How do you know whether youre having a naso-ocular reflex or outdoor allergies? It may be difficult to tell for sure, but the naso-ocular reflex should occur almost immediately after stepping outside. Outdoor allergies, due to pollen and mold, may occur after a few minutes of being outside, and will also cause symptoms of itchy nose and eyes. Allergies will get better with a wide variety of allergy medications; the naso-ocular reflex may get better with a variety of prescription nasal sprays and a good pair of sunglasses.
Source:
Diagnosis and Management of Rhinitis: Joint Task Force on Practice Parameters in Allergy, Asthma and Immunology. Ann Allergy Asthma Immunol. 1998;81:463-518.
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