Allergies occur when your immune system reacts to a foreign substance — such as pollen, bee venom or pet dander — or a food that doesn’t cause a reaction in most people.
Spring means flower buds and blooming trees — and if you’re one of the millions of people who have seasonal allergies, it also means sneezing, congestion, a runny nose and other bothersome symptoms. Seasonal allergies — also called hay fever and allergic rhinitis — can make you miserable.
SYMPTOMS
Allergy symptoms, which depend on the substance involved, can affect your airways, sinuses and nasal passages, skin, and digestive system. Allergic reactions can range from mild to severe. In some severe cases, allergies can trigger a life-threatening reaction known as anaphylaxis.
HAY FEVER, ALSO CALLED ALLERGIC RHINITIS, CAN CAUSE:
- Sneezing
- Itching of the nose, eyes or roof of the mouth
- Runny, stuffy nose
- Watery, red or swollen eyes (conjunctivitis
RISK FACTORS
You might be more likely to develop an allergy if you:
- Have a family history of asthma or allergies, such as hay fever, hives or eczema
- Are a child
- Have asthma or another allergic condition
DIAGNOSIS
To evaluate whether you have an allergy, your doctor will likely:
- Ask detailed questions about signs and symptoms
- Perform a physical exam
- Have you keep a detailed diary of symptoms and possible triggers
- Skin test: A doctor or nurse will prick your skin and expose you to small amounts of the proteins found in potential allergens. If you’re allergic, you’ll likely develop a raised bump (hive) at the test location on your skin.
- Blood test: Specific IgE (sIgE) blood testing, commonly called radioallergosorbent test (RAST) or ImmunoCAP testing, measures the amount of allergy-causing antibodies in your bloodstream, known as immunoglobulin E (IgE) antibodies. A blood sample is sent to a medical laboratory, where it can be tested for evidence of sensitivity to possible allergens.
REDUCE YOUR EXPOSURE TO ALLERGY TRIGGERS
To reduce your exposure to the things that trigger your allergy signs and symptoms (allergens):
- Stay indoors on dry, windy days. The best time to go outside is after a good rain, which helps clear pollen from the air.
- Delegate lawn mowing, weed pulling and other gardening chores that stir up allergens.
- Remove clothes you’ve worn outside and shower to rinse pollen from your skin and hair.
- Don’t hang laundry outside — pollen can stick to sheets and towels.
- Wear a pollen mask if you do outside chores.
TAKE EXTRA STEPS WHEN POLLEN COUNTS ARE HIGH
Seasonal allergy signs and symptoms can flare up when there’s a lot of pollen in the air. These steps can help you reduce your exposure:
- Check your local TV or radio station, your local newspaper, or the Internet for pollen forecasts and current pollen levels.
- If high pollen counts are forecasted, start taking allergy medications before your symptoms start.
- Close doors and windows at night or any other time when pollen counts are high.
- Avoid outdoor activity in the early morning when pollen counts are highest.
KEEP INDOOR AIR CLEAN
There’s no miracle product that can eliminate all allergens from the air in your home, but these suggestions may help:
- Use the air conditioning in your house and car.
- If you have forced air heating or air conditioning in your house, use high-efficiency filters and follow regular maintenance schedules.
- Keep indoor air dry with a dehumidifier.
- Use a portable high-efficiency particulate air (HEPA) filter in your bedroom.
- Clean floors often with a vacuum cleaner that has a HEPA filter.
TRY AN OVER-THE-COUNTER REMEDY
Several types of nonprescription medications can help ease allergy symptoms. They include:
- Oral antihistamines: These can help relieve sneezing, itching, a runny nose and watery eyes. Examples of oral antihistamines include loratadine (Claritin, Alavert), cetirizine (Zyrtec Allergy) and fexofenadine (Allegra Allergy).
- Decongestants: Oral decongestants such as pseudoephedrine (Sudafed, Afrinol, others) can provide temporary relief from nasal stuffiness. Decongestants also come in nasal sprays, such as oxymetazoline (Afrin) and phenylephrine (Neo-Synephrine). Only use nasal decongestants for a few days in a row. Longer-term use of decongestant nasal sprays can actually worsen symptoms (rebound congestion).
- Nasal spray: Cromolyn sodium nasal spray can ease allergy symptoms and doesn’t have serious side effects, though it’s most effective when you begin using it before your symptoms.
IMMUNOTHERAPY
Allergy shots are some times necessary if allergy symptoms are worse.
SLIT: Sub Lingual Immunotherapy with Grastek or oral air as per your Allergist advice.
See your health care provider before use of any medication.





