Hay Fever - Nasal Allergies
Hay Fever - Nasal Allergies
Does this describe your symptoms? |
Definition
General Information
Did you know that there are two types of allergic rhinitis?
CAUTION - There are other illnesses that have nasal symptoms similar to hay fever:
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If not, see these topics |
When to Call Your Doctor |
Call Your Doctor Now (night or day) If |
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Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If |
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Call Your Doctor During Weekday Office Hours If |
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Self Care at Home If |
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HOME CARE ADVICE |
General Care Advice for Hay Fever
Wash off Pollen Daily: Remove pollen from the body with hair washing and a shower, especially before bedtime.
Avoiding Pollen:
Stay indoors on windy days
Keep windows closed in home, at least in bedroom; use air conditioner
Use a high efficiency house air filter (HEPA or electrostatic)
Keep windows closed in car, turn AC on recirculate
Avoid playing with outdoor dog
For a Stuffy Nose - Use Nasal Washes:
Introduction: Saline (salt water) nasal irrigation is an effective and simple home remedy for treating cold symptoms and other conditions involving the nasal and sinus passages. Nasal irrigation consists of pouring, spraying, or squirting salt water into the nose and then letting it run back out.
How it Helps: The salt water rinses out excess mucus, washes out any irritants (dust, allergens) that might be present, and moisturizes the nasal cavity.
Methods: There are several ways to perform nasal irrigation. You can use a saline nasal spray bottle (available over-the-counter), a rubber ear syringe, a medical syringe without the needle, or a Neti Pot.
Step-By-Step Instructions:
Step 1: Lean over a sink.
Step 2: Gently squirt or spray warm salt water into one of your nostrils.
Step 3: Some of the water may run into the back of your throat. Spit this out. If you swallow the salt water it will not hurt you.
Step 4: Blow your nose to clean out the water and mucus.
Step 5: Repeat steps 1-4 for the other nostril. You can do this a couple times a day if it seems to help you.
How to Make Saline (Salt Water) Nasal Wash: Add 1/2 tsp of table salt to 1 cup (8 oz; 240 ml) of warm water.
Antihistamine Medications for Hayfever:
Antihistamines help reduce sneezing, itching and runny nose.
You may need to take antihistamines continuously during pollen season (Reason: continuously is the key to control).
Loratadine is a newer (second generation) antihistamine. The dosage of loratadine (e.g., OTC Claritin, Alavert) is 10 mg once a day.
Cetirizine is a newer (second generation) antihistamine. The dosage of cetirizine (e.g., OTC Zyrtec) is 10 mg once a day.
CAUTION: Antihistamines may cause sleepiness. Do not drink, drive or operate dangerous machinery while taking antihistamines.
Loratadine and cetirizine cause less sleepiness than diphenhydramine (Benadryl) or Chlorpheniramine (Chlortrimeton, Chlor-tripolon).
Read the package instructions thoroughly on all medications that you take.
Nasal Decongestant Nose Drops for Stuffy Nose:
Antihistamines do not help nasal congestion (stuffiness), but decongestant nose drops do. Decongestants shrink the swollen nasal mucosa and allow for easier breathing.
Phenylephrine nose drops (e.g., Neo-Synephrine) are available over-the-counter. Clean out the nose before using. Spray each nostril once, wait one minute for absorption, and then spray a second time.
CAUTION: Do not take this medication if you have high blood pressure, heart disease or prostate enlargement. Do not take these medications if you are pregnant. Do not take these medications if you have used a MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) in the past 2 weeks. Life-threatening side effects can occur.
Do not use these medications for more than 3 days (Reason: rebound nasal congestion).
Read the package instructions thoroughly on all medications that you use.
For Eye Allergies: For eye symptoms, wash pollen off the face and eyelids. Then apply cold wet compresses. Oral antihistamines will usually bring all eye symptoms under control.
Call Your Doctor If:
Symptoms are not controlled in 2 days with continuous antihistamines
You become worse
Neti Pot for Sinus Symptoms
Neti Pot
The Neti Pot is a small ceramic or plastic pot with a narrow spout. It looks like a small tea pot. Two manufacturers of the Neti Pot are the Himalayan Institute in Pennsylvania and SinuCleanse in Wisconsin.
How it Helps: The neti pot performs nasal washing (also called nasal irrigation or "jala neti"). The salt water rinses out excess mucus, washes out any irritants (dust, allergens) that might be present, and moisturizes the nasal cavity.
Indications: The neti pot is widely used as a home remedy to relieve conditions such as colds, sinus infections, and hay fever (nasal allergies).
Adverse reactions: None. Though, not everyone likes the sensation of pouring water into their nose.
YouTube Instructional Video: There are instructional videos on how to use a neti pot both on manufacturers websites and also on YouTube.http://www.youtube.com/watch?v=j8sDIbRAXlg
Neti Pot STEP-BY-STEP Instructions:
Step 1: Follow the directions on the salt package to make warm salt walter.
Step 2: Lean forward and turn your head to one side over the sink. Keep your forehead slightly higher than your chin.
Step 3: Gently insert the spout of the neti pot into the higher nostril. Put it far enough so that it forms a comfortable seal.
Step 4: Raise the Neti Pot gradually so the salt water flows in through your higher nostril and out of the lower nostril. Breathe through your mouth.
Step 5: When the Neti Pot is empty, blow your nose to clean out the water and mucus.
Step 6: Some of the water may run into the back of your throat. Spit this out. If you swallow the salt water it will not hurt you.
Step 7: Refill the Neti Pot and repeat on the other side. Again, exhale vigorously to clear the nasal passages.
How to Make Saline (Salt Water) Nasal Wash:
You can make your own saline nasal wash.
Add 1/2 tsp of table salt to 1 cup (8 oz; 240 ml) of warm water.
And remember, contact your doctor if you develop any of the "Call Your Doctor" symptoms.
Updated:  
March 22, 2017