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Allergic Rhinitis (Nasal Allergies, Hay Fever)

Allergic rhinitis, commonly known as hay fever, is the most common allergic disorder affecting approximately 20% to 25% of the population. The most frequent symptoms are nasal congestion, itchy runny nose, itchy runny eyes, and fits of sneezing. Other frequently accompanying symptoms are headache around the eye area, drainage in the throat, fatigue, and lack of energy. There can also be intense itching of the throat and deep in the ears. The term hay fever is really a misnomer in that it is rarely due to hay, and there is no fever associated with it even though patients feel feverish as the result of the effects of histamine on the blood vessels causing them to dilate and feel warm.

Allergic respiratory symptoms are a result of histamine release along with other chemicals that are either preformed or formed in allergy cells as a result of an antigen antibody interaction.

The job of the allergist is to determine whether the above symptoms are due to allergies or not. Allergic rhinitis is typically classified as seasonal (intermittent) or perennial (persistent), or both. Frequent triggers of true hay fever symptoms include the pollens from grass, tree, and weeds, house dust mite, mold spores, and animal dander. If the above described symptoms are triggered by cleaning one’s home, playing with pets, mowing the grass, etc., then there is high likelihood that symptoms are due to allergies. If your doctor cannot make a correlation of your symptoms with the above triggers, then you need to start thinking outside the allergy box.

The correct diagnostic term for nasal symptoms not due to allergies is non-allergic or vasomotor rhinitis. We don’t understand the mechanism of this condition totally. As the name applies, it is not on an allergic basis, that is to say an antigen antibody interaction. Triggers of non-allergic rhinitis include irritants such as tobacco smoke, chemical odors, cold air, strong perfumes, etc.

Other conditions to consider in people with symptoms of a stuffy nose are hypothyroidism (low thyroid), nasal polyps, tumors (cancer), foreign bodies, infection, and deviated nasal septum. There is also another condition that goes by the acronym N.A.R.E.S. which stands for nonallergic rhinitis with eosinophilia. This means that a person can have all of the symptoms of allergies but are skin test negative, and yet paradoxically have an abundance of allergy cells called eosinophils in their nasal mucus. This condition responds nicely to intranasal steroid sprays.

The nose is the center of the universe to an allergist. If a person does not describe classic nasal symptoms, and for instance only complains that ears or eyes bother them, then the likelihood of symptoms being due to allergies is lessened.

Recent News

Very High Allergy Alert Issued for Tree Pollen 10-12-2026
Jake Strickbine
/ Categories: News

Very High Allergy Alert Issued for Tree Pollen 10-12-2026

Very High Tree Pollen Levels

ALLERGY ALERT - VERY HIGH LEVELS of Tree Pollen Detected for 10/12/2026

Oklahoma City has the HIGHEST TREE POLLEN LEVELS in the U.S. today

VERY HIGH RANGE: TREE POLLEN COUNTS ARE AT VERY HIGH LEVELS on Monday, October 12th, 2026

TREE POLLEN has risen into the VERY HIGH RANGE today. This is an extreme exposure situation. Severe symptoms may be expected in tree pollen sensitive individuals. More seriously allergic persons should be advised to stay indoors as much as possible. This is especially true if a person has tree pollen sensitivity or allergic bronchial asthma.

Elm Tree Pollen (Lacebark, or Chinese Elm and Cedar Elm) is detected and is the VERY HIGH RANGE. Additionally, WEED POLLEN (Ragweed) and MOLD levels are in the HIGH RANGE, at some of the highest levels in the U.S., according the to the National Allergy Bureau (NAB) data.

Central Oklahoma experiences a second elm pollen season from late August into October, thanks largely to fall-pollinating elm varieties including cedar elm and lacebark or Chinese elm, affecting thousands of people across the Oklahoma region, triggering allergic rhinitis, commonly known as “hay fever”, as fall tree species begin pollinating.  These pollen grains can be carried hundreds of miles due to windy conditions.

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The best way to combat these allergens is to stay in filtered air. OAAC’s board-certified allergists recommend avoiding allergy triggers as the best way to reduce symptoms. These avoidance tactics include:

  • Limit outdoor activities during days with high pollen counts.
  • Keep windows closed (at home or in the car) to keep pollen out.
  • Don’t wear your outdoor work clothes in the house; they may have pollen on them.
  • Take a shower after coming indoors. Otherwise, pollen in your hair may bother you all night.
  • Leave shoes outside or just inside the door so that you don’t track pollen inside your home.
  • Wash your hands often. Pollen can stick to your hands when you touch something outside or a pet if it has been outside.
  • Wear a dust mask that people like carpenters use (found in hardware stores) when you need to do outdoor tasks such as raking leaves.
  • Clean and replace furnace and air conditioner filters often. Using HEPA (high efficiency particulate air) filters is recommended, which remove at least 99 percent of pollen, as well as animal dander, dust, and other particles.

Some other options include medications like nasal sprays and antihistamines, but it needs to be the correct medicine and should be used continuously throughout the season.

It is important to remember that seasonal allergies (allergic rhinitis, commonly known as “hay fever”) cannot be diagnosed by history alone. A board-certified allergist can diagnose allergies and determine the specific triggers that cause them through simple tests. The  board-certified allergists at OAAC evaluate and manage patients of all ages from throughout the southwest region of the United States. The  main clinic is on the Oklahoma University Health Sciences Center campus, south of the state capitol in Oklahoma City.  For patient convenience, satellite offices are also located in Edmond, Norman, and northwest Oklahoma City.

For more information about allergic rhinitis (“hay fever”), visit: https://oklahomaallergy.com/services/allergic-rhinitis/

For more information about Fall Allergies in Oklahoma, visit: https://oklahomaallergy.com/Blog/fall-allergies-in-oklahoma-whats-making-you-miserable-1

Daily Pollen Counts for Weed, Grass and Tree pollen, as well as Mold levels can be found at: https://oklahomaallergy.com/allergy-report/

Visit the OAAC website at www.oklahomaallergy.com to view the addresses for all Oklahoma Allergy and Asthma Clinic locations.  To make an initial appointment for an allergy, asthma, or immunology problem or to request more information, please call (405) 235-0040 or visit the website.

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