Hay fever (patient information)
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What is Hay fever?
Hay fever, or allergic rhinitis, is a collection of symptoms, mostly in the nose and eyes, which occur when you breathe in something you are allergic to, such as dust, dander, or pollen.
What are the symptoms of Hay fever?
Symptoms that occur shortly after you come into contact with the substance you are allergic to may include:
- Itchy nose, mouth, eyes, throat, skin, or any area
- Problems with smell
- Runny nose
- Sneezing
- Tearing eyes
Symptoms that may develop later include:
- Stuffy nose (nasal congestion)
- Coughing
- Clogged ears and decreased sense of smell
- Sore throat
- Dark circles under the eyes
- Puffiness under the eyes
- Fatigue and irritability
- Headache
- Memory problems and slowed thinking
What causes Hay fever?
An allergen is something that triggers an allergy. When a person with allergic rhinitis breathes in an allergen such as pollen or dust, the body releases chemicals, including histamine. This causes allergy symptoms such as itching, swelling, and mucus production.
Hay fever involves an allergic reaction to pollen. (A similar reaction occurs with allergy to mold, animal dander, dust, and similar inhaled allergens.)
The pollens that cause hay fever vary from person to person and from region to region. Large, visible pollens are seldom responsible for hay fever. Tiny, hard to see pollens more often cause hay fever. Examples of plants commonly responsible for hay fever include:
- Trees (deciduous and evergreen)
- Grasses
- Ragweed
The amount of pollen in the air can play a role in whether hay fever symptoms develop. Hot, dry, windy days are more likely to have increased amounts of pollen in the air than cool, damp, rainy days when most pollen is washed to the ground.
Some disorders may be associated with allergies. These include eczema and asthma.
Allergies are common. Your genes and environment may make you more prone to allergies.
Whether or not you are likely to develop allergies is often passed down through families. If both your parents have allergies, you are likely to have allergies. The chance is greater if your mother has allergies.
Who is at risk for Hay fever?
How do I know I have Hay fever?
The health care provider will perform a physical exam and ask you questions about your symptoms. Your history of symptoms is important in diagnosing allergic rhinitis, including whether the symptoms vary according to time of day or the season, exposure to pets or other allergens, and diet changes.
Allergy testing may reveal the specific substances that trigger your symptoms. Skin testing is the most common method of allergy testing. See the article on allergy testing for detailed information.
If your doctor determines you cannot undergo skin testing, special blood tests may help with the diagnosis. These tests can measure the levels of specific allergy-related substances, especially one called immunoglobulin E (IgE).
A complete blood count (CBC), specifically the eosinophil white blood cell count, may also help reveal allergies.
When to seek urgent medical care
Treatment options
Diseases with similar symptoms
Where to find medical care for Hay fever
Directions to Hospitals Treating Hay fever