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AllergiesAugust 2nd, 2009

Rhinitis during pregnancy can be due to allergic rhinitis, sinusitis, or non-allergic rhinitis. If the woman has had allergic rhinitis prior to pregnancy, this could worsen, stay the same, or even improve. This change in symptoms may be dependent upon many factors, including the presence of seasonal allergens and increase in pregnancy hormones.
Non-allergic rhinitis in pregnancy may also be due to an increase in pregnancy hormones, leading to nasal congestion, runny nose and post nasal drip. This is called “rhinitis of pregnancy”. The symptoms may mimic allergies, but since they are non-allergic in nature, do not respond to anti-histamines.
The pregnant woman with rhinitis may be concerned about the safety of medications during pregnancy, and therefore avoid taking medications.
If avoidance of allergic triggers is not possible or successful, medications may be needed to control symptoms.
Diagnosis of Allergic Rhinitis During Pregnancy
Allergy testing includes skin testing or blood tests, called a RAST. In general, allergy skin testing is not done during pregnancy, given the small chance of anaphylaxis which may occur. Anaphylaxis during pregnancy, if severe, could result in a decrease in blood and oxygen to the uterus, possibly harming the fetus. Therefore, allergy testing is usually deferred during pregnancy, although a RAST would be a safe alternative if the results are needed during pregnancy.
Safety of Allergy Medications During Pregnancy
According to the Food and Drug Administration (FDA), no drugs are considered completely safe in pregnancy. This is because no pregnant woman would want to sign up for a medication safety study while she is pregnant. Therefore, the FDA has assigned risk categories to medications based on use in pregnancy.
Pregnancy category “A” medications are medications in which there are good studies in pregnant women showing the safety of the medication to the baby in the first trimester. There are very few medications in this category, and no asthma medications.
Category “B” medications show good safety studies in pregnant animals but there are no human studies available.
Pregnancy category “C” medications may result in adverse effects on the fetus when studied in pregnant animals, but the benefits of these drugs may out weight the potential risks in humans.
Category “D” medications show clear risk to the fetus, but there may be instances in which the benefits outweigh the risks in humans. And finally, category “X” medications show clear evidence of birth defects in animals and/or human studies and should not be used in pregnancy.
Before any medication is taken during pregnancy, the doctor and patient must have a risk/benefit discussion. This means that the benefits of the medication should be weighed against the risks – and the medication should only be taken if the benefits outweigh the risks.
Treatment of Rhinitis During Pregnancy
Nasal saline. Rhinitis of pregnancy tends not to respond to anti-histamines or nasal sprays. This condition seems to respond temporarily to nasal saline (salt water), which is safe to use during pregnancy (it is not actually a drug). Nasal saline is available over the counter, is inexpensive, and can be used as often as needed. Generally 3 to 6 sprays are placed in each nostril, leaving the saline in the nose for up to 30 seconds, and then blowing the nose.
Anti-histamines. Older anti-histamines, such as chlorpheniramine and tripelennamine, are the preferred agents to treat allergic rhinitis during pregnancy, and are both category B medications. Newer anti-histamines such as over-the-counter loratadine (Claritin/Alavert and generic forms) and prescription cetirizine (Zyrtec) are also pregnancy category B medications.
Decongestants. Pseudoephedrine (Sudafed, many generic forms) is the preferred oral decongestant to treat allergic and non-allergic rhinitis during pregnancy, although should be avoided during the entire first trimester, as it has been associated with infant gastroschisis. This medication is pregnancy category C.
Medicated nasal sprays. Cromolyn nasal spray (NasalCrom, generics) is helpful in treating allergic rhinitis if it is used before exposure to an allergen and prior to the onset of symptoms. This medication is pregnancy category B and is available over the counter. If this medication is not helpful, one nasal steroid, budesonide (Rhinocort Aqua), recently received a pregnancy category B rating (all others are category C), and therefore would be the nasal steroid of choice during pregnancy.
Immunotherapy. Allergy shots can be continued during pregnancy, but it is not recommended to start this treatment while pregnant. Typically the dose of the allergy shots is not increased, and many allergists will cut the dose of the allergy shot by 50 percent during pregnancy. Some allergists feel that allergy shots should be stopped during pregnancy, given the risk of anaphylaxis and possible danger to the fetus as a result. Other than anaphylaxis, there is no data showing that the allergy shots themselves are actually harmful to the fetus.
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Many people do not think that young children can have allergies as doctors at one time believed since the nasal cavities are not completely developed then allergy problems should not exist.
Today, we now know allergic rhinitis is one of the most chronic childhood diseases. The main reason some children have allergies and some do not, comes down to heredity. If only one parent has allergies their children have a 30% to 50% percent chance of developing allergies and if cases where both parents have allergies the percentage goes up to 60% to 80%.
The most common allergy seen in both infants and children is an allergy to cows milk protein. This usually happens during the first year. Before a child can develop an allergy, he or she must first be exposed to a substance that may later be considered an allergen.
Besides food, some allergies that children may have include indoor allergens such as molds, household dust mites, and pets, outdoor allergens include weeds, tree pollen, and grasses.
If you think that your child may have allergies, then there are some physical symptoms that might help you make an educated decision prior to visiting your doctor.
Symptoms of food allergies in infants can cause your little one to be colicky, vomit, have diarrhea, rashes, eczema, cry more than they should, and have cold like respiratory congestion.
Physical symptoms that may show that your child has an allergy include bluish/brownish discoloration around both eyes, puffiness under the eyes and the eyes may look red and irritated, and the ears and cheeks may appear flushed. Your little one may not be able to explain to you how they feel but you may notice them breathing through their mouth, rubbing their noise, sniffling, sneezing, and have congestion that may make it hard for them to breath.
If you notice that your child is always complaining of a sore throat, has nasal congestion quite a bit and has had to be treated for chronic ear infections you may want to ask your doctor is your little one could be suffering from allergies since these also accompany allergies.
Remember, allergies can cause excess mucus secretions, this causes swelling of the nasal cavity and breathing can be difficult when your child lies down. It can be so bad that he or she may gasp for breath, cough or awaken in the middle of the night unable to breathe properly. If disturbed sleep does occur from allergies, it can result in sleep apnea.
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AllergiesMarch 27th, 2009

Every year millions of Americans suffer from seasonal allergy. However, a certain percentage of those who suffer from seasonal allergies dismiss it as chronic cold. To better understand this, we need to define and differentiate it from the common cold.
Unlike colds that occur during winter or usually when there is a sudden change in temperature, allergies are caused by allergens. This causes an allergic reaction on the bodily function of a human sensitive to that particular allergen which is not experienced by the average individual.
Allergic rhinitis can be classified as perennial and seasonal. Perennial allergies happen any time of the year as long as the individual is exposed to the allergen such as house dust mites and pet dander. Seasonal allergies on the other hand happen at the same time every year or during particular seasons, hence the term. These are caused by pollens of flowering plants which are transported thru the air during the process of pollination.
When a person has colds, he starts to sneeze then later begins to have runny and congested nose. Sneezing is less common after the initial phase. If one has allergies, symptoms happen at the same time. Sneezing is more frequent coupled with runny nose and watery eyes. Itching of the nose and eyes are particularly bothersome in allergies. In several cases though, this develops into allergic rhinitis and asthma. And unlike colds that usually last from 7 to 10 days, allergies continue until the person is no longer exposed to the allergen.
Ragweed allergy, also known as fall allergy or hay fever, is the most common seasonal allergy. This occurs from mid August until October. About 75% of allergic individuals develop become allergic to ragweed pollen. Ragweed thrives in vacant lots and roadsides. Studies also mentioned that that most of those allergic to ragweed also develop allergic reactions to other pollens. Thus it is not surprising that they develop allergic symptoms during spring and summer when pollen grains from flowering trees and grasses are present in the air.
The nasal discharge of people who have colds is usually yellowish which means that it is caused by an infection. Sometimes colds are also accompanied by fever. Those who suffer from seasonal allergies do not usually have fever, and since it is not caused by any viral or bacterial infection, the nasal discharge is clear and watery.
Whether the sickness is caused by a cold or is a sesonal allergy, it still takes a toll on one’s health. In both cases there is a loss in appetite and sleeping problems also occur that disrupts how a person conducts his normal activities. Prevention is still the cure. Proper information too helps in the diagnosis of the ailment so that the appropriate medication can be taken.
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AllergiesMarch 17th, 2009

Transition between seasons can shake your kids’ health a bit and make them more prone to seasonal allergies. These allergic reactions vary from ragweed allergy, mites, dust, mold, and some foods. It is often very hard to keep track of allergies symptoms with children who may catch it in school or while they are playing outside.
Studies have shown that allergic reactions may be hereditary. In case both parents have allergies, there is a about an 80% chance that their children will develop allergies too. Most children show symptoms of seasonal allergies once they reach 5 years olds. Asthma is often an indicator of allergies and often start to show when they are between 1 to 3 years old.
Symptoms of Seasonal Allergy
Parents can look for three kinds of symptoms when they suspect that their kids are suffering from seasonal allergy:
* Nasal – They will have stuffy or runny nose, sneeze a lot, and have itchy nose and throat. Just like allergic rhinitis.
* Eye Symptoms – There is often redness, itchiness, and watery eyes which can make your kids really uncomfortable.
* Asthma – Watch if your kids will have difficulty breathing or when you hear some wheezing or coughing.
Tree pollens, grasses, and ragweed often cause these allergic reactions. Tree pollens are very abundant in the air between April and June. Grasses like Rye, Timothy, and Orchard trigger reactions when they are mowed. Ragweed grows almost everywhere and billions of pollens can travel in the air starting mid-August.
Protect your children from seasonal allergies
Parents should always keep track of the level of pollen in your city or region. These indices can be found on the internet and are seen on TV reports.
It will be best to keep your doors and windows shut during the pollen season to prevent these allergens from entering your home.
You can also set up a play pen inside your home instead of kids spending time outdoors where they can be exposed to ragweed and other allergens. The sun can also aggravate their photosensitivity when they have ragweed allergy.
Remember to keep all surfaces clean of dust. You can get an air filter to make sure that your kids breathe clean air.
In case they still catch seasonal allergies, you can try the following to relieve them of the symptoms:
* A warm bath always helps. You can also apply warm compress to decongest their nose and sinuses.
* Encourage them to drink a lot of water throughout the day. A cup of tea with honey can also soothe their itchy throat.
* Tell your kids not to scratch their eyes since this will just worsen the condition. Try to apply cold compress to decrease inflammation or wipe them with wet cotton pads.
* A dab of petroleum jelly can help with their red or swollen nose
* Add some ginger, garlic, or pepper when you serve a bowl of soup. These are natural decongestants to clear their airways.
* You can dissolve 2 teaspoons of salt in a glass of water which your kids can use to gargle with to relieve their sore throats.
Allergies can be fatal when you do not do something about it. Seek the guidance of your pediatrician if your children will need some medications for their allergies.
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As fall kicks off, the statistics for allergic reactions go sky high. About 50 million Americans suffer from seasonal allergy caused by ragweed, mold, pollen, and other substances. The American Academy of Allergy, Asthma, and Immunology plots 20% of the U.S. population need to combat allergies symptoms on a regular occurrence while another 20% deal with hypersensitivity to food, stimuli, or environmental stuffs.
Ragweed allergy may look so simple but a lot of people cannot sleep, work, and do their daily routines because of coughing, sneezing, runny nose, and watery eyes.
Here are some tips which can help you breathe more comfortably during the allergy season:
1. Eat healthy. Make sure that your diet will be rich in Vitamin C which can boost your immune system and acts as a naturally antihistamine. You can also take about 1000 mg of Vitamin C on a daily basis to shield yourself from ragweed allergy and other seasonal allergies. Omega-3 rich food like flaxseed, salmon, and walnuts will also help.
2. Magnesium can also help to ease your breathing. About 400 mg is ideal according to immunologists. You can also try to irrigate your nostrils with a squirt or two of salt water to help remove trapped allergens and excess mucus. Horseradish, hot mustard, and chili pepper on your favorite dish can also serve as temporary decongestants.
3. Wear sunglasses when you go out. Hay fever or allergic rhinitis brings with it some photosensitivity. The sunglasses can help protect your eyes from the sun and prevent excessive watering and itchiness.
4. Cold packs will be useful when engage in sports or other outdoor activities. Apply the cold pack to your eyes and your face and it can help a lot in reducing the inflammation.
5. Drink a lot of water. Re-hydrating your body throughout the day will help you cool down and relieve you of the allergic symptoms.
6. Stay away from dairy products. As much as they are really enjoyable, dairy products will trigger your body to produce more phlegm and just worsen your symptoms.
7. When taking a shower, use the bathroom exhaust fan to prevent the growth of molds. It is also advisable to replace your shower liner every month especially when you have mold allergies or if you have asthma.
8. Make sure to regularly clean the dryer vents which often accumulate dust. Regular cleaning of surfaces in your house will help decrease allergic reactions. Getting rid of clutter is also another key to prevent seasonal allergy.
9. Consult your doctor so you can be tested for any food allergies. Most often than not, people who have allergies are also sensitive to some foods that they usually take. Some people who are allergic to birch pollen, for example, also react to potatoes, carrots, and apples. Ragweed allergy is also aggravated if you do not react well to a glass of milk.
10. Get an air purifier good enough to filter particles which are about 20 microns or smaller. Pollens and allergens are about that big so making sure that you have clean air passing through your system will be a big help. Running the air conditioner just to decrease humidity may also reduce allergy symptoms.
Every allergic reaction stresses our immune system. Find out what allergens cause you trouble so you can avoid them, modify your lifestyle, and protect yourself from these seasonal allergies.
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