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Guide for
Seasonal Allergy Treatment Online
By Medical Editor:
Dr. Francesco-Maria Serino, MD, PhD
October, 2024
Summary
Allergic rhinitis, or hay fever, is a condition caused by allergens like pollen, dust mites, pet hair, mold, and cockroach particles. It leads to symptoms such as sneezing, runny nose, stuffiness, itchy eyes, and tiredness. These symptoms can occur seasonally or all year, depending on exposure to allergens.
To diagnose allergic rhinitis, doctors look at a person’s medical history, do a physical exam, and may use allergy tests like skin or blood tests to identify specific triggers. Treatment often includes avoiding allergens and taking medicines like antihistamines, nasal sprays, and decongestants. For long-term relief, some people benefit from allergy shots, which help the body become less sensitive to allergens. Keeping indoor spaces clean and using air purifiers can also reduce symptoms. Online consultations can be a helpful way to get advice on managing allergy symptoms and treatment.
What is Allergic Rhinitis?
Allergic rhinitis, commonly known as hay fever or nasal allergy, is an inflammation of the nasal passages that occurs when the immune system overreacts to airborne allergens. It can manifest as seasonal allergic rhinitis, triggered by pollen and outdoor allergens, or as perennial allergic rhinitis, which is often caused by indoor allergens such as dust mites, pet dander, or mold.
This condition affects the quality of life for many individuals, causing symptoms that can range from mild discomfort to significant daily disruption.
Allergy Symptoms
People with allergic rhinitis often experience various uncomfortable symptoms, including:
- Sneezing – Repeated bouts of sneezing, particularly after waking or exposure to allergens.
- Runny Nose – A persistent runny nose is common, especially in response to allergens like pollen, dust mites, and pet dander.
- Congestion – Nasal congestion or a blocked nose can make breathing difficult, especially at night.
- Itchy Nose and Eyes – Irritation and itching in the nose and eyes are classic signs of allergic rhinitis.
- Postnasal Drip – Mucus may drip down the throat, causing discomfort and sometimes a cough.
- Watery, Itchy Eyes – Eyes may become red, watery, and itchy due to the body’s reaction to allergens.
- Cough – Often a result of postnasal drip or irritation from congestion.
- Fatigue – Constant allergy symptoms can lead to tiredness and even headaches due to nasal pressure and sinus issues.
These symptoms, often exacerbated by environmental factors, can interfere with daily activities and sleep, reducing overall productivity and quality of life.
Did you know that...
Climate change is causing longer and more intense pollen seasons, which may worsen allergic rhinitis symptoms for many individuals. Warmer temperatures and increased CO₂ levels can lead to greater pollen production, particularly from trees and grasses.
Allergy Treatment
Treating allergic rhinitis involves multiple approaches, focusing on reducing symptoms and preventing allergic reactions. The main strategies include:
Avoidance of Allergens
Limiting exposure to common allergens, such as dust mites, mold, pet dander, and pollen, is a primary step. For individuals with seasonal allergic rhinitis, staying indoors on high pollen days and using air purifiers can help reduce symptoms.
Common allergy medications

Fluticasone
nasal steroids

Cetirizine
oral antihistamine
Medication Options
- Antihistamines – These medications, often available over the counter, help reduce symptoms like sneezing, runny nose, and itchy eyes.
- Decongestants – Used for short-term relief of nasal congestion, but should be used sparingly to avoid rebound congestion.
- Nasal Corticosteroids – Highly effective in reducing inflammation, these sprays can relieve congestion, runny nose, and sneezing.
- Cromolyn Sodium – A nasal spray that helps prevent allergic reactions, best used before symptoms start.
- Leukotriene Modifiers – Medications that help prevent allergic inflammation, especially useful for those with both asthma and allergies.
- Allergy Shots (Immunotherapy) – A long-term solution that can reduce sensitivity to allergens over time, particularly effective for people with severe allergies.
- Antihistamine Eye Drops – Provides relief for itchy, watery eyes associated with allergic rhinitis.
- Saline Nasal Irrigation – Rinsing the nasal passages with saline solution helps clear allergens and ease nasal symptoms.
Preventative Measures
Prevention strategies focus on managing allergen exposure and reducing the frequency of allergy symptoms. Key preventive steps include:
- Identify and Avoid Triggers – Knowing specific allergens like pollen or dust mites and minimizing exposure helps prevent reactions.
- Maintain a Clean Environment – Regular cleaning, dusting, and washing bedding in hot water reduce indoor allergens.
- Use Air Purifiers – HEPA air purifiers help filter out airborne allergens, providing a cleaner breathing environment.
- Shower After Outdoor Activities – Showering can help remove pollen and other allergens from the skin and hair.
- Consider Immunotherapy – For those with persistent allergies, immunotherapy can reduce symptoms over time.
Implementing these treatments and preventive actions can help people with allergic rhinitis manage their symptoms effectively and maintain a higher quality of life.
References
Blaiss, M. S., & Casale, T. B. (2023). Management of allergic rhinitis: Pharmacologic therapy. Journal of Allergy and Clinical Immunology, 151(5), 1045–1053.
Corren, J., & Feldweg, A. M. (2024). Sublingual and subcutaneous immunotherapy for allergic rhinitis: Efficacy and indications. Allergy, Asthma & Immunology Research, 16(3), 231–240.
Kemp, S. F., & Deshazo, R. D. (2024). Pediatric considerations in allergic rhinitis treatment. Pediatric Allergy and Immunology, 34(2), 178–185.
De Shazo, R. D., & Corren, J. (2023). Glucocorticoid nasal sprays in the treatment of chronic allergic rhinitis. American Journal of Rhinology & Allergy, 37(4), 344–356.
Feldweg, A. M., & Blaiss, M. S. (2023). Environmental factors and allergen avoidance in allergic rhinitis. Environmental Health Perspectives, 131(8), 905–912.

How does it work?
99% of our users solve their issue within 1 hour. No waiting, no language barriers, no insurance needed.
Answer a few questions
Just answer a few questions about your seasonal allergy symptoms and choose a convenient time for your online session. It’s simple and hassle-free, with no need to sign up.
Select and connect
Doctors respond in minutes. Select your preferred one and start your virtual consultation right from your web browser.
7-day free follow-up chat
Reach out to your doctor with any questions you might have, at no extra cost for 7 days following your consultation.

How does it work?
99% of our users solve their issue within 1 hour. No waiting, no language barriers, no insurance needed.
Answer a few questions
Just answer a few questions about your seasonal allergy symptoms and choose a convenient time for your online session. It’s simple and hassle-free, with no need to sign up.
Select and connect
Doctors respond in minutes. Select your preferred one and start your virtual consultation right from your web browser.
7-day free follow-up chat
Reach out to your doctor with any questions you might have, at no extra cost for 7 days following your consultation.
Your questions answered
What causes allergic rhinitis?
Allergic rhinitis is triggered when the immune system overreacts to airborne allergens such as pollen, dust mites, pet dander, mold, or cockroach allergens. This immune response releases histamines, which cause inflammation in the nasal passages and lead to symptoms like sneezing, runny nose, and congestion. A family history of allergies, asthma, or eczema can increase the risk of developing allergic rhinitis.
What are the common symptoms of allergic rhinitis?
Common symptoms of allergic rhinitis include sneezing, runny nose, nasal congestion, and itchy nose. Many individuals also experience itchy, watery eyes, cough, postnasal drip, headache, and fatigue. These symptoms may occur seasonally or year-round, depending on the types of allergens involved.
How do I know if I have allergic rhinitis?
Diagnosis typically begins with a medical history review and a physical examination. Allergy testing, such as a skin prick test or blood test, can identify specific allergens responsible for symptoms. Identifying these allergens helps determine the best management approach for allergic rhinitis.
What are effective treatments for managing allergic rhinitis?
Effective treatments include avoiding known allergens, using medications like antihistamines, nasal corticosteroids, and decongestants, and considering immunotherapy (allergy shots) for long-term relief. Other options include antihistamine eye drops, cromolyn sodium nasal spray, and saline nasal irrigation, which helps clear nasal passages.
How does Doctorsa work?
Open the intake form and choose one of the following options:
- Urgent Care: For immediate treatment of your allergy symptoms via virtual care.
- Set Up an Appointment: To schedule a same-day or future appointment.
- Prescription Refill: Use this option if you have lost or forgotten your medication.
Next, select how you would like to receive appointment offers from doctors.
We recommend using WhatsApp as it is faster and more reliable. You will quickly receive various visit options. Choose the one that suits you best and proceed to online payment.
Video visits are browser-based, so no apps are needed. Simply click the link you receive to start your video visit in your browser.
After the consultation, expect to receive an invoice and an e-prescription via email. You can show or print the e-prescription to purchase medication at the pharmacy of your choice.
How do I get a prescription from an online doctor?
Following the consultation, the doctor will either email the e-prescription to you or send it via WhatsApp. You can then either print it out or show it directly to the pharmacist when purchasing the medication.
It’s important to understand that doctors must responsibly evaluate each case individually. They can’t simply prescribe medication solely based on a patient’s request or a recommendation from another doctor without confirming that it’s suitable for the patient’s specific condition.
How much does it cost?
The total cost may differ based on the providers. Each one competes for your request, offering a fair price tailored to your needs. On average, an online doctor visit costs 25 Euros. Prices for in-person appointments, specialists, and lab work vary by city. You can send a request to learn more—there’s no commitment to book, and you can select your provider.
Please note that the visit fee doesn’t cover medication expenses, but common antibiotics are quite affordable in Europe. The cost of antibiotic treatment typically ranges from 5 to 15 euros approximately.
Are doctors available on weekends?
Yes, whenever you submit your request it is instantly received by the doctors active at that time. Whether it’s late at night, on a Sunday morning, or on New Year’s Eve, there’s always someone on the other side who’s ready to see you. When you receive an option for an appointment, there’s a person behind it (a doctor) who’s read your request and is willing to assist you.
Can I contact the doctor for follow-up questions after the consultation?
You can message your physician with follow-up questions at no additional cost for up to 7 days after the video visit.