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Managing hay fever and asthma: tips to survive pollen season

Hay fever season has officially arrived. While we often treat it as just a normal part of spring and summer, it can still make you feel far from your best. For many, hay fever can be disruptive, lasting for months and making daily life more challenging - especially if you have a respiratory condition such as asthma.

St John Ambulance shares simple tips to help manage hay fever symptoms and limit your exposure to pesky pollen.

Need hayfever medication?
Complete a simple online consultation through Patient.info, available 24/7
All consultations are reviewed by UK registered clinicians, powered by Evaro - a UK regulated healthcare service supporting over 2 million patients. Treatments can often be delivered next day.

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What are the symptoms of hay fever?

If you've had hay fever since childhood or developed it later in life, you’ll know it can put a slight damper on your summer, turning the joy of warmer weather into a battle with its - quite literally - irritating symptoms.

According to St John Ambulance, hay fever affects over 10 million people in England and is caused by an allergy to pollen. While many people automatically think of flower pollen, the types that most commonly trigger hay fever are actually from grass, rapeseed, and trees.

Hay fever can start affecting you earlier in the year, but it usually peaks between May and July, with symptoms that vary from person to person.

The typical signs of hay fever are:

  • Runny or congested nose.

  • Itchy nose.

  • Sneezing.

  • Red, itchy, or watery eyes.

  • Scratchy throat.

  • Cough caused by mucus draining from the back of the nose (postnasal drip)

Other possible symptoms may include:

  • Reduced sense of smell.

  • Facial pain or pressure from blocked sinuses.

  • Sweating.

  • Headaches.

How hay fever can affect asthma

If you have asthma, you may also experience symptoms such as wheezing or shortness of breath, which can make the usual signs of hay fever more severe and harder to manage - especially while sleeping, or during work or school. In some cases, people only notice their asthma symptoms during hay fever season. Additionally, having hay fever increases your likelihood of developing asthma.

For those with respiratory conditions such as asthma, St John Ambulance highlights the importance of taking extra care to minimise your exposure to pollen.

The experts at St John Ambulance recognise that avoiding pollen isn’t easy. However, they offer practical guidance to help reduce your exposure. Even small changes can have a noticeable impact on your comfort and overall quality of life.

They suggest these steps to protect your health during pollen season and in the years to come:

  • Wear wraparound sunglasses to prevent pollen from reaching your eyes.

  • Apply a thin layer of Vaseline around your nostrils to help block pollen from entering your nose.

  • Vacuum regularly and damp dust surfaces around your home to reduce pollen indoors.

  • Start taking hay fever medicine a few weeks early to get the full benefits.

  • Monitor the local pollen forecast so you can plan your activities.

  • If you have asthma, make sure you use your inhaler as directed.

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A pharmacist can help you choose the right medicine for your hay fever symptoms, so it’s a good idea to discuss which treatment would work best for you.

However, St John Ambulance advises that if your symptoms worsen despite treatment, you should contact your doctor, as a different approach may be needed.

They stress that if you have asthma and experience chest tightness or a persistent cough, you should seek medical advice immediately.

The charity warns that even a mild allergy - including hay fever - can sometimes pose a serious health hazard. One extreme example is anaphylaxis, a severe reaction in which the immune system responds abnormally to a trigger. This reaction can occur within seconds.

In these situations, acting quickly is vital, as any delay in treatment can be life-threatening.

Common triggers of anaphylaxis include:

Symptoms of a serious allergic reaction may include:

  • Trouble breathing, wheezing, or noisy breathing.

  • Persistent coughing.

  • Swelling of the tongue and throat, or puffiness around the eyes.

  • Confusion, restlessness, or agitation.

  • Signs of shock - such as collapse or loss of consciousness.

What to do if someone has a severe allergic reaction

To be prepared if someone experiences a severe allergic reaction, St John Ambulance offers the following emergency guidance:

  1. The person may carry an auto-injector - a pre-filled device containing adrenaline that can help reduce the body’s allergic response. If they have one, assist them in using it or administer it yourself immediately, following the instructions.

  2. Call 999 or 112 and inform the ambulance service that you suspect anaphylaxis.

  3. Help the person get into a comfortable position. Monitor their breathing and level of responsiveness. If they are struggling to breathe, sit them upright - otherwise, have them lie down with their legs raised.

  4. If symptoms do not improve or return, additional doses of adrenaline can be administered at five-minute intervals.

For more detailed first aid advice, visit the St John Ambulance website.

Need hayfever medication?
Complete a simple online consultation through Patient.info, available 24/7
All consultations are reviewed by UK registered clinicians, powered by Evaro - a UK regulated healthcare service supporting over 2 million patients. Treatments can often be delivered next day.

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The information on this page is peer reviewed by qualified clinicians.

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