Why Do I Keep Catching Colds Despite Treating Allergies? - Internal Medicine

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Frequent colds?


I have a history of allergic rhinitis, but I also frequently catch colds.
For the past couple of months, I have been consistently taking medication to treat my allergic rhinitis.
If I don't stay up late and have no habits like smoking, why do I still catch colds so often?

a, 40~49 year old female. Ask Date: 2021/08/24

Dr. Hong Yuanbin reply Internal Medicine


Hello, if you frequently catch colds, there are two important factors to consider.
First, you often come into contact with patients who have respiratory infections, so it is recommended to wear a mask and wash your hands regularly.
It is also advisable to get the flu vaccine every year.
Second, if your immune system is relatively weak, it is suggested to maintain a regular routine, exercise regularly, reduce stress, and avoid alcohol.
These measures should help improve your condition gradually.
Thank you for your question.

Reply Date: 2021/08/24

More Info


Catching colds frequently, even while treating allergic rhinitis, can be frustrating and confusing. Allergic rhinitis, commonly known as hay fever, is caused by an allergic reaction to airborne substances such as pollen, dust mites, or pet dander. While treating this condition can help alleviate symptoms like sneezing, nasal congestion, and itchy eyes, it does not necessarily provide immunity against viral infections, such as the common cold.

There are several reasons why you might still be susceptible to colds despite managing your allergies effectively:
1. Immune System Function: Allergic rhinitis can sometimes be associated with a compromised immune system. When your body is constantly fighting off allergens, it may not be as prepared to fend off viral infections. Chronic inflammation caused by allergies can also affect your immune response, making you more susceptible to catching colds.

2. Environmental Factors: If you are frequently exposed to allergens, your immune system may be in a constant state of alert. This can lead to a heightened inflammatory response, which may leave you more vulnerable to infections. Additionally, if you are in environments where viruses are prevalent (like crowded places or during flu season), your risk of catching a cold increases.

3. Medication Side Effects: Some medications used to treat allergic rhinitis, such as antihistamines, can have side effects that might affect your immune system. For instance, certain antihistamines can cause dryness in the mucous membranes, which may reduce the natural defenses of your respiratory tract, making it easier for viruses to invade.

4. Lifestyle Factors: Factors such as stress, lack of sleep, poor nutrition, and insufficient physical activity can all weaken your immune system. If you are not taking care of your overall health, you may find yourself catching colds more frequently, regardless of your allergy treatment.

5. Viral Variability: There are many different viruses that can cause colds, and your body may not have immunity to all of them. Even if you have had a cold recently, you can catch a different strain of the virus shortly after recovering.

To address your concerns and reduce the frequency of colds, consider the following strategies:
- Strengthen Your Immune System: Focus on a balanced diet rich in vitamins and minerals, particularly vitamin C, vitamin D, and zinc, which are known to support immune function. Regular exercise, adequate sleep, and stress management techniques such as mindfulness or yoga can also enhance your immune response.

- Review Your Allergy Treatment: Consult with your healthcare provider about your current allergy medications. They may recommend adjustments or additional treatments, such as nasal corticosteroids, which can help reduce inflammation in the nasal passages and improve your overall respiratory health.

- Practice Good Hygiene: Frequent handwashing, avoiding close contact with sick individuals, and using hand sanitizers can help reduce your exposure to cold viruses. Additionally, consider using a humidifier in your home to keep your nasal passages moist, especially during dry seasons.

- Stay Informed: Keep track of your symptoms and any patterns you notice. If you find that your colds are particularly persistent or severe, it may be worth discussing with your healthcare provider to rule out any underlying conditions or to explore further treatment options.

In conclusion, while managing your allergic rhinitis is important, it is equally crucial to focus on overall immune health and preventive measures to reduce the likelihood of catching colds. If your symptoms persist or worsen, seeking further medical advice is always a good step to ensure you receive the appropriate care.

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