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How can seasonal allergies, sneezing and a blocked nose be managed?

Quick answer

Reducing pollen exposure and choosing suitable treatment, such as an antihistamine or a nasal corticosteroid, can control seasonal allergy symptoms. The choice depends on symptoms, age, pregnancy and other conditions. Improvement does not mean the allergy is permanently cured.

Details

Identify likely triggers

Notice whether sneezing and itchy eyes follow pollen seasons or outdoor exposure. Changing clothes and showering after exposure, and closing windows when pollen is high, may help. Year-round symptoms can involve other triggers that need assessment.

Use treatments correctly

Some antihistamines cause drowsiness, which matters for driving. Nasal corticosteroids need regular use and appropriate technique and may not work immediately. Avoid prolonged use of decongestant sprays without advice. For nasal rinsing, use sterile, distilled or previously boiled and cooled water and clean the device; do not use untreated tap water.

If control remains poor

A clinician can review the diagnosis and technique and discuss allergen immunotherapy for selected patients. Wheeze or breathlessness also warrants assessment for asthma. Severe breathing difficulty needs urgent help rather than simply increasing an allergy medicine or waiting for the pollen season to end.

Related reading: How do I know if I have asthma?.

Note: This answer is for educational purposes and does not replace a consultation with a specialist who examines your case in person. Do not use it for self-diagnosis.

References

  1. Hay fever — NHS
  2. Hay fever and rhinitis — American Academy of Allergy, Asthma and Immunology
  3. Safe nasal rinsing — U.S. Food and Drug Administration