Springtime in North Texas is upon us, and with it comes the annual surge in pollen levels that can trigger seasonal allergies. However, given our region's unique climate, it might feel like allergy season is perpetual. But fear not! We've compiled a comprehensive guide to help you navigate the pollen-filled days ahead and find relief from your symptoms.

Understanding Spring Allergies in North Texas

North Texas is a hotbed for seasonal allergies, consistently ranking among the top challenging places to live for allergy sufferers. For instance, Dallas is consistently in the top 10 most challenging places to live with seasonal allergies, according to the Asthma and Allergy Foundation of America’s (AAFA) yearly Allergy Capitals report. In 2024, it landed as No. 4.

In North Texas, common allergens include tree pollens (like oak, cedar, and pecan), grasses, and molds. When you inhale these airborne particles, your immune system may overreact, leading to symptoms such as sneezing, nasal congestion, itchy or watery eyes, and throat irritation.

Strategies for Symptom Relief

The American College of Allergy, Asthma & Immunology recommends the following strategies to avoid seasonal allergy triggers.

1. Monitor Pollen Counts: Stay informed about daily pollen levels by checking local weather reports or dedicated allergy websites. On days when counts are high, especially during dry and windy conditions, try to limit your time outdoors.
2. Keep Your Indoor Environment Allergen-Free:
• Close Windows and Doors: Keep your home's and car's windows and doors closed during allergy season to prevent pollen from entering.
• Use Air Conditioning: Utilize air conditioning in your home and car to filter out allergens.
• Clean Regularly: Regularly clean and vacuum your home to reduce dust and pet dander.
3. Personal Hygiene Practices:
• Shower After Outdoor Activities: After spending time outdoors, shower and wash your hair to remove any pollen residue.
• Change Clothes: Change and wash clothes worn outside to prevent bringing allergens into your living spaces.
4. Medication Options:
• Over-the-Counter Remedies: Antihistamines (such as Zyrtec, Allegra, and Claritin) can alleviate sneezing and itching. Nasal corticosteroid sprays (like Flonase or Nasacort) are effective for reducing inflammation and congestion. Starting these medications two weeks before allergy season can be beneficial.
• Decongestants: Decongestant pills can help relieve nasal congestion but should not be used for more than a few days due to potential side effects.

If you go the route of using nasal sprays, there is a bit of a trick to make sure you’re getting the most out of your spray, says Samantha Cooper, D.O., a family medicine physician on the medical staff at Texas Health Dallas and at Texas Health Family Care in Dallas, a Texas Health Physicians Group Practice.

“Most people do not know how to properly administer this spray, which is why most people hate them,” she says. “I’ll vouch for you and say that I also did not know how to properly administer a nasal steroid spray until I worked with one of the best allergists in East Texas during my residency.”

Try these tips to get the most out of your nasal spray (and to clear up those pesky symptoms!):

1. Use the spray during the time of day when your nose is most clear.
2. Blow your nose and make sure it is good and clear.
3. Stick the nozzle into your nostril and aim it straight back.
4. Spray once in each nostril and let the medication sit.

“Do not take a big ol’ sniff with this — you know what I am talking about,” Cooper adds. “When you take a big ol’ sniff, you end up inhaling the medicine and swallowing it. All of the tubes in your face are connected. Your nose to your ears, and your nose to your throat. When you take a big ol’ sniff, you direct the medicine to the back of your throat, and it bypasses your nose. The medicine not only tastes bad if you swallow it, but it also won’t do its job if it gets swallowed.”

Cooper also recommends switching to a different brand if you notice that either your nasal spray or antihistamine doesn’t seem to work as well as it used to but steer clear of “D” formulations (Claritin-D®, Allegra-D®, etc.) if you have a history of high blood pressure, as these can increase your blood pressure.

Advanced Treatment Options

If your symptoms persist despite these measures, consider consulting with your doctor about advanced treatments, such as:

• Allergy Shots (Immunotherapy): Allergy shots are a form of treatment called immunotherapy. They involve regular injections of small amounts of allergens, helping your immune system become less sensitive over time. This can lead to a significant reduction in symptoms and may even prevent the development of new allergies. The treatment typically spans 3 to 5 years.
• Surgical Options: In severe cases where structural issues in the nasal passages contribute to chronic congestion and sinus infections, surgical interventions may be considered. Procedures such as endoscopic sinus surgery can improve drainage and airflow, providing relief from persistent symptoms. Consult with an ear, nose, and throat (ENT) specialist to explore these options.

Consult with a Specialist

If over-the-counter medications aren't providing sufficient relief, it may be time to see an allergist. They can perform tests to identify specific allergens triggering your symptoms and develop a personalized treatment plan, which may include prescription medications or immunotherapy.

By taking these proactive steps, you can manage your spring allergy symptoms effectively and enjoy the beauty of the season in North Texas.

In need of a primary care physician or specialist? The Texas Health “Find a Physician” tool can help narrow down the right physician for you!