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Spring Is In The Air (Part II)

Under Family Category: Family Health

Continued From Spring Is In The Air

They can also cause utter misery in those whose sinuses have a tendency to block and become inflamed or infected, in the condition called sinusitis. If your sinuses are already partially blocked, when your body starts producing lots of extra mucus, your sinus drainage tubes can’t cope with the flow.
“They can get completely blocked and then it is like water in a stagnant pond. It gets green and revolting and can cause pain and headaches,” Dr Mullins says.
People with clogged sinuses may also find they have a constant drip down the back of the throat, a feeling of pressure in their face, a cough and a bad taste in the mouth.
Although there is no cure for these kinds of conditions, there are a number of treatments available that can lessen the symptoms for many people.

Dr Janet Rimmer, respiratory physician and allergist at St Vincent’s Clinic in Sydney, says patients will often start off with an over-thecounter antihistamine medication, which can be very effective. This works by blocking the effect of histamines and so reduces symptoms. They can be taken as a spray or tablets.
She suggests it’s better to use the newer non-sedating antihistamines, which have fewer side effects than the older sedating ones. The downside is that the newer drugs cost more.

There are also nose sprays called nasal corticosteroid sprays, which act as preventers. They don’t work immediately, but need to be taken for a few days. They reduce swelling in your nose and so can improve hay fever or sinus problems.
Nose sprays can be bought over-the-counter, or you can get stronger ones from your doctor if necessary. These can be used for both short periods or for longer lengths of time. “If you have bad problems every spring, start on the corticosteroid nose spray in August and continue to use it, maybe, through to January or February,” Dr Rimmer advises.
“People are always very worried about steroid sprays. They put their hands up and say: `I don’t like taking medicine’.”
But the sprays contain low doses of corticosteroids like those used in treating asthma, not the kinds of steroids used to build up muscle.

Dr Rimmer also points out that because it is a spray, very little is absorbed into other parts of the body.
“Having said that, a drug is a drug, and it is important to minimise the dose and look at additional treatment if possible.”

Another treatment is a decongestant spray used for unblocking the nose. Dr Rimmer warns that this should be used with caution and for only short periods as overuse can result in a rebound effect. The sprays initially constrict the vessels but then dilate in rebound, causing a blocked nose.

Decongestants taken as tablets, such as pseudoephedrine, should also only be used for short periods of time as they have side effects, including insomnia.
Saline sprays can be used three or four times a day and are useful to thin mucus and help sinuses to drain.
If you’ve had repeated bouts of sinusitis, your doctor may refer you to have a CT scan of your sinuses. This may show if you would benefit from surgery to help your sinuses drain.

For those who can’t get relief from their allergies, immunotherapy is an option to consider. But it does take a long time. This involves regular injections of the substance the person is allergic to, to reduce their sensitivity. It works, but can take two to three years of regular injections to complete.

A key step in overcoming allergies is to identify what triggers the problems and then try to avoid them. This can be done through special allergy tests.
In those with seasonal allergic rhinitis, a common trigger is rye-grass, and for those with perennial rhinitis, dust mites.
Failing all of the above, when you feel the first tickle, head indoors, close all the windows, crank up the air-conditioning, and wait for the pollens to pass.

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