Hay Fever (Rhinitis) - Cleveland Clinic

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Just about everyone knows what hay fever is - the seasonal itching, sneezing, and runny nose caused by the type of pollen that happens to be in the air at the time. But what most people don’t know is that hay fever is just one manifestation of a more basic condition called allergic rhinitis. Whenever a stuffy nose, dark circles under the eyes, or post-nasal drip persists as a chronic condition, allergic rhinitis could be the cause.

In fact, this condition affects approximately 10% of the U.S. population (roughly 30 million people) and is the most common allergic disorder in the country. No one knows why some people suffer from allergies and others do not. Some evidence suggests that allergies could be a hereditary trait. Other evidence links allergic rhinitis to asthma and eczema. People who suffer from these diseases are more likely to develop allergic rhinitis, too.

What is allergic rhinitis?
Allergic rhinitis is an allergic reaction of the upper respiratory system to a substance called an allergen, which is anything that causes an allergy. These reactions will occur either seasonally or perennially.

Seasonal rhinitis comes and goes with the reproductive cycles of plants and fungi. At certain times of the year specific to their species and geographic region, plants release pollen into the air, and fungi release spores. Those people who are allergic to one or more kinds of these allergens will develop allergic rhinitis.

Trees tend to be the cause of symptoms in the spring. Grasses tend to be the culprits in the summer, and ragweed and other weeds tend to be the problem in the fall. Fungi are suspect over a much longer period because they release their spores from late March until November.

Weather influences the severity of allergy symptoms because it affects the daily pollen count. Pollen counts tend to be at their highest on warm, dry, and breezy mornings and at their lowest on rainy, cool days. Generally, the severity of your allergic reaction will correspond to the rise and fall of the pollen count.

As the name suggests, perennial rhinitis occurs all year round. Its cause is allergens whose production is not tied to any seasonal cycle. Common examples are dust mites, animal dander, and molds. These allergens can aggregate in pillows, down-filled clothing and bedding, draperies, upholstery, thick carpeting, and shower curtains. Symptoms will be steady if you come into contact with the allergen daily, but they can come and go if your contact with it is only intermittent. It also is possible for a sustained reaction to a perennial allergen to mask a seasonal allergy.

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    Last Updated: 5/17/2007

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