Expert Advice on Managing Seasonal Allergies

As spring approaches, many individuals find themselves contending with seasonal allergies, primarily triggered by rising pollen levels. Dr. Zachary Rubin, a pediatrician and allergy specialist from the Chicago area, emphasizes that there are effective strategies to alleviate discomfort caused by these allergies.

Dr. Rubin notes that managing seasonal allergies is not solely reliant on medication; lifestyle adjustments play a crucial role. For instance, those allergic to tree pollen should consider limiting outdoor activities during peak pollen times, typically in the morning when counts are highest, especially on dry and windy days. This can significantly reduce exposure to allergens.

To further minimize indoor pollen levels, it is advisable to keep windows and doors closed. Additionally, individuals should be mindful of how pollen can cling to clothing, shoes, and skin. Dr. Rubin suggests changing clothes promptly after being outdoors, storing shoes in a designated area, and taking evening baths to cleanse the skin of any pollen.

Moreover, nasal hygiene can also help alleviate symptoms. Dr. Rubin recommends regular nasal irrigation, using devices like a neti pot or rinsing bottle. He emphasizes the importance of maintaining nasal cleanliness to remove irritants and allergens effectively.

Despite these preventive measures, some individuals may still experience allergy symptoms and might need to resort to medications. Antihistamines, such as those found in Benadryl, can help by blocking histamine, a substance released by the immune system during allergic reactions. However, Dr. Rubin points out that while antihistamines are effective for treating itching, runny noses, and sneezing, they may not address nasal congestion or headaches caused by broader inflammation.

For those seeking alternatives, second-generation antihistamines like Claritin, Zyrtec, Xyzal, and Allegra provide longer-lasting relief with fewer side effects compared to older options like Benadryl. Another viable treatment includes nasal sprays containing steroids or antihistamines, such as Flonase, Nasonex, or Nasacort. These sprays help reduce inflammation in the nasal passages but should be started several days in advance of anticipated symptoms to be most effective.

Nasal antihistamines like Astepro offer a quicker response but come with the downside of a bitter taste, which Dr. Rubin acknowledges. He recommends that many patients benefit from using a combination of nasal sprays and antihistamines for optimal relief.