Simple non-pharmacological and avoidance measures do help. For example, a simple saline (salt water) nasal douche or lavage is effective. Saline and sea water nose sprays (Sterimar) help flush pollen grains off the nasal mucosal and improve nasal patency. While a little Vaseline applied to the lower nostrils on cotton bud is both soothing and protective. Wrap-around sunglasses are helpful and occasionally a face and nose mask may be necessary. Monitoring of pollen forecasts and remaining indoors during mid morning and early evening (when pollen counts peak) will help. Taking an immediate shower and change of clothing after extended outdoor exposure will reduce pollen levels transferred indoors. Additional prophylactic medication may need to be taken on days when pollen counts are excessively high. When travelling by car, be sure to close the windows and put on the air conditioner to filter out pollen. Special pollen arresting filters and ionisers in the home are expensive and often ineffective.
Hi Dr. Julie,
I came across your blog while searching for a way to help my daughter with a daytime cough that has been going on for 8 weeks. She never appeared to have cold symptoms, but had a bad cough and spit yellow mucous. Was on antibiotics in July and it reduced a bit, now half way though another 21 day round. From the very beginning she never coughed at night after falling asleep. It now seems that she coughs mostly upon waking and then stops with a few coughs throughout the day. Some days are better than others. I read your comments on sinopulmonary reflex and wonder if that could be part of her issue. You mention the coughing won’t stop until the swelling reduces. What is the treatment to help reduce the swelling? The Dr. said her nasal passages are swollen and we have been using a prescription nasal spray for about a week. I do believe some of the coughing may have become habit, but there is definite phlegm in the morning. Any help is appreciated.