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A person with hay fever may have any or all of the following:
- Severe bouts of sneezing, especially in the morning
- Intense itching of the nose and of the palate and even the ear canals
- Watery nasal mucus
- Stuffy nose all the time or during specific seasons
- Itchy and teary eyes
- Eyes that are sensitive to light
- Reddened, pebbly lining in the lower eyelids
- Frequent throat-clearing
- Breathing through the mouth
- Snoring
- Rabbit-like movements of the nose
- A horizontal crease across the nose as a result of constant rubbing
- Repeated nosebleeds
- Dizziness or nausea, related to ear problems
- Nasal voice because of blocked nasal passages
- Dark circles under the eyes as a result of pressure from blocked nasal passages on the small blood vessels
- Irritability
- Headaches because of pressure from inside the nose or from the sinus canals being blocked and a negative pressure-sinus headache
Nasal blockage associated with headache, persistent dripping at the back of the throat and bad breath suggests chronic sinusitis rather than rhinitis.
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Revised and reviewed by Professor Sharon Kling, Clinical Unit Head, General Paediatrics, Intensivist at Tygerberg Hospital and Associate Professor, Department of Paediatrics and Child Health at Stellenbosch University. February 2015.
