Stop sneezing before it starts
By Dr. William Dolen, Allergist MCG Health System

Are you seeing yellow these days? Pollen on your car, on the sidewalks and in the streets is a sure sign that spring is here. And if you're one of those people who starts sneezing at the first sign of warm weather, you're not alone. It's estimated that more than 35 million Americans suffer from allergic rhinitis, or hay fever.

One of the most important aspects of successful treatment of seasonal allergy symptoms is to know what you're allergic to, when the pollen is expected to start and to begin your usual treatment before symptoms begin.

Pollens from trees, grasses and other plants are the most common allergy-causing culprits. Surprisingly, the yellow pine pollen commonly seen in massive amounts at this time of the year is actually (and fortunately) not a strong allergen. Most symptoms come from other trees and grasses. In Georgia, those with allergies to pollen can expect their problems to begin as early as February and last through November as trees, grasses and finally weeds go through their cycles of pollen production.

The first step in allergy treatment is to recognize your symptoms. Allergies can develop at any age. What you might think is just a long-lasting cold might turn out to be allergies. Look for symptoms such as: sneezing, watery eyes or other cold symptoms that last more than 10 days without a fever. Allergic rhinitis can also play a role in asthma, repeated ear and sinus infections, loss of smell or taste, frequent throat clearing, hoarseness or coughing.

If you think you may have allergy symptoms, be careful about selfmedicating with the latest over-thecounter remedy, which may or may not be the right medication for your needs. Instead, consult your doctor. If your doctor thinks that specific diagnostic testing is needed, an appointment can be made with an allergist immunologist. He or she will ask questions about your medical history and can conduct tests to find out exactly which pollens or other substances are causing your allergic reaction. Your allergist-immunologist can also help you find the right combination of prescription or over-thecounter medications (such as a nose spray, antihistamine or decongestant) to help reduce allergy symptoms. For those with frequent symptoms, immunotherapy treatment may be recommended. These "allergy vaccinations" can reduce your symptoms and need for other medications over time.

The best way to prevent allergy symptoms is to limit exposure, if possible. Allergies happen because the body has an immune system response to a foreign substance that is usually harmless. Thus if you can avoid the substance, you prevent the allergic reaction. However, some substances like pollen really can't be totally avoided. To help reduce exposure to pollen, try the following:

.. Schedule outdoor activities for late afternoon or after a heavy rainfall when pollen levels are lower

.. Keep windows closed and use air conditioners instead of window fans.

.. Don't mow lawns or rake leaves, which can stir up pollen.

.. Don't hang clothes or sheets outdoors to dry.

.. Be aware that pollen can be transported indoors on people and pets.

MCG Health System is composed of three organizations - MCG Health Inc. and the clinical services offered by the faculty of the Medical College of Georgia and the members of the MCG Physicians Practice Group. MCG Health, Inc. is a not-for-profit corporation operating the MCG Medical Center, MCG Children's Medical Center, the MCG Sports Medicine Center, MCG Ambulatory Care Center, the Georgia Radiation Therapy Center and related clinical facilities and services. MCG Health, Inc. was formed to support the research and education mission of the Medical College of Georgia, and to build the economic growth of the CSRA, the state of Georgia and the Southeast by providing an environment for delivering the highest level of primary and specialty health care.