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Repeated sneezing does not always mean an infection
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When allergy could be involved
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What if an allergy is not the cause?
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What can you discuss with a pharmacist or clinician?
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How to prepare for a nasal symptom consultation
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When to seek assessment in Bintulu
Frequently asked questions
Can I have nasal allergy symptoms without feeling sick?
Yes. Allergic rhinitis may cause sneezing and itching without a cold. Similar symptoms can also have non-allergic causes, so assessment may be useful.
Do I automatically need an allergy test?
No. Discuss your history first. Your clinician can explain whether testing would add useful information for your particular symptoms.
A blocked nose that persists, keeps returning or affects sleep deserves assessment. Allergies, swelling, polyps and a bent nasal septum are possible causes, and an examination helps distinguish them.
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Look at the pattern
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Possible reasons your nose stays blocked
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What an ENT assessment involves
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Haze can irritate the nose and worsen symptoms in people who already have nasal allergies. Sneezing during haze does not, by itself, prove an allergy: irritation and allergic rhinitis can overlap.
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Allergy and irritation are different
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Reduce exposure when air quality is poor
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Treatment should match the cause
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A cold usually causes a runny or blocked nose, sore throat and cough that gradually improve. Sinusitis can follow a cold and add facial pressure or reduced smell, but symptoms overlap and sometimes need examination.
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Follow the course of your symptoms
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Clues that may suggest sinus inflammation
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Why antibiotics are not always needed
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A nasal endoscopy uses a small camera to look inside the nose and, when needed, the area behind it and the throat. It helps an ENT specialist investigate symptoms that a routine examination cannot fully explain.
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Why your specialist may recommend it
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During the examination
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Before and after the scope
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Endoscopic sinus surgery uses a small telescope through the nostrils to treat selected sinus problems and improve drainage. It is considered after assessment, often when suitable medical treatment has not adequately controlled symptoms.
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Why surgery may be discussed
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Before the procedure
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What the operation involves
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A persistent neck lump, unexplained one-sided hearing change or repeated nasal bleeding can be warning signs of nasopharyngeal cancer. These symptoms also have other causes, but they should be assessed rather than ignored.
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Where this cancer develops
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Symptoms to discuss promptly
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How a specialist investigates
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Snoring accompanied by pauses in breathing, choking during sleep or daytime sleepiness may indicate obstructive sleep apnoea. Snoring alone does not confirm the condition, and a sleep assessment may be needed.
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Listen for more than noise
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What happens during assessment
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Treatment is individual
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A child may benefit from tonsil removal when repeated significant infections or enlarged tonsils cause important health problems, including disturbed breathing during sleep. The decision depends on the child’s history and examination, not simply the size of the tonsils.
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Repeated infections need a clear history
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Breathing during sleep matters too
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Discuss benefits and risks together
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Glue ear is fluid behind the eardrum that can cause temporary hearing difficulty. A child may turn up the television, ask for repetition or seem inattentive without complaining of ear pain.
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Why the signs can be easy to miss
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Glue ear is different from a painful infection
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Monitoring and treatment options
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