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The Telltale Signs of Allergic Rhinitis [And Food You Should Be Avoiding]

Allergic rhinitis, commonly known as hay fever, affects countless individuals, influencing their quality of life and daily functioning. This condition doesn’t just bring the discomfort of nasal congestion and sneezing; it also subtly impacts your dietary choices and how your body reacts to certain foods.

Dr Dennis Chua - ENT Specialist in Singapore - Allergic Rhinitis Symptoms Blog
UPDATED ON SEPTEMBER 19, 2024 • REVIEWED BY DR. DENNIS CHUA

Understanding the signs and causes of allergic rhinitis and how to manage them can significantly enhance your wellbeing. Dietary adjustments may also be necessary to relieve symptoms of allergic rhinitis.

Allergic rhinitis is an inflammatory condition of the nasal passages, typically triggered by airborne allergens such as pollen, dust mites, or pet dander. This condition is categorised into two types: seasonal (occurring at specific times of the year) and perennial (occurring year-round). If symptoms last longer than 12 weeks, it is known as chronic allergic rhinitis. On the other hand, if symptoms last for a few days to four weeks, it is called acute rhinitis.

Key Takeaways

Common Symptoms of Allergic Rhinitis

The primary symptoms of allergic rhinitis include:
  • Sneezing
  • Runny or stuffy nose
  • Itchy eyes, mouth, or skin
  • Postnasal drip
  • Coughing

These symptoms are often accompanied by less common signs such as fatigue, which can be mistakenly attributed to other health issues. Another lesser-known symptom of allergic rhinitis is ear pain. While not as common as nasal symptoms, ear pain can also be present in allergic rhinitis.

When the body is exposed to allergens it releases the chemical histamine, which causes inflammation and mucus production. The Eustachian tube, which links the middle ear to the back of the throat, can become inflamed and blocked due to nasal inflammation. As a result, the blockage can lead to symptoms such as:

  • Ear pain or a feeling of pressure
  • Difficulty equalising ear pressure, especially during activities like flying or scuba diving
  • Muffled or reduced hearing

For scuba divers, equalising ear pressure is essential because the surrounding pressure increases as they dive deeper. If the Eustachian tube is blocked, it can prevent the proper equalisation of pressure, leading to ear pain, pressure-related damage (barotrauma), or even more serious issues like ear infections and eardrum rupture. To avoid these problems, divers need to ensure their Eustachian tubes are clear before diving.

Understanding Food Allergies and Triggers

While environmental triggers are well-known, dietary factors can also play a significant role. Certain foods might exacerbate symptoms, especially if they share similarities with the allergens that trigger your rhinitis.
Foods that can worsen allergic rhinitis symptoms include:

Dairy products

These can increase mucus production, potentially worsening nasal congestion.

Foods high in histamine

Such as aged cheeses, smoked meats, and certain fish can trigger histamine release, which exacerbates symptoms.

Seafood

People with allergic rhinitis should limit their intake of foods that commonly cause allergies, such as shrimp, crab, snails, squid, and sea cucumber.

Processed foods

These often contain additives, such as preservatives and artificial flavouring, that may trigger or worsen allergic rhinitis.

Certain nuts and seeds

Eating nuts and seeds can cause mouth and throat itchiness, contributing to the discomfort when dealing with allergic rhinitis.

Red wine and beer

Some alcoholic beverages have high levels of histamine and can trigger different allergic responses, including rhinitis.

Distinguishing between food allergies and intolerances is crucial, as both can exacerbate rhinitis symptoms but require different management strategies. An allergist can perform tests to determine your specific triggers.

ENT specialists can help you identify allergies and explore treatment options for allergic rhinitis. Schedule a consultation with Dr Dennis Chua today to learn more.

Managing Allergic Rhinitis Through Diet


To better manage the occurrence of allergic rhinitis, opt for foods that fight inflammation, such as food rich in omega-3 fatty acids, turmeric, and ginger.

Always read food labels to avoid hidden allergens. Look for terms that might indicate the presence of nuts, dairy, or eggs, and be aware of cross-contamination warnings, especially if you have food allergies.

Incorporating a diet low in processed foods and high in fruits, vegetables, and lean proteins can help manage inflammation associated with allergic rhinitis. Keeping a food diary can also be beneficial in identifying links between what you eat and your symptoms.

Consulting with an ENT Specialist for a Tailored Treatment Plan


Consulting with an allergist is vital to get a tailored management plan. A dietitian can also provide guidance on making dietary changes that can help your condition.

Recognising the signs of allergic rhinitis and understanding how certain foods affect your symptoms can empower you to make informed decisions about your health. By managing your diet, you can control your symptoms more effectively, reducing both the discomfort of allergic rhinitis and its impact on your daily life.

If you suspect you have allergic rhinitis, or if certain foods seem to worsen your symptoms, don’t hesitate to reach out for professional advice. An individualised assessment and management plan could be your key to a more comfortable, enjoyable life. Book an appointment with Dr Dennis Chua today to explore your options and start your journey to better health.

If you have questions or concerns about your ears, nose, and throat,
you may book a consultation with Dr Dennis Chua, an ENT specialist in Singapore.
He has completed his training in otorhinolaryngology locally and attained qualifications internationally.

About Dr Dennis Chua - ENT Specialist in Singapore

About Dr Dennis Chua

Dr. Dennis Chua is an Ear, Nose and Throat (ENT) specialist with more than a decade of experience. He is held in high regard within the field of Otolaryngology, having published many articles in peer reviewed journals on the topic of ENT.

As an ENT Specialist in Singapore, Dr Dennis Chua is committed to providing thorough, patient-centred care for both adults and children. Whether you’re managing allergies, sinus problems, hearing issues, or throat concerns, we take time to understand your condition and guide you through your treatment options.

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