Environmental Allergy

If you have your heart set on adopting a pet only to discover you have an allergy to pet dander, does that mean you have to abandon the idea of welcoming a new furry family member? Here’s what you need to know about living with pet allergies.

Bringing a new pet into your home is a huge responsibility. Not only do you have to consider the long-term care requirements of a dog or a cat that could be living with you for another 10 or even 20 years, but you also have to consider the many practicalities of having a pet in your home. This means you must be confident you and your children can co-exist with the new pet safely and comfortably.

So, what about allergies? If you are allergic to pet dander – or if your child is allergic to pet dander – does that mean no pets at all?

Not necessarily. Fish, reptiles, and amphibians do not release dander, so people with allergies can co-habit with such pets safely if they choose. Even dog or cat ownership can be managed with the right lifestyle adjustments and medical support.

If you are considering adopting a pet – or if you currently have a pet – and are concerned about allergies in your home, here are some answers to the most common concerns about living with pet allergies.

What are pet allergies?

When a person is allergic to pets – dogs, cats, and other animals that shed certain proteins – their immune system responds erratically when near the pet or when in an enclosed space where a pet has been. The immune system creates antibodies that trigger an inflammatory response, causing the following symptoms:

• Congestion
• Coughing
• Eczema
• Hives
• Inflammation of nasal passages
• Itching skin
• Postnasal drip
• Runny nose
• Sneezing
• Watery, itchy eyes

Very commonly, the allergic response is triggered by exposure to dander – dead skin cells – though the proteins are also found in saliva and urine.

While saliva and urine exposure can trigger an allergic reaction, people with pet allergies tend to be most vulnerable to pet dander. Pet dander is more difficult to thoroughly eradicate from the environment because it can easily become airborne.

What are dog allergy symptoms?

Cat and dog allergy symptoms can vary significantly depending on the degree of severity of the allergic response. Mild symptoms include sneezing, runny nose, coughing, itchy and watery eyes, and sometimes skin irritation, rash or hives.

More serious symptoms include the following:

• Difficulty breathing
• Wheezing
• Chest tightness

Individuals with asthma and a pet allergy can struggle to manage symptoms, putting them at risk of developing potentially serious asthma attacks. Moreover, continual, unaddressed pet allergy symptoms can lead to chronic inflammation that can increase the risk of sinus infections.
Anaphylaxis, which is the most severe and life-threatening type of allergic response, is extremely rare in cases of pet allergies.

Can you live with the pet you are allergic to?

While having a pet can be a source of joy and companionship, it can pose challenges for those who struggle with pet allergies. However, it is possible to minimize exposure to animal dander and manage allergic symptoms while still living with your furry friend. By following these precautions, you can effectively reduce the impact of pet allergies on your health:

Visit an Allergist/Immunologist for Medical Solutions: If all attempts at managing pet allergies through lifestyle changes are unsuccessful, it is important to consult with an allergist/immunologist. They can provide personalized medical advice, symptom management tools, and preventative solutions such as allergy shots, which can help desensitize your body to pet allergens.

Use a High Energy Particulate Arresting (HEPA) Filter: A HEPA filter can help remove pet dander and other allergens from the air you breathe. By installing one in your air conditioning system or using a portable air purifier with a HEPA filter, you can significantly improve air quality and alleviate allergy symptoms. You can check out a range of allergist-approved HEPA filters here: Allergy Partners Shop.

Give Your Pet Regular Baths: Regular baths can help reduce the amount of pet dander on your pet’s coat. Bathing your pet at least once a week can help prevent the accumulation of allergens, making it easier to manage your allergies.

Keep at Least One Pet-Free Room: Dedicate a room in your house that is free of pets. This can be a dedicated bedroom or a separate space where you can retreat when your symptoms are particularly severe. By having a pet-free zone, you can limit your exposure to pet allergens and improve your overall indoor air quality.

Vacuum Frequently: Vacuuming regularly helps remove pet dander and other allergens from carpets, rugs, and furniture. Make sure to vacuum thoroughly, including hard-to-reach areas such as corners and crevices. Consider investing in a vacuum with a HEPA filter to ensure optimal allergen removal.

Avoid Upholstered Furnishings, Fabrics, and Carpeting: Upholstered furnishings, fabrics, and carpeting can be magnets for pet dander. If possible, opt for hard surfaces such as hardwood or laminate floors, as they are less likely to trap allergens. If you must have upholstered furniture or carpeting, consider steam cleaning or professional cleaning regularly.

Keep Pets Off of Beds and Bedding: It is generally recommended to keep pets off of beds and bedding. By doing so, you can minimize exposure to pet allergens while you sleep. Consider using allergen-proof covers or mattress protectors to reduce the amount of dander that accumulates on your bedding.

Do allergies get worse with age?

As we age, the immune system weakens. For people with existing allergies, this can cause allergy symptoms to worsen, and can even cause allergic responses in people with no previous history of allergies.

How can I build immunity to dog allergies?

The most effective strategy for developing resistance to pet allergens is through immunotherapy, or allergy shots.

Allergy shots allow you to develop a tolerance to pet dander allergens by introducing tiny doses of the allergen regularly over a period of time. This continual, controlled exposure essentially trains the immune system to recognize the allergen as non-threatening.

People with relatively minor pet allergies might be able to manage their symptoms with over-the-counter or prescription antihistamines, or prescription corticosteroids.

Allergy Partners: Offering Relief from Pet Allergy Symptoms

Allergy Partners offers allergy testing to help confirm the diagnosis of pet allergies. We can identify the specific allergens causing symptoms and provide immunotherapy for long-term relief. Our comprehensive approach and personalized treatment plans help patients enjoy their pets while minimizing the discomfort caused by allergies.

Have you experienced uncomfortable itching and perhaps some swelling of the mouth, lips, tongue or throat when eating fresh fruits or vegetables? These bothersome symptoms correspond with oral allergy syndrome (OAS), an often-undiagnosed condition believed to affect roughly one-third of all people with environmental (seasonal) allergies.

The local farmer’s markets have been bursting with beautiful, fresh produce throughout the summer. If you’ve been tempted to taste some seasonal nectarines, peaches, plums, or cherries and noticed inflammation and tingling in your mouth or throat a few minutes later, it might be a sign of oral allergy syndrome (OAS).

What causes oral allergy syndrome?

OAS, sometimes called pollen-food syndrome or a pollen-food allergy, is a condition where people have allergic reactions to certain types of food due to cross-reactivity with pollen allergens.

Having a negative reaction to nectarines, peaches, or stone fruits generally corresponds with a birch pollen allergy. If you sneeze, wheeze, and sniffle when birch pollen counts are high, there is a strong likelihood you could also have an allergic response to certain foods that have similar protein structures to birch pollen.

However, OAS affects people with other types of pollen allergies, too.

Which foods trigger oral allergy syndrome?

The following  pollen allergies can prompt OAS symptoms:

Alder Tree Pollen Allergy

• Fruits: Apples, cherries, peaches, pears
• Herbs: Parsley
• Nuts: Almonds, hazelnuts
• Vegetables: Celery

Birch Pollen Allergy

• Fruits: Apples, apricots, avocados, bananas, cherries, figs, kiwi, nectarines, peaches, pears, plums, prunes, strawberries,
• Herbs: Cilantro, coriander, parsley
• Nuts: Almonds, hazelnuts, walnuts
• Vegetables: Carrots, celery, chicory, parsnips, peppers, potatoes, soy, wheat

Grass Pollen Allergy

• Fruits: Figs, melons, oranges, tomatoes

Mugwort Weed Pollen Allergy

• Herbs: Coriander, parsley
• Vegetables: Carrots, celery, peppers, fennel

Ragweed Pollen Allergy

• Fruits: Bananas, melons
• Herbs: Dandelions, Echinacea, chamomile, hibiscus
• Vegetables: Artichokes, cucumber, zucchini

While OAS symptoms are generally lessened or eliminated when cooked or processed foods are consumed, there are certain fruits and vegetables, such as celery and nuts, that still have the potential to cause a reaction even after cooking.

It has been reported that some people develop symptoms only when eating certain varieties of fruit – specific cultivars of apples, for example. So, a person who has symptoms after eating a Golden Delicious apple might not have any symptoms after eating a Red Delicious apple.

What are oral allergy syndrome symptoms?

The symptoms of OAS can vary from person to person, but the most frequent symptoms include the following:

• Itchiness in or around the mouth
• Mild inflammation of the mouth, face, lips, tongue, and throat
• Hives in or around the mouth
• Bumps on the lips and around the mouth

These reactions are typically mild and confined to the mouth and throat area. However, in a small percentage of cases, OAS may cause more severe symptoms.

Is oral allergy syndrome dangerous?

Generally, OAS is not life-threatening. However, in approximately 2% of people with OAS, more serious reactions can occur. These reactions may include nausea, difficulty breathing, difficulty swallowing, and even anaphylaxis, a severe and potentially fatal allergic reaction.

How long does oral allergy syndrome last?

OAS symptoms last a few minutes to one hour. The process of digestion typically destroys the proteins that cause the immune system to over-respond, so longer symptom manifestations are relatively rare.

Is oral allergy syndrome common?

It is estimated that approximately one-third of people with allergic rhinitis caused by tree,  weed, and grass pollens will also have OAS, with some studies putting the number as high as 70%.

How do I know if I have oral allergy syndrome?

If you suffer from hay fever and notice slight inflammation in and around your mouth after eating certain raw fruits or vegetables, you should consider being screened for OAS.

However, not everyone with seasonal pollen allergies will have adverse reactions to all or even any of the corresponding foods with similar protein structures. Reactions to certain foods may initiate with one type of food, with symptoms occurring with other types of food over time.

Diagnosis of OAS involves taking an accurate history of symptoms and allergy testing to identify the cross-reactive pollen. This then allows for a thoughtful approach to eliminating food triggers from the diet.

Can I get rid of oral allergy syndrome?

OAS cannot be cured, but it can be managed effectively through various measures, including avoiding symptom-causing foods and immunotherapy. It is not uncommon for symptoms to lessen naturally over time.

While managing OAS can be complex, it is essential for anyone with this condition to consult with a healthcare professional, such as an allergist, for personalized guidance and treatment recommendations.

What are the oral allergy syndrome treatments?

With proper management, people with OAS can lead active lifestyles and enjoy their favorite foods without the fear of uncomfortable symptoms.

Clinical Diagnosis

A clinical diagnosis by a qualified allergist is the first step towards managing OAS. The allergist will perform a thorough physical examination and medical history evaluation to determine the cause of the allergic reactions. Your doctor might perform allergy tests, such as skin prick tests or blood tests, to identify the causal pollen allergens.

Avoiding Triggering Foods

One of the key strategies in managing OAS is to avoid fruits, vegetables, or nuts that may be cross-reactive with pollen allergens.

Antihistamines

If the wrong foods are consumed despite best efforts to avoid them, taking antihistamines can provide temporary relief. Antihistamines work by blocking the effects of histamine, which is released during an allergic reaction. They can help reduce symptoms such as itching, swelling, and hives.

Immunotherapy

For people with pollen allergies, immunotherapy (allergy shots) may be recommended to reduce the effects of OAS.

Immunotherapy involves exposing the body to small, increasing doses of the specific pollen allergen to desensitize the immune system over time. This therapy is typically administered through allergy shots, which aim to increase the number of antibodies generated by the immune system.

Allergy Partners: Offering Effective Treatments and Management Techniques for Oral Allergy Syndrome

Allergy Partners is committed to helping people with oral allergy syndrome manage their symptoms and improve their quality of life. With a comprehensive treatment plan and symptom management strategies, Allergy Partners empowers patients to lead fuller and healthier lives, free from the burden of allergic reactions and discomfort.

What You Need to Know from a Board-Certified Austin Allergist

In the following article, Douglas Barstow, MD, discusses the most common allergies in Austin, TX.  Dr. Barstow is a board-certified Austin allergist with Allergy Partners. With a strong allergy, asthma, and immunology background, Dr. Barstow has helped thousands of people overcome debilitating allergy symptoms.

Dr. Barstow is a long-time allergy sufferer with an innate intellectual curiosity. In addition to his medical and scientific interests, Dr. Barstow also measures the daily Austin pollen count using a mechanical 24-hour pollen collector, then counting the number of pollen and mold particles by hand under a microscope.  For the latest Austin Pollen Counts, be sure to follow Allergy Partners of Central Texas on X (Twitter).

Why is Central Texas one of the Worst Places for Allergies?

It can sometimes be a shock that allergy symptoms can be so severe. Many of our patients have had multiple visits to their PCP or urgent care for sinus infections or the flu, only to discover that they have allergies instead.

What makes Austin so special for allergies? They never stop! Most places have spring, summer, or fall allergy seasons, but only in Austin does the pollen continue right through winter for the worst allergy season of them all – cedar season.

Cedar Fever in Austin

Technically a species of Juniper tree, Mountain Cedar is an overgrowth phenomenon in the Austin-San Antonio corridor that results in extreme pollen levels from December through early March.

During cedar fever season, many people in Central Texas experience symptoms caused by an allergy to mountain cedar pollen. Although cedar fever can cause significant respiratory issues, it is not a contagious illness. Allergies are an abnormal immune response that can be triggered by pet dander or airborne pollen, even at low levels. During this time of year, Central Texas experiences the highest pollen concentration of any other region in the United States. For the most up-to-date local pollen counts, click here.

To learn more about how you can identify the symptoms of Cedar Fever, and protect your family, check out this comprehensive blog: Cedar Fever in Texas.

Even people who do not typically experience allergies can be overwhelmed by the heavy pollen load during cedar season. The intensity and duration of the symptoms can vary depending on individual susceptibility and the weather conditions.

But cedar is not all that makes us special allergy-wise…

What are Common Seasonal Allergies in Austin?

While cedar fever generally dominates the winter, year-round allergies are extremely common. Here’s a breakdown of the types of allergens released throughout the year in Austin:

• Spring: Spring allergy season actually starts in February. Elm and oak seasons overlap with cedar, multiplying your allergy triggers. Ash, pecan, mulberry, willow and others then join the spring pollen party for months of sniffles and itchy eyes. Oak pollinates so heavily that it paints all the cars yellow and can act like air pollution even for people who don’t have allergies!
• Summer: Summer gives some folks a break because grass does not produce as much pollen around here, but it is a very long season lasting from March through October so it can still cause trouble. However, people who are allergic to mold might have to face another struggle! Austin is warm enough and green enough that we can see high levels of mold particles from spring through…
• Fall: Fall, bringing us to ragweed season. Ragweed pollen levels vary from year to year depending on previous months’ rain. Sagebrush, marsh elder, pigweed and other weeds also bloom keeping the allergy ball rolling all year long.

What are the Symptoms of Austin Allergies?

The severity of cedar fever and other allergy symptoms can vary greatly from person to person. Some experience only minor discomfort, while others require medical intervention to manage more severe reactions.

While it does not typically cause a fever, cedar fever’s collection of symptoms can closely mimic respiratory illnesses such as COVID-19, the common cold, and the flu. Understanding the symptoms and preventative measures is essential to managing this common condition.

The symptoms of cedar fever can vary from person to person, but they are typically characterized by the following:

• Runny or stuffy nose
• Sneezing
• Watery eyes
• Fatigue
• Sore throat
• Coughing
• Loss of smell and taste

These symptoms can range from mild to severe, depending on the individual’s sensitivity and the severity of the allergy.

Similarities with COVID-19, Colds, and Flu

The symptoms of cedar fever are often similar to those of COVID-19, the common cold, and the flu. These respiratory illnesses share common symptoms, such as a runny nose, sore throat, cough, fatigue, and loss of smell and taste. However, it is important to note that – despite the name – cedar fever doesn’t generally cause a fever like the flu or COVID-19 (though it sometimes can). Nevertheless, the similarity in the symptoms can create confusion and lead to misdiagnosis or unnecessary worries.

Check out our latest blog on how to understand the difference between COVID-19, colds and flu here: Is It COVID-19 or Something Else?

Impact of Cedar Fever on People with Asthma

Pollen allergy is a common trigger for asthma, and cedar fever is no exception. In fact, visits to the Austin area ER for asthma significantly increase during cedar season. Symptoms of asthma include wheezing, chest tightness, and difficulty breathing. It is important to recognize these symptoms and promptly seek medical attention if they persist or become severe.

How Can I Treat Austin Allergies?

Whether you are experiencing cedar fever or another type of Austin seasonal allergy, several strategies can help you reduce the severity of your symptoms. Combining allergy medications, lifestyle modifications, and immunotherapy can help effectively manage your allergy symptoms.

Allergy Medications

Antihistamines, decongestants, and corticosteroid nasal sprays are commonly used allergy medications that can help alleviate the discomfort associated with seasonal allergies. These medications work by blocking the inflammation caused by allergies. They temporarily treat the symptoms of allergies, but do not actually make you less allergic.

Immunotherapy

Immunotherapy, also known as allergy shots or allergy drops, is a natural, long-term approach to managing allergies. It involves gradually normalizing your immune system to build up your body’s tolerance to specific allergens. Unlike allergy medications, which only treat the symptoms of allergies, immunotherapy actually makes you less allergic over time, treating the problem at the source instead of just masking the symptoms. Immunotherapy can significantly reduce allergy symptoms and is often recommended for those with severe allergies or asthma, those who do not tolerate the side effects of medicines, or those who simply prefer a more natural approach to treatment.

Early Medical Treatment

If you have allergic asthma, please visit your allergist early in the season. By starting treatment early, you can effectively manage your condition before the season fully begins. This may involve making sure you have sufficient medications on hand and discussing whether immunotherapy treatments are warranted.

Lifestyle Adjustments

Making certain lifestyle adjustments can also contribute to the management of seasonal allergy symptoms. These adjustments include the following:

• Checking Pollen Levels: Monitoring the pollen levels in your area daily using resources like the Allergy Partners X (Twitter) Pollen Count can help you make informed decisions about outdoor activities and help you plan your allergy management strategy.
• Closing Windows: Keeping windows closed during peak pollen times can help prevent the inhalation of pollen allergens. Keeping a barrier between you and pollen is particularly important if you spend a significant amount of time indoors.
• Regular Vacuuming: Vacuuming regularly can help remove pollen and other allergens from carpets, upholstery, and other surfaces in your home. Use a high efficiency particulate air (HEPA) filter in your vacuum cleaner to capture smaller particles.
• Wearing Particle Masks: When venturing outdoors during peak pollen seasons, wearing a particle mask can help filter out allergens and reduce exposure.
• Changing Air Filters: Changing your filter in your air conditioning unit regularly can help trap pollen and other allergens that circulate through your HVAC system.

There you have it. The big secret is out. Winter, spring, summer and fall! Welcome to Austin, Welcome to allergies!

The good news is that while allergies are a big deal, there are some very effective ways to manage them that will get you back on your feet and enjoying all the amazing things Austin has to offer!

Experiencing hives for the first time can be nothing short of alarming. Fortunately, hives are generally not an indication of a serious illness, though they can be uncomfortable. Here’s what you need to know about the symptoms, causes, and treatment of hives.

Any sudden change in the skin’s appearance or texture can be highly worrying, and hives can appear very, very suddenly. In fact, hives can develop so quickly that it’s possible to watch the changes occurring in real-time!

What are hives?

Hives, clinically known as urticaria or colloquially as wheals, are raised, splotchy skin eruptions that can be red, pink, or flesh-colored.
The size and severity of hives can vary greatly. They can range from small, itchy bumps that are less than 1/2 inch in diameter to large, swollen areas that can span several inches in diameter. In some cases, hives can be so extensive that they cover a significant portion of the body

What are the symptoms of hives?

The symptoms of hives can vary from person to person, but may include:

• Raised, red welts or bumps on the skin
• Itching, which may be severe
• Swelling and redness around the hives
• Burning or stinging sensation

Although hives may be uncomfortable and annoying, they are typically not a dangerous medical condition. However, in rare cases, hives can be a sign of a serious underlying disorder, such as an allergic reaction, infection, or chronic disease. Consulting a healthcare professional for proper diagnosis and appropriate treatment is important.

Are hives a type of rash?

Yes, hives are a type of rash, but there are several noteworthy differences.
Not all rashes are hives. The majority of rashes heal slowly, taking 24 hours or longer to fade, potentially leaving scars and discoloration. Acute hives, on the other hand, typically resolve after a few hours and do not leave marks or scars.

Why do I have hives?

The exact cause of hives is not fully understood, but it is believed that an immune system reaction triggered by an allergen causes the release of histamine and other chemicals in the skin. This immune system overreaction can cause blood vessels to dilate, leading to swelling and inflammation.
Hives can develop anywhere on the skin, including the face, arms, legs, and torso. They may also occur on the scalp, inside the mouth or throat, or around the eyes. The affected areas may be red, itchy, and swollen and may tingle or burn.

Did something I ate cause hives?

Hives can be caused by an allergen, which might come from various sources, including food, medications, or other potential irritants.

The cause of sudden urticaria can vary from person to person, but several potential factors can contribute to its development.

• Allergic Reactions: When the immune system mistakenly identifies a substance as harmful, it releases chemicals called histamines that cause the skin to become inflamed and itchy. Common triggers for allergic reactions include certain foods, medications, insect stings, latex, and certain medications.
  
• Infections: Viral infections, such as herpes simplex and shingles, can cause the body to release histamines, leading to the development of hives. Bacterial infections, such as strep throat and urinary tract infections, can also trigger hives as a symptom.
  
• Physical Factors: Exposure to heat, cold, pressure, or vibration can trigger an outbreak of hives. This can occur due to changes in body temperature, physical trauma to the skin, or certain physical activities.
  
• Autoimmune Disorders: In rare cases, hives can be a symptom of an underlying autoimmune disorder. Autoimmune disorders occur when the immune system mistakenly attacks healthy tissue, in this case, the skin. Conditions such as autoimmune hepatitis, rheumatoid arthritis, and systemic lupus erythematosus (SLE) have been shown to sometimes cause sudden urticaria.
  
• Stress and Anxiety: Although stress itself may not directly cause hives, it can play a role in triggering or exacerbating the condition. Emotional and physical stress can cause the release of stress hormones, which can increase inflammation and exacerbate allergic reactions.
  

Can water cause hives?

In very rare instances, exposure to water can cause an outbreak of hives.

Aquagenic urticaria is a rare disorder characterized by a sudden and severe outbreak of hives after coming into contact with water of any temperature. The water might come from natural sources, swimming pools, tap water, or even sweat. The condition affects an estimated .000001 of the global population.

The exact cause of aquagenic urticaria is not fully understood, but it is believed to be an immune response triggered by the proteins found in water.

Can clothing cause hives?

Physical urticaria is an outbreak of hives caused by an external, stimulating element. Restrictive clothing and belts can trigger hives.

Can the sun cause hives?

Solar urticaria is a rare condition where exposure to sunlight leads to an outbreak of hives. This condition is characterized by a rapid and severe reaction upon exposure to sunlight, resulting in itchy, red, and swollen skin.

The exact cause behind solar urticaria is not known, but it is believed to be related to an abnormal immune response triggered by sunlight.

Why won’t my hives go away?

The duration of an outbreak of hives depends upon whether the hives are chronic or acute.

Chronic Hives
Chronic hives symptoms are characterized by their persistence. These symptoms are similar to those of short-lived hives, but they occur at least twice per week and last for more than six weeks.

The exact cause of chronic hives is often difficult to determine. While there may be an underlying trigger in some cases, the majority of cases are considered idiopathic, meaning there is no known cause.

Acute Hives
Acute hives, also known as acute urticaria, are a temporary skin condition. The hives typically appear within minutes to hours and last for a relatively short duration, ranging from a few hours to a few days.

Acute hives can be triggered by a wide range of stimuli, such as certain foods, medications, environmental factors, viral infections, or exercise. However, not all triggers are known.

How are hives treated?

• Acute hives can be treated using the following interventions:
• Over-the-counter medications: Over-the-counter antihistamines, such as diphenhydramine (Benadryl) or loratadine (Claritin), can help block the release of histamine, a chemical in the body that triggers the allergic reaction that causes hives. These medications are usually safe when used as directed and can provide temporary relief.
• Prescription corticosteroids: In severe cases of acute hives, topical or oral corticosteroids can reduce inflammation and alleviate itch and discomfort.
• Cold compress: Applying a cold compress can provide temporary relief from acute hives by reducing swelling and itching.
• Colloidal oatmeal baths: Colloidal oatmeal baths can soothe the skin and reduce swelling associated with acute hives. The chemical structure of colloidal oatmeal reduces cytokines, a protein group that triggers an inflammatory response.

Chronic hives can be an indication of a more serious underlying medical condition. In some cases, they may be triggered by an undiagnosed infection or an underlying hormonal disorder, such as thyroid disease. Consulting a medical professional is crucial to rule out any potential underlying medical conditions that may be causing the hives.

In cases where the trigger responsible for the hives has been identified, your doctor will work with you to determine the best course of action.

Certain medications may be prescribed if the trigger for chronic hives is not known or if the patient’s immune system is responding abnormally. Antihistamines and H2 blockers are commonly used to treat chronic hives. They are typically prescribed orally and can be taken as needed.

While antihistamines and H2 blockers can provide temporary relief, they are not a long-term solution for chronic hives. Ongoing evaluation and management by a board-certified allergist are essential to ensure appropriate treatment and effectively address the condition.

Allergy Partners: Offering Effective Immunotherapy Solutions for Chronic Hives

At Allergy Partners, we specialize in providing a comprehensive range of services proven effective in managing and treating hives from allergies and other symptoms.
If you are struggling with hives or other allergy symptoms, contact the helpful team at Allergy Partners today to schedule a consultation.

Of all the issues that can be caused by allergies, sore throat is among the most frustrating. While a sore throat is commonly associated with a pollen allergy, voice loss is also a typical symptom. Here’s what you need to know about treating an allergic sore throat, allergic laryngitis, and allergic voice loss.

First comes the tickle at the back of the throat. Then a scratchy sensation, followed by soreness and slight difficulty swallowing.

Oh no… is a cold coming on? Could it be strep throat? Or COVID? Be sure to check out our recent guide: Understanding The Difference Between Allergies, Cold, Flu, and COVID-19 Symptoms

While a sore throat is often caused by an infection – viral (common cold, flu, COVID) or bacterial (strep throat) – it can also be caused by environmental factors. Seasonal allergies are among the most common environmental causes of a sore throat.

A sore throat is one of the most frustrating allergy symptoms. It is caused by post-nasal drip, the persistent flow of mucus from the nose and sinuses to the back of the throat. The mucus irritates the throat, leading to an inflammatory response. Additionally, constantly clearing the throat and coughing exacerbate the irritation. This combination of factors creates a painful and uncomfortable sensation in the throat.

What is a Sore Throat?

Sore throat, clinically known as pharyngitis, is the inflammation of the pharynx, the part of your throat located at the back of the mouth. It is characterized by pain, discomfort, and a scratchy sensation in the throat. In some cases, the tonsils, the back of the tongue, and the roof of the mouth may also be affected.

Symptoms of a Sore Throat

The symptoms of a sore throat might differ from person to person, but some common symptoms include the following:

• Pain: The pain associated with a sore throat can range from mild to severe and is typically felt at the back of the throat.
• Discomfort: In addition to pain, many individuals experience a general discomfort in the throat. This discomfort may include a sensation of tightness, fullness, or difficulty clearing the throat.
• Scratchy Sensation: A sore throat often produces a scratchy or itchy feeling at the back of the throat.
• Difficulty Swallowing: In many cases, a sore throat can make swallowing certain foods or liquids challenging. This difficulty can stem from inflammation or tenderness.
• Weakened Voice: Sore throats can make speaking difficult, resulting in a hoarse or weak voice.
• Coughing: A sore throat may also cause a dry cough, a common symptom associated with inflammation in the throat.

Multiple issues can contribute to the development of a sore throat. Some of the common causes include the following:

• Viral Infections: Colds and flu are the most common causes of sore throats. The virus irritates the lining of the pharynx, causing inflammation and swelling.
• Bacterial Infections: Strep throat and other bacterial infections can also cause sore throats. Strep throat is caused by Streptococcus pyogenes, which can lead to more severe symptoms.
• Allergies: Allergies, especially allergies to environmental allergens like pollen or dust, can trigger a sore throat in some individuals. Allergic responses can cause throat inflammation and irritation.
• Environmental Factors: Exposure to irritants, such as smoke, dry air, or polluted air, can contribute to the development of a sore throat.
• Chronic Conditions: Certain chronic conditions, such as gastroesophageal reflux disease (GERD) or post-nasal drip, can contribute to recurring sore throats.

What Causes Allergic Sore Throat?

A sore throat from allergies occurs when an allergic person is exposed to an allergen. This exposure causes the body to release histamines and other chemicals that trigger an allergic reaction. The reaction causes inflammation and congestion in the sinuses, leading to the production of excess mucus and post-nasal drip.

The persistent flow of mucus from the sinuses to the back of the throat (post-nasal drip) causes irritation and inflammation. The mucus irritates the delicate tissues of the throat, leading to swelling and discomfort.

In addition to irritation from the mucus, clearing the throat and coughing can also further exacerbate the discomfort. Clearing the throat involves moving the muscles in the throat and mouth, which can increase irritation and aggravate symptoms.

What is Allergic Laryngitis?

Allergic laryngitis is an inflammation of the larynx caused by the immune system’s overresponse to environmental allergens. The larynx serves as the passageway between the throat and the windpipe; through this mechanism, the voice is produced.

Allergic laryngitis is commonly found in individuals allergic to environmental triggers such as pollen, dust, animal dander, or certain foods. When these allergens enter the body, they activate the production of histamine and other chemicals, leading to inflammation and overproduction of mucus. The inflammation causes the tissues around the larynx to swell, making it difficult for the vocal cords to vibrate properly, resulting in hoarseness or a raspy or husky voice.

The symptoms associated with allergic laryngitis include hoarseness, a tight feeling in the throat, difficulty swallowing, and a persistent cough.

It is important to note that allergic laryngitis is not contagious and cannot be spread from person to person.

Treating Sore Throat from Allergies

Treatment for allergic sore throat or allergic laryngitis focuses on managing inflammation and relieving symptoms. Therapies might include the following:

• Taking over-the-counter antihistamines or corticosteroids to reduce inflammation.
• Drinking plenty of fluids.
• Avoiding irritants and excessive vocal use.

A doctor may recommend an inhaler or a nebulizer to help soothe irritated airways. However, some over-the-counter allergy treatments might cause excessive drying of the throat, which can intensify discomfort.

While allergic sore throat and allergic laryngitis are common conditions, they can sometimes be mistaken for other respiratory disorders. It is important to consult a doctor for proper diagnosis and appropriate treatment.

Allergy Immunotherapy Treatments

Allergy immunotherapy treatments, also known as allergy shots, are an effective treatment option for individuals who suffer from allergies. These treatments minimize the body’s response to allergens, alleviating allergy symptoms. The process involves two phases: the build-up phase and the maintenance phase.

The Build-Up Phase: Low-Dose Injections

During the build-up phase, low-dose injections are administered over a period of months. This phase aims to train the immune system to become less sensitive to specific allergens. By introducing small doses of the allergen, the body’s immune system becomes desensitized, reducing or eliminating allergy symptoms.

The Maintenance Phase: Therapeutic Doses Every Few Weeks

Once the build-up phase is complete, patients enter the maintenance phase of allergy immunotherapy. In this phase, therapeutic doses are given every few weeks. The frequency and dose of the injections are determined by the individual’s specific needs and response to the treatment.

During the maintenance phase, the body continues to build tolerance to the specific allergens. Over time, the injections become less frequent, and patients experience a decline in allergy symptoms. This phase can last several years, providing long-term relief from allergy symptoms.

Advantages of Allergy Immunotherapy

Allergy immunotherapy offers several advantages over other treatment options for allergies. These include:

• Long-term control: Allergy shots can provide long-term relief from allergy symptoms, often lasting several years.
• Reduced reliance on medications: By decreasing the body’s response to allergens, allergy shots can help reduce the need for antihistamines, corticosteroids, or decongestants.
• Avoidance of side effects: Allergy shots are generally well-tolerated by patients, with fewer side effects than medications.
• Personalized approach: Allergy immunotherapy can be customized to an individual’s specific allergens and symptoms, ensuring optimal results.

Sublingual Immunotherapy (SLIT) Treatments

In Sublingual Immunotherapy (SLIT), the allergen is delivered via FDA-approved tablets administered under the tongue.

Sublingual Immunotherapy tablets are a convenient alternative to traditional allergy shots. Instead of injections, the tablets are dissolved under the tongue, allowing for easy administration and fast absorption into the bloodstream. Check out our new video to see how it works: What is Sublingual Immunotherapy?

Sublingual Immunotherapy tablets introduce tiny amounts of allergens to the body. These tablets are designed to gradually increase the allergen dose over time, aiming to desensitize the immune system. By repeatedly exposing the body to smaller amounts of the allergen, the immune system learns to respond differently, reducing sensitivity and increasing tolerance.

The treatment course for Sublingual Immunotherapy tablets typically involves multiple administrations over a specific duration. The dosage is gradually increased throughout the course, allowing the body to adapt and become more tolerant of the allergen.

Allergies Treated by Sublingual Immunotherapy

Sublingual Immunotherapy tablets are approved for treating allergies related to short ragweed pollen, dust mites, and grasses. These allergies commonly manifest as sneezing, itchy eyes, runny nose, and sore throat. Sublingual Immunotherapy tablets offer an effective treatment option for individuals who experience recurrent sore throats due to allergies.

Allergy Partners: Effective Immunotherapy and Sublingual Immunotherapy Treatments for Allergic Sore Throat

At Allergy Partners, we specialize in providing a comprehensive range of services proven effective in managing and treating sore throat from allergies and other symptoms.

If you are struggling with an allergic sore throat or other allergy symptoms, Allergy Partners offers a proven and effective solution. Contact us today to schedule a consultation and learn more about our immunotherapy and sublingual immunotherapy treatments.

Eosinophilic asthma is a subtype of asthma that is typically more severe and associated with more exacerbations. While only 5% of adults with asthma have eosinophilic asthma, up to 50-60% with severe asthma have eosinophilic asthma. Here’s what you need to know about eosinophilic asthma.

Asthma affects approximately 27 million people in the United States. It is a chronic disease caused by airway inflammation, leading to shortness of breath, coughing, and wheezing. While asthma can be severe, it can be effectively controlled through lifestyle management – avoiding dust, smoke, pollutants, and other triggers – and medications.

However, for a small population of asthma sufferers, commonly used treatments are not effective.

Eosinophilic asthma, or e-asthma, is a more severe form of asthma characterized by an increased number of eosinophils, a type of white blood cell, in the airways. Eosinophils play a crucial role in the immune response, and their presence in the lining of the airways can trigger inflammation and asthma symptoms.

Knowing how to address and manage eosinophilic asthma is critical. If your asthma is worsening or becoming less responsive to previously effective treatments, please discuss your symptoms with an allergy and asthma specialist to determine the best course of action.

What are the symptoms of eosinophilic asthma?

Typically, asthma causes airway inflammation, inhibiting airflow and causing breathing difficulties. E-asthma, however, is often associated with inflammation of the whole respiratory system, meaning that the swelling isn’t confined to airways but can be experienced in the nasal passages and sinuses.

Commonly seen e-asthma symptoms include the following:

• Wheezing
• Coughing
• Chest tightness
• Shortness of breath
• Difficulty breathing during physical activity
• Chronic sinusitis with nasal polyps
• Inflamed lining of the nose
• Restricted airways

People with e-asthma also find that inhaled corticosteroid medications are not effective in symptom reduction, though corticosteroids taken in pill form tend to be more successful. People with e-asthma are more prone to asthma attacks and

Symptoms can vary depending on the severity of the asthma and the individual’s unique response to triggers.

What triggers eosinophilic asthma?

It isn’t yet known exactly what causes e-asthma. The condition is largely first identified in adults between the ages of 35 and 50 with no history of allergies, though it can also appear in children.

E-asthma symptoms aren’t necessarily brought about by the same environmental irritants that often precede a standard asthma flare-up; e-asthma has unique and, often, non-allergic triggers. These triggers may include smoke, pollution, certain medications (such as nonsteroidal anti-inflammatory drugs (NSAIDs), aspirin, and beta-blockers beta or infections. Stress, anxiety, and strong emotions can trigger asthma symptoms in some individuals. Emotional factors may exacerbate asthma by increasing airway inflammation and hypersensitivity. Identifying and avoiding these triggers can help manage the symptoms of e-asthma and reduce the risk of flare-ups.

What is the difference between asthma and eosinophilic asthma?

Eosinophilic asthma (e-asthma) is a specific subtype of asthma characterized by high levels of eosinophils, a type of white blood cell, in the airways. While e-asthma shares many similarities with other types of asthma, there are some key differences:

Underlying Inflammation:

• Asthma: Asthma can be triggered by various factors, including allergens, irritants, respiratory infections, exercise, and emotions. The underlying inflammation in asthma may involve multiple immune cells and mediators, not exclusively eosinophils.
• Eosinophilic Asthma: Eosinophilic asthma is characterized by predominant eosinophilic inflammation in the airways. Eosinophils release inflammatory mediators that contribute to airway hyperresponsiveness and asthma symptoms.

Triggers:

• Asthma: Triggers for asthma exacerbations can vary widely and may include allergens, irritants, infections, exercise, stress, and medications.
• Eosinophilic Asthma: While e-asthma can be triggered by similar factors as asthma, it may be particularly responsive to allergens and other stimuli that elicit eosinophilic inflammation.

Response to Treatment:

• Asthma: Treatment for asthma typically involves bronchodilators (e.g., beta-agonists) to relax the airway muscles and anti-inflammatory medications (e.g., corticosteroids) to reduce airway inflammation.
• Eosinophilic Asthma: Eosinophilic asthma may respond well to anti-inflammatory treatments that specifically target eosinophils or eosinophil-related pathways. Biologic therapies, such as monoclonal antibodies targeting interleukin-5 (IL-5) or its receptor, are often used for severe eosinophilic asthma.

How do you know if asthma is eosinophilic?

Diagnosis of eosinophilic asthma involves taking a thorough medical history review, physical examination, lung function tests, and eosinophil tests. Allergists-Immunologist specialiise in the diagnosis, treatment and management of asthma, including e-asthma.

The evaluation will typically begin with a discussion of your health history and symptoms, triggers, and any previous treatments. A physical exam will be performed where the physician checks for nasal inflammation, polyps, or infections in the middle ear.

Your doctor will also administer a lung function test, known as a spirometry test. Allergy testing may be performed to assess for allergic triggers of asthma. A spirometry test measures the amount of air inhaled and exhaled. Eosinophil tests will also be administered to determine the concentration of eosinophils within the airways. These tests include the following:

• Blood Test: Your doctor might have blood tests performed to measure the overall level of eosinophils in your blood supply.
• Breath Test: A breath test measures the amount of nitric oxide being exhaled, which is an indication of eosinophil-related inflammation.

Is eosinophilic asthma dangerous?

E-asthma is a serious and potentially life-threatening respiratory condition. When left untreated, it can lead to long-term complications, including permanent lung damage and reduced lung function.

Patients with e-asthma experience more frequent and severe asthma attacks, leading to more frequent hospitalizations and emergency room visits. Identifying and managing this condition correctly is essential for reducing the risk of severe asthma attacks and improving the overall well-being of people affected by this condition.

How is eosinophilic asthma treated?

There are several types of drugs that are commonly used to help manage e-asthma symptoms and improve lung function. These medications work in different ways to address the different aspects of the condition. The most commonly prescribed treatments include the following:

• Anti-Inflammatory Medications: In some cases, anti-inflammatory medications can play a crucial role in reducing and preventing lung inflammation in e-asthma. These include fluticasone, budesonide, and mometasone.
• Bronchodilators: Bronchodilators relax and open the airways to relieve asthma symptoms. They are often used as a first-line treatment for asthma and are available in both oral and inhaled forms. By opening the airways, bronchodilators improve airflow and make breathing easier.
• Combination Medications: Combination medications are a combination of a bronchodilator and an anti-inflammatory medication in a single device. These medications provide the benefits of both drugs in one inhaler, making it easier for patients to manage their asthma.
• Leukotriene Modifiers: Leukotriene modifiers are a class of medications that block the action of leukotrienes, which are chemicals involved in immune system responses. Leukotrienes are thought to contribute to the development of inflammation and airway hyperresponsiveness in asthma.
• Corticosteroids: Corticosteroid pills are generally considered the most effective treatment for eosinophilic asthma. Research has shown that corticosteroids can significantly improve lung function and reduce asthma symptoms in patients with e-asthma. However, repeated courses or long-term use of systemic steroids cause significant long-term side effects. Avoiding the use of systemic steroids is a key treatment goal for e-asthma.
• Biologics: Biologics work by blocking or neutralizing specific proteins involved in airway inflammation. They are typically reserved for patients with severe asthma who have not responded to other treatments or who require frequent or chronic systemic corticosteroids.

In addition to managing e-asthma symptoms with medications, there are lifestyle modifications that help keep symptoms at bay. The Asthma Impairment Risk Questionnaire (AIRQ) is a valuable tool for understanding the impact and management of e-asthma.

The AIRQ consists of a series of questions about your asthma symptoms, daily activities, and quality of life. By completing this questionnaire, you provide valuable information about your asthma and its impact on your daily life. Your responses are used to assess the severity of the condition and guide your medical team in developing a personalized action plan.

The caring team at Allergy Partners offers consistent, compassionate support that delivers exceptional outcomes for diverse patients struggling with e-asthma. With our expertise and dedication to patient care,  we can help you optimize your asthma control and enjoy a better quality of life.

Spring is the season of fair weather, blooming flowers, and new growth everywhere. However, for people with allergies, it’s also the season of sneezin’. Here’s what you need to know about allergic rhinitis, also known as hay fever. But what is hay fever?

This may come as a surprise, but hay fever doesn’t necessarily involve hay.

The first recorded use of the term “hay fever” comes from 19th-century physician John Bostock. He noted that “summer catarrh,” a general malaise accompanied by respiratory symptoms like sneezing, itchy and watery eyes, and difficulty breathing, was exacerbated by airborne particulate matter generated when hay was cut and baled.

Of course, you don’t have to be around hay to experience hay fever.

Hay fever, clinically known as allergic rhinitis, is a common respiratory disorder affecting the nasal passages. It is triggered by an immune overresponse to allergens, including pollen, dust mites, animal dander, or certain chemicals. Symptoms of allergic rhinitis include sneezing, runny nose, nasal congestion, postnasal drip, itchy eyes, and itchy nose. These symptoms typically worsen during the spring and fall when allergens are prevalent in the air.

Allergic rhinitis is a chronic condition that affects approximately 30% of the population worldwide. It is more common in individuals with a family history of allergies or asthma. Although it can occur at any age, it often begins in childhood.

An allergy test and medical history are generally used to diagnose allergic rhinitis. Allergy tests, such as skin prick tests or blood tests, can help determine which specific allergens trigger the allergic reaction.

Treatment for allergic rhinitis may include lifestyle changes, such as staying indoors during peak allergy season and using air filters at home. Antihistamines and nasal corticosteroids are commonly used medications to relieve symptoms. Additionally, immunotherapy (allergy shots) may be recommended in some cases to reduce allergy symptoms over time.

Allergic rhinitis can impair a person’s quality of life. It can cause fatigue, sleep disturbances, and difficulty concentrating. It is important to consult with a healthcare professional for appropriate diagnosis and treatment options.

What Causes Hay Fever?

Allergic rhinitis is caused by the immune system’s overreaction to allergens, though the cause of the disordered immune reaction has not been established. When people with allergic rhinitis are exposed to an allergen, their body releases histamine and other chemicals, leading to inflammation in the nasal passages. This inflammation causes sneezing, runny nose, congestion, and itching.

Symptoms

The most common symptoms of allergic rhinitis include the following:

• Sneezing: Sneezing is the most common symptom and occurs as a response to the allergen entering the nasal passages.
• Runny nose: The nasal passages become congested and runny, causing postnasal drip and discomfort.
• Itching: The nose, eyes, and the roof of the mouth often itch due to the release of histamine.
• Congestion: The nasal passages may become swollen and blocked, making breathing difficult.
• Watery eyes: The eyes may become watery and red due to irritation and swelling of the conjunctiva, which is the membrane that covers the whites of the eyes.
• Ear congestion: The Eustachian tube, which connects the ears to the nose, may become blocked, leading to ear congestion and discomfort.

How is Hay Fever Treated?

The treatment of allergic rhinitis aims to relieve symptoms and prevent allergic reactions. Common treatment options include the following:

• Over-the-counter medications: Antihistamines can help block the release of histamine and alleviate symptoms.
• Nasal corticosteroids: These medications reduce inflammation and swelling in the nasal passages, relieving congestion.
• Humidifiers: Dry indoor air can exacerbate symptoms, so using a humidifier can help improve nasal comfort.
• Allergy immunotherapy: Allergy shots or tablets can reduce the body’s response to specific allergens over time.

How Can I Prevent Hay Fever?

While allergic rhinitis has no cure, certain measures can help reduce symptoms and allergy flare-ups. Some preventive measures include:

• Staying indoors: During peak pollen seasons, staying indoors can help reduce exposure to allergens.
• Using air filters: Installing air filters at home and in the car can help trap allergens.
• Wear a mask: When outside during high pollen seasons, wearing a mask can filter out allergens.
• Regular handwashing: Washing hands regularly can help prevent the spread of allergens.
• Regular vacuuming: Cleaning and vacuuming regularly can help remove allergens from carpets and upholstery.

Why You Should Visit an Allergist to Manage Hay Fever

While allergic rhinitis might only be a seasonal annoyance, unmanaged allergies can lead to serious medical consequences. People with untreated allergies are at a heightened risk of the following complications:

Asthma

While a seasonal runny nose and watery eyes might not seem to merit medical intervention, it is nonetheless important to keep symptoms in check if you have a family history of asthma.

Unmanaged allergies have been associated with the onset of asthma symptoms in people who were previously undiagnosed with asthma. Moreover, allergic rhinitis can intensify asthma symptoms in people who already have asthma.

Sleep Disorders

Continual nasal congestion, sneezing, and eye irritation can cause disrupted sleep, leading to fatigue, depressed mood, and difficulty concentrating. Over time, disrupted sleep patterns can interfere with job performance, make driving dangerous, and even negatively impact overall health.

Ear Congestion

One of the common symptoms of allergic rhinitis is congestion and plugging of the ears. When the nasal mucosa becomes inflamed due to allergens, the Eustachian tube, which connects the ears to the nose, becomes swollen and blocked. This congestion can make it difficult to equalize the pressure between the ears and the inner ear, leading to symptoms such as earaches, popping sounds, and temporary hearing loss.

Ear Infection

Allergic rhinitis can also contribute to the development of ear infections. As a result of prolonged congestion, bacteria or viruses can easily enter the middle ear, leading to an infection known as otitis media. Ear infections can be extremely uncomfortable and might require antibiotic medication to treat.

Tinnitus

Tinnitus, or ringing in the ears, is another possible side effect of allergic rhinitis. Allergy-related inflammation can lead to changes in the inner ear, contributing to tinnitus symptoms.

Labyrinthitis

In rare cases, allergic rhinitis can cause inflammation of the inner ear, resulting in labyrinthitis. The labyrinth is the part of your ear that contains the organ of balance and the cochlea, responsible for hearing. Inflammation of the labyrinth can cause dizziness, nausea, and hearing loss.

At Allergy Partners, we offer comprehensive treatments and management plans for allergic rhinitis, helping patients achieve long-term symptom relief. If you have concerns about hay fever season, don’t hesitate to seek allergy treatment today.

Allergy testing is a procedure used to detect whether any foreign bodies, like pollen, pet dander, insect venom, or tree nuts, will trigger an allergic response. Here’s what you need to know about the process.

Allergies are over-reactive immune responses to certain elements, known as allergens. Allergens can trigger mild symptoms such as sneezing and a runny nose, or severe reactions such as anaphylaxis, which can be life-threatening. The most common allergens include the following:

• Food Allergens: Peanuts, tree nuts, shellfish, eggs, milk, and wheat are some of the foods that commonly cause allergic reactions.
• Environmental Allergens: Pollen, dust mites, mold, and pet dander can be present in the air or on surfaces.
• Medications and Chemicals: Certain medications, such as penicillin, and chemicals, such as latex, can trigger allergic reactions.
• Insect Stings: Bee and wasp stings are highly common, and sometimes dangerous, allergens.

Allergy tests, also known as allergy assessments or allergy screenings, are procedures used to diagnose and manage allergies.

Types of Allergy Tests

There are several forms of allergy test. The type of test your allergist recommends will be determined by your symptoms, their severity, the suspected cause, and other factors.

• Skin Prick Tests: Skin prick tests, also known as scratch tests, are the most commonly used type of allergy test. The process involves using a fine needle to introduce tiny amounts of a suspected allergen into the skin of the forearm or back. If the allergen produces a response – inflammation, redness, or a raised rash – then an allergen has been detected. The response generally occurs within 15 minutes of the injection of the allergen. Skin prick tests identify airborne allergens like pollen, dust mites, or animal dander.
• Intradermal Skin Tests: Intradermal skin tests are more sensitive and specific than SPTs. They are conducted the same way as SPTs, but instead of injecting a small amount of allergen under the skin, a larger quantity is injected just beneath the skin’s surface. Intradermal skin tests are largely used for diagnosing allergies to medications, insect venom, or certain food allergens.
• Patch Tests: Patch tests evaluate responses to allergens that come into contact with the skin, such as metals, fabrics, or cosmetics. These tests are carried out by placing tiny patches containing suspected allergens onto the back of the patient. The patches are left for 48-72 hours, allowing the patient’s skin to react. After the designated period, the patch is removed, and the skin is observed for any signs of inflammation or other allergic reactions. Patch tests provide valuable information about contact allergies but have limited use for airborne allergens.
• Blood Tests: Blood (IgE) tests determine the presence of immunoglobulin E (IgE) antibodies, which the immune system produces in response to allergens. Blood tests can detect allergies to a wide range of allergens, including foods, insect venom, medications, and airborne allergens.
• Oral Food Challenge Tests: Oral food challenge tests confirm the diagnosis of food allergies by administering tiny amounts of the allergen and monitoring their response. This test must be performed under medical supervision in a clinical setting. The patient starts with small doses of the suspected allergen and gradually increases the amount while monitoring for any indications of an allergic reaction. If the test is tolerated without adverse reactions, it might be concluded that there is no allergic response. Oral challenge tests are used cautiously and only for allergy diagnosis when other tests are inconclusive or the allergen cannot be tested by other means.

Allergy tests are a reliable and effective method for diagnosing allergies. Skin tests, in particular, are considered the gold standard for diagnosing allergic disorders. They are quick, safe, and relatively painless.

You might not have ever experienced any medical symptom that indicates a potential allergy, yet being screened for allergies might be necessary for multiple reasons.

Why You Might Need an Allergy Test

If you have had unexplained medical symptoms after being exposed to certain elements, an allergy test could help you understand their cause. While allergies are often associated with uncomfortable symptoms like sneezing, itching, and watery eyes, it is important to test for allergies even in the absence of noticeable symptoms. There are several reasons why regular allergy testing is essential.

Early Detection

One primary reason for allergy testing is early detection. Many allergies have a gradual onset, and symptoms may not appear until a significant amount of allergens has been inhaled, ingested, or touched. Allergy tests allow you to identify potential allergens early on, even before the onset of symptoms. This early intervention can help prevent the development of more severe allergic reactions.

Avoiding Unexpected Reactions

Allergies can manifest in various ways, and some may experience reactions that are not immediately recognizable as allergies. By undergoing allergy testing, you can proactively identify and avoid any triggers that may cause a reaction, even if you are not experiencing significant symptoms. This approach can help minimize any risk of experiencing a more severe response.

Controlling Triggers

Allergy testing can provide valuable information that can help you control triggers. By identifying specific allergens, you can take appropriate measures to minimize exposure. Preventative measures might include avoiding contact with allergens, using allergy-proof bedding and clothing, or implementing strict cleaning routines.

Allergy Management

Allergy testing is essential for effective allergy management. By regularly monitoring allergies, you can make informed treatment decisions, minimize symptom risk, and improve your overall quality of life.

Medical History Documentation

Allergy testing is a valuable tool for documenting your medical history. This information is vital for healthcare providers, as allergies can affect various medical conditions and treatments.

It is vital to have a comprehensive medical history and physical examination before conducting an allergy test. Assessing your overall health allows your practitioner to make the appropriate clinical assessments and create an individualized allergy management plan.

Allergy Tests Vs. Food Sensitivity Tests

While food allergies and food sensitivities might seem like similar – if not the same – conditions, these concerns are quite different.

According to the American Academy of Asthma, Allergy, and Immunology (AAAI), food sensitivity (also called food intolerance) causes digestive difficulties when certain foods are consumed, leading to stomach pain, bloating, diarrhea, and other gastrointestinal symptoms. Food sensitivity is unrelated to the immune response, and while it can sometimes lead to severe discomfort, it is not a life-threatening condition.

People experience food sensitivities because their bodies do not create sufficient quantities of the enzymes necessary to break down the chemicals in certain foods. People who are lactose intolerant, for example, do not produce enough of the enzyme lactase, which aids in the digestion of milk and milk products.

Allergy tests will not detect food sensitivities. If you are experiencing periodic gastrointestinal distress, particularly after eating, please visit your physician for a thorough evaluation. While food sensitivity could be causing your digestive distress, it is also important to rule out other possible medical issues, such as inflammatory bowel disease, which might require endoscopic testing.

At-home food sensitivity tests should not be used to identify food sensitivities or intolerances. The only reliable way to determine the existence of food sensitivity is to undergo clinical testing by a board-certified medical professional.

The team at Allergy Partners offers comprehensive allergy testing and management solutions, helping diverse patients successfully identify and overcome debilitating allergies. If you suspect you might have any type of allergy symptoms, please don’t hesitate to seek allergy testing and treatment today.

Spring is a season filled with vibrant colors, warmer temperatures, and emerging life – a breath of refreshing air after a harsh winter. However, for many people, this ideal representation is often disrupted by constant sneezing, watery eyes, and a runny nose. These are the unfortunate signs of a pollen allergy, a common ailment in the allergy and immunology world.

In this article, we will provide detailed insights into managing your pollen allergy, from the everyday precautions to the best treatments currently available.

What is Pollen?

Pollen is a powdery substance produced by trees, grasses, and weeds necessary for plant fertilization. However, when they land on a human’s nasal lining, an immune response known as ‘hay fever’ or pollen allergies can be triggered. The microscopic size of these particles allows them to easily travel through wind currents before settling onto surfaces or being breathed into our airways when spending time outdoors. Specific types of plants that spread using wind-borne pollen are most often the culprits behind seasonal pollen allergies.

Types of Allergenic Plants

There is a wide range of allergenic plants that become active during spring, releasing pollen particles into the air, and triggering allergic reactions. Here’s a closer look at some of these:

• Grasses: There are several types of grasses which are common culprits. Ryegrass and Timothy grass are infamous for causing severe pollen allergies. Others like bluegrass, fescue, and bermuda grass are also common triggers.
• Weeds: Weeds are significant contributors to springtime allergies, notable ones include ragweed, sagebrush, redroot pigweed, lamb’s quarters, and Russian thistle.
• Trees: Oak trees have high pollen production levels. Particularly, the red oak, white oak, and black oak species are known to trigger allergic reactions. Pine trees are also contributors to hay fever, though their larger pollen grains are often less allergenic than smaller grains from other species. However, certain species, such as the slash pine and loblolly pine, are notable sources of allergenic pollen.
• Flowering Plants: A number of flowering plants like buttercups, dandelions, and sunflowers are also responsible for allergies. Their bright and attractive flowers often lead people to overlook their potential as allergenic sources.

Why Do Pollen Counts Spike?

Pollen counts tend to spike, especially during spring and early summer, due to several factors. Here’s a deeper dive into these reasons:

• Plant Life Cycle: Spring is synonymous with the lifecycle of many plants moving into their flowering phase. As these plants blossom, they release vast amounts of pollen into the atmosphere as part of their reproductive process – resulting in higher pollen counts.
• Weather Conditions: Pollen counts are highly sensitive to weather patterns. Warm, dry, and windy conditions are ideal for pollen grain dissemination which leads to a surge in the pollen count. Conversely, counts are typically lower on calm and damp days when rain has the effect of “cleaning” the air of pollen.
• Time of the Day: Pollen release primarily occurs in the early morning hours, typically between 5 AM and 10 AM. Accordingly, counts tend to be highest during this period.
• Geographical Location: Certain geographical locations present conditions more conducive to higher pollen counts such as areas with high vegetation diversity, areas experiencing unusually high temperatures, and or rainfall leading to increased plant growth.

What Are the Most Common Symptoms of Pollen Allergies?

When people with a pollen allergy inhale these tiny grains during pollen-producing seasons, it could trigger an immune response from their bodies which perceive these harmless particles as threats. This reactionary response may cause symptoms such as:

• Sneezing
• Stuffy or runny nose
• Facial pain due to sinus congestion
• Persistent itching or watering of the eyes
• Coughing, wheezing, and or difficulty breathing
• Itchy nose, mouth, or throat
• Postnasal drip
• Loss of taste or smell
• Swelling around the eyes
• Fatigue

What Are the Effects of Pollen on Those with Asthma?

Due to their existing respiratory condition, individuals with asthma can experience severe reactions to pollen (also known as ‘allergic asthma’). When the inflamed airways come into contact with pollen, it can cause the muscles around them to tighten further. This constriction of the respiratory passages can result in a range of troubling symptoms often referred to as an asthma flare-up or asthma attack.

Symptoms of these flare-ups can include shortness of breath, chest tightness or pain, persistent coughing, and wheezing. The severity of these symptoms can vary between individuals, but regardless, it can significantly impact their comfort and quality of life.

In some severe cases, pollen-induced asthma flare-ups might lead to a life-threatening situation known as an asthmatic crisis, where the individual’s oxygen intake is severely compromised. It is important for asthma sufferers to be vigilant about their allergen exposure and symptoms during times of high pollen counts.

Can You Get Rid of a Pollen Allergy?

While there’s currently no cure for a pollen allergy, numerous effective management strategies—both medicinal and non-medicinal—exist that can alleviate accompanying symptoms significantly. Understanding your specific allergy triggers will give you better control over managing them effectively.

What is the Best Treatment for Pollen Allergies?

The best treatment for pollen allergies varies for each person, incorporating both therapeutic and everyday strategies. This could include medication, lifestyle modifications, and even certain allergy-specific treatments.

Managing Pollen Allergies with Medication

Pollen allergies are often managed effectively via medications depending on symptom severity and individual health history. Over-the-counter and prescription medications can both be effective against pollen allergies.

• Antihistamines: Antihistamines help prevent histamine, a compound released by cells during allergic reactions that causes severe inflammation and corresponding symptoms like nasal swelling or itchiness.
• Decongestants: Oral and nasal decongestants act by narrowing the blood vessels in the lining of the nose, reducing blood flow, and thereby decreasing swelling and congestion.
• Nasal Corticosteroids: Nasal corticosteroids, also known as corticosteroid nasal sprays, are a type of medication often used to treat allergies, including those to pollen, dust mites, and pet dander. They work by reducing inflammation in the nasal passages, thereby relieving the common symptoms of allergies.
• Leukotriene Modifiers: Leukotriene modifiers work by blocking leukotrienes, which are substances in the body that can cause airway constriction, inflammation, and increased mucus production in people with asthma.
• Allergy Shots: Allergy shots (also called subcutaneous immunotherapy, or SCIT) are one of the best treatments available for your allergies and asthma. Allergy shots change the way your immune system reacts to the environment. By gradually introducing ever greater quantities of the allergen, allergy shots can dampen the allergic response over time and provide lasting relief.
• Sublingual Immunotherapy: Sublingual immunotherapy (SLIT) is proven to help patients manage conditions such as environmental allergies, eye allergies, and asthma. SLIT introduces small doses of allergens under the tongue daily. This causes a decrease in the body’s production of a specific allergic antibody, called IgE, and teaches your immune system to tolerate exposure to allergens in the environment.

Managing Pollen Allergies Without Medication

Managing pollen allergies without medication certainly poses a challenge, but it is feasible with a combination of awareness and preventive measures that act as your first line of defense. Here are some suggested strategies for managing pollen allergies without medication:

• Avoidance of High Pollen Areas: Minimize time spent outdoors in locations and times when the pollen count is high, which is most often early mornings and late evenings during spring.
• Managing Indoor Air Quality: Keeping windows and doors closed, particularly during high pollen count days can help reduce the entry of pollen into your living space. Air purifiers can also help clean any indoor air of pollen and other allergens.
• Protective Gear: When you do need to venture outdoors during high pollen count times, certain measures could help, such as wearing sunglasses to protect your eyes from direct contact with pollen. Wearing a wide-brimmed hat can also reduce the amount of pollen that blows into your hair and onto your face.
• Personal Cleanliness: Washing your hands and face, and even rinsing your eyes after being outside can help remove pollen and prevent ongoing allergic reactions. Similarly, changing clothes and taking a shower can eliminate any pollen grains that may have clung to your body or clothing.
• Home Cleanliness: Regular and thorough cleaning of your home, especially spaces like your living room and bedroom where you spend most of your time, can help keep them pollen-free. Washing bed linens and curtains regularly and using a vacuum cleaner with a HEPA filter can be beneficial as well.
• Boosting Immune Health: A healthy lifestyle comprising a balanced diet, regular exercise, and adequate sleep can help boost your immune system. While this may not directly impact your pollen allergies, a good immune response is key to coping with and recovering from allergic reactions.

These measures, along with a tailored plan from an allergist, can go a long way in helping you manage your pollen allergies across every season.

Checking Pollen Forecasts

One easy way to manage your exposure to pollen is by being proactive. Several weather sites and apps provide daily pollen forecasts, which you may use to plan your activities and medication schedules suitably. Pollen forecasts can provide valuable insights that can help allergy sufferers plan their activities around minimizing exposure, especially during peak pollen times.

Seeking Professional Help: When to Consult an Allergist

If you’ve tried over-the-counter solutions without relief, or if your pollen allergies are notably severe, it’s time to consult with an allergist. With their specialized training, allergists can offer a more precise diagnosis and advanced treatment options.

Given their expertise, allergists play a crucial role in pollen allergy management. In addition to providing diagnoses and personalized treatment plans, they provide regular follow-ups, educate about self-care, and guide through emergency situations.

Understanding and managing your pollen allergies during the high pollen count spring season can empower you to enjoy this beautiful time of the year. With comprehensive management strategies, support from your allergist, and proactive self-care, you can successfully mitigate the hardships of the pollen season and truly relish the beauty of spring.

Figuring out the best solutions for pollen allergy management can be challenging, but you do not have to go it alone. The professional allergists at Allergy Partners will work with you to uncover what might be causing your environmental allergies, guide you on how best to treat your symptoms, and customize therapy to address the underlying cause of your allergy symptoms.