Sinus & Allergy


Millions of Americans suffer from allergies, commonly known as hay fever.  It is estimated that 1 in 4 people have allergies.  Many ear, nose and throat complaints are due to allergies.  An ear, nose, and throat specialist can help determine if you have underlying allergies and help develop a management plan that will help make life more enjoyable.

What is an allergy?

Allergy is a condition in which the immune system of the affected person reacts to something that is eaten, touched, or inhaled.  The patient’s immune system reacts as if it were an “enemy invader” (like a virus).  This reaction leads to symptoms that often adversely affect the patient’s work, play, rest, and overall quality of life.  Any substance that triggers an allergic reaction is called an allergen.

What are common allergens?

Many common substances can be allergens. Pollens, mold, dust, feathers, animal dander, foods and medications commonly cause allergic reactions.


Seasonal allergens include grasses, trees, and weeds. Early springtime allergies are most often caused by pollens to trees such as elm, maple, birch, poplar, beech, ash, oak, walnut, sycamore, cypress, hickory, pecan, cottonwood, and alder. Flowering plants rarely cause allergy symptoms. Often fragrant flowers are blamed for the uncomfortable symptoms, yet they are rarely the cause; their pollens are too heavy to be airborne. Summer pollens come from grasses like timothy, orchard, red top, sweet vernal, Bermuda, Johnson, and some bluegrasses. Late summer and fall allergens include weeds such as ragweed.  

Household allergens

Certain allergens are present all year long. These include house dust mites, pet dander, and molds. Symptoms caused by these allergens often worsen in the winter when the house is closed up, due to poor air ventilation.


Mold spores also cause allergy problems. Molds are present all year long and grow both outdoors and indoors. Dead leaves and soil are common sources for outdoor molds. Indoor plants, old books, bathrooms, and damp areas are common sources of indoor mold growth.

What are the Symptoms of Ear, Nose and Throat Allergies?

People often think of allergy as only “hay fever,” with sneezing, runny nose, nasal stuffiness and itchy, watery eyes. However, allergies can also cause symptoms such as chronic “sinus” problems, excess nasal and throat drainage (postnasal drip), head congestion, frequent “colds,” hoarse voice, eczema (skin allergies), recurring ear infections, hearing loss, dizziness, chronic cough and asthma. Even stomach and intestinal problems, as well as excessive fatigue and headache, can be symptoms of allergy.


When allergy symptoms are not well controlled with over the counter medications, a doctor should be consulted. The doctor will gather a detailed history and complete a thorough examination of the ears, nose, throat, and head. The doctor will also offer advice on proper environmental controls to decrease exposure to allergens. The doctor will evaluate the sinuses to determine if infection or structural problems (deviated septum, polyps) are causing the symptoms.  In addition, the doctor may suggest testing to find the specific allergen that is causing discomfort.

How can allergies be managed?

Environmental allergies are rarely life-threatening. Allergies often cause lost work days, decreased work efficiency, poor school performance, and a negative effect on the quality of life. Considering the millions of dollars spent on medication for allergies and the cost of lost work productivity, allergies cannot be considered a minor problem.

For some allergy sufferers, symptoms may be seasonal. For others, allergies produce year-round discomfort. Symptom control is most successful when multiple approaches are used together to manage the allergy. This may include reducing exposure to allergens, medications, and allergy shots or drops. If used properly, medications, including antihistamines, steroid sprays, antihistamine sprays, and decongestants, can be helpful. Even over-the-counter drugs can be helpful, but some may cause drowsiness.

Who should treat my allergies?

An Otolaryngic Allergist is able to diagnose and treat disorders of the upper respiratory tract (ear, nose, throat etc.) caused by allergic conditions. Because the Otolaryngic Allergist is an ear, nose, and throat surgeon and specialist (ENT), other non-allergic diseases of the upper respiratory tract can also be efficiently diagnosed and treated. Half of the problems that an ENT doctor encounters are probably caused, either directly or indirectly, by allergy. Chronic nasal congestion and post nasal drip, seasonal or constant, is often allergic and may be complicated by chronic sinus and middle ear disease. Hearing loss, dizziness, headaches, weeping ear canals and chronic sore throats may be due to allergy. The ENT doctor who does his/her own allergy treatment is able to follow the patient’s progress with specialized examinations and medical and surgical treatment, such as polyp removal, placement of middle ear ventilating tubes, straightening of the nasal septum, and treatment of sinus disease

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