Andrew Moore asked:


Allergies are quite common today with practically everyone suffering from some form of allergy or the other. It is the overreaction of the immune system to antigens like bee stings, some food, insect stings or pollen that triggers an allergy. There are different types of allergic reactions that manifest itself in different ways in the body.

Allergies are generally mild with mild symptoms that go within a few days of getting rid of the trigger of the allergen. Occasionally, there are cases of people suffering from anaphylaxis which is a life threatening condition where there is difficulty in breathing and loss in consciousness.

One type of allergic reaction is seasonal allergic rhinitis, or hay fever. This is an allergic response to pollen and other microscopic substances that exist at certain times of the year. There are also conditions where allergic rhinitis works out to be perennial, or year round.

One of the types of allergic reactions is allergy to insect stings, which is very common. Some people however will not be aware of their allergy to insect stings until they are stung by an insect. More often than not, it is the second sting that triggers an allergy reaction while the first sting produces only a normal sting reaction. However if you have an allergy to insect stings, the severity of the reaction varies from person to person.

Allergy to latex is another of the types of allergic reactions where the person is allergic to substances made of natural latex. One of the main sources of this allergic reaction is rubber gloves while sometimes, latex that is used in other products like condoms and medical devices can trigger a reaction.

Mold allergy is an allergy that does not have a defined season as mold and fungi grow in all weather and thrive both indoors and outdoors. However some forms of outdoor mold tend to thrive in higher concentrations from spring to late fall. There are some people who suffer from allergy to cosmetics. With cosmetic allergy, you experience skin irritation because of some ingredients in the cosmetics like fragrances and preservatives. The two types of allergic reactions here are irritant contact dermatitis and allergic contact dermatitis.

Some people are allergic to pets; where it is not the pet’s feathers or fur that triggers a reaction. It is the invisible flakes of animal skin called dander that triggers sneezing, watery eyes and stuffy noses in some people. When you suffer from food allergies, it means that some food likes peanuts and jalapeños trigger an allergic reaction.

Symptoms here are like symptoms for different types of allergic reactions like hives, swelling of the throat and tongue, vomiting, abdominal cramps, diarrhea and a drop in blood pressure.

People suffering from allergic must know how to get first aid if it happens to them. Friend and family will be helpful if they know what it is. You will not know when it will be helpful.

Cindy Heller asked:

Rhinitis during pregnancy can be due to allergic rhinitis, sinusitis, or non-allergic rhinitis. If the woman has had allergic rhinitis prior to pregnancy, this could worsen, stay the same, or even improve. This change in symptoms may be dependent upon many factors, including the presence of seasonal allergens and increase in pregnancy hormones.

Non-allergic rhinitis in pregnancy may also be due to an increase in pregnancy hormones, leading to nasal congestion, runny nose and post nasal drip. This is called “rhinitis of pregnancy”. The symptoms may mimic allergies, but since they are non-allergic in nature, do not respond to anti-histamines.

The pregnant woman with rhinitis may be concerned about the safety of medications during pregnancy, and therefore avoid taking medications.

If avoidance of allergic triggers is not possible or successful, medications may be needed to control symptoms.

Diagnosis of Allergic Rhinitis During Pregnancy

Allergy testing includes skin testing or blood tests, called a RAST. In general, allergy skin testing is not done during pregnancy, given the small chance of anaphylaxis which may occur. Anaphylaxis during pregnancy, if severe, could result in a decrease in blood and oxygen to the uterus, possibly harming the fetus. Therefore, allergy testing is usually deferred during pregnancy, although a RAST would be a safe alternative if the results are needed during pregnancy.

Safety of Allergy Medications During Pregnancy

According to the Food and Drug Administration (FDA), no drugs are considered completely safe in pregnancy. This is because no pregnant woman would want to sign up for a medication safety study while she is pregnant. Therefore, the FDA has assigned risk categories to medications based on use in pregnancy.

Pregnancy category “A” medications are medications in which there are good studies in pregnant women showing the safety of the medication to the baby in the first trimester. There are very few medications in this category, and no asthma medications.

Category “B” medications show good safety studies in pregnant animals but there are no human studies available.

Pregnancy category “C” medications may result in adverse effects on the fetus when studied in pregnant animals, but the benefits of these drugs may out weight the potential risks in humans.

Category “D” medications show clear risk to the fetus, but there may be instances in which the benefits outweigh the risks in humans. And finally, category “X” medications show clear evidence of birth defects in animals and/or human studies and should not be used in pregnancy.

Before any medication is taken during pregnancy, the doctor and patient must have a risk/benefit discussion. This means that the benefits of the medication should be weighed against the risks – and the medication should only be taken if the benefits outweigh the risks.

Treatment of Rhinitis During Pregnancy

Nasal saline. Rhinitis of pregnancy tends not to respond to anti-histamines or nasal sprays. This condition seems to respond temporarily to nasal saline (salt water), which is safe to use during pregnancy (it is not actually a drug). Nasal saline is available over the counter, is inexpensive, and can be used as often as needed. Generally 3 to 6 sprays are placed in each nostril, leaving the saline in the nose for up to 30 seconds, and then blowing the nose.

Anti-histamines. Older anti-histamines, such as chlorpheniramine and tripelennamine, are the preferred agents to treat allergic rhinitis during pregnancy, and are both category B medications. Newer anti-histamines such as over-the-counter loratadine (Claritin/Alavert and generic forms) and prescription cetirizine (Zyrtec) are also pregnancy category B medications.

Decongestants. Pseudoephedrine (Sudafed, many generic forms) is the preferred oral decongestant to treat allergic and non-allergic rhinitis during pregnancy, although should be avoided during the entire first trimester, as it has been associated with infant gastroschisis. This medication is pregnancy category C.

Medicated nasal sprays. Cromolyn nasal spray (NasalCrom, generics) is helpful in treating allergic rhinitis if it is used before exposure to an allergen and prior to the onset of symptoms. This medication is pregnancy category B and is available over the counter. If this medication is not helpful, one nasal steroid, budesonide (Rhinocort Aqua), recently received a pregnancy category B rating (all others are category C), and therefore would be the nasal steroid of choice during pregnancy.

Immunotherapy. Allergy shots can be continued during pregnancy, but it is not recommended to start this treatment while pregnant. Typically the dose of the allergy shots is not increased, and many allergists will cut the dose of the allergy shot by 50 percent during pregnancy. Some allergists feel that allergy shots should be stopped during pregnancy, given the risk of anaphylaxis and possible danger to the fetus as a result. Other than anaphylaxis, there is no data showing that the allergy shots themselves are actually harmful to the fetus.