Assessing allergic rhinitis frequency via physician interviews in Mumbai.

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Journal name: World Journal of Pharmaceutical Research
Original article title: Determination of frequency of allergic rhinitis in mumbai metropolitan region using qualitative semistructured interviews of physicians
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Original source:

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Author:

Amrit Bhalchandra Karmarkar


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Determination of frequency of allergic rhinitis in mumbai metropolitan region using qualitative semistructured interviews of physicians

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr201713-9915


Download the PDF file of the original publication


Summary of article contents:

Introduction

Allergic rhinitis is a prevalent and often overlooked respiratory disorder that significantly impacts patients' quality of life. This study aimed to explore the frequency and aspects of allergic rhinitis in the Mumbai metropolitan region of India through qualitative semi-structured interviews with physicians. It revealed a prevalence rate of allergic diseases between 10-30%, with allergic rhinitis specifically affecting 20-30% of patients surveyed. Key findings included the identification of dust as the primary allergen and the influence of family history on the condition, along with the moderate effect of allergic rhinitis on patients' quality of life.

Prevalence and Symptoms of Allergic Rhinitis

A crucial finding from the study was the reported prevalence of allergic rhinitis among patients in Mumbai. Physicians estimated that adolescents and children represented the most affected age groups, with symptoms often manifesting in early years but most significantly during adolescence. The primary symptom reported by physicians was a watery, runny nose, which aligns with definitions provided by health organizations such as the World Allergy Organization. This understanding highlights the need for better awareness and diagnostic capabilities among healthcare providers regarding allergic rhinitis.

Impact of Allergic Rhinitis on Quality of Life

The interview responses indicated that allergic rhinitis has a moderate negative impact on the quality of life for patients. Physicians noted various complications associated with untreated allergic rhinitis, such as asthma, sinusitis, and otitis media. The impact on children included delays in learning and social integration, while in adults, it resulted in respiratory issues and general health deterioration. This insight underscores the necessity of addressing allergic rhinitis to improve both individual patient outcomes and public health.

Treatment Approaches and Current Limitations

Treatment strategies for allergic rhinitis varied among physicians practicing different medical systems, including allopathic, Ayurvedic, homeopathic, and Unani medicine. The study revealed that while a variety of medications and herbal remedies are utilized, no definitive cure exists yet. Physicians expressed concerns regarding the moderate effectiveness of available treatments and the necessity for regular medication to manage symptoms. The exploration of combination therapies was suggested by a minority of physicians as a potential way to enhance treatment efficacy.

Conclusion

In conclusion, allergic rhinitis remains a common but underappreciated condition affecting many individuals in the Mumbai metropolitan area. The study highlighted the significant prevalence of the disease, its primary allergen triggers, the role of family history, and its moderation on life quality. Despite the availability of various treatment methods, a comprehensive cure has yet to be achieved. Increased awareness of potential treatment improvements, including clinical trials on novel therapies and enhanced education for healthcare providers, is essential for advancing management strategies for allergic rhinitis.

FAQ section (important questions/answers):

What is allergic rhinitis and its common symptoms?

Allergic rhinitis is an immune response to allergens, causing symptoms like sneezing, runny nose, nasal congestion, and itching. It often negatively impacts the quality of life and can lead to complications like asthma.

What is the prevalence of allergic rhinitis in India?

The prevalence of allergic rhinitis in India is estimated to be between 20-30%, based on qualitative interviews with physicians. This highlights a significant health concern in the Indian population.

What are the main allergens causing allergic rhinitis?

Dust is identified as the principal allergen in Mumbai, contributing significantly to allergic rhinitis cases. Other allergens can include pollen, moulds, and animal dander.

How does allergic rhinitis affect patients' quality of life?

Allergic rhinitis moderately affects the quality of life, including social interactions and daily activities. It may lead to complications such as sinusitis and asthma, further impacting life quality.

How effective are current treatments for allergic rhinitis?

Current treatments, including antihistamines and corticosteroids, are only moderately effective for allergic rhinitis. Despite the available options, a definitive cure has yet to be achieved.

Is there a genetic link to allergic rhinitis?

Yes, family history is an important factor for allergic rhinitis. Studies suggest a genetic basis, indicating heredity plays a role in susceptibility to this condition.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Assessing allergic rhinitis frequency via physician interviews in Mumbai.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Study (Studying):
The term 'Study' refers to the systematic investigation of a specific topic, in this case, allergic rhinitis in the Mumbai metropolitan region. It encompasses the collection and analysis of data through qualitative semi-structured interviews with physicians to address gaps in knowledge about prevalence, treatment, and management of the condition.

2) Disease:
In this context, 'Disease' highlights allergic rhinitis as a prevalent health issue affecting many individuals. It emphasizes the need for understanding this respiratory condition, its symptoms, causes, and the complexities involved in its management, as well as its association with other health issues such as asthma and sinusitis.

3) Medicine:
'Medicine' refers to the various treatment modalities and approaches available for managing allergic rhinitis. The article discusses allopathic, Ayurvedic, Homeopathic, and Unani systems of medicine, elucidating the importance of exploring diverse therapeutic options faced by patients with allergic conditions in India.

4) Quality:
'Quality' signifies the standard of health and well-being experienced by individuals suffering from allergic rhinitis. The study emphasizes the significant impact of this disease on patients' quality of life, underlining the need for effective treatment strategies to alleviate symptoms and improve overall well-being.

5) Life:
'Life' pertains to the personal experiences and daily functioning of individuals affected by allergic rhinitis. The article addresses how this condition can hinder social interactions, educational pursuits, and occupational performance, thereby underscoring the broader implications of allergic diseases on individuals' overall life experience.

6) Drug:
'Drug' refers to the various pharmaceutical interventions and treatments available for allergic rhinitis. The findings indicate a range of medications such as antihistamines and corticosteroids, discussing their effectiveness and limitations in managing symptoms and improving the quality of life for patients.

7) Family:
'Family' is an important component in understanding the genetic or hereditary predisposition to allergic rhinitis. The study highlights that a significant percentage of respondents recognize family history as a contributing factor to the development of allergies, pointing to the need for awareness and preventive strategies in at-risk populations.

8) India:
'India' provides the geographical context for the study, emphasizing the necessity of understanding the prevalence and management of allergic rhinitis within the diverse population of the country. The insights gleaned from this research hold implications for public health and medical practices in India.

9) Male:
'Male' relates to the gender aspect in the context of allergic rhinitis, indicating the occurrences and observations made by male physicians. The study discusses potential gender differences in the prevalence and management of allergic conditions, although no significant disparities were noted.

10) Allergy:
'Allergy' is a central theme in the research, denoting the hypersensitivity reactions that characterize conditions like allergic rhinitis. The focus on allergy encompasses the exploration of various environmental and genetic factors contributing to the prevalence of allergic diseases in the patient population.

11) Suffering:
'Suffering' points to the physical and emotional distress experienced by individuals with allergic rhinitis. The study emphasizes the burden of symptoms such as nasal congestion, sneezing, and anxiety, which can severely affect the quality of life and day-to-day functioning, warranting better management strategies.

12) Ayurveda (Ayus-veda):
'Ayurveda' represents one of the traditional healing systems mentioned in the study, advocating for a holistic approach to managing allergic rhinitis through herbal remedies and lifestyle modifications. This inclusion highlights the growing interest in integrating alternative medicines into conventional therapeutics.

13) Field:
'Field' relates to the occupational environment aspect of allergic rhinitis, where individuals in field-based jobs may experience higher exposure to allergens. This term emphasizes the need for considering environmental factors when assessing risk and prevalence within specific job sectors.

14) Observation:
'Observation' signifies the careful monitoring and documentation of symptoms and trends associated with allergic rhinitis. Physicians' observations form the basis of the qualitative data collected, shedding light on clinical practices and patient experiences that may not emerge through quantitative research.

15) Learning:
'Learning' refers to the process of gathering insights from physicians' experiences with allergic rhinitis. The study aims to contribute to the collective understanding of the disease, thereby enhancing medical education and clinical practices regarding diagnosis and treatment.

16) Itching:
'Itching' is a common symptom associated with allergic rhinitis. The study discusses the itchy sensation resulting from exposure to allergens and its role in impacting patients' comfort and quality of life, emphasizing the need for effective symptom management.

17) Anxiety:
'Anxiety' is highlighted as an emotional response that may arise due to the chronic nature of allergic rhinitis, affecting social interactions and quality of life. The study addresses the psychosocial implications of living with allergies and the importance of holistic care in treatment.

18) Reason:
'Reason' represents an underlying cause or justification for the prevalence of allergic rhinitis in the population studied. The term reflects the necessity of identifying contributing factors, including environmental and genetic influences, to better understand and manage allergic conditions.

19) Indian:
'Indian' points to the cultural and regional context in which the study was conducted, providing insights into the unique characteristics and prevalence patterns of allergic rhinitis specific to India, which may differ from global trends.

20) Simha:
'Sinha' refers to a specific researcher whose previous works provided context regarding the prevalence of allergic rhinitis in India. This highlights the ongoing contributions of various researchers in building a comprehensive understanding of allergic diseases.

21) Blood:
'Blood' in this context relates to the diagnostic tests for allergic rhinitis, such as specific IgE blood tests. The mention of blood tests underscores the importance of laboratory examinations in accurately diagnosing allergies and enhancing treatment protocols.

22) Pain:
'Pain' refers to the discomfort that may accompany allergic rhinitis, particularly when complications arise, such as sinusitis. The study acknowledges the burden of associated symptoms, including facial pain, which need to be adequately addressed in treatment regimens.

23) Post:
'Post' signifies the residual effects or symptoms that persist after an allergic reaction or treatment. In the context of allergic rhinitis, post-nasal drip may indicate ongoing irritation, reflecting the complexity of managing symptoms effectively.

24) Southern India:
'Southern India' refers to a specific geographical region where studies have indicated the prevalence of allergic diseases. Reference to this region helps to contextualize findings and patterns of allergic rhinitis, drawing comparisons to the Mumbai metropolitan area.

25) Piper longum:
'Piper longum' is mentioned as a herbal remedy used in Ayurvedic medicine for treating allergic rhinitis, showcasing the integration of traditional remedies within the study. The reference highlights the potential role of alternative therapies in managing allergic conditions.

26) Pharmacological:
'Pharmacological' pertains to the field of medicine and drugs used for treating allergic rhinitis. The term emphasizes the significance of understanding the pharmacological treatment options available and their respective effectiveness in managing symptoms.

27) Perception:
'Perception' relates to the awareness and understanding that individuals and healthcare providers have regarding allergic rhinitis. The study aims to address gaps in perception concerning the prevalence and treatment of the condition among healthcare professionals.

28) Discussion:
'Discussion' serves as a critical component of the study, where findings are analyzed in light of existing literature. It facilitates the interpretation and contextualization of results, contributing to the broader understanding and implications of allergic rhinitis management.

29) Knowledge:
'Knowledge' encompasses the information and insights derived from physicians' experiences and interactions with allergic rhinitis patients. The study aims to enrich the collective knowledge base surrounding allergic conditions to improve clinical outcomes.

30) Gathering:
'Gathering' refers to the collection of qualitative data through interviews with physicians. This process is integral to the study's objective of exploring unique experiences and perspectives, ultimately enhancing understanding of allergic rhinitis in clinical practice.

31) Turmeric:
'Turmeric' is mentioned as one of the herbal remedies used in Ayurvedic medicine for treating allergic rhinitis. Its inclusion emphasizes the importance of exploring diverse treatment options and the role of traditional medicine in managing allergic conditions.

32) Greece:
'Greece' alludes to research studies conducted in that country, exploring occupational exposures leading to allergic rhinitis. The reference helps to draw parallels with the current study, underlining the global nature of allergic diseases.

33) Animal:
'Animal' typically relates to allergens linked to pet dander in the context of allergic rhinitis. The reference indicates the need to consider various allergen sources that could exacerbate allergic symptoms in affected individuals.

34) Delhi:
'Delhi' identifies another urban area in India where studies on allergic rhinitis have been conducted. This reference broadens the geographical context of the research, highlighting similar rates of allergies and the need for effective management strategies throughout the country.

35) Diet:
'Diet' relates to potential dietary influences on allergic rhinitis symptoms and management. The study suggests that dietary considerations should be taken into account as part of a comprehensive treatment approach for allergic conditions.

36) Fear:
'Fear' encompasses the emotional response to living with allergic rhinitis, particularly regarding how symptoms and chronicity may impact daily activities. Understanding the fears associated with allergic allergies can inform treatment approaches to alleviate concerns.

37) Mast:
'Mast' refers to mast cells, which play a significant role in allergic reactions. Recognizing the role of mast cells in the pathophysiology of allergic rhinitis may enhance the understanding of the condition and inform targeted therapeutic strategies.

38) Sign:
'Sign' relates to the symptoms and clinical indicators exhibited in patients with allergic rhinitis. Identifying these signs is essential for accurate diagnosis and treatment, forming a critical part of physicians' observations during patient evaluations.

39) Road:
'Road' may allude to environmental factors such as pollution and allergens present in urban settings, emphasizing the need to consider external influences when assessing allergic rhinitis prevalence in densely populated areas like Mumbai.

40) Line:
'Line' refers to treatment lines or recommended therapeutic routes for managing allergic rhinitis. The term highlights the importance of establishing clear guidelines and paths for treatment to optimize patient care and symptom management.

41) Pir:
'Peer' signifies the social dynamics among individuals or within medical communities. The interactions between peers can influence awareness, attitudes, and approaches to managing allergic diseases, particularly in understanding the condition's prevalence and implications.

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