Spring: Allergies and Long Covid – Navigating the Overlap

Spring is here, and with it comes a flurry of pollen, blooming flowers, and—if you have Long Covid—overlapping symptoms that can make this season feel like a real battle. For many, the onset of allergies brings itchy eyes, runny noses, and sneezing fits, but for those with Long Covid, these symptoms can sometimes blur with ongoing fatigue, brain fog, and respiratory difficulties. If you’re trying to figure out whether it’s seasonal allergies or your Long Covid symptoms acting up, you’re not alone. Let’s take a closer look at how to differentiate between the two, strategies for managing both, and why hydration and seasonal medication are your new best friends.

How to Differentiate Between Long Covid and Seasonal Allergies

Ah, the age-old question: Is it allergies, or is it Long Covid? Unfortunately, there’s no magic formula to tell you exactly which is which, but there are a few key things to look out for.

• Fatigue: While both allergies and Long Covid can lead to tiredness, fatigue with Long Covid tends to be much more severe and persistent. It’s the kind of exhaustion that doesn’t get better with rest, unlike the usual drowsiness from allergies.
• Brain Fog: This is one of the hallmark symptoms of Long Covid. If you find yourself forgetting why you walked into a room or having a hard time focusing on your favourite TV show, it’s likely due to Long Covid. Allergies can make you feel a bit “out of it,” but not to the same extent as the all-consuming fog of Long Covid.
• Respiratory Issues: While allergies often cause congestion, sneezing, or coughing, Long Covid may also involve more significant respiratory issues, including shortness of breath, a tight chest, or a lingering cough that just won’t go away. If these respiratory symptoms are persistent and affecting your daily life, it could be a sign of Long Covid.

Managing Both Allergies and Long Covid Symptoms

Now, here’s where things get tricky: you could be dealing with both at once, which can leave you feeling doubly drained. But don’t worry, there are ways to manage both conditions at once!

1. Keep up with your allergy medications: For seasonal allergies, antihistamines, nasal sprays, and eye drops can help ease symptoms like sneezing and itching. Make sure to consult your doctor to ensure you’re using the right medications, as some may interact with medications used for Long Covid.
2. Hydration is Key: When your body’s fighting both Long Covid and allergies, hydration becomes even more important. It helps clear congestion, aids in energy levels, and supports your immune system. Try to drink at least 2-3 litres of water a day, and don’t forget to sip on herbal teas or electrolyte drinks for an added boost.
3. Monitor your symptoms closely: It’s helpful to keep a symptom diary to track when certain symptoms worsen. For example, if you notice a spike in fatigue or brain fog after being outside, you may be dealing with an allergy flare-up. On the other hand, if these symptoms are consistent throughout the day, it could be Long Covid-related.

Other Seasonal Impacts: Beyond Allergies

Spring isn’t just about pollen; it’s also a time when other Long Covid symptoms can be impacted by the changing weather, particularly for those struggling with dysautonomia or cardiovascular symptoms.

• Dysautonomia: The warmer weather of spring can exacerbate symptoms of dysautonomia, which affects the autonomic nervous system. If you’re experiencing dizziness, lightheadedness, or difficulty regulating your body temperature, it might be the change in season triggering your symptoms. Staying cool and avoiding overheating can help manage these symptoms.
• Heart and Circulatory Symptoms: As temperatures fluctuate in spring, people with cardiovascular issues related to Long Covid may notice changes in blood pressure or heart rate. It’s important to continue monitoring your heart health and avoid sudden bursts of physical exertion, which can sometimes trigger symptoms.
• Mast Cell Activation Syndrome (MCAS): For some with Long Covid, the immune system is hyper-reactive, leading to MCAS. This can be particularly troublesome in spring when allergens are in full swing. Managing MCAS might require medications to stabilise mast cells and prevent allergic-type reactions, so it’s worth discussing this with your doctor.

Practical Tips for Springtime Survival with Long Covid

• Layer Up: Spring weather can be unpredictable, so dress in layers. This helps your body regulate its temperature and reduces the risk of overheating, especially if you have dysautonomia or other autonomic issues.
• Limit Outdoor Exposure During Peak Allergy Times: Pollen counts are usually highest in the early morning or late afternoon. If you can, try to stay indoors during these times to avoid exacerbating allergy symptoms.
• Rest and Recover: Managing Long Covid is all about pacing. Don’t feel pressured to participate in all the springtime activities, especially if they’re going to push you into a post-exertional malaise (PEM) crash. It’s OK to say no to a hike or picnic if your body isn’t up for it!
• Use Air Purifiers: If pollen is a major issue for you, consider investing in a good-quality air purifier for your home, especially in your bedroom and living areas. This can reduce the amount of allergens circulating in your environment.

Final Thoughts: Don’t Let Spring Get You Down

Spring can be a beautiful time of year, but for those with Long Covid, it may feel like your body’s in a constant state of battle against the elements. While seasonal allergies can certainly be a nuisance, they don’t have to dominate your life—especially when you’re armed with the right strategies for managing both allergies and Long Covid symptoms. Remember to hydrate, take breaks when you need them, and keep up with your prescribed medications. And above all, be gentle with yourself—spring might be a season of growth for nature, but your recovery takes time. Embrace the slower pace and enjoy the little wins.

If you’ve found ways to manage both Long Covid and allergies, we’d love to hear them! Leave a comment below, and let’s help each other get through this season with a little less pollen and a lot more pep in our step.

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