As winter comes to an end, we look toward the warmth of spring, the budding of flowers, and the greening of grasses and trees. Unfortunately for some, the season also signals the onset of seasonal allergies. Also called “hay fever,” the condition brings about itchy and watery eyes, nasal congestion, sore throat, malaise, and rash. Joseph Feldman, MD, FACEP, an emergency physician, and Medical Director for Mount Sinai Urgent Care, explains what you can do to manage your allergy symptoms and when you should consult a physician.
What should I do to combat seasonal allergies?
Seasonal allergies can be caused by pollen from flowers, grasses, weeds, and even mold spores. The first-line treatment is to avoid pollen where and whenever possible. This is best accomplished by keeping the windows closed in your home and car and using the air conditioner. It is important to frequently clean the filters of the air-conditioning unit to wash away the offending pollen.
It is also helpful to exercise indoors and to shower when entering your home, to wash away the pollen that may be on your body and clothes from being outdoors. Using nasal rinses, like the neti pot, may also help to eliminate the irritants and counteract the symptoms they cause. Drinking lots of fluids and remaining well hydrated will also improve symptoms.
What medications can I take to lesson my symptoms?
The three main types of medications used to treat allergies are antihistamines, decongestants, and steroids. These medications are available over the counter in the form of pills, nasal sprays, eye drops, and ointments.
It can be difficult to choose which medication is right for you. Remember, the correct medication depends on your symptoms, not a brand.
- Look for products containing a nondrowsy antihistamine if you suffer from sneezing or a runny nose.
- Use a combination of an antihistamine and a decongestant if your sinuses are stuffed up. NOTE: Hypertensive patients should not use decongestants as it can raise blood pressure.
- A steroid nasal spray can be used on its own or in conjunction with an antihistamine nasal spray to quickly clear the nasal passages. Be sure to do a saline rinse prior to using a nasal spray in order to wash away pollen and ensure better penetration of the medication.
- Itchy, watery eyes can be treated by trying artificial tears to wash away the offending pollen or antihistamine eye drops can be prescribed.
Pregnant women and small children should always consult a physician before using any medication.
When should I consult a physician about my allergies?
Seasonal allergies can occur at any time in life and can wax and wane in occurrence and severity. If your over-the-counter allergy medication is no longer working you can see your Primary Care Provider or visit one of our conveniently located Urgent Care Centers. If necessary, you can be referred to an allergist.
Symptomatic treatment in combination with prescribed medications can successfully treat most situations. An allergist can conduct skin testing to see what specific substances you are allergic to. If so, arrangements can be made for you to receive allergy injections that can help desensitize you to the offending allergens. However, this takes time and does not afford immediate relief of symptoms.
You can start taking preventative measures and your medications as soon as you start being symptomatic.
At Mount Sinai Urgent Care, we want your experience to be fast, easy, and as stress-free as possible. You can walk in without an appointment during our convenient daytime, evening, and weekend hours. Our physicians will prescribe medication and, if needed, obtain an allergist referral. We accept all insurance, many without a co-pay.
