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Controlling dust mites, mold spores, house dust, animal dander, and exposure to pollen can help relieve and prevent allergy symptoms. Refer to the following list for ideas on how to control your environment and for better management of rhinitis (nasal - “hay fever”) symptoms.

In the home

* Regularly air out tight, closed spaces like bathrooms and closets.
* Use a damp, not dry, cloth to dust rooms weekly.
* Reduce the number of indoor plants in your home - they are a breeding ground for mildew.
* Reduce or discard items that are likely to collect dust (e.g., dried flowers and stuffed animals).
* Use a dehumidifier or air conditioner.
* Remember to change air filters regularly in heating and air-conditioning systems.
* Keep windows and doors closed during heavy pollination seasons.
* If possible, replace wall-to-wall carpeting with wood or linoleum floors.
* Use dust masks when cleaning.

Bedrooms

* To relieve nasal congestion, try tilting the head of the bed upwards.
* Use allergen-impermeable covers on mattresses and pillows.
* Wash linens in hot water to kill dust mites.
* Use hypo-allergenic bedding, pillows, and blankets.

Outside

* Avoid the outdoors during early morning hours - this is when pollen levels are highest.
* Try to limit outdoor work - leaves, grass, peat, and mulch are common allergens.
* If you must mow the lawn yourself, remember to use a mask.
* Keep the grass cut short.

Pets

* Keep pets that produce dander (cats and dogs) outside.
* If pets must stay indoors, do not allow them into sleeping areas or rooms with upholstered furniture.
* If you have a young child who is clearly allergic to your pet, you should probably get rid of the pet (we are assuming you would prefer to keep the child), although some physicians may recommend low-dose nasal corticosteroids for the child.

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Allergy sufferers should be seen by an allergist or an ENT (ear, nose, throat) specialist. The physician or specialist will ask questions related to the patient’s medical history and may perform a series of medical examinations and tests. One common test is the “skin test,” done by scratching or lightly injecting a small amount of allergen into the surface of the patient’s skin. If a large hive develops, it usually means the patient is “sensitive” (allergic) to that allergen. Skin tests help to determine the patient’s sensitivity to each allergen, making it easier for the patient and physician to formulate a plan to alleviate the symptoms caused by the allergens.

Environmental factors

Counselling in proper environmental control is often included as part of allergy treatment. Avoiding substances that cause allergic reactions may make symptoms more manageable. Preventative measures can reduce the frequency and severity of allergic reactions significantly.

Medications

Medications such as antihistamines and decongestants are commonly used to prevent and relieve allergy symptoms. They are widely available over the counter or by prescription. Anti-inflammatory agents such as cromolyn, nedocromil, and corticosteroids are also used to prevent allergy symptoms. These drugs work by helping to reduce inflammation in the airways caused by allergens. Low-dose corticosteroid nasal spray has become very popular and has proven to be extremely effective in managing the rhinitis (nasal inflammation) caused by allergies.

Allergen immunotherapy (allergy shots)

Allergy shots are given to patients with moderate to severe allergies. If the patient’s allergy symptoms occur year round, or if the allergy is caused by a substance that is not easily avoidable, allergy shots may be the most effective form of treatment. In immunotherapy, the patient is given a series of shots or vaccinations to help build immunity to the allergen. Patients are given an injection once a week containing only the allergens to which the patient reacts. As the weeks progress, the concentration of the allergen in each shot is gradually increased. Typically, patients will receive injections for 3 to 5 years or more.

Immunotherapy is a relatively safe if somewhat old-fashioned method of treatment. The effectiveness of these shots can be quite variable.

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Allergies are triggered by various allergy-causing substances (allergens) such as pollens, molds, and animal dander. In the springtime, typical allergens are pollens that come from grasses and trees. During the rest of the year, other allergens such as pet dander, mites found within house dust, and molds are common.

Most people who have allergies have inherited them; however, allergies can develop on their own later in life. People with allergies have an antibody called IgE (immunoglobulin E). This substance causes an excessive reaction to allergens. Typical allergy symptoms include repetitive and prolonged sneezing, runny or plugged nose, itchy, watery, red or swollen eyes, and itchy throat. Other common allergic reactions include skin and intestinal problems, such as hives, itchiness, rashes, diarrhea and headache.

Are allergies life-threatening?

Allergies are rarely life-threatening, but serious allergic reactions can occur. These include swelling of the respiratory passages, shortness of breath, and anaphylactic reaction. People who suffer from allergies have an increased chance of developing respiratory infections and may be more susceptible to developing asthma. The majority of allergy sufferers are affected by reduced efficiency in daily activities, decreased energy levels, and a reduced quality of life.

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AAAAI and FAAN educate about dangers of anaphylaxis

With the upcoming school year approaching, the American Academy of Allergy, Asthma and Immunology (AAAAI) and the Food Allergy & Anaphylaxis Network (FAAN) are asking every parent of a child with food allergies or a known insect sting allergy to alert their child’s school to the condition and have an action plan ready.

A potentially life-threatening allergic reaction, called anaphylaxis, can be triggered by exposure to one or more allergens, including foods, insect stings, drugs, and latex products. Anaphylaxis can affect multiple areas of the body (such as skin, respiratory tract, gastrointestinal tract and the cardiovascular system). Symptoms can include severe headache, nausea and vomiting, sneezing and coughing, hives, swelling of the lips, tongue and throat, itching all over the body, and anxiety. The most dangerous symptoms include difficulty breathing, a drop in blood pressure, and shock - all of which can be fatal.

“All school staff must be made aware of the potentially severe nature of an anaphylactic reaction,” said S. Allan Bock , MD , FAAAAI, and Chair of the AAAAI’s Anaphylaxis Committee. “Parents need to work together with teachers, coaches and school nurses to avoid triggers and act quickly if a reaction occurs.”

To protect your child, and prevent anaphylaxis, the AAAAI and FAAN encourage parents to take the following steps before the school year begins:

* Work with an allergist/immunologist to identify your child’s triggers and reinforce these to your child. If possible, provide your child with a medical bracelet or necklace that identifies his or her specific allergy.
* Tour your child’s school or childcare facility before school starts, and meet with the staff to inquire about policies regarding foods and other potential triggers brought into the classroom.
* Provide staff with information and resources to educate them about your child’s allergy. Have your child’s allergist/immunologist provide clear, written instructions on recognizing a reaction early and administering medication in case of a reaction. Inform staff to call 911 immediately if a reaction occurs.
* Teach staff when and how to properly administer medications such as injectable epinephrine, encouraging them to handle the medication and ask questions. Explain to them that they cannot delay in administering medication to your child, and that they are obligated to assist your child and to include him or her in normal school activities. Children with a history of anaphylaxis should carry epinephrine with them at all times.

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Anaphylaxis is a “systemic reaction,” which means that various parts of the body are affected that are a distance from the allergen’s initial entry site (e.g., a sting site for insects or the stomach for foods). Symptoms of anaphylaxis can vary from mild to severe and are potentially deadly. Here is a list of possible symptoms that may occur alone or in any combination:

* Skin: hives, swelling, itch, warmth, redness, rash
* Breathing: wheezing, shortness of breath, throat tightness, cough, hoarse voice, chest pain/tightness, nasal congestion/hay fever-like symptoms, trouble swallowing
* Stomach: nausea, pain/cramps, vomiting, diarrhea, itchy mouth/throat
* Circulation: pale/blue color, poor pulse, passing-out, dizzy/lightheaded, low blood pressure, shock
* Other: anxiety, feeling of “impending doom,” red/itchy/watery eyes, headache, cramping of the uterus

Reactions usually begin within minutes of exposure, but may be delayed. Sometimes symptoms resolve, only to recur or progress a few hours later. The most dangerous symptoms are low blood pressure, breathing difficulties, shock and loss of consciousness, all of which can be fatal.

There are a variety of medical conditions that may mimic anaphylaxis. These include heart attacks, anxiety attacks, choking and seizures, among others. If you experience any unusual symptoms, it is vitally important to seek immediate medical attention (e.g., call 911) for prompt treatment and to determine the cause of the symptoms.

Substances that trigger reactions

* Foods: Essentially any food can trigger an allergic reaction, but some of the most common ones that cause severe anaphylaxis are: peanuts, nuts from trees (e.g., walnut, cashew, Brazil nut), shellfish, fish, milk and eggs.
* Stinging insects: The venom of stinging insects such as yellow jackets, honeybees, paper wasps, hornets and fire ants cause discomfort for most people who are stung. However, reactions can be severe and even deadly for people with allergies to these venoms.
* Medications: Virtually any medication can trigger an allergic reaction. Common categories of drugs that cause anaphylaxis are antibiotics and anti-seizure medicines. Medical therapies such as certain post-surgery fluids, vaccines, blood and blood products, radiocontrast dyes, pain medications and other drugs may cause anaphylaxis or anaphylactoid reactions.
* Latex: Some products made from natural latex (from the rubber tree) contain allergens that can trigger reactions in sensitive individuals. The greatest danger of severe reactions occurs when latex comes into contact with moist areas of the body or internal surfaces during surgery, because more of the allergen can rapidly be absorbed into the body.
* Exercise: Although rare, exercise can also trigger anaphylaxis. Oddly enough, it does not occur after every exercise session and in some cases, only occurs after eating certain foods before exercise.
* Other: Anaphylaxis has rarely been associated with exposure to seminal fluid, hormones and exposure to extreme temperatures. When no cause is found and the reaction is definitely anaphylaxis, it is termed idiopathic anaphylaxis.

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The existence of IgE antibodies is common to all forms of allergic disease. But the physical symptoms differ depending on the type of mediator released and where they act. When a person with allergies begins to experience symptoms, key questions are: What allergens am I reacting to? When, and how much, am I exposed to these substances?

Major allergic diseases include:

* Allergic rhinitis, or “hay fever”
* Allergic conjunctivitis (an eye reaction)
* Asthma
* Atopic dermatitis, or allergic skin reactions
* Urticaria, also known as hives
* Severe allergic reactions to substances such as food, latex, medications, and insect stings
* Problems commonly resulting from allergic rhinitis—sinusitis and otitis media (ear infections)

Symptoms of allergic rhinitis, commonly referred to as “hay fever,” occur when allergens touch the lining of the nose—called the mucus membranes—of a person who is sensitive to that particular allergen. Allergic rhinitis is characterized by congestion, itching and dripping of the nose and itchy, watery eyes. If the person continues to have daily, ongoing exposure to the responsible allergen(s), the symptoms will continue. Similar to allergic rhinitis, allergic conjunctivitis occurs when the eyes react to allergens with symptoms of reddening, itching and swelling.

Symptoms of atopic dermatitis, also called eczema, often result from allergen exposure to the skin. Dermatitis symptoms include itching, reddening, and flaking or peeling of the skin. Symptoms begin in childhood for 80% of those with atopic dermatitis. Dermatitis often precedes other allergic disorders; over 50% of those with atopic dermatitis also develop asthma.

Urticaria, or hives, another allergic skin reaction, is characterized by itchy red bumps that can occur in clumps and be either large or small. Hives are often triggered by infection, certain foods or medications. Foods commonly associated with hives include nuts, tomatoes, shellfish and berries. Medications include penicillin, sulfa, anti-seizure medications, phenobarbital and aspirin.

Asthma is a chronic lung disease that affects more than 17 million Americans and is characterized by coughing, chest tightness, shortness of breath and wheezing. Allergic rhinitis is considered a risk factor in developing asthma: up to 78% of those with asthma also have allergic rhinitis.

When an individual experiences asthma symptoms, the inflamed airways become constricted so it becomes more difficult to breathe through the narrowed air passages. For people with allergies, inhaling allergens may produce increased inflammation of the airway lining and further narrowing of the air passages. Asthma may also occur as a result of other stimuli, such as respiratory tract infections or exposure to irritants.

Individuals who have allergies to specific foods may have severe and possibly life-threatening reactions if they eat them. The most common food allergy triggers are the proteins in cow’s milk, eggs, peanuts, wheat, soy, fish, shellfish and tree nuts. Food allergy occurs more frequently in children than adults. Many of these children may lose their sensitivity to particular foods over time.

Foods and other allergens, including penicillin, insect stings and latex, can trigger a severe, systemic allergic reaction called anaphylaxis. Anaphylaxis is caused by swelling throughout the body, and can involve several organ systems. Symptoms of anaphylaxis include a feeling of warmth, flushing, tingling in the mouth or a red, itchy rash. Other symptoms may include feelings of light-headedness, shortness of breath, severe sneezing, anxiety, stomach or uterine cramps, and/or vomiting and diarrhea. In severe cases, patients may experience a drop in blood pressure that results in a loss of consciousness and shock. Without immediate treatment with an injection of epinephrine (adrenalin), anaphylaxis may be fatal.

Sinusitis and otitis media are other common allergic diseases that often are triggered by allergic rhinitis. Sinusitis is an acute or chronic inflammation of the nasal sinuses, which are hollow cavities within the cheek bones found around the eyes and behind the nose. This condition affects over 15% of the U.S. population. Otitis media—or ear infections—is the most common childhood disease requiring physician care. If not properly treated, it can affect a child’s speech and language development.

You can learn more about various allergic diseases by reading the appropriate Tips brochures in this series.

Diagnosing and treating allergic reactions

An allergist is best qualified to treat allergic diseases. To determine if you have an allergy, your allergist will take a thorough medical history and perform an exam. If indicated, he or she will then perform allergy skin testing, or sometimes blood testing, to determine precisely which substance is causing your allergy. Once your allergy triggers are identified, your physician can help you establish a treatment program. The first step is to minimize your exposure to your particular allergens to whatever extent possible. Your physician may also prescribe medications to reduce allergic symptoms as well as inflammation.

Immunotherapy, also known as allergy shots, may also be recommended to modify your immune response. For many patients, immunotherapy can help diminish their reactions to allergens. Please see the Tip brochure in this series for more information on allergy shots.

In summary, an allergic reaction is a complex chain of events that involves many cells, chemicals and tissues throughout the body. While there is not yet a cure for allergic disease, there are many treatments available to lessen symptoms. See your allergist to determine the best course of treatment.

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Some of the most common allergens are:

Foods. Food allergies are most common in infants and often go away as a child gets older. Although some food allergies can be serious, many simply cause annoying symptoms like an itchy rash, a stuffy nose, and diarrhea. Most allergy specialists agree that the foods that people are most commonly allergic to are milk and other dairy products, eggs, wheat, soy, peanuts and tree nuts, and seafood.

Insect bites and stings. The venom (poison) in insect bites and stings causes allergic reactions in many people. These allergies can be severe and may cause an anaphylactic reaction in some people.

Airborne particles. These are often called environmental allergens, and they’re the most common allergens. Some examples of airborne particles that can cause allergies in people are dust mites (tiny bugs that live in house dust); mold spores; animal dander (flakes of scaly, dried skin, and dried saliva from your pets); and pollen from grass, ragweed, and trees.

Medicines. Antibiotics — medications used to treat infections — are the most common types of medicines that cause allergic reactions. Many other medicines, including over-the-counter medications (those you can buy without a prescription), can also cause allergic reactions.

Chemicals. Some cosmetics or laundry detergents can cause people to break out in an itchy rash (hives). Usually, this is because the person has a reaction to the chemicals in these products. Dyes, household cleaners, and pesticides used on lawns or plants can also cause allergic reactions in some people.

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Allergies causes

* The air we breathe in which we can find pollen from plants, household dust, fungi and animal hair.
* Foods such as fish, eggs and dried fruit.
* Drugs such as aspirin and penicillin.
* Stings from insects such as bees.
* Cosmetics and industrial products that make skin contact.

The difference between an allergen is a substance that causes allergy and a bacterial or viral antigen is that while one serves as a defense, another cause flu, and the allergic person is genetically predisposed, that is, not every person have allergies, unless they are too exposed to an allergen and are genetically predisposed. The allergy is not a congenital disease, was not born with it.

Symptoms

The organs most affected are the eyes nose, respiratory and skin, ie bodies that are exposed to the environment and symptoms vary depending on the organ affected.

* Digestive system: you can submit diarrhea and abdominal pain.
* Eyes: redness may appear.
* Nose: presents a watery secretion of mucus and itching.
* Skin: eczema appear.
* Lungs: presents obstruction of the bronchi.

The allergic reaction in the eyes is known as conjunctivitis, in the nose, rhinitis, in the skin may have dermatitis, in the airways, may have bronchitis, laryngitis or asthma.

Risk Factors Prevention

If they are not treated in time, allergies can be progressive, so it is very important prevention and one of our campaigns is to prevent allergic diseases. During gestation should be avoided exposure to snuff. It also should be aware our children about the risks associated with the snuff. Another preventive measure is to avoid as much as possible exposure to environmental allergens. Dr. Huerta said that in our country less than half of people with allergies are attended by doctors, and the remaining cases are dealt with by pharmacists, acupuncturists, yerbero and comadres. Only 1% of allergic patients had been attended by a doctor otolaryngologist, 1% by an allergy, 1% by a neurologist, and 20% by a pediatrician.

If a person suffers from allergies not served properly, it may be due to lack of information. The Mexican Foundation for the Study and Dissemination of allergy is created because

* Allergic rhinitis affects more than 66 million people in the world.
* The overall cost per year of medicines, consultations and lost work time exceeds 20 billion dollars.
* The cost of medicines for allergies is estimated at 8 billion dollars in the world.
* The prevalence of allergy seasonal peak is in adolescence and early adulthood.
* For those who suffer from some form of allergy can find a better quality of life through educational programs troops on the proper care of allergy.
* We all need awareness about the types of allergies, treatment and management.

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You may know that high pollen levels occur in spring season.

Many of us will face the symptoms of pollen allergy when exposed to pollen. Some tiny particles are released from tress, grass, and weeds in each season like winter, summer and fall. These tiny particles are called as pollen and the allergic reaction due to these particles is known as pollen allergy. Plants use the pollen from its own flowers to fertilize it self.

Some times pollen enters into the human nose along with breathing air and triggers some allergic rhinitis called pollen allergy. Most of the people know this pollen allergy as hey fever or rose fever.

Most of the allergy producing pollen comes from plants. A single ragweed plant produces a million grains of pollen a day. Grass and tress are also main sources of pollen.

There are few people who have little contact with the large, heavy, waxy pollen grains of many flowering plants, because this type of pollen will not be carried by wind but by some insects like butterflies and bees.

The trees that produce allergic pollen are oak, ash, pecan, and mountain cedar. Pine pollen is less allergic than other types of pollens.

Pollen allergy symptoms:

If you have pollen allergy the symptoms may vary according to the climate conditions. The symptoms are also depending on the type plants that grow in your area.

- You are allergic to tree pollens in spring season.
- You are allergic to grass and weed pollens in summer season.
- In fall you are allergic to ragweed pollens.

* Pollen allergy causes asthma and hey fevers.
* Running, itching, sneezing, and some times blocking of the nose.
* Itchy and watery eyes.
* Allergic rhinitis also called as hey fever occurs when the immune system overreacts to the particles in the air that you often breathe. If you have severe allergic rhinitis then you may acquire some complicated diseases like sinusitis, plugged ears and ear infection.
* Severe weakness of the human system effects in doing your daily tasks.
* Allergic shiners are the dark circles under the eyes caused by restricted blood flow.

Cause of pollen allergy:

* The main cause for pollen allergy is the release of pollen from plants, tress and grass.
* The pollen that can cause hey fever varies between different climatic and vegetation zones.

Pollen allergy diagnosis:

* The proper diagnosis involves identifying the plants that grow in your area.
* Identify the season in which you get pollen allergy.
* Using appropriate pollen allergens and by doing some allergy tests you can confirm the diagnosis.
* Diagnostic tests can be done using a blood sample from the patient to detect levels of IgE antibody to a particular allergen.

Pollen allergy treatment:

* If you have pollen allergy it is better to stay indoors on windy days. Reduce the plants in your home.
* Use medications such as antihistamines, and nasal sprays. Avoid nasal sprays for a very long period.
* Immunotherapy also called as allergy shots is a very effective long term treatment. Avoid allergy shot therapy if you have other allergic diseases like asthma.
* Using “NASONEX” you can completely overcome from these seasonal pollen allergies. Once you take the medication you can get relief in less than 24 hours. You can completely overcome from allergies within two weeks.
* Doctors prescribe NASONEX to both adults and children; so most people can tolerate the ingredients. Use the above medication by consulting your doctor.

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Allergies (including food) are linked to your body’s immune system. The immune system is the body’s natural defense against foreign invaders such as viruses, bacteria and harmful poisons. When you have allergies or are intolerant to a food, you are continuously putting your immune system and digestive system under stress. This places a huge demand on energy reserves as the immune system and digestive/detoxification system repeatedly has to work harder to fight these challenging allergens or foods.

Reactions to allergens can sometimes produce inflammatory conditions and also mimic a whole range of chronic health problems as well as unexplained symptoms. The symptoms are often masked as headaches, fatigue and joint pains.

Symptoms of allergies occur when a sensitive person is exposed to a normally harmless substance. A susceptible person may develop hay fever, asthma, hives, giant swelling, eczema, intestinal symptoms, or allergic shock.

Upon exposure, symptoms begin to occur due to the release of histamine and other allergic chemicals from specialized immune system cells at the site of exposure (eyes, nose, throat, skin, lungs, etc.).

Substances capable of causing allergic symptoms are called “allergens.” Although the tendency to develop symptoms is inherited, allergic symptoms may develop at any age, depending on the frequency and quantity of exposure. Many people develop allergic problems after living in west Texas for a period of time. The mild climate cause high levels of pollens and molds throughout much of the year. Cedar pollen from December through February may be especially severe.

In the Winter, Mountain Cedar pollen season extends from December to February, and is unique to West/Central Texas.

Nasacort is FDA approved for the treatment of the nasal symptoms of seasonal and year round allergies such as nasal congestion, itchy runny nose, and sneezing. Nasacort Nasal Spray is an unscented, thixotropic, water-based metered-dose pump spray formulation unit containing a microcrystalline suspension of triamcinolone acetonide in an aqueous medium.

Nasacort Nasal Spray comes as a solution to inhale through the nose. It usually is inhaled one to four times a day at evenly spaced intervals. Before using triamcinolone, gently blow your nose to clear your nasal passages. Avoid blowing your nose for 15 minutes after inhaling the prescribed dose.

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