Experienced Practitioners
Dr Michael Shen offers specialist skin prick testing and allergy management for patients aged 6 and above
Allergic Rhinitis Treatment
Allergies and Blocked NoseComprehensive diagnosis and treatment for allergic rhinitis at Madison Medical Practice Hornsby. From skin prick testing to immunotherapy, we help you breathe easier and live better.
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Understanding Allergic Rhinitis
More Than Just Hay Fever
Allergic rhinitis, commonly known as hay fever, is a widespread condition affecting up to 30% of Australians. It occurs when your immune system overreacts to airborne allergens, causing inflammation of the nasal passages.
Common triggers include house dust mites, grass pollens, tree pollens, weed pollens, animal dander, and mould spores. When these allergens enter your nose, they spark an immune response that releases histamine and other chemicals. This leads to the familiar symptoms of sneezing, nasal congestion, runny nose, and itchy eyes.
While allergic rhinitis affects people of all ages, it is more common in children and young adults. The condition can significantly impact your quality of life, affecting sleep, concentration, and daily activities. At Madison Medical Practice Hornsby, we offer comprehensive assessment and treatment to help you find lasting relief. Our team can also assist with related concerns such as health assessments to identify any underlying issues.
Common Causes and Triggers
Understanding what triggers your symptoms is the first step towards effective management
Allergic rhinitis develops when your body mistakenly identifies harmless substances as threats. The most common allergens include:
- House dust mites - tiny creatures found in bedding, carpets, and soft furnishings
- Grass, tree, and weed pollens - seasonal triggers that vary throughout the year
- Animal dander - proteins from pet skin, saliva, and urine
- Mould spores - found in damp environments both indoors and outdoors
Several factors can worsen your symptoms beyond direct allergen exposure. These include changes in temperature or humidity, air pollution, cigarette smoke, and strong odours. Identifying your specific triggers is essential for developing an effective management plan.
Our general practitioners work closely with you to understand your symptoms and identify the allergens causing your discomfort. For more detailed information about allergic rhinitis, you may find our article on allergic rhinitis beyond hay fever helpful.
Skin Prick Testing at Madison Medical
Accurate diagnosis through comprehensive allergen testing with Dr Michael Shen
Skin prick testing (SPT) is the gold standard for diagnosing allergic rhinitis. This simple, safe procedure identifies exactly which allergens trigger your symptoms. During the test, small amounts of common allergens are applied to your skin using a plastic lancet. If you are allergic, a small bump appears within 15 to 20 minutes.
Our 22 allergen panel tests for grass, tree, and weed pollens, dust mites, mould spores, and animal dander. SPT is more accurate than blood tests for airborne allergens. Testing is available with Dr Michael Shen for patients aged 6 years and above. The test takes approximately 30 minutes and costs $185 with a Medicare rebate of $36.45.
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Preparing for Your Skin Prick Test
You must avoid antihistamines for at least 7 days before your test. This includes common medications such as Claratyne, Zyrtec, Telfast, and Desonex. You should also stop using Dymista and Ryaltris nasal sprays during this period. These medications can interfere with test results and give false negatives.
The complete skin prick testing appointment takes approximately 30 minutes. This includes preparation, the test itself, and time to observe and record any reactions. Our nursing team at Madison Medical will guide you through each step of the process.
If your test results are positive, Dr Michael Shen will discuss minimisation strategies, specific treatments, and whether desensitisation immunotherapy may be appropriate for you. A tailored treatment plan helps you manage symptoms effectively. You can learn more about our fees and rebates for ongoing consultations.
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Treatment Options for Allergic Rhinitis
Tailored Plans for Lasting Relief
Effective treatment for moderate to severe allergic rhinitis typically requires a combination approach. Our doctors create personalised treatment plans that may include:
- Intranasal corticosteroid and olopatadine spray (Ryaltris) - a newer combination treatment that reduces inflammation and blocks allergic reactions
- Medicated sinus rinses - helps clear allergens and mucus from nasal passages
- Antihistamines - provide relief from sneezing, itching, and runny nose
For patients whose symptoms remain poorly controlled with standard treatments, allergen desensitisation immunotherapy offers a long term solution. This treatment gradually trains your immune system to tolerate specific allergens. Visit our services page to explore all available treatments, or contact our reception team to discuss your options.
Allergen Desensitisation Immunotherapy
A long term solution for persistent allergic rhinitis symptoms
Allergen desensitisation immunotherapy, also known as allergy shots, offers lasting relief for patients whose symptoms do not respond well to regular treatments. This approach works by gradually exposing your immune system to small amounts of the allergen over time, reducing its sensitivity.
Immunotherapy is a commitment requiring monthly injections over a period of 3 to 5 years. However, the benefits are significant. Treatment can dramatically reduce symptom severity and may also help prevent the development of nasal obstruction and asthma.
This option is particularly valuable for patients who experience severe symptoms, have multiple allergies, or find that standard medications provide insufficient relief. Our general practitioners can assess whether immunotherapy is suitable for you based on your skin prick test results and symptom history.
For ongoing care and monitoring, we encourage patients to register with MyMedicare to strengthen their relationship with our practice. You can find more details about our practice policies and what to expect during treatment.
Why Choose Madison Medical for Allergy Care
Comprehensive allergy services delivered by experienced practitioners in a modern, welcoming environment
Comprehensive Testing
Our 22 allergen panel covers the most common triggers including pollens, dust mites, moulds, and animal dander
Personalised Treatment Plans
Every patient receives a tailored approach combining the latest therapies for optimal symptom control
Immunotherapy Available
Long term desensitisation treatment for patients who need more than standard medications
Convenient Location
Located in Hornsby close to public transport and Westfield shopping centre
Easy Booking
Book your appointment online or call our friendly reception team to arrange your consultation
Frequently Asked Questions
Find answers to common questions about allergic rhinitis treatment and skin prick testing at Madison Medical Practice
Do I need to book an appointment or do you accept walk-ins?
No, we do not accept walk-ins. All patients must book an appointment in advance to ensure you can be seen by your preferred doctor.
How do I get my test results and what should I expect?
Urgent results prompt a direct doctor call, non-urgent results generate a text to book an appointment, and normal results require no contact. Results are not given over the phone outside of telehealth consultations.
What are your cancellation fees and policies?
GP cancellations within 2 hours incur a $50 fee, while allied health cancellations within 24-48 hours may incur charges of 50-100% of the consultation fee.
Who is eligible for bulk billing at your practice?
We bulk bill children 15 and under, patients 70 and over, and concession card holders on weekdays only. All other patients are privately billed.