Based on your previous response, official ARIA guidelines suggest the possibility of:

Moderate/severe Allergic Rhinitis

Further, given your earlier responses indicating the possibility of persistent symptoms, the overall result indicates the possibility of:


“Moderate/severe” meaning that one or more of the following items are present:

  • Sleep disturbance
  • Impairment of daily activities
  • Impairment of work/study

… and again, “Persistent” meaning meaning symptoms are present more than 4 days a week, and persist for more than 4 consecutive weeks at a time.

If your doctor confirms that you have allergic rhinitis, find out exactly which version you have:

  • Mild-Intermittent
  • Mild-Persistent
  • Moderate/severe-Intermittent or;
  • Moderate/severe-Persistent

Write it down and use that wording when discussing your condition with other healthcare professionals.

For your consideration, some points that the more severe hayfever sufferers may discuss with healthcare professionals  include:

Is there a mono-treatment available for me?

“Mono-treatment” means a single treatment or ‘fix-all’ medication that will control your symptoms all by itself.

Such medication may be of mild or medium-level potency, so it is unlikely that you will get away with using just one weapon against your hayfever.

Often a combination of intranasal corticosteroids and antihistamines are recommended by healthcare professionals.

Keep in mind those diagnosed as having Persistent Allergic Rhinitis may also have asthma.

Can/should I increase dosage if the medication isn’t working?

You need to discuss with a doctor or pharmacy professional what the maximum dosage levels are, as your symptoms could become more severe than “mild” on occasions, including:

  • on a day with extremely high pollen counts
  • during a trip to a new area with new pollen
  • whilst your lawn is being mowed
  • around the time of a thunderstorm

You need to avoid over-dosing on medication if it proves less effective than expected, and be willing to change or add to your treatment options at any time.

Should I see a doctor?

Yes you certainly should. Your hayfever may be serious enough that standard medication is not sufficient, so be prepared to also be referred to a specialist if appropriate.

Indeed you don’t even know if you have hayfever until you see a doctor, it could be something else that you’re suffering from.

Further, never hesitate to return to your doctor for another appointment with her if your symptoms become more severe, or if they become more persistent, if your medication seems incapable of controlling your hayfever, or if you experience any side-effects.

One of the most common mistakes of struggling hayfever sufferers is thinking “I shouldn’t bother the doctor again so soon after just visiting her”.

Rest assured, doctors do not feel inconvenienced or annoyed by repeat visits.

Any doctor will be happy to see you again soon after your initial appointment, or as many times as necessary in relation to new/additional concerns you have, or as a result of unsatisfactory medication effects etc.

Can I control my hayfever without medication?
Most likely not.

Severe allergic rhinitis is not to be ignored, or taken lightly and it requires not only high-strength medication, but lifestyle (and often dietary) changes as well.

A combination of your doctor, your pharmacist, your nutritionist and other reputable information sources should be utilised to find the solution/s right for you.