Kathryn Jean Lucas, MD
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What is an allergy?
By: K. Jean Lucas, M.D.
 

What is an allergy? 

Allergies occur when the body develops a sensitivity to one or more substances (allergens) in the environment. When allergens enter the body either by breathing them, eating them, or having skin contact with them, they cause the release of histamine.  Histamine produces many of the symptoms you experience with an allergic reaction.  Histamine released into the skin may cause a rash or hives.   When the allergens affect the respiratory system, they may cause allergic rhinitis or asthma.  Allergic rhinitis refers to the symptoms affecting the nasal passages and include: runny nose, nasal congestion, sneezing, tearing, swollen eyelids, fatigue, facial pain, and itching of the nose and throat. Allergic rhinitis occurring seasonally such as in the fall and spring, is referred to as hayfever.   Many times asthma is set off by an allergic reaction.  An asthmatic attack involves the airways to the lungs causing spasm in the muscle of the airways and leading to wheezing and shortness of breath.  Common allergens are pollen, feathers, mold, dust, grasses, ragweed, and animal dander.  These allergens usually affect the respiratory system.  Medications, foods, and cosmetics may also cause an allergic reaction causing rashes, hives, or wheezing.  An intolerance to a medication, however, is not an allergy.  Nausea or diarrhea following the ingestion of a food or medication is not an allergy but an intolerance and is caused by different mechanisms than the release of histamine.  This is why your doctor will ask you what type of reaction you have had with a food or medication.  

Who gets allergies and why are they important? 

Allergies affect over 40 million people in the U.S. alone. They cause many annoying symptoms and may lead to serious illnesses and hospitalization. Anyone can get an allergy at some point in life.>    Many allergies begin in childhood. For example, eczema and skin rashes in children are often caused by allergies. The tendency to have allergies is inherited.  If a person is allergic to one type of pollen or food, related substances may also cause problems. The form of the allergy may be different with different allergens in the same person; for example, one may have hives or asthma depending on what he is exposed to.      

How do you find out if you have allergies?          

If you have any of the symptoms mentioned above or you seem to have a “cold” which never goes away or recurs frequently, you should see your doctor and relay your concerns.  The physician will ask you about your history of the disorder and your family history as well as do a complete physical exam.  RAST tests may be done to determine your sensitivity to certain common allergens. These tests are blood tests. Other types of allergy testing include skin tests in which multiple allergens are applied to your skin, and the skin is observed for reactions.        

What is the treatment for allergies?         

If you know what you are allergic to, you should try to avoid it if at all possible.  This is easier in the case of a food or drug allergy.  You should always alert your physician to a drug allergy any time you are receiving a prescription.  Airborne allergens such as pollen, mold, or dust are hard to get rid of, but they can be reduced by house cleaning, air conditioning, and a good electronic filter. Animal dander, fur, or feather sensitivity will be helped by not allowing the animal to sleep with you at night, washing the bedding, etc. that the animal uses, or in some cases, finding the animal a new home may be necessary.  Medications such as antihistamines are used to block histamine release and help with many of the symptoms caused by allergies. Many mild symptoms may be controlled with over the counter antihistamines, but these sometimes will drowsiness.  Your physician may be able to prescribe non-sedating antihistamines.  For a severe allergic reaction, cortisone may be needed.   In asthma attacks, medication related to adrenaline may be ingested or inhaled to give prompt relief of wheezing.  Steroid or cromolyn nasal sprays also work on the nasal membranes themselves to block the allergic reaction to environmental allergens. In some cases, you may be able to take desensitization shots in order to prevent future reactions to certain allergens. People who are severely allergic to insect stings may need to carry epinephrine in an injectable form whenever they are outdoors.   

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Allergies