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There’s an undesirable side to Georgia’s natural beauty. Just ask any allergy sufferer.

In the state’s warm climate, pollen from grasses, trees and ragweed causes itching, sneezing and wheezing almost year-round.

Dr. Timothy Ryan, a board-certified ear, nose and throat (ENT) specialist at Wellstar, has tips for preventing and managing symptoms. On 95.5 WSB’s The Weekly Check-Up with host Bruce Feinberg, DO, Dr. Ryan shared his allergy tricks, as well as information on allergens lurking in the home, how to tell if allergy symptoms are from colds or sinus infections, and explained “antibiotic resistance” and why it’s a concern.

Seasonal allergies in Georgia

Dr. Ryan treats children and adults for various head and throat conditions, and allergies are a chief complaint.

The Asthma and Allergy Foundation of America ranked the 100 most challenging places for allergy sufferers. In 2025, Augusta ranked 12th and metro Atlanta 40th.

“When you talk about allergies and how they lead to sinus issues, this area is one of the hotbeds in the entire country,” Dr. Ryan said.

Common-sense ways to prevent and treat seasonal allergy symptoms

Dr. Ryan recommends that if you have allergies, start preventive medicines two to four weeks before the season when pollen kicks up, using:

• Over-the-counter (OTC) nasal steroids, such as Flonase (fluticasone) and Nasonex (mometasone furoate)
• Oral antihistamines, such as Claritin (loratadine), Zyrtec (cetirizine HCl) and Allegra (fexofenadine)

“Being consistent with these things is most important,” Dr. Ryan said. “You need to do them every day for the maximum benefit.”

Even then, allergy symptoms can break through. In those cases, Dr. Ryan recommends adding:

• Antihistamine eyedrops such as Pataday
• Saline sprays and rinses to wash irritants from your nose and sinuses

Aside from medications, Dr. Ryan described extra steps allergy sufferers can take to reduce their discomfort:

• Check pollen counts daily and limit your time outside when they are high.
• Use HEPA air filters in every room inside your home.
• Service heating and air-conditioning units and change out filters regularly.
• Take off your shoes and possibly change clothing when coming indoors from outside.
• Shower before bedtime to prevent pollen from getting into your bed.

Indoor allergens also stir up symptoms

Another culprit causing allergy symptoms is dust mites. These microscopic, insect-like pests feed on flakes of dead skin or dander shed by humans or pets. A caller on The Weekly Check-Up described having itchy ears at night, which Dr. Ryan said could be caused by an allergy to dust mites.

“We call these year-long or perennial allergies,” he said. “And patients need year-round treatment. Changing your pillows, wrapping your mattress, washing bedding frequently and putting HEPA filters in the room can help.”

Even Dr. Ryan has a routine to prevent discomfort from particles or pollutants that might have crept into his nose. “Before bed, I spray my nose with normal saline to get a moisturizing coating. You can also flush out your nose using a neti pot or other irrigation system,” he said.

“As soon as you lie flat (in bed), all the blood flows to your head, and you’ll get a little more swelling in your nose. We call that nasal cycling. If you’ve already picked up all those irritants over the day, you’re just putting gasoline on a fire.”

Is it allergies, a virus or a bacterial infection?

In peak allergy season, Dr. Ryan’s schedule is full of patients with nasal congestion, runny noses and facial pain and pressure. But not all are suffering from allergies. Some may have a cold or another virus. In rarer cases, they may have a bacterial sinus infection.

“The thing that separates viral infections from allergies is usually fevers and a feeling of malaise,” he said. “Typically, a patient with a bacterial sinus infection has those symptoms plus a heavy yellow or brown nasal drainage.”

Dr. Ryan noted that even in the last case, a provider won’t jump quickly to prescribe antibiotics. “Those symptoms need to last for seven straight days, or you need to get worse over those five to seven days before we start to worry that you need an antibiotic.”

OTC medicines for congestion, cough and pain usually relieve symptoms of viral and bacterial infections. Patients should also drink plenty of fluids and use a saline spray to prevent infection from the buildup of fluids caused by a cold or allergies.

“We have to be very smart about when we give antibiotics,” Dr. Ryan said. Healthcare experts have concerns about the mounting evidence that overuse of antibiotics is breeding “antibiotic resistance.” Bacteria can adapt and evolve, becoming immune to antibiotics. That can become life-threatening if someone has an infection that antibiotics can’t treat.

Find a Wellstar ENT specialist

Allergies are just one of many ear, nose and throat conditions that Dr. Ryan diagnoses and treats. Others include:

• Acid reflux
• Cancers of the head and neck
• Hearing loss
• Sleep apnea

Learn about our ENT services and find a Wellstar doctor near you.

At Wellstar, we understand how important your family’s health is to you. That’s why we partner with people and families across all ages to provide the continuing care each person needs to live their healthiest, fullest life.

By following tips from Wellstar pediatric and primary care experts to prioritize healthy habits at every stage, families can work together to take charge of their health and foster a lifetime of well-being.

Toddlerhood & early childhood

Building a strong foundation

Early childhood is a prime time to establish healthy behaviors as children’s brains are rapidly developing, making them highly receptive to learning.

“Nurturing healthy habits in childhood provides a strong foundation for long-term physical, emotional and social success,” said Dr. Joanna Dolgoff, a pediatrician at Wellstar East Paulding Pediatric Center and spokesperson for the American Academy of Pediatrics.

By incorporating several key habits into their children’s daily routines, parents can set the tone for a healthy, thriving life.

Prioritize a balanced diet: Preparing meals with plenty of fruits, vegetables, whole grains, lean proteins and dairy not only supports children’s growth and development, but also introduces positive eating habits that can last a lifetime.

Additionally, “Let kids decide when they are full,” Dr. Dolgoff said. “Avoid using food as a reward or punishment.”

Establish routines: This includes fostering healthy sleep habits by creating a consistent bedtime routine, instituting regular meal and snack times, keeping kids active and limiting screen time.

“For children under 2, avoid screens,” Dr. Dolgoff advised. “For ages 2 to 5, limit to one hour of high-quality programming a day.”

Model healthy habits: “Children naturally observe and mimic their parents’ actions,” Dr. Dolgoff shared. “Be a role model by making healthy choices yourself, like exercising regularly, eating well and managing stress effectively. Kids are more likely to adopt positive habits when they see their parents practicing them.”

Middle childhood & adolescence

Encouraging healthy choices

As children grow and desire more of a say in the decision-making that affects them, parents should actively encourage their involvement while still ensuring their choices align with healthy behaviors.

Cook and eat meals together: Healthy foods fuel children’s physical growth and brain development. Involving kids in meal planning and cooking not only teaches them about the importance of healthy eating, but also fosters connection and quality time.

“Create the weekly grocery list together, cook and eat together,” said Dr. Neety Patel, a primary care physician (PCP) with Wellstar in West Cobb. “Eating together is a great way to set aside 30 minutes (or more) to enjoy your food, talk about your day and bond.”

Swap screen time for movement and creativity: Set boundaries around recreational screen time and encourage activities like reading, drawing, storytelling or outdoor play, Dr. Dolgoff suggested. Limiting screen time an hour before bed can help ensure kids get the recommended amount of sleep (9 to 12 hours for ages 6 to 12; 8 to 10 hours for teens).

“Too much screen time can negatively impact mental health,” said Dr. Dolgoff, “while creative activities boost cognitive development and emotional expression.”

According to Dr. Dolgoff, parents should also schedule time for at least 60 minutes of physical activity daily. “This can include walks, sports, dancing or family games. Movement promotes physical health, reduces stress and helps kids focus better in school."

Make it a team effort: Instilling healthy values takes a village, so remember to involve the whole family in decision-making. “Kids feel more motivated and empowered when they are part of the process,” explained Dr. Dolgoff.

Wellstar Primary Care Physician Dr. Nikia Garland, who practices family medicine in West Cobb, added that setting realistic goals together promotes a sense of shared responsibility. “Use each other as an accountability partner,” she said.

And when children show progress or achieve success, don’t forget to celebrate. “Celebrations reinforce the idea that healthy habits are rewarding,” Dr. Dolgoff said.

Young adulthood

Taking charge of health management

Young adulthood is a period marked by significant life changes and evolving responsibilities. By teaching young adults to make healthcare a priority—even though they may feel invincible—parents can help set them up for future success.

Coordinate the transfer to adult-oriented care: Between ages 18 to 21, as students graduate or transition to life beyond high school, parents should coordinate the “handoff" from their pediatrician to an adult PCP.

“The transition from a pediatrician to an adult PCP is a critical step in helping teens take charge of their healthcare,” said Dr. Patel. “Transitioning ensures no gap in care.”

Making this switch empowers young adults to proactively take charge of their health management by establishing a plan to continue with annual physicals and age-appropriate health screenings.

Encourage discussion: Parents can further support their children during this transitional stage by maintaining open and honest communication about health topics.

“Parents can help by starting the conversation early, discussing the upcoming transition and why it’s important,” said Dr. Dolgoff. “Involve the teen in the process. Let them participate in selecting an adult PCP. Show them how to schedule appointments, refill prescriptions and understand health insurance. Teach them about their medical histories, including allergies, medications and any chronic conditions. Emphasize the importance of annual physicals and the benefits of preventive care.”

Adulthood

Maintaining long-term wellness

By the time young adults reach their mid- to late-20s, they should strive to have an established relationship with their primary care team, helping them stay ahead of injury and disease with regular screenings and preventative care.

Schedule annual physicals: Annual checkups create a baseline that can be used to track a person’s health over time. These exams are one of the best ways to catch and treat early signs of illness before they turn into serious health problems.

“During patient’s physicals, I review my wellness tips with them,” Dr. Garland shared. "It includes how to eat healthy (and what to do if you don’t), how to get restful sleep, getting physical activity, adequate water intake and daily stress relief.”

Limit processed foods and sugar: Eating a balanced diet rich in whole foods can make a huge difference when it comes to maintaining a healthy weight, lowering the risk of chronic diseases like heart disease and diabetes, and improving energy levels.

“It seems simple and obvious to preach, but in our busy lives, we often tend to eat on the go,” said Dr. Patel. “A freshly cooked meal can do wonders for your day.”

Stay active to age well: Exercise has many benefits for adults as they age, from staving off chronic disease to enhancing strength and balance to boosting mental health.

“Regular movement can maintain your muscle and bone strength and improve most musculoskeletal pains,” said Dr. Patel. For adults, Dr. Garland noted that she typically recommends getting 30 minutes of daily continuous physical activity or 10,000 steps a day.

“If you enjoy the gym, go for it,” said Dr. Patel. “If not, get active any way you are able—go for a walk, a hike, a bike ride, take a dance lesson with your loved one, do a Zumba class on YouTube (it's free!) or some chair yoga.”

However, it’s important to know your limits, added the physician. “If something starts to hurt excessively, scale back and talk to your provider if you're not sure,” she said. “Some movement is better than no movement!”

Take control of your family’s health by finding a Wellstar pediatrician or a Wellstar primary care provider near you.