How to Reduce Frequent Colds: Tips for Allergy and Sinus Management - Internal Medicine

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Frequently catch colds?


If you have a predisposition to nasal allergies and are using nasal sprays and drops, how can you reduce the frequency of doctor visits? Should you get a flu vaccine? Should you consult a rheumatologist for dust mite allergies, or an otolaryngologist for a deviated septum and enlarged inferior turbinates? Please provide your advice.

Jiu, 40~49 year old female. Ask Date: 2021/08/26

Dr. Gao Jiankai reply Internal Medicine


Hello, thank you for your message.
If you frequently experience sneezing and a runny nose that significantly affects your daily life, it is advisable to consult an otolaryngologist (ENT specialist).
They have more experience with local treatments for the nose and methods to reduce the frequency of symptoms.
If you have already confirmed a dust mite allergy with a rheumatologist, it may be beneficial to minimize the use of textiles in your home and actively wash and sun-expose fabric items, including stuffed toys.
You might also consider switching to hypoallergenic bedding.
If feasible, preparing a high-efficiency air purifier in your bedroom can help reduce the frequency of allergic reactions.
Lastly, I recommend maintaining a regular routine, avoiding late nights, and incorporating exercise into your schedule.
Regular physical activity and a consistent routine can help regulate immune function and may reduce the occurrence of nasal allergies.
This information is provided for your reference by the Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare.
We care about your well-being.

Reply Date: 2021/08/26

More Info


To effectively manage frequent colds, particularly for individuals with a predisposition to nasal allergies and sinus issues, a multifaceted approach is essential. Here are several strategies that can help reduce the frequency of colds and improve overall nasal health.


1. Consultation with Specialists
Given your history of nasal allergies and structural issues such as a deviated septum and enlarged inferior turbinates, it is crucial to consult with an Ear, Nose, and Throat (ENT) specialist. They can evaluate your nasal anatomy and determine if surgical intervention, such as septoplasty or turbinate reduction, might be beneficial. This could help improve airflow and reduce congestion, potentially decreasing the frequency of sinus infections and colds.


2. Allergy Management
Since you have identified dust mites as an allergen, it is vital to implement measures to minimize exposure. Here are some practical steps:
- Regular Cleaning: Use allergen-proof covers on pillows and mattresses, wash bedding in hot water weekly, and vacuum frequently with a HEPA filter vacuum cleaner.

- Humidity Control: Maintain indoor humidity levels between 30-50% to deter dust mites and mold. A dehumidifier can be helpful in damp areas.

- Air Purifiers: Consider using HEPA air purifiers in your home, especially in your bedroom and living areas, to reduce airborne allergens.


3. Nasal Hygiene
Regular nasal hygiene can significantly help in managing symptoms:
- Saline Nasal Irrigation: Using a saline solution to rinse your nasal passages can help clear allergens and mucus, reducing congestion and the likelihood of infections.

- Nasal Sprays: Continue using prescribed nasal sprays, such as corticosteroids, to reduce inflammation and manage allergy symptoms effectively.


4. Vaccinations
Getting vaccinated against influenza is highly recommended, especially for individuals with a history of respiratory issues. The flu vaccine can help prevent influenza, which can exacerbate sinus problems and lead to additional complications. Additionally, discuss with your healthcare provider about the pneumococcal vaccine, which can protect against certain types of pneumonia that may arise from respiratory infections.


5. Lifestyle Modifications
Adopting a healthy lifestyle can bolster your immune system:
- Nutrition: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support immune function. Foods high in vitamin C, zinc, and antioxidants are particularly beneficial.

- Hydration: Staying well-hydrated helps keep mucus membranes moist, which can reduce the risk of infections.

- Regular Exercise: Engaging in regular physical activity can enhance overall health and improve immune response.


6. Stress Management
Chronic stress can weaken the immune system, making you more susceptible to infections. Incorporating stress-reducing practices such as yoga, meditation, or deep-breathing exercises can be beneficial.


7. Follow-Up Care
Regular follow-ups with your healthcare provider are essential to monitor your condition and adjust treatment plans as necessary. If you notice an increase in symptoms or a change in your health status, do not hesitate to seek medical advice.


Conclusion
By taking a proactive approach that includes consulting with specialists, managing allergies, maintaining nasal hygiene, getting vaccinated, and adopting a healthy lifestyle, you can significantly reduce the frequency of colds and improve your overall quality of life. Remember, it’s essential to work closely with your healthcare providers to tailor a management plan that suits your specific needs and conditions.

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