Environmental Allergy

What is Cedar Fever?

Cedar Fever is an exaggerated immune reaction or allergic reaction to the pollen released from Mountain Cedar Trees (Juniperus ashei), which are highly prevalent in Central Texas. The severity of Cedar Fever symptoms can vary among individuals, and some may require medical treatment or allergy medication to manage their symptoms.

When is Cedar Fever Season in Texas?

While most trees release their pollen in spring, the Mountain Cedar (Juniper) tree releases its cedar pollen during the winter months. Cedar pollen season typically starts in mid to late November, peaks in December and January, and tails off towards the middle or end of February. During these 4 months, cedar pollen is most prevalent as it is released from Mountain Cedar (Juniper) Trees in large quantities across Central Texas. Central Texans may be familiar with the intense pollen circulating Mountain Cedar Trees, which can at times, look like they’re smoking.

How Long Does Cedar Fever Last?

Cedar pollen season coincides with cold and flu season, which can complicate determining if the symptoms are just allergies or an infection. Allergy symptoms typically include a gradual increase in sinus congestion, runny nose, sneezing, and coughing; however, the mucus tends to be clear, and symptoms can sometimes last for many weeks or even months. However, with a viral upper respiratory tract infection, symptoms often start intensely with a sore throat, nasal congestion, and colored mucus; symptoms tend to resolve within 7 to 10 days.

Cedar Fever Symptoms

Due to the high concentration and density of pollen released from Mountain Cedar (also known as Juniper) Trees during the wintertime, patients who suffer from this allergy may experience overwhelming allergy symptoms. Cedar pollen is even known to cause symptoms in people who don’t typically experience seasonal allergies. The symptoms include:

• Sinus congestion
• Runny nose
• Sneezing
• Itchy eyes
• Coughing
• Fatigue
• Low-grade fever

Cedar Fever symptoms can be worse if you have any pre-existing conditions such as asthma, COPD, and or severe diabetes. People with asthma or other respiratory conditions may have worse symptoms, including shortness of breath, wheezing, and chest tightness.

Diagnosing Cedar Fever

Your allergist can diagnose Cedar Fever using allergy tests, such as a skin prick test or a blood test. They may also diagnose Cedar Fever based on your symptoms and medical history, such as the timing of your symptoms and the fact that you don’t have a cold or the flu.

Is Cedar Fever Contagious?

Cedar Fever is not contagious because it is an allergic reaction to cedar pollen, not an illness that can be passed on from person to person. Here are some other reasons why Cedar Fever is not contagious:

• It is caused by an allergy to cedar pollen, not a virus or bacteria.
• It cannot be spread through contact with bodily fluids, such as saliva, mucus, or blood.
• It cannot be spread through contact with contaminated surfaces.

Treatment for Cedar Fever

According to Dr. Michael Saavedra, M.D., of Allergy Partners in Austin, “Those who are allergic to cedar pollen will want to try to limit outdoor activity during the colder months of the year and keep the windows and doors closed at home. Treatment for allergies typically starts with over-the-counter medications, including antihistamines such as Claritin, Zyrtec or Allegra. Nasal sprays such as Flonase, Nasonex, or Astepro can also be helpful if antihistamine tablets alone are not controlling the symptoms well enough.”

“If symptoms cannot be controlled adequately with allergy medications, a visit to the allergist for further evaluation and treatment may be warranted. An allergist can help identify specific allergic triggers, including allergies to pollen, mold, dust mites, and pet dander. Treatment of allergies at the office of an allergist may include education and recommendations to avoid the allergens if possible, prescription allergy medications, and allergen shots to desensitize patients to their specific allergic triggers.”

Cedar Fever causes your immune system to overreact to exposure to cedar pollen. Unlike medications that treat these allergy symptoms, immunotherapy stimulates the immune system to counter this abnormal response. By gradually introducing greater quantities of the allergy, immunotherapy can dampen the allergic response over time and provide lasting relief.

There are multiple methods of immunotherapy, including allergy shots and sublingual immunotherapy.

• Allergy shots (also called subcutaneous immunotherapy, or SCIT) are one of the best treatments available. These allergen vaccines are targeted against your unique allergy triggers.
• Sublingual immunotherapy (SLIT) introduces small doses of allergens under the tongue, which causes a decrease in the body’s production of a specific allergic antibody called IgE. This process teaches your immune system to tolerate exposure to environmental allergens. SLIT is offered in two forms: tablets and drops.

Tips for Reducing Cedar Pollen Exposure

Even though it may not be possible to stay indoors all the time, there are some lifestyle changes you can make to reduce your cedar pollen exposure. For example, avoid going outside when it’s dry and windy, when pollen levels are highest. Other tips include:

• Keep your house and car windows closed to prevent cedar pollen from entering.
• Wash and dry your clothes as soon as you come inside to remove any cedar pollen.
• Bathe your pets more frequently to remove cedar pollen from their fur.
• Clean your home and outdoor surfaces regularly to remove cedar pollen particles.
• Check cedar pollen levels before going outside and avoid outdoor activities when levels are high.
• Wear a dust mask, hat, and sunglasses when you do go outside to protect your mouth, nose, and eyes from cedar pollen.

If you find yourself or a loved one suffering from Cedar Fever symptoms, find the closest Allergy Partners location to schedule a consultation with an allergist near you.

While allergic reactions can be unpleasant and sometimes dangerous, their effects can be minimized with the appropriate management strategies.

Allergies are a widespread condition affecting over 50 million people in the United States alone. It is a reaction of the immune system to the presence of certain substances, known as allergens, that are usually harmless to most people.

The immune system is designed to recognize and fight off harmful organisms such as bacteria, viruses, and other pathogens. In the case of allergies, the immune system mistakenly identifies harmless substances as potential threats. This overreaction triggers the release of chemicals, such as histamines, which cause the allergic reaction.

Types of Allergens

Common allergens include the following:

• Respiratory allergens
• Food allergens
• Medications
• Insect venom
• Latex

Each person has unique allergies; some might be allergic to multiple allergens. The intensity of an allergic response can vary depending on the individual and the type of allergen involved.

Allergy Prevention and Management Tips

While allergies cannot be cured, managing symptoms and significantly reducing the severity of outbreaks is possible.

Food Allergies

A food allergy occurs when the immune system mistakenly identifies a specific protein in food as an allergen and responds by producing a certain type of antibody called immunoglobulin E (IgE).

When an allergen adheres to the IgE antibodies on the surface of the immune cells, it initiates the release of chemicals known as histamines. These chemicals cause various symptoms, depending on the specific tissue they are released into. The symptoms include the following:

• Rash
• Hives
• Itching
• Swelling
• Shortness of breath
• Wheezing
• Abdominal cramps
• Diarrhea
• Vomiting

Food allergy management can be challenging, but the following tips can minimize your risk of experiencing unpleasant or potentially dangerous allergic responses:

• Make sure to read all processed food labels closely. Avoiding processed foods would be ideal, but it’s not always possible. Whenever you purchase or consume packaged food, read the ingredient lists every time – even for foods you’ve consumed before. Food processors often change ingredients, formulations, and processing plants, which can increase your risk of exposure.
• Isolate tools and utensils to avoid cross-contamination. If you live in a home with people who do not have dietary restrictions, keep your food and utensils separate so you don’t accidentally use a spoon with traces of nut, wheat, or milk byproducts.
• Keep more than one dose of medication on your person. If you require epinephrine (EpiPen) injectors, always have them accessible.

Respiratory Allergies

Respiratory or inhalant allergies refer to allergic reactions caused by airborne substances that a person inhales (breathes). These allergens can include both perennial allergens, which are present throughout the year, and seasonal allergens, which are more prevalent during specific seasons.

Perennial Allergens

Perennial allergens are allergens that are present throughout the year, regardless of the season. Examples of perennial allergens include the following:

• Cockroaches
• Dust mites
• Pet Dander
• Mold

Seasonal Allergens

Seasonal allergens, on the other hand, are allergens that peak during certain times of the year. These allergens can include the following:

• Pollen
• Grass
• Weeds

Seasonal allergies frequently occur in the spring, summer, and fall, when certain plants bloom and release pollen into the air.

Controlling respiratory allergies involves a combination of environmental management and medications.

• Keep your living space as free from allergens as possible. Meticulous cleaning and climate control are essential for reducing allergen exposure. Regularly washing bedding, keeping pillows and mattresses covered with dust mite repellant covers, and limiting exposure to animals that cause allergic responses will help keep flare-ups to a minimum.
• Manage and prevent symptoms with medications. EpiPens are essential if you are in danger of anaphylaxis. Antihistamines are also effective in reducing respiratory allergy responses. Nasal allergy sprays also offer effective relief of allergy-related nasal inflammation and allergic rhinitis.
• Get allergy shots. Allergy shots – immunotherapy treatments – can reduce allergic responses by gradually building your immune system’s tolerance to particular allergens. While immunotherapy shots do not cure allergies, they can reduce symptoms dramatically, effectively reducing or eliminating the need for allergy symptom medications.

Medication Allergies

Some types of medications can cause an allergic response. The most common medications include the following:

• Antibiotics
• Chemotherapy medications
• Insulin
• Nonsteroidal anti-inflammatory drugs (NSAIDs)

Symptoms of medication-induced allergic reactions include the following:

• Rash
• Hives
• Inflammation
• Difficulty breathing

Drug allergy symptom prevention mainly involves avoiding the offending drug. However, penicillin allergies can sometimes be addressed using drug desensitization therapy, a procedure that involves introducing tiny amounts of penicillin in a systematic, controlled environment. If you have an infection that cannot be effectively treated with any other antibiotic, your healthcare provider might recommend drug desensitization therapy.

Latex

Repeated exposure to latex in the form of latex gloves, condoms, balloons, certain clothing items, and rubber products can cause the following allergic symptoms:

• Contact dermatitis
• Itching
• Hives
• Difficulty breathing
• Runny nose

If you struggle with a latex allergy, here are a few solutions that might help you minimize an allergic reaction.

• Avoid all exposure to latex. Latex particles can be challenging to avoid entirely. However, it’s the most effective preventative measure for a latex allergy.
• Always wear medical identification. This precaution will alert emergency medical providers of your latex allergy.
• Carry two EpiPen injectors at all times. Because latex is such a common material, coming into contact with it might be inevitable. Always have medications on hand.
• Consider immunotherapy for symptom reduction. People who work in manufacturing, food production, and healthcare can find latex avoidance difficult. Sublingual immunotherapy has shown promising results in latex desensitization.

Insect Venom

Stinging insects, such as bees, wasps, and hornets, are known for their ability to inject venom when they sting. This venom is a toxin that can cause an allergic reaction in some people. The severity of the reaction can vary depending on the person’s sensitivity and the species of insect involved.

Insect stings can trigger reactions ranging from mild to life-threatening. The reactions include the following:

• Wheezing
• Inflammation of the site of the sting
• Accelerated pulse
• Inability to swallow
• Decline in blood pressure
• Swelling in the throat

Allergies to insect venom can be minimized using the following strategies:

• Allergen-specific immunotherapy (allergy shots). The potential danger from insect stings can be minimized through a series of allergy shots. People who have previously experienced anaphylactic responses to insect stings are at high risk of experiencing them again. Allergy shots can effectively prevent fatal reactions.

You don’t have to fear severe allergic reactions to environmental triggers. Please contact the helpful representatives at Allergy Partners to schedule a consultation with a qualified allergist today.

Spring is synonymous with blooming flowers, chirping birds, and sunshine. It’s also a time when we traditionally tackle house cleaning. However, amidst all this freshness, there lurks a tiny hidden enemy in our homes – dust mites. These microscopic invaders thrive as winter ends, leading to allergic reactions. In this article, we’ll understand how to get rid of dust mites and how to prevent future infestations. 

What are Dust Mites?

Dust mites are minuscule arthropods, invisible to the naked eye, that cause substantial discomfort, especially for those suffering from dust mite allergies. These critters predominantly feed on organic matter produced by the decomposition of organisms such as flakes of shed human skin. A single dust mite can digest pieces of dead skin from humans or animals, metabolizing it for sustenance, and multiply prolifically in the right conditions. Dust mites thrive in warm, humid environments where these types of food sources are abundant.

Considered one of the top indoor allergens, dust mites are a common cause of perennial allergic rhinitis, a condition that can cause year-round symptoms. They can also trigger asthmatic symptoms in individuals with a predisposition, which underlines their role in causing substantial discomfort and illness. A common myth about dust mites is they bite like bedbugs or fleas. Interestingly, it’s not the dust mite itself that causes issues for humans, but rather their fecal matter and the body fragments they leave behind when they die.

Where Do Dust Mites Come From?

Dust mites can be found everywhere, but are most often found in our homes. One of the most common ways dust mites arrive inside is through outdoor air entering into the home. This could be a result of open windows or doors, HVAC systems, or even through gaps in the construction of the house. Every time you open a door or window, millions of microscopic particles, including dust mites, enter your home. These creatures can also be transported by hitching a ride on people, pets, and even new purchases entering into your home. They can easily attach to clothing and hair and be brought indoors unknowingly.

How Do You Know If You Have Dust Mites?

Determining the presence of dust mites in your home can be difficult, thanks to their microscopic size. However, experiencing a surge in allergy symptoms like sneezing, runny nose, itchy eyes and throat, coughing, and skin rashes might suggest their existence.

A tell-tale sign of having dust mites is seeing their tiny, dark, mite feces on your bedding, upholstered furniture, or other areas where dust often accumulates. These small specks are usually about the size of a poppy seed. Keep in mind, however, that these feces are easy to overlook, so not seeing them doesn’t necessarily mean you do not have a dust mite problem.

If you or your family members have unexplained rashes, especially on areas of the body that are in frequent contact with your bed or furniture, dust mites could be the culprit. At home, dust mite testing kits are available that you can spread on your furniture or mattress. The reagents in these testing kits react with dust mite protein, revealing their presence.

What are the Most Common Places Dust Mites Accumulate?

Dust mites enjoy warm, humid environments and accumulate in places rich in their preferred food (dead skin cells). Therefore, mattresses, carpets, furniture, and even cuddly toys become their most frequented habitats. Here are some of the most common places where dust mites are found:

• Bedrooms: Dust mites are especially rampant in bedrooms, particularly in mattresses, blankets, pillows, and other bedding, where they have access to plenty of dead skin cells.
• Carpets and Rugs: Dust mites can live deep within the fibers of carpets and rugs, where they’ll find food and are protected.
• Clothes: Dust mites can live in and on unwashed clothes, especially inside of a laundry basket where humidity can build up.
• Stuffed Animals: Teddy bears and other soft toys can create a breeding ground for dust mites, especially if they have frequent contact with humans.
• HVAC Systems: Dust mites can accumulate in heating and air conditioning vents and filters that are not regularly cleaned.
• Pet Bedding: Pet bedding or any area where pets frequently sleep can be a popular place for dust mites to accumulate.
• Unused Papers and Old Books: Dust mites feed on cellulose, a substance found in old books, magazines, and other paper materials.

What are the Best Ways to Get Rid of Dust Mites?

Getting rid of dust mites entirely is practically impossible, given their microscopic size and ability to multiply quickly. However, you can significantly reduce their numbers and neutralize their allergic impact by adopting these strategies:

• Regular Cleaning: Regularly dust and clean your home to mitigate them. Use a damp cloth to dust surfaces, as a dry cloth can stir up mite allergens.
• Vacuuming: Vacuum carpets, upholstery, curtains, and anywhere else dust accumulates. Use a vacuum cleaner with a high-efficiency particulate air (HEPA) filter, which is designed to trap small particles like dust mites.
• Wash Bedding: Wash your sheets, pillowcases, blankets, and bed covers in hot water that’s at least 130 degrees Fahrenheit (54.4 Celsius) to kill dust mites. Then, dry them in a hot dryer or using the sun.
• Allergen-proof Bed Covers: Cover your mattress, box spring, and pillows with dust mite covers or allergen-proof cases to block mites.
• Reduce Humidity: Dust mites thrive in humid environments. Use air conditioning or a dehumidifier or to keep humidity below 50%.
• Remove Carpets: If possible, replace wall-to-wall carpeting with hard flooring like wood or tiles. These types of flooring don’t harbor mites as easily.
• Freeze Non-Washable Items: For items you can’t wash on hot, such as plush toys, freezing can also kill dust mites. Place the item into a plastic bag and freeze for at least 24 hours.
• Use Dust Mite Sprays and Essential Oils: Use a dust mite eliminator spray or essential oils on areas where mites accumulate. These sprays contain ingredients that kill dust mites and neutralize the allergens they produce. Some of the best essential oils to kill dust mites are eucalyptus, clove, and lavender.
• Reduce Clutter: A cluttered home can enhance dust accumulation and provide more hiding spots for dust mites.
• Clean Air Filters: Regularly clean or replace the vents and filters in your heating and air conditioning system and ensure your house has sufficient ventilation.

Controlling dust mites takes time and ongoing maintenance. It’s important to consistently implement these steps to keep their populations low and prevent potential allergic reactions.

What are the Most Common Symptoms of a Dust Mite Allergy?

Though dust mites are invisible to the naked eye, the symptoms related to their presence are indeed noticeable. They are notorious for causing allergies or irritations, especially in individuals with asthma or hypersensitivity. Asthma sufferers might experience a higher frequency of asthma attacks, or difficulty breathing. However, it’s important to note that such symptoms could also be attributed to other indoor or outdoor allergens, such as pollen, mold spores, pet dander, or insect allergens.

Typical symptoms of a dust mite allergy include:

• Frequent Sneezing
• Stuffy or Runny Nose
• Postnasal Drip
• Itchy Nose and Throat
• Watery, Itchy, or Swollen Eyes
• Coughing or Wheezing
• Difficulty Breathing
• Eczema and Skin Rashes

What is the Best Treatment for Dust Mite Allergies?

The treatment of environmental allergies includes 3 components: avoidance of triggers, taking medications to treat symptoms, and addressing the underlying cause with immunotherapy.

Avoidance of Triggers

You can significantly reduce the number of dust mites in your home and neutralize their allergic impact by adopting the cleaning strategies listed above, such as regular cleaning and vacuuming, frequent washing of your sheets and bedding, and using protective measures like allergen-proof bed covers and dust mite sprays and essential oils.

Medications for Dust Mite Allergies

Common treatments for dust mite allergies include decongestants and antihistamines. These medications help reduce symptoms such as congestion, sneezing, a runny nose, and itchiness. Another common form of treatment is nasal corticosteroids, which target inflammation in the nasal passages. Some medications work by blocking the chemicals that trigger an allergic response.

The following treatments are frequently used:

• Antihistamines: These can alleviate symptoms of a runny nose, sneezing, and itching.
• Decongestants: This medication provides relief from nasal congestion caused by allergies.
• Leukotriene modifiers: These medications are beneficial for both allergy and mild asthma symptoms.
• Nasal corticosteroids: These are effective in reducing inflammation in the nose.
• Nasal antihistamines: These medications are useful for treating nasal congestion and a runny nose.

Immunotherapy

A dust mite allergy causes your immune system to overreact to exposure to dust mites. Unlike medications that treat these allergy symptoms, immunotherapy stimulates the immune system to counter this abnormal response. By gradually introducing ever greater quantities of the allergen, immunotherapy can dampen the allergic response over time and provide lasting relief.

There are multiple methods of immunotherapy, including allergy shots and sublingual immunotherapy.

• Allergy shots (also called subcutaneous immunotherapy, or SCIT) are one of the best treatments available. These allergen vaccines are targeted against your unique allergy triggers.
• Sublingual immunotherapy (SLIT) introduces small doses of allergens under the tongue, which causes a decrease in the body’s production of a specific allergic antibody called IgE. This process teaches your immune system to tolerate exposure to environmental allergens. SLIT is offered in two forms: tablets and drops.

While over-the-counter medicines can provide temporary relief for dust mite allergy symptoms, the advisable course of action is to consult an allergist. At Allergy Partners, our specialists in allergy and immunology provide personalized treatment plans based on each patient’s unique needs.

Dust mites, although tiny, can significantly disrupt your peace. Identifying their presence and learning how to tackle them can substantially reduce the impacts on your health. Let your spring be about the sun, fresh air, fitness, fun, and rejuvenation, not allergies. Here’s to a happy spring cleaning!
 

Tips for Decreasing Allergen Exposure

The holiday season is here, and with it comes the decorations—including Christmas trees! But for those who suffer from allergies, a real tree can potentially worsen symptoms, making the holidays more difficult to enjoy. Fortunately, there are ways to decrease allergen exposure when decorating your home with a Christmas tree. Read on for tips on how to make sure your family’s holiday season is merry and bright despite any potential allergy triggers!

Am I Allergic to Christmas Trees?

Though it may seem like your allergies are caused by a Christmas tree, you could actually be reacting to microscopic mold spores found in the air nearby. According to researchers at SUNY Upstate Medical University, there can be more than 50 types of irritants present on any given holiday fir! Most molds that were identified are potential allergens and have been shown to increase the risk of wheezing, persistent cough, and allergic sensitization in infants.

Research has also found that Christmas trees can dramatically increase the presence of mold spores in any indoor environment – up to six times more than normal. Additionally, ornaments and lights stored over longer periods have been known to collect dust mites, while terpenes from real pine trees may produce chemical irritants – all potential culprits when considering allergens at home during this festive period!

Tips to Decrease Allergen Exposure

If you think your Christmas tree is aggravating your allergies, all hope is not lost! You can still celebrate the holidays in style – Christmas tree and all. Here are a few tips to help decrease allergen exposure from your beloved holiday centerpiece:

• Shake as much debris out of the tree as possible prior to bringing it indoors.
• Rinse or spray down the tree and leave it outside, preferably somewhere warm, for a few days before bringing it into your home. Another option is to use an air compressor to blow off debris without using water.
• Mix water and a very small amount of bleach and spray it on your tree to kill growing mold spores and wash away any leftover grime. Avoid this step if you have pets, as they may chew on the tree and accidentally ingest the solution.
• Put your tree up closer to the holiday and take it down shortly afterward, as mold accumulates the longer your live tree remains in your home.
• Consider purchasing an artificial tree instead of a real one yet pay attention to what it is made of. Some manufacturers use a material that can cause sinus irritation for those who are very sensitive.
• Clean or dust stored decorations before displaying them in your house.
• Store artificial trees and other decorations in a cool, dry space. Placing them in bags or airtight boxes will help avoid dust accumulation.
• Wear a mask when removing decorations from storage.

In conclusion, Christmas trees are a beloved holiday tradition for many. But when it comes to seasonal allergies, taking the extra time and effort to minimize your allergen exposure is key to avoiding uncomfortable symptoms during the holidays. By following the tips above, you’ll be sure to make your home a safe and comfortable place to enjoy the festivities.

To learn more about how Allergy Partners can help you alleviate allergy and asthma symptoms, find a location near you and schedule an appointment for allergy testing with your local office today!

If you have ever wondered whether your symptoms of runny nose, sneezing, and congestion are due to the “common cold,” environmental allergies or even sinusitis, you are not alone. Because these three conditions have overlapping features and may occur either simultaneously or sequentially, even trained medical professionals can find it challenging to diagnose and managed these common problems. The following discussion is not intended to take the place of advise from your physician or advanced practice clinician but may be useful in guiding your decisions to seek medical attention for these annoying problems.

Editor’s note: Dr. Robert Sugerman specializes in allergic respiratory disorders, food allergy, and primary immunodefeciancy. He can be reached at Allergy Partners of North Texas. www.allergypartners.com/northtexas

By Dr. Robert Sugerman – Dallas, TX

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As the summer months start to fade, many allergy suffers begin to dread the coming fall allergy season. Sneezing, stuffy or runny nose, itchy eyes, nose and throat, or worsening of asthma symptoms are common in people with undiagnosed or poorly managed hay fever. The primary culprit of fall allergies is ragweed pollen. A ragweed plant belongs to the genus Ambosia , and there are 17 different species of ragweed in the United States. While most common in rural areas of the East and Midwest, ragweed plants can be found throughout the US.

But how much can one plant do? A single plant can produce up to 1 billion pollen grains over the course of a pollen season. These grains are very light weight and float easily through the air and have been detected as far away as 400 miles out to sea and 2 miles up in the atmosphere. Fall allergy symptoms used to start in mid-August and run through September. However in many parts of the country these symptoms now begin in early August and extend through October. Some studies suggest that rising temperatures and higher carbon dioxide levels due to climate change contribute to longer growth time of allergen-producing plants.

In allergic people, the immune system responds to the allergen, in this case ragweed, as a foreign invader. The immune system makes a special type of antibody, called IgE, against the ragweed. When the ragweed blooms, the pollen attaches to these IgE antibodies and this triggers the release of histamine and other chemical. These chemicals cause allergy symptoms, such as sneezing, runny nose, itchy eyes and, in asthmatics, cough and wheeze, to develop.

So, what is there to do about ragweed allergy? As with all types of allergies there are 4 crucial steps:

1. Determine to what you are allergic. Your trusted Allergy Partners physician will take a detailed history of your symptoms, perform a physical exam and perform allergy skin testing to see what your allergic triggers are.
2. Avoidance: Armed with the knowledge of your triggers, you and your doctor will discuss ways to minimize your exposure. For ragweed pollen, this typically involves watching local pollen counts and, when counts are very high, planning more indoor activities.
3.  Medications: Your doctor can advise as to the best medications for you to effectively treat your symptoms.
4. Immunotherapy: Your Allergy Partners physician may recommend immunotherapy. For many patients, avoidance and treating only symptoms of allergies isn’t enough. Many people want to get to the root of the problem. Unlike medications that just treat the symptoms, immunotherapy (or ‘allergy shots’) work to retrain the immune system and prevent the symptoms from developing at all. Immunotherapy can provide long lasting symptom relief while reducing the need for medications

So, if you are dreading the Fall, contact your trusted Allergy Partners physician to map out a plan that works best for you!

Yes and no. Sure, spring allergies to trees pollens may be winding down but that does not mean you are in the clear. Summertime brings a new list of possible triggers. Symptoms such as sneezing and runny nose or congestion as well as dark eyes, swelling of the eyes and itching of the mouth and/or eyes can signal the beginning of exposure to mold, grasses or ragweed. Mold thrives in damp areas including basements and bathrooms in addition to outdoor areas such as woods and water sources (lakes, streams, rivers, etc.). Ragweed starts early to mid-August and affects more than 23 million Americans. Treatment is best effective when started at least 2 weeks prior to the expected onset of symptoms. A proactive approach with medications or immunotherapy will alleviate the height of symptoms and suffering.

Oral allergy syndrome, also known as pollen-food syndrome, can become more prevalent during summer when fresh fruits and veggies are consumed more frequently. This is caused when cross-reacting allergens found in both pollen and raw fruits or veggies is present, making the immune system react with an allergic response. It is common to begin experiencing issues even if the same foods have been consumed previously without issue. Symptoms can include itchy mouth, scratchy throat or swelling of the lips, mouth, tongue and throat. Symptoms typically will subside quickly once the food is swallowed or removed from the mouth.

Insect stings are also a common problem in the summer months. Bees, wasps, yellow jackets, hornets, fire ants and other insects can cause allergic reactions when they sting. A severe allergy could lead to a life-threatening situation. Typically these insects cause mild symptoms such as itching or swelling around the sting site. However, if symptoms such as tongue or throat swelling, dizziness, or nausea present, medical help should be sought immediately.

As in most cases, avoidance is key yet not always ideal. Although there are measures you can take to reduce exposure, a trip to your board-certified allergist should be first on the list. The trusted allergists at Allergy Partners have a wealth of training and experience in diagnosing and treating asthma and allergic disease such as those mentioned above. Locations and physicians can be found by visiting www.allergypartners.com/locations.

By Dr. Bill McCann

Allergy Partners of Western North Carolina

Allergy severity can fluctuate within a pollen season

Pollen is a major source of outdoor allergy symptoms and its level can be affected by wind, humidity, rain storms, and weather temperature.

The pollen grain is made up of a few layer. The outermost layer of the pollen grain protects itself against degrading, and the innermost layer contains the pollen allergy proteins. Pollen grains are released from the plant when there is a decrease in humidity sensed by the plant.

Pollen levels are lower in the morning with the dew and humidity, and increase during the day. For example, ragweed pollen peaks around noon.

Rain is another big factor for pollen levels. Storms with a steady rainfall of small droplets will wash the pollens out of the sky, which is a phenomenon called “scrubbing.” Larger droplets are less effective at this.

Pollen grains burst when they are exposed to water, and this releases more of the core inner allergen within the pollen grain. This can even occur in thunderstorms when pollens are taken via updrafts of wind to the clouds and burst with the moisture from clouds.

Later, downdrafts of wind will bring even more pollens near the ground. That is a main reason why allergies can flare after a rainstorm and even cause asthma exacerbations.

It is important to understand your allergies in order to feel your best. Reach out to your local Allergy Partners allergist for more information about your allergies and how to feel your best no matter the weather conditions.

Article by Dr. Michael Martucci | Allergy Partners of Northern Colorado

When Is a Sinus Infection More Than “Just” a Sinus Infection?

Of course, go figure, it is Friday at 6:00 PM and all the doctor’s offices have closed. I had been putting off going to the doctor in hopes that my symptoms would improve. It all started a few weeks ago with sneezing, nasal congestion and runny nose. That pesky ragweed, I thought to myself. As the week went on, I started to experience cough and green mucous discharge coming from my nose. This had started to become a recurring thing over the past year, 5 times to be exact. I was always told it is just a cold and to drink plenty of fluid and rest. I was starting to feel like I would never get better as antibiotics seemed to help, but never completely resolved my symptoms. Should I call the on-call doctor, go to urgent care, Google it, or just keep feeling sick. I needed answers.

What Are Sinuses?

Sinuses are air-filled spaces located behind the bones of the upper face, including the cheeks, nose and forehead. The lining of the sinuses is made up of cells with tiny hairs on their surfaces called cilia. Other cells in the lining produce mucus. The mucus traps germs and pollutants and the cilia push the mucus out through narrow sinus openings into the nose.

Inflammation

When the sinuses become inflamed or infected, the mucus thickens and clogs the openings to one or more sinuses. Fluid builds up inside the sinuses causing increased pressure, pain and headaches. Also, bacteria may become trapped and infect the lining of the sinuses.

Chronic vs. Acute

Sinusitis may be chronic-long-lasting and frequently returning-or may be acute. Acute sinusitis lasts less than 2-3 weeks and occurs less than three times a year. Acute sinusitis is extremely common and is typically caused by a viral infection. It may also be triggered by allergies, air pollution, cigarette smoke, dental infections and/or nasal polyps. It typically does not require treatment with antibiotics and resolves on its own.

Similarities

Chronic sinusitis and acute sinusitis have similar signs and symptoms. Distinguishing factors for more severe disease include length of infection, frequency of infections and difficult to treat infections. Red flags are raised with family history, persistent, complicated or unusual infections. These warning signs prompt further evaluation by your Allergy Partners Physician.

Recommendations

The Immune Deficiency Foundation recommends screening for a possible immune deficiency if you have had more than 4-5 sinus infections in a year. It is important to distinguish between allergies, infection and antibody deficiencies. This can be done with skin testing and/or blood tests. There are several different treatment options depending on the cause of your sinus infection.

If you are unsure what is triggering your sinus symptoms and unclear where to turn, contact your Allergy Partners physician who will listen, diagnose, treat and ultimately have you feeling your best.

Year round symptoms due to dust mites are experienced by millions of people. Dust mite allergens can be found throughout your house but most often live in warm, humid environments including beds, carpet, and upholstered furniture. These allergens can trigger a variety of symptoms including nasal, ocular, pulmonary, and skin inflammation. Because of this heterogeneity, diagnosis can be difficult. If dust mite or other indoor allergies are suspected, patients should consult a board certified allergist for further evaluation. This evaluation typically includes taking a detailed history including environmental exposure, physical exam and testing. Testing for dust mite allergies typically includes either a skin prick test or blood test (ImmunoCAP IgE) for the two main species of dust mites, Dermatophagoides pteronyssinus and Dermatophagoides farina.

Treatment for dust mite allergies includes reducing exposure to the allergen, pharmacotherapy, and immunotherapy. Allergy Partners has teamed with
Allergy Guardian to provide dust mite fabric covers for pillows, mattresses, and box springs. Removing carpet and regular vacuuming can help limit exposure to dust mites. Pharmacotherapy is guided by patient symptoms. This typically includes the use of oral or intranasal antihistamines and nasal corticosteroids for treatment of nasal symptoms. A step-wise approach for the treatment of asthma is recommended including the use of inhaled corticosteroids, long-acting 2 agonists, leukotriene modifiers and immunologic agents. Allergy immunotherapy by either subcutaneous injection or sublingual tablets is the most effective long term treatment for dust mite allergies available. Effective treatment with allergen specific immunotherapy has been shown to decrease the progression of respiratory allergic diseases and even prevent the development of asthma in children. For more information regarding the diagnosis and treatment of dust mite allergies, please call your local Allergy Partners office for an appointment.

Dr. Elizabeth Majeski

Allergy Partners of Charleston