Hay fever getting under your nose? Six ways to manage your symptoms

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Hay fever. So many people are suffering with it right now – and will be for the next few months, too. But what are the symptoms of hay fever and how can you treat your seasonal allergy? Read on and start taking control of your hay fever today.

Symptoms of hay fever

Hay fever, also known medically as seasonal allergic rhinitis, can produce symptoms similar to that of a common cold. You might get a runny nose, itchy eyes, nasal congestion and sneezing. All this can make you feel pretty miserable. You could even get something called allergic shiners which are characterised by swollen, blue-coloured skin underneath the eyes. 

Some of the symptoms of hay fever are similar to those of coronavirus, namely loss of smell, headache, blocked nose and generally feeling unwell. However there are differences. Watery itchy eyes are common with hay fever, but not with COVID. It would be sensible to get a COVID test if you develop a persistent cough or a loss or change to your sense of smell or taste.

Causes of hay fever

Although it mimics the symptoms of a cold, hay fever isn't caused by a virus. Hay fever is usually caused by an allergic response to outdoor allergens like pollen:

  • Tree pollen, released during spring
  • Grass pollen, released during the end of spring and beginning of summer
  • Weed pollen, released late autumn

You’re more likely to develop hay fever if you have a family history of allergies, particularly asthma or eczema. Hay fever affects about one in five people but often improves as we get older and disappears in around 10-20% of people.

Hay fever treatment and tips

There’s no cure, but treatment usually helps. Read on for our treatment methods and general tried-and-tested tips to manage hay fever.

  1. Police pollen

    It is pretty much impossible to avoid pollen, particularly in the summer months. If you summer from hay fever, you can check the UK pollen forecast to help keep your symptoms at bay. When the pollen count is high, try to stay indoors as much possible. As a rule, 10am-4pm is peak pollen time, but some days can be worse than others. Rain can help to clear away the pollen from the air, so after take advantage and get outside after a summer downpour!

  2. Anti-histamines

    If you know you're going to be outside during a high pollen day, you can take medication called anti-histamines. They're available in a variety of different forms. Tablets or syrup, for both children and adults, can be bought over the counter. They are good for itching, sneezing and watery eyes, but often less helpful for blocked nose. They can cause drowsiness and, occasionally in children, slight hyperactivity. Eye drops and nasal sprays are also available through your local pharmacist and can work quite effectively.

  3. Protect your airways

    Try taking precautions like dabbing petroleum jelly around your nostrils - even a mask when gardening can help to trap the pollen from entering into your airways. Just make sure you can still breathe!

  4. Steroids

    You can buy steroid nose drops from your pharmacy. They work well for hay fever but they can make your nose dry and occasionally cause nosebleeds. They should be used every day, but for the shortest time possible to alleviate symptoms and just during hay fever season.

    For more serious effects of hay fever, your GP might prescribe steroid tablets which are very effective and would probably only be used for a short time. Used like that, they are very safe.

  5. Shower and change your clothes

    After you've been outside, take a long shower to wash away any pollen residue. Changing your clothes afterwards will make sure you aren't inhaling any more allergens that might've been clinging to the fibres. Also, on the same note - avoid hanging your laundry outside to dry as they can end up harbouring pollen from the air. You might end up sleeping in fresh bedding that's actually covered in allergens.

  6. Immunotherapy

    Immunotherapy refers to regular exposure to small amounts of the substance that you’re allergic to. It can be effective in treating persistent symptoms that don’t respond to usual remedies. It's only available at specialist allergy clinics and can take months or years to work. Your GP can refer you to one of these specialist clinics - if you’re interested in trying immunotherapy, call your GP or book a doctor’s appointment through the Evergreen Life app to discuss your referral.

Complications of hay fever

Inflammation of the sinuses (sinusitis) is a common complication of hay fever. Children can sometimes develop a middle ear infection (otitis media). Hay fever can make your asthma worse. If you have asthma, stock up on your sprays before the pollen season starts.

How the Evergreen Life app can help:

  • Share your GP record with your pharmacist. The pharmacist can see all the other medications you may be taking and any health problems you may have. That means they can avoid any interactions with other medicines and other problems. That makes buying medicines over the counter much safer.
  • Put all the medicines you buy over the counter into your app. You can easily scan in information about your medicines. Go to health record, then medications, then add a new medication, then SCAN.
  • Record in your app all those health problems for which you did not go to your GP. That way, you can keep everyone up to date when you share. With the pharmacist, for instance. Go to records, then personal records, where you can add things like allergies, intolerances, additional medications or conditions not discussed with your GP.
  • Share your app with your GP when you attend. Then the GP can see all the medications you bought and are using as well as any illnesses that you have managed yourself. Again, it makes for safer care.
Written by
Dr Brian Fisher MBBCh MBE MSc FRSA

Meet Dr Brian Fisher MBBCh MBE MSc FRSA, Clinical Director at Evergreen Life, and a Medical Expert with more than 42 years' experience as a GP.

Article updated:
June 14, 2021
Reviewed by:
Dr James Harmsworth King MBBS MPhil PhD
Biotechnology & Medical Expert