Hello, Dr. Hu!
Dr.
Hu: My brother (14 years old) has a history of nasal allergies, and his symptoms have started to flare up as summer transitions into fall.
It seems quite severe; he can't stand the itching in his nose and is sneezing uncontrollably (with a runny nose), going through tissues rapidly.
He also has a persistent cough.
I believe his symptoms are due to allergies rather than a cold.
I live in Ruifang and was considering taking him to Keelung Hospital for a consultation, but he finishes school around 4 to 5 PM.
Your consultation hours are in the morning, so I'm not sure what to do.
I've heard that you have a good track record in treating allergy symptoms!
Xiao Wei, 20~29 year old female. Ask Date: 2009/10/28
Dr. Hu Kexin reply Otolaryngology
Hello: Dr.
Hu usually sees patients in the morning and often in the afternoon, but it typically does not go beyond 5 PM.
You can try to make an appointment and then call the clinic on the same day to ask the nurse what time would be best to come in.
Reply Date: 2009/10/28
More Info
Managing allergies in teenagers can be a challenging task, especially when symptoms become severe and disruptive to their daily lives. As an ENT specialist, I can provide some insights and tips to help manage your brother's allergy symptoms effectively.
Firstly, it’s essential to identify the specific allergens that trigger your brother's symptoms. Common allergens include pollen, dust mites, pet dander, mold, and certain foods. Since you mentioned that his symptoms worsen as summer transitions into fall, it’s likely that he may be reacting to seasonal allergens, such as ragweed pollen or mold spores. A visit to an allergist for skin testing or blood tests can help pinpoint these triggers.
Once the allergens are identified, the next step is to minimize exposure. Here are some practical tips:
1. Keep Windows Closed: During high pollen seasons, keep windows closed to prevent outdoor allergens from entering the home. Use air conditioning if available, and ensure that the filters are clean.
2. Regular Cleaning: Dust and vacuum your home regularly to reduce dust mites and pet dander. Use a vacuum cleaner with a HEPA filter, and consider using allergen-proof covers on pillows and mattresses.
3. Shower After Outdoor Activities: Encourage your brother to shower and change clothes after spending time outdoors. This helps remove pollen and other allergens that may cling to his skin and clothing.
4. Monitor Pollen Counts: Stay informed about local pollen counts through weather apps or websites. On days when pollen levels are high, limit outdoor activities, especially in the early morning when pollen counts are typically at their peak.
5. Use Saline Nasal Rinses: Saline nasal sprays or rinses can help clear allergens from the nasal passages and alleviate symptoms like nasal congestion and itching.
6. Medications: Over-the-counter antihistamines, decongestants, and nasal corticosteroids can be effective in managing allergy symptoms. However, it’s important to consult with a healthcare provider before starting any medication, especially for a teenager. They can recommend the most appropriate options based on your brother's specific symptoms and medical history.
7. Consider Allergy Shots: If your brother's allergies are severe and not well-controlled with medications, allergy shots (immunotherapy) may be a viable option. This treatment involves gradually exposing the patient to increasing amounts of the allergen, which can help build tolerance over time.
8. Consult with a Specialist: Since you mentioned the difficulty in scheduling an appointment due to school hours, consider looking for clinics that offer evening or weekend appointments. Many ENT specialists and allergists understand the scheduling challenges faced by students and may offer flexible hours.
In addition to these management strategies, it’s also important to educate your brother about his allergies. Understanding his condition can empower him to take proactive steps in managing his symptoms and seeking help when necessary.
Lastly, encourage him to maintain a healthy lifestyle, including a balanced diet, regular exercise, and adequate sleep. These factors can significantly impact overall health and may help in managing allergy symptoms more effectively.
In summary, managing allergies in teens requires a combination of identifying triggers, minimizing exposure, using appropriate medications, and possibly seeking specialized treatment. With the right approach, your brother can find relief from his symptoms and improve his quality of life. If symptoms persist or worsen, do not hesitate to seek professional medical advice.
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