Winter Allergies: Why Your Symptoms Aren't a Cold - Otolaryngology

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During winter, nasal congestion and a runny nose are common symptoms?


Hello Doctor, I have been experiencing a runny nose every year around this time, from high school until now, especially in November and December.
The nasal discharge is always clear, and my nose often itches, followed by frequent sneezing.
I do not have any phlegm in my throat, nor do I cough, and I do not experience any other discomfort; the only symptoms are nasal congestion, runny nose, and sneezing.
My family insists that these symptoms are caused by a cold, but despite visiting several Western medicine doctors over the years, there has been no improvement.
Some doctors have suggested that it might be allergies, but my family still insists that I have a cold, and they force me to take cold medicine for two to three months until spring arrives and the weather warms up, at which point they say I have recovered from the cold.
This cycle repeats every year.
I would like to ask the doctor how I can address these symptoms or help my family understand that this is an allergy and not a cold.
Thank you.

Xiao Zhang, 20~29 year old female. Ask Date: 2016/12/11

Dr. Zheng Jueyi reply Otolaryngology


Hello: Based on your symptoms, it appears to be allergic rhinitis.
If necessary, you can go to the hospital for a blood test to check for allergens, which should help confirm that it is an allergic reaction rather than a cold.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/12/11

More Info


Understanding winter allergies can be quite challenging, especially when symptoms resemble those of a common cold. Based on your description, it seems that you experience a consistent pattern of symptoms during the colder months, including clear nasal discharge, nasal itching, and frequent sneezing, without the presence of cough or other systemic symptoms. This is indicative of allergic rhinitis rather than a viral infection like the common cold.

Allergic rhinitis, often referred to as hay fever, is triggered by allergens such as pollen, dust mites, mold, and pet dander. In your case, the onset of symptoms in November and December suggests that you may be reacting to specific winter allergens. For instance, during the colder months, indoor allergens like dust mites and mold can become more prevalent as people spend more time indoors and heating systems circulate dust. Additionally, if you have pets, dander can also contribute to your symptoms.

The key difference between allergic rhinitis and a cold is the nature of the symptoms. Colds are caused by viral infections and typically include a combination of symptoms such as fever, body aches, and fatigue, which you do not report experiencing. Allergic reactions, on the other hand, are characterized by clear nasal discharge, itching, and sneezing, which aligns with your symptoms.

To address your situation, it is essential to educate your family about the nature of allergies. You might consider sharing information from reputable sources, such as the American Academy of Allergy, Asthma & Immunology (AAAAI) or the American College of Allergy, Asthma & Immunology (ACAAI), which provide clear distinctions between allergies and colds. Emphasizing that allergies can be managed effectively with appropriate treatment may help them understand your condition better.

In terms of management, here are some strategies you can consider:
1. Avoidance of Triggers: Identify and minimize exposure to allergens. For example, keep your living space clean and dust-free, use air purifiers, and wash bedding regularly in hot water to reduce dust mites.

2. Over-the-Counter Antihistamines: Medications such as loratadine (Claritin) or cetirizine (Zyrtec) can help alleviate symptoms. These are non-drowsy options that can be taken daily during allergy season.

3. Nasal Corticosteroids: Sprays like fluticasone (Flonase) or mometasone (Nasonex) can reduce inflammation in the nasal passages and are effective for managing allergic rhinitis.

4. Consult an Allergist: If your symptoms persist despite over-the-counter treatments, consider seeing an allergist for further evaluation. They may perform skin or blood tests to identify specific allergens and recommend a tailored treatment plan, which may include allergy shots (immunotherapy).

5. Education and Communication: Continue to communicate openly with your family about your symptoms and the importance of recognizing them as allergies. Encourage them to accompany you to a healthcare appointment, where a professional can explain your condition and the rationale behind your treatment.

In conclusion, understanding and managing winter allergies requires a proactive approach. By educating yourself and your family about the nature of your symptoms and the appropriate treatments, you can take control of your health and improve your quality of life during the winter months.

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