Earth to Allergy Control

Jake Nachlas, Summer Intern for Nathan E Nachlas, MD

Hockey season just ended, and I don’t think I’m speaking for myself when I say it kept me at the edge of my seat the entire time. Sweat rolling down my cheek, squeezing the couch so tight my hands would hurt, not knowing whether I should close my eyes when the other team shot or keep them open to see an amazing save. I’m usually in bed by 9-9:30, but during the playoffs, it could be as late as midnight. Last minute goals, overtime, double overtime, triple overtime! I wouldn’t be able to sleep after the game ended because I’d replay the last goal in my head over and over wondering what went wrong. It was an intense, action-packed season filled with surprises and upsets. I don’t reallyPatient being tested for allergies to get sublingual allergy drops want to elaborate on it though because seriously, it’s in the past, and an even more intense season is coming up: a season that could also keep you up late at night, and not by choice. A season that could also keep you up wondering what went wrong. A season of upsets, but not as many surprises. A season where sometimes you won’t have a choice whether to close your eyes or keep them open. Ladies and Gentlemen, the summer allergy season is here.

But don’t worry! And if you are worried, you’ve come to the right place. I’ve been dealing with allergies all my short life. My dad has them, my older brother has them, my sister has them (Oops!). And over the years, like a dragon, you learn to tame the allergies, because they’re really a pain if you don’t! So I want to share a few ways you can “tame” your allergies, and if not tame them then lessen them, because this summer is going to be a hot one and there’s no better way to spend a vacation than being active and outdoors with the people you love.

Know Your Allergies | Sublingual Allergy Drops

First off, and most importantly, know what your allergies are. You can never control what you don’t know, it’s just that simple. Come in and get tested so you can learn about what to do and not to do. It’s the first step, and it’s always good to get it out of the way. Your doctor may give you relief medication or may start you on sublingual immunotherapy, or SLIT, to help your body slowly and safely build immunity to some of the things you’re allergic to.

Early Morning Workouts? Maybe Heat is the Better Option After All…

Patient Should Run During the Day for Allergy Control PurposesYup, it’s true. Pollen levels in the air are the worst in the early hours before sunrise, and again after sunset. Also, stick to workouts like swimming, biking or running to really open your lungs and avoid the quickly changing sports like tennis or soccer. If it feels too humid outside, that’s also a sign. Mother Earth is telling you to go get back into bed and relax for a little longer, maybe with a cup of hot tea.

Good Hygiene is Good Practice | Don’t Have a Stuffy Nose at Night

Having good hygiene is always extremely important, whether you have allergies or not. It is how you keep your body healthy, and it’s how you keep yourself well so you can keep up with your daily routine. Some of the ways you can stay healthy and clean is by keeping your home healthy and clean. Clean the kitchen, clean the floors, clean the family room, clean the sheets (if you don’t want a stuffy nose at night, that is), etc.! Keeping your house clean is the best way to avoid dust and mold build up, both of which are extremely bad allergens. Make sure you wash your hands, too. Get all of the dirt or bacteria or whatever off your hands and do it frequently. Lastly, one thing I love is a steam shower, or closing the bathroom door and making a steam room. It opens up my pores, opens up my airways, and really helps me feel clean again after an asthma incident or allergy build up.

The Squirrel Diet Takes the Cake

Believe it or not, crepes and waffles are in fact not the best foods to eat if you want feel relief from your allergies. Stick to better foods like vegetables or fruits or nuts, and keep up the Vitamin C intake. Also, consuming small amounts of local honey every day early on may help build your immunity to the pollen in your area. Lastly, packing up a tuna fish sandwich or getting the delicious, mouth-watering cedar plank salmon (Man, now I’m hungry) will boost your Omega-3 fatty acid intake which can help to reduce inflammation caused by allergies.

If They’re Still Bad, Come Back for Seconds | See a Sinus Doctor

If they say you’re allergic to something, avoid it. That’s one piece of advice to keep you going in the right direction. No food or workout has ever proven to “cure” allergies, but some of these tips that I’ve shared may help relieve you, at least a little, from the annoyance of allergies. Try some allergy medicine, too. Allegra and Nasacort have both worked well with my family and me, Patients who successfully completed their sublingual allergy dropsso I recommend starting on those. Sublingual allergy drops should bring relief, but only if you keep up with it. And lastly, if you think you’re allergies are getting worse, come in to see a sinus doctor or an allergy specialist before it turns into a sinus infection or chronic sinusitis. Surgery can be done to reopen your nasal passage and increase airflow with minimally invasive procedures that will have you breathing easy again, out doing the things you love with the people you love. And I usually don’t have a bias, but I hear my dad is pretty good at that kind of stuff. 🙂


– Intern Jake Nachlas, not yet MD

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Chronic Sinusitis: What Is It?

Sinusitis affects over 37 million people each year and is one of the most common health problems in the United States. Symptoms can affect your sense of smell, decrease your ability to breathe, cause incapacitating sinus headaches and severe nose pain, and diminish your quality of life. Specifically, chronic sinusitis is an inflammation of the sinus area that becomes blocked, which can then lead to these severe symptoms.

Chronic sinusitis is very prevalent in Boca Raton and across South Florida. In fact, South Florida has a number of allergy-inducing trees and plants. Mold in humid, hot air makes allergy-induced chronic sinusitis extremely common. Because Dr. Nachlas has been treating chronic sinusitis in Boca Raton for nearly 30 years, we have a unique perspective that empowers us to provide the most relief with the least inconvenience to the patient.

Chronic Sinusitis Woman Suffering

For many people, traditional chronic sinusitis treatments like medication provide only limited relief.

Traditional Treatments for Chronic Sinusitis

Once chronic sinusitis symptoms are diagnosed, treatment begins with medications and allergy control. Many sinusitis sufferers achieve significant relief from over-the-counter steroid nasal sprays (e.g., fluticasone and triamcinalone) and antihistamines. Antibiotics are used in the presence of active infection. Allergy evaluation with allergy shots can also provide some relief. Despite aggressive medical management, however, many people continue to suffer from chronic sinusitis.

New Treatments for Chronic Sinusitis

When medical and allergic therapy fails to provide relief to chronic sinusitis sufferers, we suggest new, in-office procedures. These new treatments are minimally invasive and provide significant relief. One of the most significant new advances in chronic sinusitis treatment is in-office, computer-assisted balloon sinuplasty. It’s been just over a year since our Boca Raton medical practice became the first in the United States to perform the sinus procedure. Balloon sinuplasty involves guiding a small balloon with a computer into blocked areas of the sinuses. Once the balloon is in place and verified by the computer, it is inflated to relieve the blockage. When the sinus balloon is inflated, it gently widens the walls of your nasal passageway, allowing more air to flow through without the removal of tissue or bone. This minimally-invasive procedure is performed in our Boca Raton office under local anesthesia and with minimal discomfort. No packing is required and patients usually return to full activities within days. The effects of the sinus surgery are typically felt within one to two weeks of the procedure.

What Patients Say About New Chronic Sinusitis Treatments

To date, minimally-invasive sinus procedures have been among our most rewarding in-office procedures. Patient satisfaction is over 95%, with the typical patient feeling the benefits within days of surgery. To further improve chronic sinusitis treatment, other procedures can be added to the minimally-invasive balloon sinuplasty procedure. These can improve breathing and correct a deviated septum (learn more about this Total Nose Approach). All of these conditions can be treated–no packing is required. After performing nasal and sinus surgery in Boca Raton for over three decades, we can say that our patients are extremely satisfied with the results. Elka is one of the patients who were pleased with balloon sinuplasty:

“It only lasted a few minutes, I didn’t feel any pain, when I got home I was a little sore, took a pill and never again felt any pain. I could feel the difference right away, no more pressure in my face, no more headaches. Recovery was easy, I didn’t get any swelling, and in 2 days I was back at work. Now I can breathe!”

-Elka Mnguni,, Sep. 14, 2015

Being able to provide results like that with efficient, in-office procedures has made the sinus surgery more available to busy students and professionals. Dr. Nachlas Nose Best! To discuss your chronic sinusitis issues, schedule a consultation with Dr. Nachlas in Boca Raton: Call now at (561) 939-0909 or request a consultation.

Request a Consultation

Millions of people suffer from sinusitis each year, lowering their quality of life and raising their healthcare costs. The inflammation of the sinus membranes causes breathing to become impaired and drainage of the sinus to be

Balloon Sinuplasty Woman in Pain

Pain in the forehead or between the eyes are common symptoms of sinusitis. Balloon sinuplasty might be your solution.

blocked, and the congestion can be quite painful. It often means more visits to your primary care doctor and several more trips to the pharmacy than you would make otherwise.

For you, the answer might be balloon sinuplasty.

Balloon Sinuplasty: What Is It?

Balloon sinuplasty is a minimally-invasive, endoscopic, catheter-based system which utilizes a flexible sinus balloon catheter to open up blocked sinus passageways. As the balloon is inflated, the inflamed passageway is gently expanded and restructured without damaging the sinus lining. The result is restored drainage and improved function.

In many cases when balloon sinuplasty is performed, there is no need for Dr. Nachlas to cut or remove nasal bone and tissue. Because of this, there may be reduced bleeding and it may be unnecessary to pack the nose, which can be uncomfortable. Additional advantages of the procedure include a short recovery time, with many patients resuming normal activity within 24 hours, and the ability to use other sinus surgery techniques or medical therapies in addition to or following balloon sinuplasty. Treatment options are not limited by the endoscopic surgery.

Balloon Sinuplasty: The Surgery Itself

Watch this video to see how Dr. Nachlas and other surgeons use balloon sinuplasty to treat patients with chronic sinusitis in place of more invasive surgical techniques.

Balloon Sinuplasty: Are You A Good Candidate?

Candidates for balloon sinuplasty have been diagnosed with chronic sinusitis and are frustrated with the reoccurring, uncomfortable, and emotionally draining symptoms of the condition, which may not respond well to medication. The FDA-approved technology is safe and considered extremely effective. Hundreds of thousands of patients have been helped to breathe better and lead a fuller life through balloon sinuplasty.

To schedule your appointment with Doctor Nachlas call us at (561) 939-0909 or request a consultation.

Request a Consultation


Nathan E Nachlas talks about the allergies and nasal sinusitisThe nose, throat and eyes may often suffer most from illness. The nose may run, the throat may be sore, and the eyes may water. The causes for these symptoms can vary; a change in weather, a cold, allergies, or nasal sinusitis may be to blame. ABC News reported, “Thirty-five million Americans suffer from nasal allergies and 7 million suffer from chronic sinus infections, yet most people can’t tell the difference between these two conditions.” When you are determining your symptoms, consider the following indicators. You may differentiate between allergies and sinusitis symptoms.

The Severity

Although allergies may be severe, a sinusitis infection may have worse symptoms. The pressure around the eyes and nose can be cause for discomfort. Sore throat and a stuffed nose can be more intense than traditional allergies.

The Symptoms

An indicator of allergies can include watering, or itching eyes. Meanwhile, a sinus infection more often includes pressure, sore throat, and headache. Again, these symptoms usually appear worse than with allergies.

The Timing

Allergies may be seasonal; you may experience them around the same time every year. A sinus infection, however, is not ignited by pollen or spores. Rather, sinus infections can follow allergies or colds. The cold or allergy may allow infection to overcome your otherwise stronger immune system.

When you have determined that your symptoms are caused by allergies, you may try different medicines for help. If you believe your symptoms are more related to chronic sinus infection, you can visit our Boca Raton location for help. We offer sinus surgery for chronic sinus infections not treated with medication.

To schedule a consultation call Sandy Friedman, director of patient relations for Dr. Nachlas at (561) 939-0909 or you can request an appointment online at

Nathan E. Nachlas, MD