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Wednesday, May 8, 2024

Richmond doctor: 'If a patient has allergic rhinitis at a young age and it's not managed, they can then form asthma'

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Dr. John Ditto | Richmond Breathe Free

Dr. John Ditto | Richmond Breathe Free

• Asthma is a common issue many sinusitis sufferers have to deal with.
• Allergies triggered by sinusitis lead to mouth breathing, which leads to airway disorders, such as asthma.

• Patients struggling with asthma caused by sinusitis are encouraged to seek minimally invasive treatment from a specialist for a better quality of life.

Sinusitis, in whatever form it may be, can lead to a plethora of different issues, including asthma. Dr. John Ditto, of Richmond Breathe Free, said asthma and sinus issues are directly linked.

"The paranasal sinuses, the nose and the airways are linked because of airflow and because of their mucosa, and how they react to allergens and other agents that could irritate either one," Ditto said. "So, what we know is that if a patient has allergic rhinitis at a young age and it's not managed, they can then form asthma. Also, we know that with chronic sinusitis with the inflammatory mediators, some believe that gets into the lungs, and that creates a problem with asthma. Also, some believe that chronic sinusitis with infection can leak into the airway and drip into the lungs and cause pulmonary issues, so there's a direct link, and then that can exacerbate asthma."

Many people with asthma also suffer from allergies, and allergy triggers can set off asthma symptoms, according to Mayo Clinic. The immune system's response to fighting off allergens involves releasing chemicals that can lead to a runny nose, congestion or skin reactions, and those responses can affect the airways, triggering asthma symptoms. 

Allergy treatments such as immunotherapy can reduce your body's reaction to allergens over time, which will in turn decrease asthma symptoms, Mayo Clinic reported.

People who suffer from allergies or chronic sinus problems are more likely to breathe through their mouths, but mouth breathing can lead to oral health issues, according to McCarl Dental Group. Mouth breathing dries up saliva, which then allows bacteria and plaque to build up on the teeth, which can cause cavities, gum disease and chronic bad breath. 

Regularly breathing through the mouth can also, over time, lead to strained jaw joints, snoring, sleep apnea, enlarged tonsils and a higher risk for airway disorders, such as asthma, McCarl Dental Group noted.

For sinusitis patients who struggle with asthma, there are minimally invasive treatment options that can provide long lasting results. One of these treatment options is the balloon sinuplasty, which is a safe and minimally invasive procedure utilized by surgeons to address chronic sinusitis, according to Nuffield Health. During the process, doctors insert a guide wire equipped with a small balloon into the nostrils and navigate it to the area of blockage.

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