In this episode, we talk about Allergic Rhinitis — a condition often confused with the common cold, yet distinct in its causes, symptoms, and long-term impact. Many people live with recurring sneezing, nasal congestion, and itchy eyes, often dismissing it as “just a cold,” without realizing it could actually be allergies.

To discuss the challenges around this condition, we are joined by Dr. Sowmya Nagarjan, Pediatric Immunologist and Allergist at Sanjeevini Specialist Clinic and Motherhood Hospitals, Bengaluru. Dr. Nagarjan explains how to distinguish allergic rhinitis from a simple cold, the risk factors that make some people more prone to it, and why getting a proper diagnosis is very important.

She also shares insights on the tests used to confirm allergic rhinitis, the common pitfalls that lead to misdiagnosis, and the treatment options available — from standard medications to emerging therapies like allergen immunotherapy. In addition, she highlights practical lifestyle measures that can help patients cope better and prevent allergic rhinitis from interfering with everyday life.

Key discussion points:

Understanding Allergic Rhinitis vs. Common Cold (1:10)

• Allergic rhinitis is triggered by allergens like pollen or dust, while the common cold is caused by viruses
• Unlike a cold that resolves in days, allergic rhinitis can persist or recur seasonally, affecting long-term health

Common Symptoms and Their Daily Impact (2:43) 

• Symptoms such as sneezing, itchy eyes, and nasal blockage can interfere with focus at work or school
• Persistent discomfort often leads to fatigue, irritability, and reduced participation in daily activities

Triggers and Risk Factors (3:55)

• Environmental factors like dust mites, pet dander, and seasonal pollen are common triggers
• A family history of allergies or coexisting asthma increases the likelihood of developing allergic rhinitis

Awareness and Misconceptions (5:28)

• Many still believe allergic rhinitis is a seasonal problem or just a mild inconvenience
• Educating people that it can affect overall health encourages timely diagnosis and management

Impact on Quality of Life and Sleep (7:02)

• Nighttime congestion can disturb sleep, leaving individuals feeling restless and tired
• Poor sleep quality often results in difficulty concentrating, low productivity, and emotional strai

Diagnosis and the Role of Specialists (8:32)

• Many patients misinterpret their symptoms and delay seeking medical advice
• Allergy testing and professional assessment help identify specific triggers and guide proper treatment

Management Approaches and Lifestyle Modifications (13:12)

• Beyond medication, steps like dust-proof bedding, regular cleaning, and air purifiers can reduce exposure
• Personalized treatment plans combining medicines and lifestyle adjustments lead to better long-term outcomes

Advice for Parents and Caregivers (17:02)

• Children with untreated allergic rhinitis may face academic and developmental challenges
• Parents should watch for recurring symptoms and consult specialists early for effective care

Take-Home Messages

1.     Allergic rhinitis is not just a cold — it requires proper recognition and management

2.     Itching and sneezing without fever are hallmark clues that point toward allergic rhinitis rather than infection

3.     A timely diagnosis can prevent unnecessary medications and improve quality of life

4.     Allergen immunotherapy offers hope for long-term relief and prevention

5.     Simple daily habits — like saline washes, healthy lifestyle choices, and mindful environmental control — can make a big difference.

About Dr Sowmya Nagarjan:

Dr. Sowmya Nagarjan is a Pediatric Immunologist and Allergist at Sanjeevini Specialist Clinic and Motherhood Hospitals, Bengaluru, India. Her professional interests focus on advancing the management of allergic diseases across the lifespan, with a particular emphasis on anaphylaxis, and food and drug allergies.

 Dr. Nagarjan is actively involved in academic collaborations, clinical trials, and professional forums that drive innovation in allergy diagnostics. Her focus also includes the evolving role of component-resolved diagnostics, biomarkers of anaphylaxis, and novel desensitization protocols, aiming to shape the future of personalized allergy care.