Allergy season is about to get worse. Here’s how to prepare.

If you act quickly, there are a few practical steps you can take to manage symptoms, reduce allergens in your home and get long-term relief. (Photo: NYTimes)
Springtime comes with an uptick in stuffy noses and scratchy throats, and for many it has nothing to do with COVID-19. There are 19.2 million adults and 5.2 million children in the United States who suffer from seasonal allergies, also called hay fever, according to the Centers for Disease Control and Prevention.اضافة اعلان

Some of the symptoms of allergies, like congestion, coughing and a runny nose, overlap with warning signs of COVID-19, but if your nose turns into a leaky faucet every spring, then allergies are the likely culprit.

Unfortunately, that’s where the good news ends. Several studies show that pollen seasons are getting longer and more intense across the country. Climate change and rising carbon dioxide emissions are expected to boost the growth of trees and grasses in many areas, which will mean higher pollen concentrations.

“For people who have been managing seasonal allergies for a long time, they may have already noticed allergy symptoms starting earlier, lasting longer and being more intense than even a few years ago,” said Kenneth Mendez, the president and chief executive of the Asthma and Allergy Foundation of America.

In the Southeast, pollen counts start rising as early as January for some trees, including cedar and juniper. Elm, maple and oak trees have pollen seasons that can run from March to May. And in the northern United States, several types of grasses also start releasing pollen in late spring or early summer, according to the AAFA. (Though flowers are often blamed, they don’t usually trigger seasonal allergies because their pollen is large and sticky, designed to attract insects rather than float through the air.)

You cannot avoid pollen entirely, but there are ways to prevent or reduce symptoms. And you may just have to take these steps a little earlier every year, Mendez said.

Find Medication That Works for You

Several over-the-counter and prescription medications can help with allergy symptoms. Many doctors recommend nasal steroid sprays like Nasonex (with a prescription) or Flonase as the first line of treatment, said Dr. Sandra Hong, an allergist at the Cleveland Clinic.

But they may take a few days or weeks to provide relief from stuffiness and sneezing, so it is best to begin using them early in the season, before your symptoms become severe. Antihistamines — whether sprays like Astelin; pills like Allegra, Claritin or Zyrtec; or eye drops like Optivar — are other alternatives to take when needed, because they have a more immediate effect, she said.

Decongestants like Afrin or Sinex can also come to the rescue in a pinch. But Hong recommended these drugs last because they can have a rebound effect. After a few days of using decongestants, the blood vessels in your nose become less responsive to the medication and you may feel severe congestion again. So limit these medicines to no more than three days in a row.

Give Your Sinuses a Bath

For a medication-free option, consider nasal irrigation. The practice traces back thousands of years to the Ayurvedic medical traditions of India and its effectiveness is backed by research. To try it yourself, use a neti pot, bulb syringe or squeeze bottle and pour a saline solution in one nostril, letting it drain out the other.

“It seems like a simple concept, but it helps flush out mucus, pollen and other allergens in your nasal cavity,” said Dr. Laura Chong, an allergist at the Oklahoma Allergy & Asthma Clinic in Oklahoma City.

The result is that you feel less congested and you may need less allergy medication, Chong said.

Plan Time Outdoors Wisely

Many popular weather apps and websites provide “allergy forecasts” or pollen counts. On the National Allergy Bureau website there is a list of more than 80 stations throughout the United States that provide more detailed daily pollen updates based on different species of plants. You can select the station closest to you and receive notifications for the particular pollen allergy you have.

Reduce Pollen at Home

Avoid bringing pollen back inside after you have been outdoors. Take your shoes off and change your clothes when you get home. Shower before going to bed to remove pollen from your body. And don’t have your furry pets sleep with you, Hong said. “Even if you’re not allergic to your pets, there is pollen on their coats.”

In order to sleep better, you can try zipping up your mattress and pillows in hypoallergenic encasements, washing bedding in hot soapy water once a week and using a dryer instead of a clothesline.

Hong also recommended cleaning and replacing your air-conditioner filter with one that has a Minimum Efficiency Reporting Value (MERV) of 11 or higher. These filters are capable of capturing tiny pollen particles. If you have severe allergies, you may even want to splurge for a professional-style HEPA (high-efficiency particulate air) filter in your bedroom. HEPA filters typically have a MERV rating of 17 or higher and remove 99% of pollen, as well as animal dander, dust and other particles.

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