When Should You Consult an Allergist?
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.
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.
Hay Fever, Perennial Sneezing and Asthma
Tom alter asked:
Some people who inherit an allergy sensitive background develop certain allergies from time to time. These allergies may be due to many environmental factors and sometimes symptoms of asthma are also impersonated by them. Some common forms of these allergic reactions may be seasonal while others may be perennial in nature.
It is important to understand the differences between these and asthma so that they are never confused with asthma because their treatments as well the severity both differ from each other. Seasonal sneezing is called seasonal allergic rhinitis or hay fever in the common parlance. As against the name it is not caused because of hay but because of certain pollutants mainly certain kinds of pollen in the environment to which a person may be allergic.
In contrast to these people some others suffer with sneezing bouts, stuffy or running nose almost all the year round. These people suffer from perennial sneezing or perennial allergic rhinitis. When these people are exposed to cold wind, sunlight, dust and fumes the symptoms of the sneezing bouts precipitate.
In hay fever or seasonal allergic rhinitis the symptoms appear gradually or all of a sudden. This depends upon the degree of exposure to the offending allergen and also upon the degree to which the person may be allergic to them. When the symptoms appear gradually they are accompanied with mild sensation of itching and burning of the eyes and mild irritation in the nose or itching of the palate inside the mouth.
The symptoms usually appear in the early morning hours when the concentration of pollen grains is at its peak. The sneezing bouts are also accompanied with marked increase in the nasal congestion, throat congestion, running of the nose profusely and watery eyes. The nasal mucous membrane becomes highly sensitive with advancement of symptoms and any slight change in the nasal mucous membrane manifests in heavy bouts of sneezing.
These changes may be of very slight nature like appearance of a draft, strong odours, or even minute quantities of dust. In addition to these symptoms there may be appearance of other associated symptoms like general lethargy, loss of appetite, drowsiness and also pain in the body with slight rise in temperature.
In some patients in addition to the above mentioned conditions the symptoms of bronchial asthma also develop side by side making the conditions worse. These symptoms either develop right from the start of the other symptoms or may develop later as the disease advances. The worse part is that once a person starts with these symptoms he may continue with the symptoms of asthma even after the sneezing attacks stop.
This condition can be very easily diagnosed with the study of the case history of the patient. The tests usually undertaken to identify the pollens are skin tests with extracts of the pollen and scratch or intracutaneous tests giving positive reactions to the pollens simultaneously with a confirmation of the same through consultation of the pollen calendar.
Once the offending pollen is identified the effect of it can be controlled efficiently by hypo sensitization tests. Treatment with antihistamine tablets generally proves to be every effective. But it is only a temporary resort. The allergen has to be properly identified and then treated accordingly with preventive measures and drug therapy if need be.
Taking preventive action to overcome seasonal sneezing attacks is very important. For this undue exposure in a particular season should be completely avoided. Outdoor activities like tending to the garden or farming should not be done. The windows of the rooms should be kept closed as far as possible to avoid exposure to the allergen. In extreme cases using air conditioning may be the only way out.
The patients of perennial sneezing or perennial allergic rhinitis have sneezing, running nose, blocked or stuffy nose and nasal discharge almost all the year round. These people many – a – times are found to be snoring at night and are in the habit of breathing through the mouth. They have discomfort in the ears because of blockage in the ear tubes that open in the throat.
These are called Eustachian tubes. When the irritation persists for a long time a person tends to rub the nose vigorously and repeatedly. This leads to development of a crease across the nose called the allergic crease. Some paranasal sinuses may also get blocked leading to accumulation of secretions.
When the ear, nose and throat get infected repeatedly there may be accompanying fever. Exposure to irritants like cold wind, sunlight, dust, fumes and smoke all lead to aggravation of the symptoms. These symptoms usually occur in the early morning hours and then the symptoms may continue throughout the day and even at night. The symptoms in severe cases may resemble symptoms of asthma accompanied with bronchial spasm and suffocation.
The condition is generally diagnosed after studying the family history of allergy. The lab test of eosinophil count is a must to come to concrete conclusions. Skin test of pollen and other allergens is necessary in case the eosinophil count is normal. Treatment with antihistamines helps very limited people. Nasal drops may provide temporary relief but they should be used very sparingly as they work on the principle of cauterization, that is burning o the mucous membrane of the nose so that the nasal passage becomes insensitive. Hyposensitization works efficiently and surgery may be used in very extreme cases only.
Some people who inherit an allergy sensitive background develop certain allergies from time to time. These allergies may be due to many environmental factors and sometimes symptoms of asthma are also impersonated by them. Some common forms of these allergic reactions may be seasonal while others may be perennial in nature.
It is important to understand the differences between these and asthma so that they are never confused with asthma because their treatments as well the severity both differ from each other. Seasonal sneezing is called seasonal allergic rhinitis or hay fever in the common parlance. As against the name it is not caused because of hay but because of certain pollutants mainly certain kinds of pollen in the environment to which a person may be allergic.
In contrast to these people some others suffer with sneezing bouts, stuffy or running nose almost all the year round. These people suffer from perennial sneezing or perennial allergic rhinitis. When these people are exposed to cold wind, sunlight, dust and fumes the symptoms of the sneezing bouts precipitate.
In hay fever or seasonal allergic rhinitis the symptoms appear gradually or all of a sudden. This depends upon the degree of exposure to the offending allergen and also upon the degree to which the person may be allergic to them. When the symptoms appear gradually they are accompanied with mild sensation of itching and burning of the eyes and mild irritation in the nose or itching of the palate inside the mouth.
The symptoms usually appear in the early morning hours when the concentration of pollen grains is at its peak. The sneezing bouts are also accompanied with marked increase in the nasal congestion, throat congestion, running of the nose profusely and watery eyes. The nasal mucous membrane becomes highly sensitive with advancement of symptoms and any slight change in the nasal mucous membrane manifests in heavy bouts of sneezing.
These changes may be of very slight nature like appearance of a draft, strong odours, or even minute quantities of dust. In addition to these symptoms there may be appearance of other associated symptoms like general lethargy, loss of appetite, drowsiness and also pain in the body with slight rise in temperature.
In some patients in addition to the above mentioned conditions the symptoms of bronchial asthma also develop side by side making the conditions worse. These symptoms either develop right from the start of the other symptoms or may develop later as the disease advances. The worse part is that once a person starts with these symptoms he may continue with the symptoms of asthma even after the sneezing attacks stop.
This condition can be very easily diagnosed with the study of the case history of the patient. The tests usually undertaken to identify the pollens are skin tests with extracts of the pollen and scratch or intracutaneous tests giving positive reactions to the pollens simultaneously with a confirmation of the same through consultation of the pollen calendar.
Once the offending pollen is identified the effect of it can be controlled efficiently by hypo sensitization tests. Treatment with antihistamine tablets generally proves to be every effective. But it is only a temporary resort. The allergen has to be properly identified and then treated accordingly with preventive measures and drug therapy if need be.
Taking preventive action to overcome seasonal sneezing attacks is very important. For this undue exposure in a particular season should be completely avoided. Outdoor activities like tending to the garden or farming should not be done. The windows of the rooms should be kept closed as far as possible to avoid exposure to the allergen. In extreme cases using air conditioning may be the only way out.
The patients of perennial sneezing or perennial allergic rhinitis have sneezing, running nose, blocked or stuffy nose and nasal discharge almost all the year round. These people many – a – times are found to be snoring at night and are in the habit of breathing through the mouth. They have discomfort in the ears because of blockage in the ear tubes that open in the throat.
These are called Eustachian tubes. When the irritation persists for a long time a person tends to rub the nose vigorously and repeatedly. This leads to development of a crease across the nose called the allergic crease. Some paranasal sinuses may also get blocked leading to accumulation of secretions.
When the ear, nose and throat get infected repeatedly there may be accompanying fever. Exposure to irritants like cold wind, sunlight, dust, fumes and smoke all lead to aggravation of the symptoms. These symptoms usually occur in the early morning hours and then the symptoms may continue throughout the day and even at night. The symptoms in severe cases may resemble symptoms of asthma accompanied with bronchial spasm and suffocation.
The condition is generally diagnosed after studying the family history of allergy. The lab test of eosinophil count is a must to come to concrete conclusions. Skin test of pollen and other allergens is necessary in case the eosinophil count is normal. Treatment with antihistamines helps very limited people. Nasal drops may provide temporary relief but they should be used very sparingly as they work on the principle of cauterization, that is burning o the mucous membrane of the nose so that the nasal passage becomes insensitive. Hyposensitization works efficiently and surgery may be used in very extreme cases only.
