Allergies - Symptoms, Diagnosis, Treatment of Allergies

(Source: nytimes)

An allergy is an immune response or reaction to substances that are usually not harmful. What causes seasonal allergies?The correct answer is an immune system reaction. Your immune system normally protects your body against harmful bacteria and viruses. If you have seasonal allergies, this system reacts strongly to harmless pollens. Seasonal allergies are also sometimes called hay fever.What are common seasonal allergy symptoms?The correct answer is all of the above. When you come in contact with an allergy trigger, your body releases the chemical histamine. This causes allergy symptoms. Other symptoms include cough, sore throat, puffy eyes, tiredness, and headache. Tell your doctor if you notice allergy symptoms.What else can cause allergy symptoms in some people?The correct answer is A, B, and C. These triggers create symptoms that affect the nose. It's not always easy to know what is causing allergy symptoms. If you start sneezing and your nose runs, write down what you were doing when symptoms started. Learning what causes your symptoms can help you avoid allergy triggers.Your doctor can do tests to find out what causes your allergies.The correct answer is true. Your doctor can test you to see what causes an allergic reaction. The most common is a skin prick test. A small amount of a possible allergy trigger is placed on your skin. Then the skin is gently pricked to allow it to go under the skin.
 


If you have swelling or redness, you are allergic.What can you do to avoid allergy triggers?The correct answer is A, B, and C. To reduce allergy triggers in your home, install furnace filters or other air filters. Use a dehumidifier to dry the air in your house and prevent mold. If you have pets, don't let them in your bedroom or on furniture. Pay attention to pollen levels in your area, and avoid going outside when levels are high.What produces the pollen that causes allergies?The correct answer is all of the above. If you get seasonal allergies, work with your doctor to find out what you are allergic to. Pollen levels are highest on cool, damp, rainy days.The correct answer is false. More pollen is in the air on hot, dry, windy days. The amount of pollen in the air can affect whether hay fever symptoms develop. Check for pollen count in your area in the news or online. Stay indoors in air conditioning if possible when counts are high. Which can treat allergies?The correct answer is all of the above. Common medicines include antihistamines, corticosteroids, and decongestants. Treatments are available over-the-counter and by prescription. Your doctor will recommend a medicine based on what you are allergic to and how severe your allergies are.Allergy shots can treat severe seasonal allergies.The correct answer is true. Your doctor may recommend shots if you can't avoid allergy triggers and your symptoms are hard to control. You will get regular shots of the substance that causes the reaction. Allergy shots help your body adjust and stop reacting to the allergy trigger. Ask your doctor if this therapy is right for you.

Causes

Allergies are very common. Both genes and environment play a role. If both your parents have allergies, there is a good chance that you have them, too.

The immune system normally protects the body against harmful substances, such as bacteria and viruses. It also reacts to foreign substances called allergens. These are usually harmless and in most people do not cause a problem.

In a person with allergies, the immune response is oversensitive. When it recognizes an allergen, the immune system launches a response. Chemicals such as histamines are released. These chemicals cause allergy symptoms.

Common allergens include:

Drugs
Dust
Food
Insect venom
Mold
Pet and other animal dander
Pollen

Some people have allergy-like reactions to hot or cold temperatures, sunlight, or other environmental triggers. Sometimes, friction (rubbing or roughly stroking the skin) will cause symptoms.
 


 


Allergies may make certain medical conditions, such as sinus problems, eczema, and asthma, worse.

Symptoms

The part of the body the allergen touches affects what symptoms you develop. For example:

Allergens that you breathe in often cause a stuffy nose, itchy nose and throat, mucus, cough, and wheezing.
Allergens that touch the eyes may cause itchy, watery, red, swollen eyes.
Eating something you are allergic to can cause nausea, vomiting, abdominal pain, cramping, diarrhea, or a severe, life-threatening reaction.
Allergens that touch the skin can cause a skin rash, hives, itching, blisters, or skin peeling.
Drug allergies usually involve the whole body and can lead to a variety of symptoms.

Treatment

Severe allergic reactions (anaphylaxis) need to be treated with a medicine called epinephrine. It can be life-saving when given right away. If you use epinephrine, call 911 and go straight to the hospital.

The best way to reduce symptoms is to avoid what causes your allergies. This is especially important for food and drug allergies.

There are several types of medications to prevent and treat allergies. Which medicine your doctor recommends depends on the type and severity of your symptoms, your age, and overall health.

Illnesses that are caused by allergies (such as asthma, hay fever, and eczema) may need other treatments.

Medications that can be used to treat allergies include:

ANTIHISTAMINES

Antihistamines are available over-the-counter and by prescription. They are available in many forms, including:

Capsules and pills
Eye drops
Injection
Liquid
Nasal spray

CORTICOSTEROIDS

These are anti-inflammatory medications. They are available in many forms, including:

Creams and ointment for the skin
Eye drops
Nasal spray
Lung inhaler

Persons with severe allergic symptoms may be prescribed corticosteroid pills or injections for short periods.
 


 


DECONGESTANTS

Decongestants help relieve a stuffy nose. Do not use decongestant nasal spray for more than several days because they can cause a rebound effect and make the congestion worse. Decongestants in pill form do not cause this problem. People with high blood pressure, heart problems, or prostate enlargement should use decongestants with caution.

OTHER MEDICINES

Leukotriene inhibitors are medicines that block the substances that trigger allergies. Person with asthma and indoor and outdoor allergies may be prescribed these medicines.

ALLERGY SHOTS

Allergy shots (immunotherapy) are sometimes recommended if you cannot avoid the allergen and your symptoms are hard to control. Allergy shots keep your body from over-reacting to the allergen. You will get regular injections of the allergen. Each dose is slightly larger than the last dose until a maximum dose is reached. These shots do not work for everybody and you will have to visit the doctor often.

SUBLINGUAL IMMUNOTHERAPY TREATMENT (SLIT)

Instead of shots, medicine put under the tongue may help for grass and ragweed allergies.

Prevention

Breastfeeding can help prevent or decrease allergies when you feed babies this way only for 4 to 6 months. However, changing a mother's diet during pregnancy or while breastfeeding does not seem to help prevent allergies.

For most children, changing the diet or using special formulas does not seem to prevent allergies. If a parent, brother, sister, or other family member has a history of eczema and allergies, discuss feeding with your child's doctor.

There is also evidence that being exposed to certain allergens (such as dust mites and cat dander) in the first year of life may prevent some allergies. This is called the "hygiene hypothesis." It came from the observation that infants on farms tend to have fewer allergies than those who grow up in more sterile environments. However, older children do not seem to benefit.

Once allergies have developed, treating the allergies and carefully avoiding allergy triggers can prevent reactions in the future.
 

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