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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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Prognosis There are two methods:

1. Skin tests are conducted by escamificación, meaning it makes a small rasguñito in the skin and then gets the allergen in question and answer depending on the skin within 30 minutes or two hours decide if the patient is allergic and what their allergy.

2. In vitro diagnostic tests. It was the scrape of the determination of allergy antibody called Ig. specific, to investigate an allergy and in this case has changed considerably since we have now “more-system”, which is a fairly accessible method is not expensive, and with him we can determine that the patient is allergic to a sample blood, and with this test no longer makes skin tests.

In asthma patients, they do some testing of respiratory function, to see how they are operating their bronchi. During recent years, patients who have gastrointestinal symptoms and asthma, they enforce a pH meter, ie is a sensor, to see how is the pH of your stomach and has found that many young children that is difficult to control suffer from gastroesophageal reflux nasal overnight the food they have in the stomach goes into the bronchi and therefore never heal are always sick, but if we treat the stomach also resolve to respiratory problems. This type of allergy, is a condition usually associated with reflux and usually gives babies.

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Now that the summer is upon us, we can finally enjoy the many outdoor activities of summer.

For many Essex County residents, this is also a time where seasonal allergies can cause problems with our eyes and respiratory systems.

Seasonal allergies are caused by specific allergens such as ragweed, grass or tree pollen. When these allergens come in contact with your body, they are considered foreign particles. The allergens bind themselves to mast cells which are loaded with histamine.

In response, your immune system starts to release large quantities of histamine and other chemicals from these mast cells to combat the allergens.

It is the histamine action that produces the symptoms of sneezing, coughing, nasal congestion, red, itchy and watery eyes. Seasonal allergic reactions can begin at any age. Areas that have poor air quality (such as Essex County) can result in more intense symptoms.

Unfortunately, seasonal allergy symptoms can be difficult to completely eradicate. The first step in the management of this condition involves avoiding the specific allergen you are allergic to. This can be difficult, especially if you are active outdoors in the summer.

There are simple ways to get some relief, such as keeping the windows of your home and car closed and turning the air conditioner on, remembering that pollen release is at its peak in the morning and early afternoon, and making sure the filters in your furnace are clean.

Other more aggressive allergy relief remedies involve oral over-the-counter antihistamine medications taken during your particular allergy season. Talk to your doctor or pharmacist to determine which brand is best for your needs.

For those who suffer from severe seasonal allergies, allergy shots may be the treatment of choice. This is usually preceded by tests performed by an allergist to determine exactly what substances you are allergic to.

In addition to the above remedies to relieve ocular symptoms of seasonal allergies, further comfort can be achieved by placing a clean face cloth soaked in ice cold water over closed eyes. Over-the-counter artificial tear drops and antihistamine eye drops can also help reduce red, itchy, and watery eyes. Prescription drop medications may be considered with more severe allergic symptoms.

Eye drops that combine an antihistamine and a mast cell stabilizer work best by providing immediate and long- term relief. For those who suffer from seasonal allergies, the ocular symptoms can be very uncomfortable.

Despite all the different remedies out there to deal with seasonal allergies, there is no cure. It is not recommended to diagnose and treat your symptoms yourself. Consult your eye care professional to recommend the best therapy to provide relief from seasonal allergies.

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Special warnings about Nasonex

If your allergy symptoms fail to improve–or get worse–while you are using Nasonex, inform your doctor.

When switching from steroid tablets to Nasonex nasal spray, some people develop withdrawal symptoms such as fatigue, depression, and joint or muscle pain. If you notice any of these symptoms, tell your doctor.

In rare cases, a hypersensitivity to steroids or excessive use of Nasonex leads to menstrual irregularities, acne, obesity, and muscle weakness. If these symptoms occur, you should tell your doctor immediately. You may have to gradually discontinue use of this product under your doctor’s supervision.

Steroids can slow down growth in children, so your doctor will monitor the situation carefully if your child is using this drug.

Steroids can suppress your immune system, leaving you more vulnerable to infection. Take extra care to avoid exposure to measles or chickenpox if you have never had them. If you are exposed, seek medical advice immediately.

For the same reason, if you develop a throat or nose infection while using Nasonex, stop taking it and call your doctor. Use Nasonex with caution–if at all–if you suffer from tuberculosis, herpes simplex infection of the eye, or an untreated fungal, bacterial, or viral infection.

Steroid nasal sprays have, on rare occasions, caused perforations in the wall between the nostrils. If you have sores in this area, or have recently had nose surgery or trauma to the nose, do not use Nasonex until the problem has healed.

In rare instances, steroid nasal sprays have also been known to raise pressure within the eyes and promote the development of cataracts. Use Nasonex with caution if you have either problem. If you notice any changes in your vision, report them to your doctor.

Possible food and drug interactions when taking Nasonex

No interactions have been reported. If Nasonex gives you an allergic reaction, you cannot continue using it.

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