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Willowmed
Health library

General Practice

Allergies and hay fever

Seasonal and year-round allergies, and the difference from a lingering cold.

4 min read

What it is

Allergic rhinitis happens when the immune system overreacts to something harmless — grass pollen, dust mite, animal dander or mould. It causes the same runny nose and sneezing as a cold, but without fever, and it lasts as long as the exposure does. In the Free State, grass and tree pollen make spring and early summer the busiest period.

What to look for

Sneezing, clear runny nose, itchy eyes, nose and palate

Blocked nose and postnasal drip, often worse in the morning

No fever, and symptoms tied to a place, season or animal

Sensible things to do at home

  • Keep windows closed on windy, high-pollen days
  • Rinse the nose with saline after being outdoors
  • Wash bedding hot and weekly if dust mite is a trigger
  • Non-sedating antihistamines help; steroid nasal sprays need daily use for a week or two to work

When to see us

  • Symptoms interfere with sleep, school or work
  • You also wheeze or cough — allergies and asthma often travel together
  • Over-the-counter treatment is not enough after two weeks
  • Any sudden swelling of the lips, tongue or throat — this is an emergency

To book, phone the practice on 058 813 2777 or send us a message. In an emergency, go to the nearest emergency department or call 10177.