Seasonal Allergies in New England: Pollen Overload! 
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Are you dealing with allergy symptoms? You may have itchy, irritated eyes, an itchy or runny nose, or even a sore throat. For those with asthma, spring allergies are a common trigger. In this newsletter, we’ll explore how climate change is making allergy season worse, ways to treat and prevent allergy symptoms, and which medications to avoid. 
Climate Connection: How a Warmer Planet Is Fueling Allergy Season in New England
Climate change contributes to longer, more intense pollen seasons. 
Here's a graphic showing how this happens:
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Climate change also brings more extreme weather events like heavy rain, storms, and flooding. These conditions create a perfect environment for mold growth, which can further aggravate allergies.
Air pollutants in combination with pollen can make this season exceptionally difficult for those who suffer from allergies and asthma.
Treating Allergies: 
Integrative & Preventive Options
Saline Irrigation – This is my go-to first-line recommendation!
  • Use a neti pot or a product like NeilMed sinus rinse
  • Never use tap water to rinse your sinuses, as there is a risk of severe infection Safe options include:
    • Distilled water purchased from your local pharmacy
    • Tap water that has been boiled for at least 5 minutes, then cooled
    • Antimicrobial water filters 
    • You can find more info here 
  • Saline Spray: Nasal irrigation can be challenging for younger children. In this case, saline spray is a great alternative.
  • Use saline spray or irrigation before medicated sprays like Flonase to clear mucus and improve medication absorption.
  • Local honey – Some people find this helpful, though research is still emerging. However, honey is a known remedy for cough
  • Shower before bed on high pollen count days to rinse pollen off your skin and hair
  • If you or your child have moderate to severe allergy or asthma
    • Check in with your doctor or care team to optimize your treatment plan
    • Monitor air quality and pollen counts; stay indoors when levels are high
      • Local news and weather apps often have this information
  • Find more prevention tips here
Over-the-Counter Medication Options
  • Selective antihistamines like loratadine (Claritin) or cetirizine (Zyrtec) are effective and typically non-drowsy
  • Steroid nasal sprays like fluticasone (Flonase) are helpful in reducing inflammation and congestion
  • Alternatives to steroid nasal sprays include Cromolyn or Azelastine
  • Remember to take any allergy medications recommended by your doctor or care team as directed
Treatments to Avoid
Some medications might seem helpful but can actually make things worse,
or carry other risks.
  • Non-selective antihistamines – These medications, like diphenhydramine (Benadryl), affect the central nervous system and may cause drowsiness or even agitation. Older adults can experience cognitive issues with prolonged use. In children, these medications may increase the risk of seizures.
  • Oxymetazoline or other nasal decongestants – These can only be used short-term (3 days or less). While they temporarily reduce congestion by narrowing blood vessels, prolonged use can cause rebound congestion, making symptoms worse. Since allergy season lasts longer than 3 days, these are not a good long-term option.
Ways to Advocate for Clean Air 
The impacts of climate change can be quite overwhelming. Remember Margaret Mead’s famous quote: “Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it is the only thing that ever has.” If you’re wondering how to help, consider joining or supporting organizations like:
 
Wishing you well this season. 
Here's to Fewer Sneezes and More Sunshine, 
 
 
Dr. Sam
Samantha Mekrut, MD FAAFP
Physician and founder of Meristem Family Medicine
This newsletter is intended for informational purposes only and does not constitute individualized medical advice or instruction from Dr. Mekrut. Nothing herein is intended to be used for medical diagnosis or treatment.  The information in this newsletter should not be considered complete, nor should it be relied on to suggest a course of treatment for a particular individual.  Always consult with a qualified healthcare professional regarding any questions or concerns you may have about your health. Do not disregard professional medical advice or delay seeking treatment based on the information presented here. If you are a Meristem Family Medicine patient, please schedule an appointment to discuss any questions regarding your personal health. 
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