Managing Seasonal Allergies Through ENT Care

male otolaryngologist examines the nose of a female patient before a nasal endoscopy procedure

Spring flowers, summer grasses, and autumn leaves may be beautiful, but for millions of Americans, they signal the onset of sneezing, congestion, and itchy eyes. Seasonal allergies, also known as hay fever or allergic rhinitis, are more than just a nuisance, they can significantly impact your quality of life. Fortunately, ENT (ear, nose, and throat) specialists offer targeted care that goes beyond over-the-counter remedies, helping you find long-lasting relief.

Understanding Seasonal Allergies

Seasonal allergies occur when your immune system overreacts to airborne substances like pollen, mold spores, and grasses. Common symptoms include:

  • Sneezing and nasal congestion
  • Runny or itchy nose
  • Watery or itchy eyes
  • Postnasal drip
  • Fatigue and headaches
  • Cough or sore throat

While these symptoms can mimic the common cold, their seasonal recurrence is a telltale sign of allergies.

The Role of an ENT Specialist

ENT physicians, also known as otolaryngologists, are uniquely equipped to diagnose and treat allergic conditions affecting the ears, nose, and throat. They assess the full anatomy of your sinuses and nasal passages to determine whether allergies are the root cause of your discomfort or if other conditions, like sinus infections or nasal polyps, are contributing factors.

Diagnosis: Getting to the Root of the Problem

An ENT evaluation may include:

  • Allergy Testing: Skin or blood tests can help identify specific allergens triggering your symptoms.
  • Nasal Endoscopy: A small camera is used to view inside your nasal passages and sinuses.
  • CT Imaging: Detailed scans help detect chronic sinus issues or structural abnormalities.

By determining the exact cause of your symptoms, your ENT can create a personalized treatment plan.

Treatment Options Beyond the Basics

While antihistamines and nasal sprays provide temporary relief, ENT specialists offer more comprehensive and lasting solutions, such as:

  • Prescription Medications: Stronger nasal corticosteroids, decongestants, or antihistamines may be recommended.
  • Allergy Immunotherapy: Allergy shots or sublingual tablets train your immune system to tolerate allergens over time.
  • Sinus Treatments: If sinus blockages are contributing to your symptoms, procedures like balloon sinuplasty or functional endoscopic sinus surgery (FESS) may be necessary.
  • Lifestyle Recommendations: Your ENT can guide you in minimizing allergen exposure at home or work.

When to See an ENT for Allergies

While many people manage mild allergy symptoms with over-the-counter remedies, persistent or severe allergies often require specialized care. Knowing when to consult an ENT can save you from prolonged discomfort and prevent complications.

You should consider seeing an ENT specialist if:

  • Symptoms Last More Than a Few Weeks: Seasonal allergies typically follow predictable patterns, but if your symptoms linger long after the season ends or occur year-round, it may be a sign of chronic allergic rhinitis or a more complex condition like sinusitis.
  • Over-the-Counter Treatments Aren’t Working: If antihistamines, decongestants, and nasal sprays provide only minimal or temporary relief, you may need a more targeted or advanced treatment plan that only an ENT can provide.
  • You Experience Frequent Sinus Infections: Chronic nasal inflammation due to allergies can lead to repeated sinus infections. If you’re having more than three infections per year, or symptoms such as facial pain and pressure, an ENT can determine if structural problems are contributing.
  • Breathing Through Your Nose Is Difficult: Chronic congestion or nasal obstruction can affect sleep, exercise, and daily function. ENT specialists can check for underlying issues like a deviated septum or nasal polyps that may be worsening your allergies.
  • Allergy Symptoms Disrupt Your Daily Life: If allergies are affecting your sleep, focus, work performance, or quality of life, a comprehensive ENT evaluation can help you regain control with a custom treatment plan.
  • You Have Asthma or Other Respiratory Conditions: Allergies and asthma often go hand in hand. An ENT can coordinate care with your primary doctor or pulmonologist to manage symptoms more effectively and reduce flare-ups.
  • You’re Interested in Long-Term Solutions: ENT specialists can provide allergy testing and immunotherapy (like allergy shots or sublingual tablets), which offer the potential for long-term relief rather than temporary symptom control.

Conclusion: 

Seasonal allergies can be more than just a passing annoyance—they can interfere with your daily life, sleep, and overall well-being. If your symptoms are persistent, worsening, or resistant to over-the-counter treatments, it’s time to seek help from an ENT specialist. From precise allergy testing to advanced therapies like immunotherapy and sinus procedures, ENT care addresses the root of your symptoms, not just the surface.

Struggling with seasonal allergies? Schedule an appointment with the experts at AAENT to find real, lasting relief. Your nose, and your whole body, will thank you.

Lee A. Kleiman a doctor at Anne Arundel ENT

Dr. Lee A. Kleiman is a double board certified ENT & plastic surgeon at Anne Arundel ENT in Annapolis, Maryland known for his superior clinical outcomes in all Surgical and Non-Surgical ENT, specializing in Sinus Care, Voice and Swallowing, Rhinoplasty and Revision Rhinoplasty, and Facelifts and Non-surgical Aesthetic. He also continues to attend conferences internationally and nationally to keep abreast of the latest treatments and technology.