And what can we do about them???

This List has been compiled to help you endure your allergies with less stress.  It  in
no way will relieve all allergy symptoms and suffering for all people.  It is just
intended to provide as much relief as is possible at this time.

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Cutting edge research on the treatment of allergies and asthma. This site also includes
pollen and spore counts from locations around the country.
The Allergy Report

NEW YORK, Jul 07 (Reuters Health) - About twice as many adults suffer from allergy-induced asthma today than 20 years ago, researchers report.
Investigators found that rates of smoking had nothing to do with the doubling of asthma cases since the 1970s, as the number of
people who smoked declined dramatically during this period.
According to the report published in the July 8th issue of the British Medical Journal, a rise in the prevalence of allergies among
adults probably fueled the increase in allergy-induced asthma.
Dr. Mark N. Upton of the University of Glasgow, Scotland, and colleagues write, "The prevalence of asthma in adults has
increased more than twofold in 20 years, largely in association with trends in (allergies)."
The researchers compared rates of allergic and non-allergic asthma, hay fever and other respiratory problems among married
couples surveyed during the 1970s, and in their children, who were surveyed in the 1990s.
Hay fever was included in the survey to enable the research team to indirectly examine trends in allergy rates, since allergies can
trigger asthmatic symptoms.
Results show that both asthma and hay fever increased in smokers and nonsmokers. The rate of asthma rose to 8% in1996,
from 3% between 1972-1976 among people who never smoked. The rate of hay fever in this group climbed to 20% from 6%
during the same period.
Among people who smoked, asthma increased to 5% from 2%, and hay fever rose to 16% from 5%, the report indicates.
Over the same time period, rates of smoking declined by 50% in both men and women.
In other findings, fewer people complained of frequent chest wheezing and shortness of breath in 1996 despite the increase in
asthma. Upton and his team suggest that better asthma medications may underlie this finding, as prescriptions for inhaled steroids
rose more than sixfold between 1980 and 1990.
SOURCE: British Medical Journal 2000;321:88-92

About Allergies and Asthma
 Asthma has often been described as a wheezing sound when you breathe, but asthma is so
much more! Asthma has also been falsely described as an emotional disease, but the disease
is real and can be deadly if not treated properly. This page describes some of the common
symptoms, triggers, and medications used in the treatment of asthma. These guidelines
and the treatment of asthma and allergies should be discussed with your
health-care professional.
Asthma can happen at any stage of life.
   Asthma Symptoms
If you or someone you know has any of these symptoms, the diagnosis could be asthma:
coughing or wheezing or whistling when you breathe
chest tightness
shortness of breath
excess mucus
Stuffy or runny nose (rhinitis or hay fever)
Nasal polyps
Eczema (atopic dermatitis)
Gastroesophageal reflux
           20 Ways to Beat the Allergy Blues
Airborn Allergies:
1. Keep the grass short, but have someone else do the mowing. If you can't avoid yard duty,
wear a mask when you mow.
2. Don't dry clothes outside. Pollen bonds to fabric.
3. Allergic to molds? Plan outdoor activities when the weather is hot and dry.
4. Ban smoking at home and at work. Smoke only aggravates allergies.
5. If you have hay fever, stay indoors when pollen is high. Avoid parks, woods, and gardens
during the allergy season. Save errands for late afternoon or after it rains.
Pollen is worst during early hours and on dry, windy days.
6. Wash that pollen right out of your hair - shower and shampoo frequently.
7. Consider your allergies when planning a vaction. Ask your doctor to suggest a spot
where the source of your allergy isn't in bloom during your holiday.
8. Do not move just to avoid allergies, you may develop new ones.
9. If you garden, avoid choosing plants, trees, grass, and weeds with tiny flowers, such as goldenrod.
10. Try to keep windows closed wherever you are.
Insect Allergies:
11. Never go outside when you are barefoot and keep an eye out for insect colonies, nests, and hives.
12. Opt for light-colored clothing, such as whites and tans. Avoid blues, yellow, and any colors resembling flowers.
13. Don't paint, cook meals, or feed pets outside. These scents attract bugs.
14. Limit the use of perfume, hair spray, or suntan lotion - these are bug attracting.
15. Don't panic if an insect lands on you. Stay calm and gently brush it away.
16. See a doctor if you have a reaction to an insect bite.
Animal Allergies:
17. When choosing a pet, a dog is safer than a cat - but a fish is even better.
18. If you must have a dog or cat, choose a shorthaired breed without a thick undercoat.
19. Wash animals frequently and try to keep them out of your bedroom.
20. Avoid pillows, comforters, and other products filled with feathers or down.

Emmett V. Glass, MS, Department of Internal Medicine, Division of Allergy and Immunology; Glen R. Needham,
PhD, Acarology Laboratory, Department of Entomology; Donald L. McNeil, MD, FRCP, Department of Internal
Medicine, Division of Allergy and Immunology, The Ohio State University, Columbus, Ohio. E.V. Glass is a
Research Associate 2-B/H in the Department of Internal Medicine, Division of Allergy and Immunology; Dr.
Needham is an Associate Professor in the Acarology Laboratory, Department of Entomology; and Dr. McNeil
is an Assistant Professor in the Department of Internal Medicine, Division of Allergy and Immunology, The
Ohio State University, Columbus, Ohio.

There is a sense of urgency in the healthcare community to effect a change in the trend of increasing asthma
morbidity and mortality. The allergic component in the etiology of this condition may be underestimated and
indoor allergens such as dust mites may play a major role. Preventing the sensitization or continued exposure
of the allergic asthmatic patient to mite allergens by employing appropriate management strategies could prove
beneficial and, ultimately, much less costly than pharmacologic therapy. In households, mites occur in mattresses,
pillows, carpets, and in any other area with appropriate ecologic factors for their survival. The allergens produced
by mites in the genus Dermatophagoides, one of the principal sources of house dust allergens, fall mainly into
two immunologically important groups: Der I (Der pI, Der fI) and II (Der pII, Der fII). Generally, for significant
improvement of asthmatic symptoms to occur, the concentration of the predominant mite allergen, Der p I, must
be reduced to less than 2mcg/g dust or mite populations decreased to 100/g dust.  Procedures for reducing mite
numbers in homes have employed both physical/mechanical (reducing relative humidity, encasing mattresses and
pillows in plastic, etc.) and chemical (acaricides, protein denaturants, etc.) means. This article will review the
current state of knowledge of dust mite control strategies and their implications for the allergic asthmatic patient.
[Medscape Respiratory Care 2(6), 1998. © 1998 Medscape, Inc.

Asthma affects 14 to 15 million Americans and is now the most common chronic disease afflicting children.[1,2]
The clinical manifestations of this under-appreciated disease are potentially severe and life-altering. Both
prevalence and mortality associated with asthma are increasing.[3,4] Themisconception that children "outgrow"
asthma lends further support to the importance of early diagnosis and intervention in minimizing the subsequent
onset of disease. Although some believe there is a tendency to under-diagnose its severity, most cases of asthma
are mild, with 50% of asthmatics having symptoms weekly. Recent findings support an allergic component of asthma
in at least 55% of all cases.[5-7]

Asthma Pathogenesis: Implications for Management
The histopathologic chronic inflammation associated with asthma is apparent long before clinical manifestations and
supports the theory that intervention at the time of symptom presentation may be too late. One compelling challenge
is treating the disease at the earliest point in an attempt to prevent progression and reduce potential adverse side
effects of long-term corticosteroid therapy, such as osteoporosis. Kjellman[8] referred to the "allergic snowball," in
which triggers such as pollution, genetic predisposition, infections, or allergens induce an allergic response over a
prolonged period. Therefore, preventive measures should be instituted early (ideally, before or at the time of other
interventional measures), because once active treatment is begun, it may be too late to substantially alter the disease
course. The purpose of this report is to broaden the healthcare professional's concept of prevention to include control
of asthma allergies in the home or other indoor environments, with emphasis placed on mechanical and chemical
strategies for house dust mite reduction.

Allergens implicated in the development of extrinsic (allergic) asthma include house dust mites (Fig. 1), animal dander,
mold spores, and cockroach.[12] Some or all may be present in the homes of the patient.[5] Reducing the exposure to
dust mite by relocating children to a dust-freeenvironment reduces the incidence of asthma.[13] However, dust mite
allergy must exist before any proven benefits can be expected from dust mite elimination. That is, the patient must be
sensitized to dust mites in order to evoke an allergic response.[6] Only a small fraction of dust mite particles are
inhaled everyday, and only once they become airborne (ie, as a result of vacuuming). The effect of chronic exposure to
dust mite appears cumulative, in that it produces an overall increase in bronchial hyperresponsiveness as opposed to
serving as a trigger for acute attack.

Despite their importance to public health, current options for successful control of house dust mites as a preventive
strategy for asthma are few.  Studies show that reducing the amount of dust and/or house dust mites decreases clinical
allergy symptoms in susceptible individuals.[55]  Generally, for significant improvement of asthmatic symptoms to
occur, the concentration of the predominant mite allergen Der pI must be reduced to less than 2 mcg/g dust or mite
populations decreased to 100/g dust.[29] Procedures for reducing mite numbers in homes have employed both physical
(vacuuming, encasing pillows and mattresses in plastic, etc.) and chemical (acaricides, protein denaturants, etc.)
strategies. Recall that strategies for mite control should be based upon the allergenic load and the asthmatic status of
the patient. In other words, does the control strategy significantly reduce mite numbers to lessen the burden on
dust-sensitive individuals? In addition, the safety of acaricides forwidespread use should be determined and methods
for combining them with other strategies should be investigated and outlined in an overall protocol.  Doing so will
provide the most effective means for controlling dust mites and their allergens. The studies reviewed in this article
suggest that currently available products for control of dust mites and their allergens offer only short-term solutions.
Thus, the search for a long-lasting, safe product to control this problem is warranted. Dust mite-induced allergy and
asthma will remain significant medical concerns until safe and practical measures are obtained for
controlling mite populations.

Food Allergy Center

Some people develope an allergy to cold In winter, if you go outside for even a few minutes, you may breaks out in
hives.  With the hives come an aching pain. In summer,  the same thing happens when you swims too long in cold
water. The pain and rash disappear when you warm up.  What is this condition and what can be done to help
tolerate cold better? ? ? ?

The description of the problem certainly suggests it is an allergy to cold (cold urticaria). Urticaria, or hives,
is characterized by localized swelling of skin or mucous membranes. The welts can vary from a fraction of an
inch to several inches across. Cold exposure is just one of many causes of urticaria, but it is an important one.
    Cold urticaria can pose serious risks if it involves the airway and impairs breathing. For persons with this
problem, swimming in cold water may lead to drowning.  Every effort should be made to avoid cold
exposure known to cause problems.

        The underlying cause may be hard to establish. It may be familial (inherited) or occur spontaneously and possibly
        clear over a period of years. In addition, cold urticaria may be a manifestation of an underlying medical problem
        that warrants attention and treatment. Consequently, an  allergic evaluation should be considered before
        addressing the issue of treatment options.

Food allergy
Do you "react" to certain foods?

        Food allergies are nothing to sneeze at. The symptoms--nausea, itchy hives, breathing difficulty, and swelling--
are miserable. In extreme cases, allergies can be deadly.

        Fortunately, only 1 to 2 percent of adults suffer from a true food allergy. So why, then, do as many as one in
        three people believe they're allergic to certain foods?

        The answer lies in the confusion between a food allergy and what is more likely a food intolerance.

Food allergy is an immune response

        A food allergy is often hereditary. If one of your parents has an allergy, you're twice as likely to develop one.

        Normally, your intestinal tract serves as a barrier between foods and your immune system. If you're prone
        to a food allergy, this barrier fails. When an offending food (allergen) passes through your digestive system, your
        body forms antibodies specific to the food. The next time you eat the food, it reacts with these
        antibodies, triggering an allergic reaction that includes release of histamine and other chemicals.

        Release of these substances can cause a host of uncomfortable symptoms affecting your skin, respiratory
        system or stomach and intestines--usually within two hours.

        However, it may be only seconds before someone with a severe allergy may experience an anaphylactic
        (a-na-fi-LAK-tik) reaction. In this life-threatening condition, several parts of your body react simultaneously to the
        allergen. The airways in your lungs constrict and the soft tissues in your throat swell, making it difficult to breathe.
        Your heart beats rapidly. To prevent death, immediate medical attention is essential.

        Any food can cause a food allergy. But few are actually proven to trigger reactions. The most common offenders
        are peanuts, tree nuts, shellfish (especially shrimp), whitefish, wheat, milk and eggs.

Food intolerance mimics allergy

       Food intolerances, like food allergies, are adverse reactions to foods. But food intolerances don't involve
        your immune system. Food intolerances are also much more common than allergies.

        It's easy to confuse an intolerance with an allergy because both conditions have similar symptoms, such
        as nausea, vomiting, cramping and diarrhea.

        If you have a food intolerance, however, you can usually eat small amounts of the offending food without
        problems. In contrast, a tiny amount of a food to which you're allergic can trigger a reaction.

       Here are common causes of food intolerances:

       Lack of a digestive enzyme--You may not have adequate amounts of some enzymes needed to
             digest certain foods. Insufficient quantities of the enzyme lactase, for example, make it difficult to
             digest lactose, the main sugar in milk products. Lactose intolerance can cause bloating, cramping,
             diarrhea and excess gas.

             Contaminants--Sometimes food poisoning can mimic an allergic reaction. Some types of
             mushrooms and rhubarb, for example, can be toxic. Bacteria in spoiled tuna and other fish can
             also make a toxin that triggers adverse reactions.

 Food additives--Sulfites, used to preserve fruits and vegetables, can make asthma worse in some
 people. Other additives, including monosodium  glutamate and coloring agents, can provoke adverse
reactions. Yet sensitivities to additives account for only 3 to 5 percent of all food intolerances.

             Psychological factors--Though not fully understood, sometimes the mere thought that afood may make you
sick actually does.

Does age affect allergies?

       Children are 10 times more likely than adults to have a food allergy. As your gastrointestinal system matures, it's
        less apt to allow absorption of food components that trigger allergies.

        Children typically outgrow allergies to milk, wheat and eggs. Severe allergies and those to tree nuts and
        shellfish are more likely to be lifelong. However, malnutrition and conditions that suppress your immune
        system increase the likelihood of developing a food allergy at any age.

        Within the past two years, Michael W. Yocum, M.D., a Mayo Clinic allergist, has seen an increase in adults
        diagnosed with food allergies. Arthritis medications and increased use of aspirin to prevent cardiovascular
        disease and other illnesses may be involved.

        According to Dr. Yocum, these medications may change the surface of the intestine, allowing more allergens to
        pass through. Once allergens are absorbed and contact your immune system, the risk of a reaction increases.

        Still, the risk is small. Food allergies remain a relatively rare problem in adults.

What should you do if you suspect a food allergy?

      If you regularly avoid certain foods because you "react" to them, see a physician who is certified by the American
        Board of Allergy and Immunology. This specialist can distinguish between an allergy and an intolerance by
        using several diagnostic steps (see "Five steps to diagnose food allergies").

     Avoid doctors who use cytotoxic testing and symptom provocation/neutralization testing, in which a dose of a
     food extract is placed under your tongue or injected into your skin. Both tests are expensive and unreliable in
        detecting a food allergy.

        The best you can do for a food allergy is avoid the food. If you have a food intolerance, your allergist and a
        registered dietitian can help you learn to minimize reactions and avoid unnecessary food restrictions.
These steps help determine true food allergies:

             Step 1--History of your symptoms, including when they occur, which foods cause problems, the
             amount of food needed to trigger symptoms, and whether you have a family history of allergies.

             Step 2--Food diary to track eating habits, symptoms and medication use.

             Step 3--Physical examination.

  Step 4--Skin prick test to signal activation of your immune system if you react to a small amount of
   food extract pricked into your skin. Immunoassays  are used to check a sample of your blood for
   antibodies specific to certain foods.  Neither test is 100 percent accurate. Each test may be more
useful to exclude a food allergy than to diagnose one.

 Step 5--Food elimination-challenge diet is the "gold standard" test because it can link symptoms to a
             specific food. It can't be used, however, if you have severe reactions.

 It is not unusual for shrimp or other seafood to cause an allergic reaction. The best clue is the occurrence of
 hives after eating shrimp and not other foods. Food allergies can lead to a serious reaction, so it is important to
talk with your doctor to establish a cause and get advice concerning treatment other than avoiding the food.  It is
possible to be accidentally exposed to foods that may be included in salads, etc., even if you attempt to avoid them.

In response to many inquiries here is a thumbnail note on food allergies.

1. More than likely, if you are allergic to one substance, you have multiple allergies: i.e. allergic to aspirin or penicillin or....then you are allergic to other items, whether they be food or odors or textures.

2.If you know what you are allergic to, you should avoid the item...even a small amount, because you may be exacerbating
the problem with other items...i.e.If you are allergic to penicillin and you eat mushrooms or you ingest soy sauce, you are adding injury to the problem, because you are allergic to mold(from which penicillin comes). If you are allergic to sugar
and you eat fresh fruit, you are insulting your system, since fruit contains sugar( as well as mold) even though it is a
different sugar.

3.You must pay attention to all...all the foods you ingest.If you eat canned or frozen foods, processed and combined with a number of items, make sure that they do not contain, within themselves or added to, items that will give you allergy problems.Read and understand the contents.

4. If you eat bread, cookies or crackers, as an example, you are ingesting at least three articles that can cause reactions
and they are: wheat, yeast(leavening) and even food preservatives.In addition, with COPD or related items, carbos cause breathing problems as well.

5. Keep your food fresh, simple and as natural as possible.Use seasonings sparingly. Most contain mold(fungus) or irritants that multiply your reactions.

6. Cook your food sparingly. Use only natural oils(olive oil or butter). The body does not do well with synthetics or highly processed ingredients.  Why? Because it only recognizes NATURAL foods or contents.

 The body is a machine that only works well with nutrients that it can assimilate within and nourish from.  Synthetics are
not natural.  These are some things that I have learned over the years in personal experimentation, that sometimes I
forget and pay the price for with SOB and need the O2 and the 50 foot tether for a few days.

Allergy Discussion Group

AIR - Allergy Internet Resources - AIR
Disease Management Center
Lactose Intolerent Resources
American Academy of  Allergy, Asthma and Immunology
Behaviors Hidden Problem: Food Sensitivities
Food Allergy and Anaphylaxis Network
National Institute of Allergy and Infectious Diseases
Asthma and Allergy Foundation of America
Mothers of Asthmatics
Gateway to All Asthma, Allergy and Intolerance Information on the Web
Allergy, Asthma, Immunology of Rochester
Allergy Glossary
Foods with no soy
Immunologic Disease
Allergy Control Begins at Home
Immune System in Allergy
Latex Allergy A Prevention Guide
Two Types of Allergic Rhinitis: Which Type Do You Have? 

Most people don't think about allergic rhinitis (nasal allergies) during the winter months. Allergies are usually
associated with the spring and summer, when everything is in bloom, or in the fall, when hay fever hits. These kinds of
allergies are seasonal allergies. However, some people are bothered by sniffling, sneezing, runny nose, and coughing
all year round.  They often attribute their symptoms to a winter cold. But they may really have perennial allergies -
allergies to substances they come in contact with throughout the year, possibly even every day.

Both types of allergies involve triggers - substances that cause an allergic reaction in your body when you come in
contact with them. Also, both types cause the same kinds of symptoms: 
      * sniffling; runny nose 
      * sneezing (often 10 or more at a time) 
      * red, itchy, watery eyes 
      * puffy eyelids; dark circles under the eyes 
      * stuffy nose 
      * itchy nose, palate, or throat 
      * itchy feeling deep inside the ears 
      * postnasal drip 
      * coughing 
      * wheezing 

Seasonal allergies are usually caused by pollens. Symptoms usually occur only during the seasons in which the pollens
are present, which depend on the climate and types of trees growing in the region in which you live. However, the
pollen seasons in a particular area tend to occur around the same time each year. If you are allergic to tree pollens,
your symptoms are likely to start in the early spring and last into the mid-summer months (February through July).  If
you are allergic to grass, your allergies will probably occur in the late spring to mid-summer months (April through
July). Hay fever, which occurs in the late summer and fall (August through October), is caused by ragweed and other
weed pollens. People who have seasonal allergies may have intense symptoms - itchy, burning eyes and puffy eyelids;
dark circles under the eyes; itchy, red nose; and sneezing attacks. It is not uncommon for people with allergies to
have series of sneezes - 10 or more at a time. 

Perennial allergies, which cause symptoms all year round, usually result from substances you are exposed to every
day. These substances may include house dust, mold spores, dust mites, feathers, dander or saliva from pets (cats,
dogs, guinea pigs, rabbits, etc.), and cockroach droppings (if you have cockroaches). People who have perennial
allergies tend to have constant, but less intense symptoms than those with seasonal allergies. Many people who have
perennial allergies tend to have seasonal allergies as well. 

There's no need to feel miserable from your allergy symptoms. If your allergy symptoms are not under control, your
doctor can diagnose the cause of your symptoms. There are treatments available for both seasonal and perennial
allergies, and your doctor can determine which treatment is best for you. Speak with your doctor about your
symptoms and find out what you can do to start feeling your best! 



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last edited 6-8-2006