A 35-year-old male with a known history of hay fever complains of difficulty sleeping and feeling tired during the day. What could be the cause of these symptoms and how could they be managed?
In patients with hay fever, symptoms such as nasal congestion can disrupt sleep, leading to daytime fatigue. This is often known as allergic rhinitis-induced sleep disturbance. Management would involve control of the patient's hay fever symptoms, primarily the nasal congestion. This could include the use of a nasal corticosteroid spray or a leukotriene receptor antagonist, such as montelukast.