Allergic Rhinitis Blood Test

What is Allergic Rhinitis?

Allergic rhinitis, commonly known as hay fever, is a condition where the immune system overreacts to airborne allergens causing nasal inflammation and respiratory symptoms. It is caused by exposure to allergens such as pollen, dust mites, mold spores, and pet dander, which trigger the production of IgE antibodies and histamine release. The IgE blood test is the most important test for diagnosis because it measures the specific antibodies your immune system produces in response to allergens.

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What causes allergic rhinitis?

Allergic rhinitis is caused by an overactive immune response to airborne allergens including pollen from trees, grasses, and weeds, dust mites, mold spores, and animal dander from pets like cats and dogs. When you breathe in these allergens, your immune system mistakenly identifies them as harmful invaders and produces IgE antibodies, which trigger mast cells to release histamine and other inflammatory chemicals. This cascade of immune reactions causes the characteristic symptoms of sneezing, runny nose, nasal congestion, and itchy, watery eyes that define hay fever.

What is the best test for allergic rhinitis?

The IgE blood test is the most important test for allergic rhinitis because it measures the specific IgE antibodies your immune system produces in response to allergens like pollen, dust mites, mold, and pet dander. This test directly identifies which substances trigger your hay fever symptoms and helps guide targeted treatment approaches. For more comprehensive allergen identification, regional respiratory allergy profiles are essential as they test for multiple specific allergens common to your geographic area, such as the Respiratory Allergy Profile for your region, which screens for local tree pollens, grasses, weeds, molds, and indoor allergens that commonly cause allergic rhinitis symptoms.

When should I get tested for allergic rhinitis?

You should get tested if you experience recurring sneezing, runny or stuffy nose, itchy or watery eyes, or nasal congestion that worsens during certain seasons or after exposure to specific environments. Testing is especially important if your symptoms interfere with sleep, work, or daily activities, if over-the-counter medications are not providing adequate relief, or if you want to identify your specific allergen triggers to develop a targeted avoidance and treatment strategy. Early testing helps you understand exactly what you are allergic to so you can take preventive measures and pursue appropriate treatments like allergen immunotherapy.

What are the symptoms of allergic rhinitis?
Allergic rhinitis symptoms include frequent sneezing, runny or stuffy nose with clear nasal discharge, itchy nose and throat, watery and itchy eyes, and postnasal drip that can cause coughing or throat clearing. You might also experience facial pressure or sinus pain, reduced sense of smell or taste, fatigue from poor sleep quality, and dark circles under your eyes known as allergic shiners. Symptoms can be seasonal, occurring during specific pollen seasons, or perennial, happening year-round due to indoor allergens like dust mites, mold, or pet dander.
Who is at risk for allergic rhinitis?
You are at higher risk for allergic rhinitis if you have a family history of allergies, asthma, or eczema, as these conditions share genetic predispositions. Children and young adults are most commonly affected, though symptoms can develop at any age. Living in urban areas with higher pollution levels, having frequent exposure to allergens during childhood, and having other allergic conditions like food allergies or asthma increases your susceptibility. People who work outdoors or in environments with high allergen exposure, such as farms, gardens, or pet care facilities, also face elevated risk.
What happens if allergic rhinitis is left untreated?
Untreated allergic rhinitis can lead to chronic sinusitis, recurrent sinus infections, ear infections, and sleep disturbances that cause daytime fatigue and reduced productivity. Persistent nasal congestion can worsen existing asthma or trigger asthma development in susceptible individuals. You might also develop nasal polyps, experience persistent coughing and throat irritation, and suffer from reduced quality of life due to ongoing symptoms that interfere with work, school, and social activities. Long-term inflammation can permanently alter nasal tissue structure and lead to chronic breathing difficulties.
Can allergic rhinitis be diagnosed with a blood test?
Yes, allergic rhinitis can be effectively diagnosed with blood tests that measure IgE antibodies specific to various allergens. These blood tests identify exactly which substances trigger your allergic response, whether pollen, dust mites, mold, or pet dander. Blood testing offers several advantages over skin prick tests, including no need to stop antihistamines before testing, no risk of allergic reactions during the test, and the ability to test for multiple allergens simultaneously. The results help your healthcare provider develop a personalized treatment plan targeting your specific allergen sensitivities.
How is allergic rhinitis treated?
Allergic rhinitis is treated through a combination of allergen avoidance, medications, and sometimes allergen immunotherapy. Over-the-counter antihistamines like cetirizine or loratadine reduce sneezing and itching, while nasal corticosteroid sprays like fluticasone decrease inflammation and congestion. Decongestants provide temporary relief from stuffiness, and leukotriene inhibitors like montelukast help control symptoms. For severe or persistent cases, allergen immunotherapy through allergy shots or sublingual tablets gradually desensitizes your immune system to specific allergens, providing long-term symptom reduction and potentially preventing asthma development.
How can I prevent allergic rhinitis?
You can prevent allergic rhinitis symptoms by minimizing exposure to your specific allergen triggers identified through blood testing. Keep windows closed during high pollen seasons, use HEPA air filters in your home, wash bedding weekly in hot water to eliminate dust mites, and keep indoor humidity below 50 percent to prevent mold growth. If you are allergic to pet dander, keep pets out of bedrooms, bathe them regularly, and vacuum frequently with HEPA-filtered vacuums. Monitor local pollen forecasts and plan outdoor activities when pollen counts are lower, typically after rain or in the early morning.
What natural remedies help with allergic rhinitis?
Natural remedies that help manage allergic rhinitis symptoms include saline nasal rinses that flush out allergens and mucus, local honey consumed regularly that may help build tolerance to local pollens, and butterbur supplements that have shown antihistamine-like effects. Quercetin, a natural flavonoid found in onions and apples, acts as a natural antihistamine and mast cell stabilizer. Using a neti pot with sterile saline solution clears nasal passages, while steam inhalation with eucalyptus oil can temporarily relieve congestion. However, these remedies work best as complementary approaches alongside medical treatments, and you should identify your specific allergens through testing to implement targeted avoidance strategies.
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Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
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Just reach out to us via text at 754-799-7833 or shoot us an email at [email protected]. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

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If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
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Immunoglobulin E (IgE) 285 IU/mL
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285 IU/mL

What this means

Your IgE levels are elevated, which indicates your immune system is overreacting to allergens in your environment or diet. This can explain symptoms like frequent sneezing, itchy eyes, skin rashes, or breathing difficulties. While elevated IgE doesn't pinpoint specific allergens, it confirms you have an active allergic response that may benefit from further investigation and management.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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