Wednesday, April 28, 2004

Stop the sneezing before it starts

Are you seeing yellow these days? Pollen on your car, on the sidewalks and in the streets is a sure sign that spring is here. And if you’re one of those people who begins to sneeze at the first sign of warm weather, you’re not alone. It’s estimated that more than 35 million Americans suffer from allergic rhinitis, or hay fever.

One of the most important aspects of successful treatment of seasonal allergy symptoms is to know what you're allergic to, when the pollen is expected to start and to begin your usual treatment before symptoms begin.

Pollens from trees, grasses and other plants are the most common allergy-causing culprits. Surprisingly, the yellow pine pollen commonly seen is actually not a strong allergen and most symptoms come from other trees and grasses. In Georgia, those with allergies to pollen can expect their problems to begin in early spring and last through November as trees, grasses and finally weeds begin their cycles of pollen production.

The first step in allergy treatment is to recognize if you have allergies. Did you know that allergies can develop at any age? What you might think is just a cold could turn out to be allergies. Look for symptoms such as: sneezing, watery eyes or other cold symptoms that last more than 10 days without a fever; repeated ear and sinus infections; loss of smell or taste; and frequent throat clearing, hoarseness or coughing.

If you think you may be suffering from allergies, don't make the mistake of self-medicating with the latest over-the-counter remedy, which may or may not be the right medication for your needs. Instead, consult your doctor. If your doctor thinks that specific diagnostic testing is needed, an appointment can be made with an allergist-immunologist. He or she will ask questions about your medical history and can conduct tests to find out exactly which pollens or other substances are causing your allergic reaction. Your allergist-immunologist can also help you find the right combination of prescription or over-the-counter medications (such as a nose spray, antihistamine or decongestant) to help reduce allergy symptoms. For those with frequent symptoms, immunotherapy treatment may be recommended. These are essentially allergy vaccinations and over time can reduce your symptoms and need for other medications.

The best way to prevent allergies is to limit exposure, if possible. Allergies happen because the body has an immune system response to a foreign substance that is usually harmless. Thus if you avoid the substance, you prevent the allergic reaction. To help prevent exposure to pollen, try the following:

• Schedule outdoor activities for late afternoon or after a heavy rainfall when pollen levels are lower.

• Keep windows closed and use air conditioners instead of window fans.

• Choose plants for your yard that don’t aggravate allergies.

• Don’t mow lawns or rake leaves, which can stir up pollen.

• Don’t hang clothes or sheets outdoors to dry.

• Be aware that pollen can be transported indoors on people and pets.

— Dr. William Dolen, allergist

MCG Health System