HAY FEVER (NOSE ALLERGIES) Main Symptoms Clear nasal discharge with sneezing, sniffing, and nasal itching. Eye allergies (itchy, red, watery and puffy) are commonly associated. Ear and sinus congestion may also be associated. A tickling, scratchy sensation in the back of the throat can be associated. Itchy ear canals, itchy skin, and hoarse voice are also seen. Symptoms occur during pollen season. Similar symptoms during the same month of the previous year. No fever. Cause Hay fever is an allergic reaction of the nose and sinuses to an inhaled substance, usually a pollen. See More Appropriate Topic (instead of this one) If Doesn't look like hay fever, see COLDS. WHEN TO CALL YOUR DOCTOR FOR HAY FEVER (NOSE ALLERGIES) Call Your Doctor Within 24 Hours (between 9am and 4pm) If You think your child needs to be seen. Lots of coughing. Sinus pain (around cheekbone or eyes) and not relieved by antihistamines Call Your Doctor During Weekday Office Hours If You have other questions or concerns. Hay fever symptoms interfere with sleep or school after taking antihistamines for 2 days. Diagnosis of hay fever has never been confirmed by your doctor. Year-round symptoms of nasal allergies. Parent Care at Home If Hay fever and you don't think your child needs to be seen. Back to Top HOME CARE ADVICE FOR HAY FEVER Antihistamines:  Give antihistamines continuously during pollen season (continuously is the key to control). Chlorpheniramine (e.g. chlortrimeton) products are effective and don't need a prescription (any antihistamine you have will do, but some may cause more drowsiness). See dosage chart for chlorpheniramine. The bedtime dosage is especially important for healing the lining of the nose. Long-acting products (less dosages per day) and combination antihistamine-decongestant products (less sedating) may be more helpful. Loratadine: Newer antihistamine that causes less sedation (OTC in 2003). Dosage: 10 mg tablet once daily in morning (orally dissolving tablet also available) Indication: weight > 66 pounds (30 kg) AND drowsiness interferes with school Limitation: doesn't control hay fever as well as older antihistamines. Eye Allergies:  For eye symptoms, wash the pollen off the face and eyelids. Then apply cold compresses.  Antihistamine vasoconstrictor eye drops (no prescription needed) will also help. Wash Off Pollen:  Remove pollen from the nose with nasal washes (using warm tap water) whenever needed.  Instill 2 or 3 nose drops in each nostril followed by blowing the nose.  Repeat until open.  Remove pollen from the hair and skin with hair washing and a shower, especially before bedtime. Expected Course:  Since pollen allergies recur each year, learn to control the symptoms. Call Your Doctor If: Symptoms aren't controlled in 2 days with continuous antihistamines Your child becomes worse or develops 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. Pediatric HouseCalls Online. Copyright © 2000-2005 Barton Schmitt, M.D. FAAP Reviewed 8/2005 Revised 8/2005 See Other Topics: Colds View Index of Topics