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Tips for stopping the Spring season Allergy miserySpring is here, some 35 million Americans suffer the unwanted return of the burning eyes, sniffles, chapped nostrils and stifled lungs of allergic rhinitis, or hay fever. If you’re one of them, here are the answers to your frequently asked questions can help stop the misery. What is allergic rhinitis or hay fever? What are common symptoms?
How can you distinguish between hay
fever and the common cold? How many people suffer from hay fever? What is an allergen? What is pollen? Pollens from plants with bright flowers, such as roses, usually do not trigger allergies. But many trees, grasses and low-growing weeds have small, light, dry pollens that are well-suited for dissemination by wind currents. These are the pollens that trigger allergy symptoms. Seasonal allergic rhinitis in the early spring is often triggered by the pollens of such trees as oak, western red cedar, elm, birch, ash, hickory, poplar, sycamore, maple, cypress and walnut. In the late spring and early summer, pollinating grasses — including timothy, bermuda, orchard, sweet vernal, red top and some blue grasses — often trigger symptoms. Ragweed is the pollen most responsible for late summer and fall hay fever in North America. How do you test for allergies? Scratch or puncture tests in which a tiny amount of allergen is scratched across or lightly pricked into the skin. If you have an allergy, the specific substances that you are allergic to will cause an allergic reaction in your body that culminates in redness and swelling. Swelling will occur only in the spot where an allergen to which you are allergic is scratched onto your skin. Thus, if you are allergic to ragweed pollen but not to cats, only the spot where the ragweed allergen is scratched onto your skin will swell and itch. Intradermal test, a modified, slightly more sensitive version of the scratch or puncture test that involves injecting a tiny amount of allergen under the skin, usually on the upper arms. Your allergist may do this test when your reaction to the scratch test cannot be clearly determined. The RAST, or radioallergosorben, test involves drawing blood, it costs more, and the results are not available as rapidly as skin tests. RAST tests are generally used only in cases in which skin tests can not be performed, such as on patients taking certain medications or those with skin conditions that may interfere with skin testing. What’s the best way to avoid spring
allergies? You should also shut the windows and crank up the air conditioner in both your house and car. That will help prevent pollens from drifting into your home. Apply the same reasoning to your laundry: best to use the dryer so any allergens can be filtered out instead of hanging it on the line, where it becomes the filter. Also, think about taking a vacation to a more pollen-free area, such as the beach or sea. And don’t mow lawns or be around freshly cut grass; mowing stirs up pollens and molds. What medications are used to treat
allergies? Decongestants are used to treat nasal congestion and other symptoms associated with colds and allergies. They work by narrowing blood vessels, leading to the clearing of nasal congestion. Steroid nasal sprays reduce nasal inflammation and the accompanying congestion, sneezing and runny nose. What is immunotherapy? What’s the link between allergies and
asthma? First, antibodies in the immune system whose purpose is to capture unwanted invaders are produced. These antibodies, dubbed IgE, journey through the bloodstream and lock onto the surface of so-called mast cells, plentiful in the nose, eyes, lungs and gastrointestinal tract. Then they lie silently in wait until the allergen strikes again. The IgE antibodies, now poised, jump on and gobble up the allergens, triggering the release of inflammatory chemicals such as histamine and prostaglandin. The airways become inflamed, boggy and red — very much like the skin of an eczema patient. This, in turn, causes the airways to narrow, or bronchospasm. The victim begins to wheeze, cough, even lose his breath. What is the major risk factor for hay
fever? Can breast-feeding reduce risk? Can weather influence hay fever
symptoms? What about locale? As a result, many who move to a new region to escape their allergies find that they acquire allergies to new airborne allergens prevalent in their area within one to two years. Therefore, moving to another part of the country to escape allergies is often ultimately disappointing, and not recommended.
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