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Allergies Health Center

Spring Allergies: A Q&A with Our Top Expert

How to handle the runny nose, itchy eyes, and sinus pain of spring allergies
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WebMD Magazine - Feature

It’s spring-time again and all across the country, people with allergies are sniffling, sneezing, and generally suffering from a surfeit of spring allergies. This year, Michael W. Smith, MD, chief medical editor at WebMD, sat down with nationally acclaimed allergist Jordan S. Josephson, MD, to get the latest news on causes, treatments, and home remedies for allergic reactions. Josephson, author of the recently published Sinus Relief Now: The Groundbreaking 5-Step Program for Sinus, Allergy, and Asthma Sufferers, is the director of the New York Nasal and Sinus Center and attending physician at Manhattan Eye, Ear, and Throat Hospital/Lenox Hill Hospital.

Q: Most people think of allergy symptoms as just sneezing and itchy eyes. But what they don’t realize is that the symptoms and health effects can be far worse.

A: Absolutely. What starts as simple itching and sneezing can turn into something much more serious. As your allergies worsen, your nasal passages and sinuses become swollen and congested. This can lead to a sinus infection. The infected mucus draining from your sinuses can drip into your stomach and, if you have gastroesophageal reflux disease (GERD), cause symptoms to act up. And if this mucus drips down the trachea into your lungs, it can irritate your lungs and your airways.

If you have asthma, it can flare up and lead to bronchitis. If the mucus drips over your Eustachian tube, the tube that connects your middle ear to the outside of your head, the tube becomes clogged and you can’t equalize the pressure in your ear. This can lead to ear problems, such as decreased hearing from excess pressure in the ear, ear pain, or even ear infection.

Sleep apnea, caused by a blockage anywhere from the tip of the nose to the back of the throat, is another complication of allergies or sinus problems, leading to sleep deprivation and chronic fatigue. Sleep apnea can cause heart disease if it’s not treated; in fact, it’s the No. 1 cause for heart attack and stroke while sleeping.

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