Hay Fever Symptom Definition Nasal allergies, allergic rhinitis or hay fever Clear nasal discharge with sneezing, sniffing, and nasal itching Eye allergies (itchy, red and watery) are commonly associated No fever This is also called seasonal allergic rhinitis General Information Allergic rhinitis is an allergic reaction of the nose and sinuses to an inhaled substance (e.g. pollen, mold, or dust). Many patients correctly self-diagnose this condition. Confirmation of this diagnosis by a physician is helpful, and becomes essential if symptoms are more than mild. Many patients with allergic rhinitis also have symptoms of allergic conjunctivitis (watery itchy eyes). Did you know that there are two types of allergic rhinitis? Seasonal allergic rhinitis - Hay fever is the non-medical term people use to describe seasonal allergic rhinitis due to pollens. Patients who suffer from hay fever note that their symptoms are worse during certain seasons of the year. Such individuals usually have an allergy to pollen, grasses, or trees. Depending on the specific allergy, the symptoms may be worse in the spring, summer or fall. A few unfortunate individuals may experience allergic symptoms in all three seasons. Hay fever is not specifically an allergy to hay nor do sufferers have a fever. Perennial allergic rhinitis - Patients with this type of allergic rhinitis may report nasal symptoms all year long. Alternatively they may complain of sporadic symptoms throughout the year, not confined to any particular season. Such individuals often have an allergy to dust mites, mold, mildew, feathers, or animal dander. CAUTION - There are other illnesses that have nasal symptoms similar to hay fever: Viral rhinitis - Also known as the common cold. Runny or stuffy nose is the main symptom. The nasal discharge may be clear, cloudy, yellow or green. The patient usually has other symptoms of a cold: fever, muscle aches, sore throat and headache. Bacterial and viral sinusitis - Yellow or green nasal secretions suggest the possibility of bacterial sinus infection (sinusitis) if they occur in combination with [1] sinus pain OR [2] the return of a fever after it has been gone for over 24 hours OR [3] secretions lasting longer than 10 days without improvement. Rhinitis medicamentosa - Prolonged continuous use (longer than 5 days) of over-the-counter decongestant nose drops can lead to "rebound" congestion where the nose becomes even stuffier. Occupational exposure - Airborne irritants in the workplace can cause nasal problems. See More Appropriate Topic (instead of this one) If COLDS COUGH SORE THROAT SINUS PAIN AND CONGESTION WHEN TO CALL YOUR DOCTOR FOR HAY FEVER Call Your Doctor Now (night or day) If You feel weak or very sick Call Your Doctor Within 24 Hours (between 9am and 4pm) If You think you need to be seen Lots of coughing Lots of yellow or green discharge from nose, present more than 3 days Call Your Doctor During Weekday Office Hours If You have other questions or concerns Your “Hay Fever” has never been diagnosed by a physician Moderate-severe nasal allergy symptoms (i.e., symptoms interfere with sleep, school, or work) and you have been taking antihistamine medications for more than 2 days Nasal discharge lasting more than 10 days Nasal allergies occur year-round Snoring most nights of the month Self Care at Home If Your nasal allergies occur only certain times of year, and you have been diagnosed by your physician, and you don't think you need to be seen Back to Top HOME 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 Blocked Nose - Use Nasal Washes: Use warm water or saline nose drops to loosen up the dried mucus, followed by blowing each nostril separately (pinch one nostril shut while blowing your nose then repeat while pinching the other nostril). Instill 2-3 drops of warm water or saline in each nostril. Blow your nose again and repeat nose drops and blowing until discharge is clear. Repeat this process at least four times a day or whenever you can't breathe through the nose. Saline nose drops - add ½ tsp of table salt to 1 cup (8 oz) of warm water. Other option: take a warm shower. Oral Antihistamines: Antihistamines help reduce sneezing, itching and runny nose. Take antihistamines continuously during pollen season (continuously is the key to control). Take loratadine 10 mg (e.g. OTC Claritin, Alavert) once each day. Some antihistamines cause more drowsiness than others. Loratidine is a newer (second generation) antihistamine and it causes less sleepiness than diphenhydramine (Benadryl) or Chlorpheniramine (Chlortrimeton). Antihistamines may cause sleepiness. Do not drink, drive or operate dangerous machinery while taking antihistamines. Read the package instructions thoroughly on all medications that you take. Decongestant Nose Drops: If you think you need a medicine for stuffy nose, try a nasal decongestant. Use only if the sinus is still blocked after nasal washes. Decongestant nose drops (e.g., phenylephrine/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. Do not take this medication if you have high blood pressure, heart disease or prostate enlargement. Do not use this medication for more than 3 days (Reason: rebound nasal congestion). Read and follow the package instructions carefully. 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 aren't controlled in 2 days with continuous antihistamines You become worse or develop any of the “Call Your Doctor” symptoms. Back to Top Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information. Adult HouseCalls Online. Copyright © 2001-2005 David Thompson, M.D. FACEP Reviewed 6/8/2005 Revised 6/8/2005 View Index of Topics