mucosa. It is possible to inhale pure water vapour or a saline solution. Popular inhalation additives are camomile, sage, tea tree oil or essential oils such as peppermint or eucalyptus oil.

Nasal rinsing or nasal irrigation can help your body to flush out secretions, pathogens, pollen or house dust from the nasal cavity.

Home remedy

If the nose is blocked for a "simple" reason and there are no physical causes such as a crooked nasal septum, home remedies can also be very helpful. A common tip is to drink plenty of water or unsweetened teas. The increased fluid intake can liquefy the thick mucus in the nose and sinuses, allowing it to be removed. It is also often recommended to eat hot and spicy food. Horseradish, ginger, chilli or mustard contribute to increased blood flow to the mucous membranes and can therefore clear the airways. It is also advisable to lie on your side when sleeping. This allows the upper nostril to decongest. This allows you to breathe better. Also make sure that your head is slightly elevated. The nose gets blocked more quickly in a flat lying position. Another tip is to humidify the room air with the help of a humidifier or an indoor fountain, especially in the winter months when the heating is running frequently and at high levels. This means that the nasal mucosa does not dry out so easily and is less irritated. Regular ventilation is also important. Oxygen can make breathing easier.

Nasal congestion: Surgery can help in these cases

In some cases, a blocked nose is not due to an infection or allergy. It is possible that the obstructed nasal breathing is the result of a malposition or physical illness.

Curvature of the nasal septum

If the septum is curved, this can lead to obstructed nasal breathing - including snoring. Affected patients often also suffer from headaches or recurring inflammation of the sinuses. In the course of Nasal septum surgery we can correct the malposition. This allows you to get more air through your nose again. An additional advantage: a bent septum often makes the nose look crooked. With rhinoplasty, we also even out the appearance of the crooked nose. The nose looks straighter.

Paranasal sinus surgery

If inflammation from the nose spreads to the sinuses, it can lead to blocked ventilation and chronic inflammation. Polyp formation in the sinuses can also lead to this effect. With the Paranasal sinus surgery For example, we can remove pathologically altered mucous membranes and eliminate obstructions to the nasal cavity. In this way, we can provide you with better ventilation.

Laser conchotomy

If the turbinates are healthy, they expand at rest. They contract during physical exertion. If the turbinates are enlarged, they are permanently enlarged. This can make breathing difficult. With the Laser conchotomy we can treat abnormally enlarged turbinates with laser and restore them to normal dimensions. This makes breathing easier again.

Nasal congestion: Treatments from your ENT doctor in Frankfurt

If your nose is blocked and the usual self-treatment does not help, then you should definitely make an appointment at our ENT practice in Frankfurt agree on the duration. This also applies if the illness lasts longer than ten days. With careful diagnostics, we will find out what is causing the obstruction to your nasal breathing.