Your Pollen Survival Guide

Pollen and allergies don't mix.

Medically Reviewed by Brunilda Nazario, MD on February 25, 2009
5 min read

Springtime brings not just deliciously longer days, warmer weather, balmy breezes and blooming flowers. For people with allergies, it means the return of pollen. Pollen and allergies don't mix.

There's not much you can do to avoid pollen altogether -- after all, it's produced by grasses, trees, flowers and weeds -- but you can minimize the misery. Here's your springtime pollen survival guide.

Be realistic. "Complete avoidance of pollen is impractical," says Daniel Waggoner, MD, an allergist in Mystic, Conn., tells his patients. "In Connecticut, spring brings tree pollens. Late spring and summer brings grass pollens. Late summer and fall brings weed pollen."

"That in general holds true across the country," he says. However, if you travel south, some types of pollen may linger year round, with the warmer temperatures.

But there's a lot you can do to minimize the fallout from pollen -- from simple measures you can take around the house to seeing an allergist for treatment.

Pollen is the invisible annoyance. The average pollen particle is smaller than the width of an average human hair, according to the American Academy of Allergy Asthma & Immunology.

But once pollen reaches your nose and throat, it can trigger an allergic reaction if you are the sensitive type. And about 35 million Americans are sensitive to pollen, according to National Institutes of Health estimates.

It's easy enough to check the pollen count in your locale through the National Allergy Bureau, a section of the American Academy of Allergy Asthma and Immunology, which maintains an online site for pollen counts.

Pollen counts calculate a given pollen in a specific amount of air during a particular period, such as 24 hours, according to the Asthma and Allergy Foundation of America.

Ask your allergist exactly what you are allergic to, and when that pollen peaks, so you can be ready to take action before the pollen triggers bad allergic reactions, says Russell B. Leftwich, MD, an allergist in Nashville, Tenn.

When pollen counts are high, shut the windows and use the air conditioner, suggests Leftwich.

"The biggest problem pollen-sensitive patients have are the times when the pollen is heaviest and outside temperatures are the nicest," he says. "People are tempted to sleep with the windows open."

Big mistake, he tells them. "Normally with the windows shut and the air conditioner on there is very little pollen in your house."

It's best to avoid the outdoors during high pollen counts, but that's not always practical.

"Most plants pollinate from 5 a.m. to 9 a.m., says Miguel P. Wolbert, MD, an allergist in Evansville, Ind. Wolbert is certified in pollen counting for the National Allergy Bureau. "If you are outside then, going for a jog, you pick up the pollen on your hair, face, and clothes," he says.

Windy days can be worse than calm days. "Windy days stir the pollen around," he says.

If a dog is jogging with you, they are a pollen-carrier, too, Wolbert says. "Often people blame the dog for an allergy, and it might be the pollen on the pet."

When possible, avoid early morning outings with the dog on high pollen days, especially if it's windy.

"When people do have to be outside at a high pollen time, wearing a mask is a good filter," says Leftwich. He suggests getting a painter's mask at your local hardware store or home improvement center.

"If you have bad pollen allergies and you are the one who has to do the yard work, wearing a mask is a good idea," he says. They don't look fashionable, he admits, but reminds his patients: "It's not a social occasion."

When you're outside, minimize your exposure to pollutants and other allergens as well, suggests Wolbert. If you go jogging later in the day when pollen tends to die down, pick a residential street instead of a thoroughfare to avoid car exhaust.

Also, adds Leftwich: "Take your allergy medicines before you go outside. People wait until they are miserable and then take it. For some reason they think [an allergy attack] is not going to happen this time."

As soon as you arrive home -- even if you've just been in the backyard -- change your clothes and take a shower to rid your body of as much pollen as possible, Leftwich says.

Don't forget your hair, especially if it is long, Leftwich says. "Just rinsing your hair would do."

A variety of over-the-counter and prescription medications can help your allergy symptoms such as runny nose, itchy eyes, congestion, and coughing.

Get an evaluation from an allergist to help find the best allergy remedy for you, Wolbert says. The doctor may recommend an antihistamine, other allergy pills, inhaled allergy treatments, or even allergy shots.

Beware of overusing decongestant nasal sprays. Using decongestant sprays for more than three days in a row, he says, can lead to a "rebound" effect. Your allergy symptoms may become worse than before you started the medicine.

If your pollen allergies are bad, talk to your doctor about preventive treatment with antihistamines or inhaled steroids. Start taking the treatment before pollen season starts.

You might also consider allergy shots (allergy immunotherapy) if you suffer severe allergies. The doctor injects a small amount of the allergen that affects you, building up your immunity over time. Typically, the injection is given once a week or once a month. "It usually takes three to five years of allergy shots," Wolbert says, to build up immunity to the allergen.

"Most people get good results, if they stick with the recommended number of injections," he says.

If pollen still drags you down after taking all the six steps above, consider taking an allergy vacation.

When pollen season is in full swing, take a trip to an area less affected by pollen, such as the beach or the seashore nearest to your hometown. Relax! You deserve it.