When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us, as it floats around us in an eternity of bliss; and then, my friend, when darkness overspreads my eyes, and heaven and earth seem to dwell in my soul and absorb its power, like the form of a beloved mistress, then I often think with longing, Oh, would I could describe these conceptions, could impress upon paper all that is living so full and warm within me, that it might be the mirror of my soul, as my soul is the mirror of the infinite God! O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents. I should be incapable of drawing a single stroke at the present moment; and yet I feel that I never was a greater artist than now. When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us. O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents.
When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us, as it floats around us in an eternity of bliss; and then, my friend, when darkness overspreads my eyes, and heaven and earth seem to dwell in my soul and absorb its power, like the form of a beloved mistress, then I often think with longing, Oh, would I could describe these conceptions, could impress upon paper all that is living so full and warm within me, that it might be the mirror of my soul, as my soul is the mirror of the infinite God! O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents. I should be incapable of drawing a single stroke at the present moment; and yet I feel that I never was a greater artist than now. When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us. O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents.
When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us, as it floats around us in an eternity of bliss; and then, my friend, when darkness overspreads my eyes, and heaven and earth seem to dwell in my soul and absorb its power, like the form of a beloved mistress, then I often think with longing, Oh, would I could describe these conceptions, could impress upon paper all that is living so full and warm within me, that it might be the mirror of my soul, as my soul is the mirror of the infinite God! O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents. I should be incapable of drawing a single stroke at the present moment; and yet I feel that I never was a greater artist than now. When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us. O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents.
When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us, as it floats around us in an eternity of bliss; and then, my friend, when darkness overspreads my eyes, and heaven and earth seem to dwell in my soul and absorb its power, like the form of a beloved mistress, then I often think with longing, Oh, would I could describe these conceptions, could impress upon paper all that is living so full and warm within me, that it might be the mirror of my soul, as my soul is the mirror of the infinite God! O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents. I should be incapable of drawing a single stroke at the present moment; and yet I feel that I never was a greater artist than now. When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us. O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents.
When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us, as it floats around us in an eternity of bliss; and then, my friend, when darkness overspreads my eyes, and heaven and earth seem to dwell in my soul and absorb its power, like the form of a beloved mistress, then I often think with longing, Oh, would I could describe these conceptions, could impress upon paper all that is living so full and warm within me, that it might be the mirror of my soul, as my soul is the mirror of the infinite God! O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents. I should be incapable of drawing a single stroke at the present moment; and yet I feel that I never was a greater artist than now. When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us. O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents.
When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us, as it floats around us in an eternity of bliss; and then, my friend, when darkness overspreads my eyes, and heaven and earth seem to dwell in my soul and absorb its power, like the form of a beloved mistress, then I often think with longing, Oh, would I could describe these conceptions, could impress upon paper all that is living so full and warm within me, that it might be the mirror of my soul, as my soul is the mirror of the infinite God! O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents. I should be incapable of drawing a single stroke at the present moment; and yet I feel that I never was a greater artist than now. When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us. O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents.
When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us, as it floats around us in an eternity of bliss; and then, my friend, when darkness overspreads my eyes, and heaven and earth seem to dwell in my soul and absorb its power, like the form of a beloved mistress, then I often think with longing, Oh, would I could describe these conceptions, could impress upon paper all that is living so full and warm within me, that it might be the mirror of my soul, as my soul is the mirror of the infinite God! O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents. I should be incapable of drawing a single stroke at the present moment; and yet I feel that I never was a greater artist than now. When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us. O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents.
When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us, as it floats around us in an eternity of bliss; and then, my friend, when darkness overspreads my eyes, and heaven and earth seem to dwell in my soul and absorb its power, like the form of a beloved mistress, then I often think with longing, Oh, would I could describe these conceptions, could impress upon paper all that is living so full and warm within me, that it might be the mirror of my soul, as my soul is the mirror of the infinite God! O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents. I should be incapable of drawing a single stroke at the present moment; and yet I feel that I never was a greater artist than now. When, while the lovely valley teems with vapor around me, and the meridian sun strikes the upper surface of the impenetrable foliage of my trees, and but a few stray gleams steal into the inner sanctuary, I throw myself down among the tall grass by the trickling stream; and, as I lie close to the earth, a thousand unknown plants are noticed by me: when I hear the buzz of the little world among the stalks, and grow familiar with the countless indescribable forms of the insects and flies, then I feel the presence of the Almighty, who formed us in his own image, and the breath of that universal love which bears and sustains us. O my friend — but it is too much for my strength — I sink under the weight of the splendor of these visions! A wonderful serenity has taken possession of my entire soul, like these sweet mornings of spring which I enjoy with my whole heart. I am alone, and feel the charm of existence in this spot, which was created for the bliss of souls like mine. I am so happy, my dear friend, so absorbed in the exquisite sense of mere tranquil existence, that I neglect my talents.
Among the failures of the UK government in handling the COVID-19 pandemic is the lack of testing. Successful countries starting testing right at the beginning of the crisis in combination with contact tracing. We might have been able to lessen the mountain of deaths had we done the same.
Until now, there does not seem to be a sensible policy on COVID-19 testing. The government seems more concerned with showing they have tested a lot of people than actually saving lives. There does not seem to be a plan to use testing as a way of combating the virus.
Types of coronavirus test
There are 2 main types of coronavirus test. The first is the PCR test in which nose and throat swabs are taken. This test is used in people who have symptoms to find out if they currently have the infection. PCR tests are being done at NHS testing centres and community “Hot clinics”. Anyone who has symptoms suspicious of coronavirus should call 111 or their own GP, both of whom can refer to these testing centres.
The second type of test is the IgG antibody test. It tells you if you have had coronavirus infection sometime in the past. The IgG antibody test should be done a minimum of 3 weeks following the start of symptoms or after being in contact with someone suspected of being infected. Antibody levels have been found in one study to start decreasing after 2-3 months.
Most people will have had mild symptoms of coronavirus or no symptoms at all. Testing people with the IgG antibody test can tell people for sure if they have had the infection or not. This may be important for some as a form of reassurance. Past experience shows that having a virus infection does give that person some protection against future infection. However, we do not know for certain if having a coronavirus infection gives people any immunity. If it does provide immunity, then we do not know what level of antibodies is needed to provide protection or how long that will last.
A more important use of COVID-19 IgG antibody test may be to facilitate getting people back to work after self-isolation ends. Employers will therefore be particularly interested in getting their workforce checked.
Reliable coronoavirus tests now available
Fortunately, reliable COVID-19 tests are now available to the public. The most reliable tests are processed in the laboratory after the samples are taken.
You can now order UK MRHA approved and CE marked home coronavirus (COVID-19) antibody test kits online that use a sample of your blood taken through pinprick. The sample is then posted back to the laboratory and results received by email.
Alternatively, you can get a blood sample taken at a private clinic. Two antibody tests are currently approved by the UK government. These are the Abbott and the Roche COVID-19 antibody tests. I am pleased to say that we now offer the Abbott test at Prime Health.
The accuracy of the a test is determined by its specificity and sensitivity. The specificity of the Abbott test is 100%. That means that if you get a positive test, there is little or no chance of it being incorrect. The sensitivity of the Abbott test is 97.5% which means that there is a false negative rate of 2.5%. That is very reasonable for such a test.
Update 15/04/2021
We also now have the Roche COVID-19 antibody test for the ‘s’ or spike antibody which can measure antibodies from people having vaccinations to see if they have been effective.
You can book a test by calling 01932 50499 for an appointment.
How about a vaccine?
I personally had the antibody test a few weeks ago. I thought that I might possibly have been exposed to coronavirus because of the numerous patients I see with coughs and colds. Unfortunately, my test was negative. I guess I will have to wait for the vaccine to come out like everyone else. Preliminary indications are that it will give immunity for at least a few years and gives better protection than having had the infection. In this new and rapidly changing landscape, we shall have to wait and see.
I would also recommend that everyone should have the influenza vaccine this year. The reason for this is to protect people from influenza that has very similar symptoms to COVID-19 infection. New vaccines come out at the beginning of October. Most people with influenza usually manage it by themselves at home. However, any such symptoms may now trigger contact with with the healthcare system. The ideal scenario would be to get vaccinated for influenza and COVID-19 in the same appointment.
I hope that a new COVID-19 vaccination will be available by the Autumn when there is a risk of another wave of infection.
Hay fever sufferers may have noticed that 2020 has been a particularly bad year for symptoms. This is certainly the first time that I have actually ‘suffered’. In previous years I have had mild symptoms or none at all.
The worsening symptoms are thought to have been caused by the driest May on record. Lockdown has also resulted in car pollution levels becoming very low. Both rain and diesel pollution cause pollen to be pulled down out of the atmosphere. The absence of both has resulted in very high pollen levels.
Hay fever can present with sneezing, a runny nose, itchy eyes and nose, and watery eyes. Some people get severe symptoms such as wheezing and difficulty in breathing especially if they have a history of asthma. That is because hay fever and asthma are strongly related. Hay fever can, in fact, trigger wheezing in the absence of any history of asthma and I have seen many patients with this pattern.
What is the treatment?
Hay fever treatment is generally straightforward. Many people have learned to manage the problem themselves with over-the-counter medication.
Medication falls into 3 main categories:
Antihistamines
Antihistamines are available as syrups for children and tablets for adults. Their advantage is that they can help with both eye and nose symptoms and are easy to take. You can divide them into 2 types; short-acting and long-acting antihistamines.
Short-acting antihistamines typically last 6-8 hours and have to be taken 2-3 times per day to get symptom-relief to last all day. These are the older type of antihistamines and can make you feel drowsy so you should be careful if you are driving or operating machinery. However, the drowsy effect can be helpful at night as it can help you get off to sleep. Examples include:
Long-acting antihistamines typically last the whole day and have the advantage of once daily dosing. In general, they are non-sedating and can even be taken by pilots. Examples include:
Many people do not like the effect of taking syrups and tablets because they have other effects on the body such as drowsiness and lethargy. Steroid nasal sprays offer the advantage of having an effect on the nose without the side-effects on the rest of the body. They can help nasal symptoms such as itching, running, sneezing and blockage. With regular use they also help to control eye symptoms.
Most nasal sprays for hay fever can be bought over-the-counter. These include:
One important thing to note is that a nasal spray is a device and should be used correctly to get the best results. Check out the video below:
Eye drops
Hay fever eye drops are a good option if you only have eye symptoms such as itching and watering. They can also be used if antihistamines or nasal sprays do not give sufficient relief of eye symptoms.
A sinus rinse is not a medication as such. It is a way of treating your nose using a salt solution. Numerous studies have shown that it is effective for reducing symptoms of colds, nasal allergy and sinus symptoms.
A sinus rinse can be used alone or in combination with any of the above treatments that are mentioned. Many of my patients prefer to use it because they can avoid taking medication and they like the fact that it is natural.
It is not known exactly how a sinus rinse works but people think that flushing the nose in this way clears away mucus, pollens and bacteria.
I have found that the easiest to use is Neilmed sinus rinse. It is available for adults and children.
A sinus rinse can take a little getting used to because water is squirted up one nostril and comes down the other. You then change sides. Watch the video below for instructions.
A sinus rinse can be a great natural way to manage nasal symptoms. Once you have the bottle, there is no need to keep buying the sachets as you can make up the mixture yourself using salt and bicarbonate of soda (baking soda) that you can buy from the supermarket. The mixture should contain twice as much salt as baking powder (2:1 mixture). Just make sure that you use boiled water that has been cooled. Click here for a guide from Guy’s and St Thomas’ Hospital.
Some people find it difficult to tolerate a high volume sinus rinse. If so, they might find a saline nasal spray much easier to use. The most popular one is Sterimar.
Combining medications
You may only need eye drops if you have eye symptoms, or a nasal spray if you have nasal symptoms. Antihistamines will treat both eye and nose symptoms and are convenient. Alternatively, you can use a combination of eye drops and a nasal spray.
In severe cases, you can use all three: an antihistamine, a nasal spray and eye drops together although this is rarely needed. Always seek medical advice if you are unsure especially if you have other medical conditions or are taking other medication. In particular, do not use two different antihistamines together unless you have been advised to by a doctor.
Wheezing or difficulty breathing
A minority of hay fever sufferers start to get wheezing or difficulty in breathing as well as the eye or nose symptoms. For some people, wheezing may be the only symptom.
In this case, it is important to seek medical attention. Using an asthma inhaler is often all that is required to relieve the wheezing. This can be used whenever needed and stopped when the hay fever season is over.
Summary
Hay fever can be a troublesome problem and interfere with your day to day activities. Most symptoms can be resolved using one, or a combination of, over-the-counter medications. There are also natural methods, such as using a sinus rinse, that can help. If you are wheezing or short of breath, then always seek medical advice.
