Abhishek Agarwal asked:


Millions of Americans suffer from one respiratory disorder or the other, which can impact their lives in serious ways. A respiratory disorder can be acute or chronic. Acute disorders can be easily treated and last for a short time. On the other hand, chronic disorders are not only difficult to treat but can also leave a person disabled for life.

What is Allergic Bronchitis?

Allergic bronchitis is a type of respiratory disorder. It is commonly referred to as allergic asthma. The immune system of a person suffering from allergic bronchitis is highly sensitve and so hyperactive that it attacks even hamless foriegn substance that enter the body. To put it in other words, the immune system labels a harmless entrant into the body as “dangerous” and produces antibodies to fight against it.

In allergic bronchitis, irritants and allergens inflame the bronchi and lower parts of the respiratory system. The condition lasts as long as the person is exposed to the allergens. In addition, allergic bronchitis is closely associated with asthma and respiratory allergy and can lead to conditions such as hay fever and allergic rhinitis.

In most cases, allergic bronchitis causes mild to moderate suffering. However, it is important to realize that allergic bronchitis can become very dangerous and even cause death. This is because some people are extremely sensitive to allergens. This extreme sensitivity can lead to suffocation caused due to the blocking of airways by inflamed tissues. People in this condition are in great danger. They need immediate hospitalization and medical care.

You know you are a victim of allergic bronchitis when you suffer from breathlessness, runny nose, red or swollen eyes, hyperventilation, tight chest, tickling in throat, persistent sneezing or coughing, headache, nausea, and so on. As soon as you recognise these symptoms, seek the help of a medical practitioner.

Treatment of Allergic Bronchitis

The importance of consulting a physician as soon you notice symptoms of allergic bronchitis cannot be overstressed. The doctor will conduct the required steps to find out which type of allergen is responsible for your particular problem. The test involves injecting an allergen directly under the skin and observing the way your body reacts to it.

Your doctor might even ask you to see an allergist. Allergists perform a series of tests in order to understand the nature of your allergy to a particular allergen. In addition, allergists can also teach you how to prevent the relapse of allergic bronchitis.

Treating mild or moderate allergic bronchitis is fairly simple. You need plenty of knowledge about the disorder, and you also need to know the particular type of allergen responsible for your problem. Once you know, it is easy to just avoid the allergens responsible for your problem. The medical treatment for this condition is anti-histamine medication.

Prevention of Allergic Bronchitis

It is easy to manage and even prevent allergic bronchitis. As mentioned previously, the easiest way is to determine the particular allergen causing your problem and just stay away from it. In addition to this, it pays to know a few things such as the following.

The summer season can aggravate this condition simply because during the summer, there are plenty of allergens in the air.

Remember to bathe your pets regularly and free their fur from any allergens. A lot of allergens are frequently found in the fur of animals.

Take special care of yourself if you are suffering from allergic bronchitis. As already said, the condition can get dangerous.

Keep some anit-histamine medication with you while travelling. You never know the type of allergens you might come across in an unfamiliar location. Having some anti-histamine with you will help you easily control any allergic reaction that might come up.

Be assured that it is possible to live a full, happy, and productive life even with allergic bronchitis. It is very important to keep yourself informed about your condition, ways of treating it, and way of preventing it. Be in touch with your allergist and your doctor. They are the best people to give you all the information you require about allergic bronchitis and to teach you how to live with the problem effectively.

Mihail Fortomas asked:


Allergic rhinitis, more commonly known as “hay fever,” happens when you breathe in something you are allergic to. The inside of your nose becomes inflamed or swollen.

When this happens, the body’s immune system overreacts to specific particles such as plant pollens, molds, dust mites, animal hair, industrial chemicals, tobacco smoke, foods, medicines, and even insect venom.

Allergic rhinitis affects 40 million people in the United States and is an extremely common condition, affecting approximately 20% of the population. While allergic rhinitis is not a life-threatening condition, complications can occur and the condition can impair one’s quality of life leading to a number of indirect costs. Recently, the total direct and indirect cost of allergic rhinitis was estimated at around $5 billion annually.

What are the symptoms of allergic rhinitis?

Signs of allergic rhinitis are similar to signs of a common cold. But, unlike symptoms for the common cold, allergic rhinitis can last for more than 8-10 days. Symptoms include: -stuffy or runny nose -sneezing -itchy or watery nose -itchy or watery eyes -coughing (caused by clear mucus running down the back of the throat) -feeling of a ‘permanent cold’ that never goes away -headaches and earache -constant sore throats and postnasal drip -sleep disturbances and snoring -loss of taste and smell -poor concentration

Children who have allergic rhinitis might have dark circles under their eyes known as Allergic shiners” (related to nasal congestion). They may also use either the palm or the back of their hand to push their nose up as they try to stop the itching (called the “allergic salute”).

What causes allergic rhinitis?

Like our previous discussion, allergic rhinitis is caused by substances that trigger allergies, called allergens. These allergens are found both indoors and outdoors. When allergic rhinitis is caused by common outdoor allergens, like mold or trees, grass and weed pollens, it is often referred to as seasonal allergies, or “hay fever.”

Allergic rhinitis may also be triggered by allergens found in your house like animal dander (tiny skin flakes and saliva), indoor mold, and cockroach or house dust mite droppings.

If you experience symptoms during spring, you may be allergic to tree pollens which we will discuss in detail further on.

To know for certain what causes your symptoms, an allergist or immunologist can perform skin tests to determine what you are allergic to.

What are my choices or treatment?

Over-the-counter antihistamines and nose sprays can help at first, but they can have a number of unpleasant side effects. These antihistamines can make you feel tired and drowsy while nasal sprays can make your stuffiness worse.

Doctor-prescribed nose sprays and antihistamines are different types of medication and are very helpful for controlling long-term symptoms. Some are safe for young children and all are safe for adults.

Consultation with an allergist will determine the medicine and treatment that is right for you.

Can I do anything to avoid getting allergic rhinitis? As prevention is worth a pound of cure, there are some things you can do in your house that might make your symptoms better if not avoid them altogether:

For those who have rhinitis, it may be best not to have pets. But if it cannot be helped, make sure to wash your pet (especially if hairy and furry) once a week. Keeping them out of the bedroom and off the furniture will help as well.

Put pillows and mattresses in sealed plastic covers that keep out dust mites, and wash sheets in hot water weekly. Washing machines at the local Laundromat will have hot enough water to kill the dust mites.

Keep windows closed. If possible, get an air conditioner and run a dehumidifier, so that there will not be so many pollens and molds getting in the house.

What are allergy shots?

For some patients, allergy shots, also known as immunotherapy, are very helpful, and safe. Allergy shots help how your body handles allergens by injecting into your body small amounts of the substances causing your allergy. Over the period of the therapy, your body will learn to accept the allergen without overreacting to it (which is the reason for the allergic reactions).

Your doctor may talk to you about allergy shots if your allergy symptoms are very bad and if they happen for most of the year. You can also consider this if you are constantly around the allergens (such as pollens and dust mites) and if in spite medicines, you are still symptomatic.

Eric Morgan asked:

Here are some basic answers to questions you may have regarding allergen immunotherapy, also known as “allergy shots.”

Allergen immunotherapy is a treatment designed to decrease nasal allergies (also known as allergic rhinitis), allergic asthma and reactions caused by insect stings. Specific allergens are identified through allergy testing, so the allergist first knows what is causing the allergy symptoms, in order to effectively treat them. After the culprit has been identified, allergen immunotherapy involves getting injections of increasing amounts of specific allergens over the course of several months.

Does Immunology Work?

Aside from decreasing allergy symptoms like sneezing, runny nose and congestion, Immunotherapy can help prevent the development of new allergies. In children, Immunotherapy can help prevent allergic rhinitis from progressing into asthma. Even after the treatments have stopped, allergen immunotherapy often leads to long-lasting relief of allergy symptoms.

Many studies have shown that immunotherapy is effective for the treatment of nasal allergies, for both adults and children. A review of 18 published studies involving nearly 800 patients concluded that immunotherapy is highly effective in the treatment of allergic rhinitis. An extensive review of immunotherapy as a treatment for allergic rhinitis in children, showed that the only treatment able to affect the natural cause of the disease is immunotherapy. Studies showing the effectiveness of immunotherapy suggest that roughly 8 out of 10 allergy patients benefit significantly from immunotherapy.

Immunotherapy may also prevent the onset of asthma, and a review of multiple studies showed that allergen immunotherapy is also an effective treatment for asthma. These studies have indicated that treatment with immunotherapy results in reduced symptoms of asthma and improved pulmonary functions, and at the same time, reduces the need for asthma medications.

For individuals with a previously demonstrated allergic susceptibility to insect stings, immunization with insect venom is an extremely effective treatment for preventing future allergic reactions. A review of nine published studies indicates that a course of immunotherapy is highly effective in the management of insect sting allergy. Immunology can be a great alternative if you have any of the following concerns:

Poor response to medications

Impractical or impossible to avoid the offending allergens

Negative medication side effects

Wanting to avoid long-term medications or reduce the cost of medications

Coexisting allergic rhinitis and asthma

Possible prevention of asthma in children

Individuals with allergic asthma

If Immunotherapy Works Why Doesn’t Everyone Do It?

People who have very light symptoms or have found an effective medication that eliminates symptoms, may not need immunotherapy. For others, the time and commitment involved in starting and undergoing immunotherapy can be seen as an obstacle, especially when looking for a “quick fix”. In time however, more and more patients are realizing that the long-term benefits of immunotherapy are much better than having to be on medications for the rest of their life.

Who Is a Good Candidate for Receiving Immunotherapy?

Immunotherapy is recommended for those with allergic asthma, allergic rhinitis (involving various nasal symptoms) and conjunctivitis, or stinging insect allergy. It may be the best option for those who have difficulty controlling symptoms through avoidance or medication. Other considerations are that you do not like the side effects of allergy medication, the allergy medications are inconvenient, or having to take multiple medications in order to control symptoms. Immunotherapy is not recommended for those with food allergies. The best treatment for severe food allergies is to strictly avoid the offending food. The decision to begin immunotherapy will be based on several factors including:

Length of allergy season and how severe symptoms are.

How well medications and/or environmental controls take care of the allergy symptoms.

Wanting to avoid long-term reliance on medication.

Immunotherapy will require a significant time commitment-are you willing to make the commitment to the therapy?

Cost: may vary depending on insurance coverage.

Will Insurance Pay For Immunology?

Most insurance companies and HMOs will pay for immunotherapy, especially if your primary care doctor refers you to an allergist and the allergist recommends immunotherapy as part of your treatment. Even patients with milder symptoms may be recommended immunotherapy to avoid worsening of symptoms, particularly if they cannot always avoid the things they are allergic to, such as a family pet, bee stings, or specific native plants.

Who Is a Good Candidate for receiving immunotherapy?

Immunotherapy is recommended for those with allergic asthma, allergic rhinitis (involving various nasal symptoms) and conjunctivitis, or stinging insect allergy. It may be the best option for those who have difficulty controlling symptoms through avoidance or medication. Other considerations are that you do not like the side effects of allergy medication, the allergy medications are inconvenient, or having to take multiple medications in order to control symptoms. Immunotherapy is not recommended for those with food allergies. The best treatment for severe food allergies is to strictly avoid the offending food. The decision to begin immunotherapy will be based on several factors including:

Length of allergy season and how severe symptoms are.

How well medications and/or environmental controls take care of the allergy symptoms.

Wanting to avoid long-term reliance on medication.

Immunotherapy will require a significant time commitment-are you willing to make the commitment to the therapy?

Cost: may vary depending on insurance coverage.

How Is the Treatment Administered?

A very small hypodermic syringe is used to inject commercial allergen extracts. The injections are usually at the site of the loose tissue over the back of the upper arm, between the shoulder and elbow. This area is the least painful site for injection as there are very few nerve endings. Injections are given under the skin (”subcutaneous”). When administered correctly, the injections should only be slightly uncomfortable. They are not usually painful, and are well tolerated by adults, teenagers and most children. You may be advised to take an antihistamine a few hours before each injection to reduce the likelihood of any local allergic reaction and other side effects.

Can Young Children Receive Immunotherapy?

Children over the age of 5 may be good candidates for the therapy. Very young child will likely have difficulty cooperating with the immunotherapy regimen. However, immunotherapy can be a good option for children in general. Studies suggest that immunotherapy treatments may prevent the development of new allergies in children, and may help prevent the development of asthma in children who have rhinitis.

Is There an Age Limit to Receiving Immunotherapy?

Not really. Anyone from age 5 on up may benefit from receiving immunotherapy. With elderly persons, consideration should be given to the overall health and chronic medical conditions (such as cardiac disease), which could potentially cause problems. However most healthy children and adults can benefit from Immunotherapy treatments.

Where Does the Immunotherapy Take Place?

Ideally, immunotherapy should always be given in the prescribing allergist/immunologist’s office/clinic. If this is not possible for some extenuating circumstance, your allergist/immunologist should provide the supervising physician with all needed information about your specific treatment. Either way, you must always be in the care of an appropriate medical professional, who is qualified to administer Immunotherapy.

Bryan Morris asked:


Approximately 50 million Americans have asthma, hay fever or other allergy related conditions.

You can spot them from across the room – tissue in hand, sneezing, sniffling, blowing their nose, tearing, and rubbing their eyes. This is a common presentation for millions of children and adults who suffer from the misery of allergies. If fortunate, these symptoms are but a minor inconvenience, but, if severe, they can significantly affect one’s quality of life.

Allergies involving the nose (rhinitis) and eyes (conjunctivitis) are almost always caused by contact of an offending “allergen” to the mucous membrane lining of the nose or eyes. Constant exposure for the allergic individual can cause daily symptoms, resulting in what your physician would diagnose as persistent, chronic, or perennial allergic rhinitis. Common allergens responsible for these chronic symptoms may include house dust mites, mold spores, indoor pets, cockroach allergen, or feathers.

Symptoms of allergic rhinitis can also be acute or intermittent, presenting only when one is exposed to a relevant allergen. One of the most common presentations of allergies is seasonal allergic rhinitis or “hay fever”. As its name implies, symptoms will present during the pollen seasons, most typically in the spring during the tree and grass pollinating times, and in the fall when ragweed and other weed pollens are present.

You may want to consider a visit to an allergist if the following symptoms are present on a daily basis or seasonally:

• Itchy, swollen, red, tearing eyes

• Itching of the nose, ears, eyes, or throat

• Runny nose

• Sneezing

• Nasal congestion

• Persistent post-nasal drip

Allergic rhinitis is actually one of the easiest diagnoses for your physician to make. If the medical history suggests allergic rhinitis, an allergist will likely perform allergy testing in order to confirm the diagnosis, identify the offending allergen(s), and ascertain the severity of the allergy. The preferable testing method by most allergists is skin testing. This method allows the testing of multiple allergens simultaneously, with the results being immediately available. Alternatively, similar results can be obtained through a blood test called RAST or ImmunoCap.

Once the relevant allergens have been identified, an allergist will recommend a comprehensive treatment plan. This plan may include one or all of the following:

• Environmental control – minimizing exposure to allergens that you are sensitive to

• Pharmacotherpy – medicines including antihistamines, steroid nasal sprays, and other non-steroidal blockers of inflammation

• Immunotherapy or desensitization – extracts of allergens (pollens, dust, molds, etc.) are introduced into the body to induce an immunologic response, resulting in the eventual reduction or elimination of the allergic reaction. Historically, this form of treatment was available only by injection. Recent advances now allow the desensitization process to be given, in selected patients, by taking drops under the tongue, a process called sublingual immunotherapy (SLIT).

The most severe allergic reaction is called anaphylaxis. The most common causes of anaphylaxis include the ingestion of a highly allergenic food, such as peanuts, tree nuts, and shell-fish, or a medicine. The sting of a yellow jacket, wasp, hornet, or honeybee, or the bite of a fire ant can also result in a severe allergic reaction in a susceptible individual.

The symptoms of anaphylaxis vary from person to person. For some, they may be mild and include only generalized itching and urticaria (hives). In more severe reactions, however, they can include involvement of the respiratory, circulatory, and digestive systems, and can be fatal if not treated quickly and aggressively by the administration of epinephrine. Epinephrine can be self injected with the use of an EpiPen or Twinject.

Symptoms of full blown anaphylaxis may include:

• Difficulty breathing

• Hives or swelling

• Tightness of the throat

• Hoarse voice

• Nausea

• Vomiting

• Abdominal pain

• Diarrhea

• Dizziness

• Low blood pressure

• Cardiac arrest

• Shock

Those who have had anaphylaxis or are at risk for anaphylaxis should be evaluated by a board certified allergist for confirmation, identification of the allergen(s), and education regarding prevention, recognition, and self treatment of anaphylaxis.

There are many preventative measures allergy sufferers can take to protect themselves from potentially dangerous allergic reactions. Education is the best medicine. And, consider consulting an allergist for the most complete and up-to-date treatments available.

More detailed descriptions of common allergies and asthma can be found on the website, allergymedsites.com.