Ask the Doctor: Why do I have nasal itching and sneezing, as well as, coughing and wheezing this fall?
By Mary Beth Hogan, M.D.
Dr. Mary Beth Hogan answers the question: “Why do I have nasal itching and sneezing, as well as, coughing and wheezing this fall?”
Weeds and molds are common culprits for respiratory allergy symptoms in the fall. Particular activities which can exacerbate these allergies include raking or jumping in the leaves, and hayrides. These activities are relatable to mold allergy.
Indoor allergies also start making their appearance as the house is closed up for the winter. These allergies can be attributed to mold, dust mite, and pet allergy. Feather bedding and stuffed animals can be reservoirs for these allergens. Dust mite covers can help decrease exposure to these allergens in the bed. HEPA filters can help with mold and pet allergy symptoms.
Do not overlook the possibility of common everyday exposures acting as irritants to cause these symptoms. Cleaning agents and highly scented candles, potpourri, and air fresheners can cause both nasal symptoms of sneezing, congestion, and runny nose along with coughing and wheezing. This is most notable in those patients who have underlying undercontrolled allergy and asthma. These agents are also strong enough irritants to be triggers for patients with no allergies and undercontrolled asthma.
Evaluation for common indoor allergens and degree of asthma control can help pinpoint the source of these triggers.
Mary Beth Hogan, M.D. is professor of pediatrics and section chief of pediatric allergy, immunology and pulmonary medicine at the University of Nevada School of Medicine. Dr. Hogan is based out of Reno, Nevada.
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