March arrives, signaling the start of spring in Israel, bringing blooms, longer days, and gradually warming air, but also quite a few health challenges. The transitional season is marked by sharp temperature changes between day and night, winds, dust, and increased pollen. This combination creates conditions that increase the prevalence of several typical phenomena and illnesses. Here are four of the most notable and what can be done to get through the season safely.
Seasonal allergy (Hay fever)
This is undoubtedly the "queen of spring." Trees, grasses, and flowers release large amounts of pollen into the air, and in sensitive people, the immune system reacts strongly. The result: Watery nasal discharge, frequent sneezing, itchy eyes, tearing, and sometimes cough or mild shortness of breath.
What to do?
Those who suffer from seasonal allergies and know their personal pattern should begin preventive treatment at the start of the season with steroid nasal sprays or antihistamines, according to a doctor’s recommendation. It is advisable to avoid prolonged exposure to open fields during peak pollen hours, mainly in the morning, to change clothes after being outside, and to keep windows closed on windy days. In cases of wheezing or worsening asthma, seek medical advice. Additionally, in people with atopic dermatitis or skin asthma, flare-ups are sometimes more frequent during transitional seasons due to allergies and dryness. Therefore, it is especially recommended to use fragrance-free moisturizer, avoid hot showers and vigorous towel rubbing, and consult the treating physician if necessary to obtain topical ointments in case of flare-ups.
Worsening asthma and chronic respiratory diseases
The combination of pollen, dust, and weather changes can exacerbate conditions like asthma or chronic bronchitis. Patients sometimes report more attacks, increased need for inhalers, and chest tightness.
What to do?
It is important to ensure that your regular treatment is up to date and that you have an inhaler for immediate relief. The transitional season is not the time to reduce dosages on your own. Anyone experiencing persistent worsening or increased need for a relief inhaler should be examined. Additionally, it is recommended to avoid dusty areas and exposure to smoke.
Colds and viruses of transitional seasons
Although winter is behind us, respiratory viruses do not disappear immediately. Infection occurs through exposure to viruses and bacteria, and during transitional seasons, some illnesses continue because people gather in enclosed spaces and transmit infections to each other. Sharp temperature and humidity changes may theoretically affect the body’s defense mechanisms, but the illness itself is caused by viruses, not exposure to cold.
What to do?
Maintain hand hygiene, ventilate spaces, and avoid close contact when sick. Sufficient rest, plenty of fluids, and a balanced diet support recovery. If a high fever lasts more than three days, shortness of breath occurs, or general worsening develops, seek a checkup. Especially in patients with underlying illnesses or immunosuppression, a checkup is advised even in cases of chest pain, fever that does not subside despite using antipyretics, signs of dehydration, or extreme weakness.
Insect bites and skin reactions
With rising temperatures, mosquitoes and insects become active again. Beyond discomfort, bites can cause significant local allergic reactions and, rarely, secondary infections due to prolonged scratching.
What to do?
Use insect repellent in open areas and avoid leaving standing water on balconies and yards. It is also recommended to cover the skin with long clothing, especially at dawn and dusk. In case of a bite, a cold compress and a soothing local treatment can help. If unusual swelling, spreading redness, or significant local heat appears, seek a checkup.
Spring is a wonderful season to go outside, exercise, and refresh body and mind. Simple preparation and awareness of common seasonal phenomena can prevent unnecessary suffering and allow us to enjoy the season fully. Listening to your body and seeking medical advice promptly when needed are key to a healthy spring.
Dr. Lee Erez, Family Physician, Maccabi Healthcare Services, Northern District