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Springfield Standard

Thursday, April 3, 2025

Primary care role in allergy management: Insights from Sofia Hoces, FNP-C

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Melissa Bradley Assistant Administrator | Ozarks Community Hospital

Melissa Bradley Assistant Administrator | Ozarks Community Hospital

With spring's arrival comes the increase in pollen, dust, and allergens, leaving many struggling with allergy symptoms. In light of this, the role of primary care providers (PCPs) becomes crucial. Sofia Hoces, FNP-C, from OCH, provides insights into managing common allergies effectively.

Primary care providers have resources to help alleviate allergy symptoms. "Some of the most common and effective treatments include steroid nasal sprays, which can significantly reduce inflammation and congestion," says Hoces. These can be used at home or administered in-office if needed. Hoces points to oral antihistamines like Claritin or Zyrtec as they "help block histamine, the chemical responsible for allergy symptoms." Additionally, saline nasal sprays are recommended for flushing out allergens, and a Kenalog injection might be considered for those with severe allergies, offering relief for an allergy season.

Unchecked allergies may progress into sinus infections, often requiring antibiotics. Proactive measures like using saline rinses, staying hydrated, and limiting allergen exposure are suggested by Hoces to prevent these infections. She emphasizes the importance of preventing infections to avoid complications.

Preventative strategies include being aware of weekly pollen counts and recognizing individual triggers such as dust mites, pet dander, or pollen. Hoces advises maintaining a clean environment by washing bedding regularly, wearing a mask during cleaning or gardening, and utilizing air purifiers.

For persistent symptoms despite these efforts, an Ear, Nose, and Throat (ENT) specialist referral might be required. An ENT can identify underlying conditions like nasal polyps or chronic sinusitis that may be contributing to the symptoms, advises Hoces.

Hoces encourages those suffering from allergies to seek an appointment with their PCP. With appropriate treatments, relief is attainable through various methods recommended by providers, such as nasal sprays, antihistamines, or in-office interventions, to improve breathing during allergy season.

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