By Jennie Gropper Biggs, MD
As printed in Around Town Publishing, April 2006
Springtime has arrived in Atlanta! The warm temperatures and beautiful
scenery tempt us all to head outside. But with the colorful blooms on
the flowers and trees come the dreaded yellow haze that seems to take
over the city this time of year--POLLEN! Even before it becomes visible
to the naked eye, pollen has already begun to irritate the noses and
eyes of the unfortunate sufferers of seasonal allergies.
Most commonly, those affected by seasonal allergies suffer from runny
noses, itchy, watery eyes, and sneezing. While this may be just a mild
inconvenience for some, it can be quite miserable for others. Avoiding
the offending pollens is the best way to prevent symptoms, but this is
very difficult for most of us to do. Staying indoors with windows
closed and keeping the windows up in your car can be helpful, but not
much fun.
When avoidance alone does not do the trick, fortunately there are
several options available to help the allergy sufferer. For many years,
the mainstay of allergy treatment has been the oral antihistamine. This
medicine actually blocks the chemical that causes the symptoms of
allergies and can be helpful in preventing all of the symptoms of
allergies. Antihistamines come in two main types. The older type, like
Benadryl (diphenhydramine), lasts for about 6-8 hours and can make you
sleepy. The newer non-sedating antihistamines, like Claritin
(loratidine), last for 24 hours and should not make you drowsy. Both of
these types of medications are available without a prescription in both
liquid and pill formulations and can be used safely in children over 2
years of age. If these medicines don't do the trick, there are also
prescription long-acting antihistamines, like Zyrtec and Allegra. If
runny, itchy, or stuffy nose is your main symptom, a steroid nose spray
may be the best treatment. These sprays, like Flonase and Nasonex, are
available only with a doctor's prescription. If itchy eyes are your
main complaint, there are several prescription eye drops that can be
used easily and without many side effects. Some people require a
combination of these different types medicines to keep their symptoms
under control. If you think you or your child might be suffering from
allergies, it is always best to talk to your doctor before starting any
medications.
When allergies do not respond to the usual treatments, it is sometimes
necessary to do allergy tests to figure out exactly what substance is
causing the problem. These tests can be done using skin or blood
testing. If these tests are positive, allergy shots, or immunotherapy,
can be useful to decrease your sensitivity to the specific substance
that is causing your symptoms.
Dr. Jennie Gropper Biggs practices general pediatrics with Pediatric Physicians, PC of Roswell and Windward.
If you have a pediatric question of general interest, please submit it to advice@PediatricPhysiciansPC.com.
One of the board certified pediatricians from Pediatric Physicians, PC
will answer a selected question in this column each month.
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