Is it a cold or allergies?


Each year, allergies affect more than 50 million people in the United States. The miserable symptoms are similar to cold symptoms – and that can make allergies really hard to self-diagnose. But unlike a common cold that tends to be harmless and go away on its own in a week or two, untreated allergies can lead to other problems. They can make you more prone to getting sinus infections or other upper respiratory infections. And that means you definitely want to get them treated and taken care of.
As a nurse practitioner at virtuwell.com, I see a lot of patients who think they have a cold or sinus infection. Instead, they are actually suffering from allergies.
Seasonal allergies are often triggered by pollen and mold. But there can be other allergy triggers that you may not realize. A new family pet’s dander may be the cause. Or, even a new environment or building (like if you’ve recently moved). Smoke exposure and cleaning can also trigger a runny nose and sneezing.
If you have allergies, you don’t have to tough it out. A care provider can help you diagnose the underlying issue and then help you find the best treatment.
Here are some of the common questions I get about allergies, and how I answer them. (Plus I’ve got a few tips for staying symptom-free this allergy season!)
  • 1. What is the difference between cold and allergy symptoms?

    With both, it’s typical to have a runny nose and sneeze. You may also feel a little drowsy. But other symptoms vary depending on what you actually have. Itchy eyes or ears and circles under your eyes are common of allergies, while they are rarely seen with a cold. Here are some other common allergy symptoms versus cold symptoms to look out for.
SymptomsAllergiesCold
SneezingCommonCommon
Running or stuffy noseCommonCommon
Itchy, watery eyesCommonRare
Itchy earsCommonRare
HeadacheCommonRare
CoughDryHacking
Circles under eyesTypicalNever
Muscle pain or body achesRareCommon
Sore throatRareCommon
TirednessCommonCommon
  • 2. Do I need to see a doctor for my allergies?

    No one wants to spend their days sniffling and sneezing. And left untreated, allergy symptoms can last throughout spring and summer, depending on your triggers. This can affect not only your quality of life, but your overall health, too. Because the longer symptoms last, the more likely you are to get a sinus or upper respiratory infection.
    If you aren’t sure if it’s a cold or allergies, or if your symptoms are severe or long-lasting, it’s best to connect with a care provider. This can be done through an in-person visit. Or it can be done online, like at virtuwell.com. virtuwell is a lot like a retail clinic, but it’s available 24/7. Everything is done from your phone or computer. No download or video is needed!
  • 3. What should I take for my allergies?

    A number of treatment options are available for allergies. Many can be easily built into your daily routine to help relieve symptoms. Here’s how some of the specific medicines I get questions about work:
    • Over-the-counter medications called antihistamines can usually help. Some may cause drowsiness, like Benadryl. (And for kids under age 6, it can sometimes cause hyperactivity.) But newer medications have reduced this side effect. Consider taking ClaritinAllegraXyzal or Zyrtec instead. And look into the generic versions of these medications. They are just as effective, but at a much lower cost.
      There are also antihistamines available in the form of eye dropsfor those itchy, watery eyes. There are over-the-counter drops called Zatidor (ketotifen) available. And there are several different prescription options, too. With so many choices, it can be hard to know what’s right for you. That’s why a care provider can be helpful.
    • Nasal sprays can also help. They bring down the inflammation in your nose and sinuses. They can work well with antihistamines. Flonase and Nasacort are good options for relief of swelling in the nasal passages and for relief of itchy eyes. And, they are now available in an over-the-counter option.
    • Decongestants, like Sudafed, can relieve congestion. But they can have other side effects. They can raise blood pressure, increase heart rate and irritability, or cause insomnia. They should only be used short-term when allergies are severe. That means only for 3-5 days, max!
    • Prescription medications, like Singulair (montelukast), are also available. This medication can lessen or prevent a reaction when you come into contact with an allergen like pollen. Singulair is typically taken daily to help control allergies and can be very helpful for people who suffer from both allergies and asthma.
  • 4. How can I find the best allergy medication for me?

    With so many options out there, finding the right treatment can seem like a guessing game. That’s why it’s best to consult with a care provider. They’ll be able to identify the underlying issue causing your symptoms. Then, they can work with you to find the specific treatment that’s right for you. Your local clinic or primary care provider is a good starting point. Online care options can also help diagnose and treat allergies. At virtuwell.com, I can prescribe over-the-counter or prescription antihistamines that best fit each of my patients’ unique symptoms.
  • 5. When should I take my allergy medicine?

    Take allergy medications early and regularly. Because once inflammation has occurred, it may take longer to get relief. Ideally, you want to get started on allergy medicine before your symptoms kick in and pollen counts reach their height. You can actually start taking medications as early as two weeks before the allergy season begins. And really, getting this head start will be your best defense.
  • 6. Are there any natural remedies for allergies?

    Quite a few non-medication treatments can help with allergy symptoms. A neti pot is a popular option and simple to use. A salt water solution is poured from the pot into the nasal passages washing out any allergens, which helps reduce swelling.
  • 7. How can I avoid allergens?

    • Be aware of pollen levels in your area. Online resources, like Pollen.com, can provide insight on the pollen level in your specific zip code. Local weather reports also often feature the pollen count.
    • Keep your home safe from allergens. If pollen levels are high, keep your windows closed and vacuum twice a week. Also dehumidify your home to under 50 percent using an air conditioner and/or dehumidifier. Be sure to keep you and your clothes clean by washing when you get home to remove pollen particles. And, keep pets out of your bedroom and off the couch as pollen clings to animal fur. (Washing your sheets, blankets and pillow cases in hot or warm water every one to two weeks can help, too.)
    • Be aware of pollen levels while traveling. While allergies might not be affecting you at home, pollen counts might be higher in other parts of the country or world. If you are traveling, check your destination for pollen counts. And, if pollen counts are high, be prepared with medication to ease your symptoms.
  • 8. Are there benefits to getting treatment for spring allergies versus just “toughing it out” for a few weeks?

    It’s not usually just a few weeks. You can have symptoms throughout the spring and summer – it really depends on your triggers. In addition, ongoing allergy symptoms tend to cause you to get congested, and that allows viruses or bacteria to get “stuck”. This is what can lead to upper respiratory infections and sinus infections.
  • 9. When does peak allergy season hit?

    I recommend using Pollen.com to check pollen counts in your specific area. Because everyone has different and/or multiple allergy triggers, you could experience symptoms any time of year.
If you are suffering from allergies, finding the best plan and medications can greatly improve your quality of life as well as protect you from other health problems. Talk to a care provider about your symptoms by making an in-person or online visit today. We can help you manage all of your symptoms so you can get back to work (or play!).

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