HEENT: Head, Eyes, Ears, Nose, And Throat Allergy Symptoms

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Resources for Medical Professionals  

Learn more about common allergic diseases, symptoms, management paradigms, and testing considerations.

  Food  

  Seasonal  

  Indoor  

  Allergic Asthma  

Is your patient a candidate for specific IgE testing?

Find out 

Get detailed information on whole allergens and allergen components. 

Allergen Encyclopedia 

Ready to test a patient?

On-Demand Education 

Get Tested Search clear search Recent searches Clear History Cancel Search Fact Checked HEENT: Head, Eyes, Ears, Nose, and Throat Allergy Symptoms Share: Facebook Twitter LinkedIn Email

 

What does the medical abbreviation HEENT mean?

HEENT stands for “head, eyes, ears, nose, and throat.” If someone is experiencing symptoms that affect those areas, such as sneezing, congestion, and a sore throat, they’ll likely receive a HEENT examination. A HEENT exam for allergies is performed by a healthcare provider, typically during a physical examination, and focuses on checking the head, eyes, ears, nose, and throat.

What’s included in a HEENT exam?

Chances are, you have already had a HEENT exam. If a healthcare provider pressed on your sinuses, looked into your ears, and made you stick out your tongue and say “ahhhh” (among other things), you might be one of these people.

So what are healthcare providers looking for in a HEENT exam? While each provider likely performs this exam a bit differently depending on your symptoms and his or her personal preferences, here are some things providers might assess.1,2  

• Head (and Neck): Providers may examine and touch your head for tenderness, visible or palpable masses, depressions, and/or scarring. They may also look for parasites, trauma, and more, and they may press on lymph nodes, sinuses, and the thyroid gland to check for abnormalities.
• Eyes: A quick vision check for acuity and peripheral vision may be performed. In addition, providers may examine your mucus membranes, color of the normally white outer layer of the eyeballs, movement of eye muscles, pupils, cornea, reactivity to light, and more.
• Ears: Along with assessing obvious indications of hearing loss, healthcare providers might inspect for ear infections and look for swelling, discharge, and tenderness in the ear canal, as well as excessive ear wax, ear drum issues, and exterior skin abnormalities, among other things.
• Nose: When it comes to the nose, providers may check to see if mucosa is pink and moist and look for discharge. The exam may also involve sinus assessments.
• Throat/Mouth: An oral and throat exam, which often includes the “say ahh” request, helps providers gauge the condition of the tongue, tonsils, lips, gums, teeth, cheeks, and back of the throat.

Are your symptoms caused by cold, flu, or allergies?

Cold, flu, and allergies share several HEENT-related symptoms. So you’ll need a healthcare provider to develop a true diagnosis. That said, according to a newsletter from the U.S. National Institutes of Health, each of these conditions has key symptoms that set it apart from others.3

Allergy

(typically due to airborne allergens)

Cold

Flu

Stuffy, runny nose

Common

Common

Sometimes

Sneezing

Usually

Usually

Sometimes

Sore throat

Sometimes

Common

Sometimes

Cough

Sometimes

Common

Common

Headache

Uncommon

Uncommon

Common

Fever

Never

Rare

Usually

Aches/pain

Never

Slight

Usually

Fatigue/weakness

Sometimes

Sometimes

Usually

Exhaustion

Never

Never

Usually

Chest discomfort

Rare 

(except for those with allergic asthma)

Mild to moderate

Common

Symptom duration

Symptoms may persist as long as allergens are present 

Up to two weeks

One to two weeks

Allergy

(typically due to airborne allergens)

Stuffy, runny nose

Common

Sneezing

Usually

Sore throat

Sometimes

Cough

Sometimes

Headache

Uncommon

Fever

Never

Aches/pain

Never

Fatigue

Sometimes

Exhaustion

Never

Chest discomfort

Rare 

(except for those with allergic asthma)

Symptom duration

Symptoms may persist as long as allergens are present 

Cold

Flu

Stuffy, runny nose

Common

Sometimes

Sneezing

Usually

Sometimes

Sore throat

Common

Sometimes

Cough

Common

Common

Headache

Uncommon

Common

Fever

Rare

Usually

Aches/pain

Slight

Usually

Fatigue

Sometimes

Usually

Exhaustion

Never

Usually

Chest discomfort

Mild to moderate

Common

Symptom duration

Up to two weeks

One to two weeks

Additionally, Health Partners, a nonprofit healthcare provider, offers these symptom-related generalizations.4

• Allergies in and of themselves never cause fevers, and they rarely cause chills. Plus, allergy symptoms, which can last for weeks or longer, typically follow a pattern closely related to allergen exposure.
• A cold is often associated with a wet, hacking cough that produces mucus or phlegm that gets progressively thicker and may have a green or yellow tinge.
• Allergies cause more HEENT itching than colds or flu. If you have an itchy throat, ears, nose, and/or eyes, you’re likely experiencing allergy symptoms.

How can you diagnose HEENT symptoms?

The first step in treating your symptoms is often to first understand their cause. After all, while cold, flu, and allergy symptoms may be similar, colds and flu are caused by viruses, and allergy symptoms are triggered by exposure to allergens, such as pollen, mold, pet dander, dust mites, cockroaches, and more.

However, a simple blood test along with your symptom history and physical exam may help your healthcare provider differentiate between allergy symptoms and those of colds and flu. And almost any healthcare provider can order one.

To prepare for a healthcare visit, you can complete our symptom tracker, which will generate a comprehensive symptom profile you can then review with your healthcare provider to decide if a specific IgE blood test is right for you.

Track Your Symptoms

How are HEENT symptoms treated?

Once you understand the cause of your HEENT-related symptoms, your healthcare provider may suggest the following.  

Cold Treatments Options

Your healthcare provider may suggest that you: 3

• Get ample rest and drink plenty of fluids.
• Consider over-the-counter (OTC) medications for symptom relief.

Flu Treatments Options

Your healthcare provider may suggest that you: 3

• Get ample rest and drink plenty of fluids.
• Consider OTC medications for symptom relief.
• Take pain relievers such as aspirin, acetaminophen/paracetamol, and ibuprofen, which are commonly used to reduce fever and/or aches.
• Employ antiviral medications.

Allergy Treatment Options

Your healthcare provider may suggest that you: 5

• Identify specific allergens to which you’re sensitized via methods such as blood testing for allergies and take steps to limit exposure to them.
• Take antihistamines, which are commonly used to reduce symptoms such as sneezing, itching, and runny nose.
• Consider nasal corticosteroids, which are employed to reduce swelling in the nose and block allergic reactions.
• Relieve stuffiness with decongestants.
• Consider allergen immunotherapy, as directed by your healthcare provider, which may help you develop tolerance to some types of allergen exposures.

 

Where can you learn more?

For additional insights about food, indoor, and seasonal allergens, peruse our Allergen Fact Sheets covering allergens such as mold, pet dander, cockroaches, dust mites, pollen, alpha-Gal, insect venom, and more).

You’ll find info about where each allergen is most likely found as well as common symptoms, exposure-reduction tactics, symptom-relief info, and potential cross-reactivities and risks for severe events such as anaphylaxis.

To stay up to date on myriad allergy-related topics, follow us on Facebook and Instagram. 

Your head, eyes, ears, nose, and throat are all interconnected. 

A virus or allergy that is affecting one of them may also impact the others, as they are all part of your upper respiratory system.

Learn more about what’s related to your head, eyes, ears, nose, and throat symptoms: 

Allergic Conjunctivitis (Pink Eye) Symptoms and Causes What is pink eye? And what's the difference between allergic versus nonallergic conjunctivitis? Explore these answers and more. What is allergy cross-reactivity? Did you know that if you have a latex allergy, you might react to some fruits as well? This phenomenon involves a type of cross-reactivity. Learn more. What is an ear infection? Did you know inflammation and congestion from allergies can lead to ear infections? Learn more about ear infection causes and symptoms.

Tools for Understanding Allergies

Track allergy symptoms and prepare for a visit with a healthcare provider.

Track your symptoms

Learn about specific allergens, including common symptoms, management, and relief. 

Allergen Fact Sheets

Are you a healthcare provider? Get comprehensive information on hundreds of whole allergens and allergen components.

Allergen Encyclopedia References

1. Des Moines University Medicine & Health Sciences [Internet]. Des Moines, IA: Des Moines University; accessed May 5, 2022. Available from:  https://www.dmu.edu/wp-content/uploads/HEENT-Exam-Teaching-Docket.pdf
2. ThriveAP Inc. [Internet]. ThriveAP Inc.: Nashville, TN: Thrive AP Inc; 2016 Dec. 20. Available from: https://thriveap.com/blog/411-documenting-heent-exam.
3. National Institutes of Health [Internet]. Bethesda, MD: National Institutes of Health; 2014 October. Available from: https://newsinhealth.nih.gov/2014/10/cold-flu-or-allergy.
4. HealthPartners [Internet]. Bloomington, MN: HealthPartners; Accessed May 5, 2022. Available from: https://www.healthpartners.com/blog/cold-or-allergies.
5. Mayo Clinic [Internet]. Rochester, MN: Mayo Foundation for Medical Education and Research; 2019 May 14. Available from: https://www.mayoclinic.org/diseases-conditions/pet-allergy/diagnosis-treatment/drc-20352198.

Fact Checked

Allergy Insider is committed to providing accurate, evidence-based information to empower allergy patients and support healthcare providers.

Allergy Insider content is:

• Based on objective information from medical literature and peer-reviewed scientific publications (which are referenced within the text and via the References section at the bottom of most pages)
• Fact-checked and reviewed by our medical and scientific affairs team, comprising practicing healthcare providers

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Country/Region Afghanistan Albania Algeria Andorra Angola Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brasil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Chile China | 中国 Colombia Comoros Congo Congo (Democratic Republic of) Costa Rica Cote Dlvoire (Ivory Coast) Croatia (Hrvatska) Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France France Metropolitan French Guyana French Polynesia Gabon Gambia Georgia Germany | Deutschland Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Israel Italy Jamaica Japan | 日本 Jordan Kazakhstan Kenya Korea | 대한민국 Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mayotte Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar México Namibia Nepal Netherlands New Caledonia New Zealand (Aotearoa) Nicaragua Niger Nigeria Norway Oman Pakistan Palestine Panamá Papua New Guinea Paraguay Perú Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russia | Россия Rwanda S. Georgia and S. Sandwich Isls. Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Somalia South Africa Spain Sri Lanka St. Helena Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan | 台灣 Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vatican City State (Holy See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Western Sahara Yemen Zambia Zimbabwe

• Afghanistan
• Albania
• Algeria
• Andorra
• Angola
• Antarctica
• Antigua and Barbuda
• Argentina
• Armenia
• Aruba
• Australia
• Austria
• Azerbaijan
• Bahamas
• Bahrain
• Bangladesh
• Barbados
• Belarus
• Belgium
• Belize
• Benin
• Bermuda
• Bhutan
• Bolivia
• Bosnia and Herzegovina
• Botswana
• Bouvet Island
• Brasil
• Brunei Darussalam
• Bulgaria
• Burkina Faso
• Burundi
• Cambodia
• Cameroon
• Canada
• Canary Islands
• Cape Verde
• Cayman Islands
• Central African Republic
• Chad
• Chile
• China | 中国
• Colombia
• Comoros
• Congo
• Congo (Democratic Republic of)
• Costa Rica
• Cote Dlvoire (Ivory Coast)
• Croatia (Hrvatska)
• Curaçao
• Cyprus
• Czech Republic
• Denmark
• Djibouti
• Dominica
• Dominican Republic
• Ecuador
• Egypt
• El Salvador
• Eritrea
• Estonia
• Ethiopia
• Faroe Islands
• Fiji
• Finland
• France
• France Metropolitan
• French Guyana
• French Polynesia
• Gabon
• Gambia
• Georgia
• Germany | Deutschland
• Ghana
• Gibraltar
• Greece
• Greenland
• Grenada
• Guadeloupe
• Guam
• Guatemala
• Guinea
• Guyana
• Haiti
• Honduras
• Hong Kong
• Hungary
• Iceland
• India
• Indonesia
• Iraq
• Ireland
• Israel
• Italy
• Jamaica
• Japan | 日本
• Jordan
• Kazakhstan
• Kenya
• Korea | 대한민국
• Kuwait
• Kyrgyzstan
• Laos
• Latvia
• Lebanon
• Lesotho
• Liberia
• Libya
• Liechtenstein
• Lithuania
• Luxembourg
• Macau
• Macedonia
• Madagascar
• Malawi
• Malaysia
• Maldives
• Mali
• Malta
• Martinique
• Mauritania
• Mauritius
• Mayotte
• Moldova
• Monaco
• Mongolia
• Montenegro
• Montserrat
• Morocco
• Mozambique
• Myanmar
• México
• Namibia
• Nepal
• Netherlands
• New Caledonia
• New Zealand (Aotearoa)
• Nicaragua
• Niger
• Nigeria
• Norway
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• Palestine
• Panamá
• Papua New Guinea
• Paraguay
• Perú
• Philippines
• Poland
• Portugal
• Puerto Rico
• Qatar
• Reunion
• Romania
• Russia | Россия
• Rwanda
• S. Georgia and S. Sandwich Isls.
• Saint Kitts and Nevis
• Saint Lucia
• Saint Vincent and the Grenadines
• San Marino
• Sao Tome and Principe
• Saudi Arabia
• Senegal
• Serbia
• Seychelles
• Sierra Leone
• Singapore
• Slovak Republic
• Slovenia
• Somalia
• South Africa
• Spain
• Sri Lanka
• St. Helena
• Suriname
• Svalbard and Jan Mayen Islands
• Swaziland
• Sweden
• Switzerland
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Allergies affect us all differently. This questionnaire will summarize your specific allergy symptoms to share with your healthcare provider and learn more about your testing options.

• Create a summary of your allergy symptoms in a downloadable document
• Share the summary with your healthcare provider for a productive conversation about allergy blood testing
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Create a summary of your allergy symptoms in a downloadable document

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Share the summary with your healthcare provider for a productive conversation about allergy blood testing

Share the summary with your healthcare provider for a productive conversation about allergy blood testing

Gain an optimized diagnosis and a personalized treatment plan

Gain an optimized diagnosis and a personalized treatment plan