Nose Allergy (Hay Fever)

Symptoms

How to Tell Nasal Allergies from the Common Cold

Symptoms happen during pollen season
Had the same symptoms during the same month last year
Hay fever symptoms last 6-8 weeks for each pollen. (Colds last 1-3 weeks).
Both have a runny nose and watery eyes. Can also have a cough with both, but less common with allergies.
Allergies: Itchy eyes and nose. Not seen with colds.
Colds: Fever and sore throat. Not seen with allergies.

Causes

Hay fever is an allergic reaction of the nose and sinuses. It is a reaction to an inhaled substance (called an allergen). Most often, this is a pollen.
Grass, trees, weeds and molds are the most common pollens.
Allergens can also be from cats, dogs, horses, rabbits and other animals.

Overview:

Hay fever is very common. It happens in about 15% of children.
Nose and eye symptoms can be controlled by giving allergy medicines. Use either a short-acting (Benadryl) or long-acting (Zyrtec).
Pollens are in the air every day during pollen season. So, allergy meds must be given daily.
Here is some care advice that should help.

Allergy Medicines Short-Acting:

Allergy medicines are called antihistamines. They are the drug of choice for nasal allergies.
They will help control the symptoms. These include a runny nose, nasal itching and sneezing.
Benadryl is helpful. No prescription is needed. It needs to be given every 6 to 8 hours.
The bedtime dosage is especially important for healing the lining of the nose.
The key to control is to give allergy meds every day during pollen season.

Allergy Medicines Long-Acting:

Cetirizine (Zyrtec) is a long-acting (LA) allergy medicine. Other LA products are Loratadine (Claritin) and Fexofenadine (Allegra). No prescription is needed.
Advantage: Causes less sedation than older allergy meds such as Benadryl. They are long-acting and last up to 24 hours.
AGE limit: all 3 products are approved for age 2 years and older.
Dosage: see package label.
Downside: Doesn't control hay fever symptoms as well as older allergy medicines. Also, sometimes will have breakthrough symptoms before 24 hours. If that happens, you can give a single dose of Benadryl.
Cost: Ask the pharmacist for a store brand. Reason: Costs less than Claritin or Zyrtec brand.

Nasal Saline to Wash Out Pollen:

Use saline (salt water) nose drops or spray. This helps to wash out pollen or to loosen up dried mucus. If you don't have saline, you can use bottled water or a few drops of clean tap water.
STEP 1: Put 3 drops in each nostril.
STEP 2: Blow each nostril out while closing off the other nostril.
STEP 3: Repeat nose drops and blowing until the discharge is clear.
How often: Do nasal saline rinses when the nose is very itchy or blocked.
Saline nose drops or spray can be bought in any drugstore. No prescription is needed.
Saline nose drops can also be made at home. Use 1/2 teaspoon (2 ml) of table salt. Stir the salt into 1 cup (8 ounces or 240 ml) of clean water. You must use bottled or boiled water for this purpose.

Eye Allergies:

For eye symptoms, wash off the face and eyelids. This will remove pollen.
Most often, an allergy medicine given by mouth will help the eye symptoms. Sometimes, eye drops are also needed.
Antihistamine Eye Drops - Ketotifen (1st Choice). Dose: 1 drop every 12 hours.
Examples are Zaditor or Alaway. No prescription is needed.
For best control, use ketotifen eyedrops every day during pollen season.
Antihistamine/Vasoconstrictive Eyedrops (2nd Choice). Dose: 1 drop every 8 hours
Ask your pharmacist to suggest a brand. Some are Naphcon A, Opcon A, or Visine A.
Do not use this type for over 5 days. (Reason: Will cause red eyes from rebound effect).

Wash Pollen Off Body:

What to Expect:

Prevention - How to Reduce the Pollen Your Child Breathes:

Pollen is carried in the air.
Keep windows closed in the home, at least in your child's bedroom.
Keep windows closed in car. Turn the air conditioner on recirculate.
Avoid window fans or attic fans. They pull in pollen.
Try to stay indoors on windy days. Reason: The pollen count is much higher.
Avoid playing with the outdoor dog. Reason: Pollen collects in the fur.
Pollen Count: Get your daily pollen count from www.pollen.com. Just type in your zip code.