By O. Kapotth. University of New Mexico. 2019.
Apply a balm around the inside of your nostrils to reduce how much pollen gets into your nose - petroleum jelly works for some people primaquine 15 mg on-line. If you have thin mucus purchase primaquine 15mg on line, as opposed to thick mucus that is difficult to cough up order 15 mg primaquine amex, allergies are usually to blame order 15mg primaquine free shipping.” Signs of hay fever include itchy, red or watery eyes, an itchy throat, mouth, nose and ears, loss of smell, and pain around your temples and forehead. Many of the other symptoms are similar to those of the common cold. According to the NHS, signs of hay fever include itchy, red or watery eyes, an itchy throat, mouth, nose and ears, loss of smell, and pain around your temples and forehead. Hay fever symptoms are triggered when the pollen count is high, and with summer on the horizon, sufferers will be desperate to know the best way to combat the symptoms. Because allergies and colds are very different illnesses, they warrant different types of over-the-counter treatments. With seasonal allergies, the onset of symptoms occurs immediately after exposure to either indoor or outdoor pollens in the winter, spring, summer or fall. The symptoms of a cold typically last three to 14 days, but allergy symptoms last longer, usually for weeks, or as long as the person is exposed to an allergen. This sensitivity causes your immune system to react, which results in the symptoms you this table to help you differentiate between an allergy and cold: If it is, you and your doctor can create an asthma action plan , which is a written document that can help you keep your symptoms under control. A portion of people with untreated cough-variant asthma will go on to develop classic asthma , Dr. Purcell says. If you have a persistent cough (especially in response to certain triggers) but no luck with drugstore meds, you could be dealing with cough-variant asthma and should see your doctor. People with cough-variant asthma also tend to respond really well to standard asthma medications, Dr. Purcell says, which can actually be helpful for a diagnosis. When your doctor does begin to suspect you have cough-variant asthma, they may try you out on something called a methacholine challenge. Then, if you go to your primary care physician , they may think about other causes of chronic cough first, like acid reflux or even classic asthma. It can be very challenging to diagnose cough-variant asthma,” Dr. Nowak says. Like other forms of asthma, you might have flare-ups and calmer periods, so your cough may get better and worse over time. So, if you have cough-variant asthma, your body can overreact to certain substances and strain to eject them via intense coughing, Raymond Casciari, M.D., a pulmonologist at St. Joseph Hospital in Orange, California, tells SELF. Cold symptoms usually appear one at a time, and can linger for up to two weeks. If your symptoms last for more than two weeks, you may very well have nasal allergies. So what do you have - nasal allergies or a cold? The symptoms start: runny nose, congestion, sneezing, watery eyes and scratchy throat. Exposure to animals, smoke, pollen, dust, foods, soaps, and mold are just a few of the things that can cause allergies. Cold symptoms tend to come on more gradually and usually go away within 7 to 10 days, but allergies last as long as someone is exposed to an allergen, which can be for weeks or months. Another sign that you might be dealing with seasonal allergies is if symptoms come on suddenly and last a long time. However in many instances, allergies may be a year-round affair for those who react to insects, dust mites, animals or mold spores. Seasonal allergy sufferers commonly react to pollen counts that are high from certain trees, grasses and weeds. Asthma may also be triggered by allergies, leading to a worsening cough, wheezing, and often breathing difficulty. Although a cough related to allergies may be relatively harmless, it can be very disruptive, causing sore throat, interrupted sleep and in some cases, trouble breathing. Allergies and inhaled irritants can trigger upper airway cough syndrome. Symptoms of upper airway cough syndrome include: My worst allergy is tree pollen, much less with grass or flowers. My hayfever used to be really bad, but I have a spoonfull or two of local honey every day starting in the lead up to hayfever season, and I am a lot better than I used to be. My friend does this too and it really helps her as well. But sometimes the hay fever subsides immediately and sometimes it damn well gets worse! This is a question for fellow hayfever and allergy sufferers. Another thing you can as well do is to check what your local weather forecast network says about pollen, and make efforts to remain indoors when pollen counts are high. This study suggests that typhoon and heavy rain increase allergic disease apart from asthma. These are the pollen that trigger allergy symptoms. When the air is humid, such as during or after it rains, pollen becomes damp and heavy with moisture, keeping it still and on the ground. Like the spirit in alchohol,weather has it a wandering ghost that travels across the land,causing all kinds of pain and the old days there where people who could control the weather,and today there are still people who can change the weather,but they mostly dont know it. That lack of rainfall, in particular, is the main cause of the … pollen allergy situation in the capital city and adjoining areas.” The spring season was spread over 45 days but now it is no more than 10 days with a sharp decline in spring rains,” he said. Rains in the third week of March reduced levels to about 28,000 PPCM, but thousands are still suffering watery red eyes, runny noses, sneezing, coughing and breathlessness, doctors said. ISLAMABAD (Thomson Reuters Foundation) - With the approach of springtime, most residents in this capital city look forward to trading in snow and icy weather for milder temperatures and blossoming flowers and trees. 'We did see record pollen counts a month ago,' he said, 'but more because of the compressed season, and not because the trees were holding more pollen.' Once people have been stricken by that itchy-throat, watery-eye sensation, they are more susceptible to those symptoms every time the wind blows in something new. The rainstorms, it seems, solved one problem but ushered in others: flourishing mold and grass. As for the rest of the season, Jurgens says if warm conditions persist, and even if followed by a cooldown accompanied by regular rain, it will likely be a fairly high” ragweed season. Across most of Canada, the summer has been marked by prolonged stretches of extreme heat and dry conditions, but in Ontario and Quebec, a well-timed (or poorly-timed, depending on how you view it) series of steady and frequent rains and humidity in recent weeks has meant the start of ragweed season may be a little more intense this year. Allergic reactions to mold are common. According to the Environmental Protection Agency, Molds produce allergens (substances that can cause allergic reactions), irritants, and in some cases, potentially toxic substances (mycotoxins). Use dehumidifiers and air conditioners to combat high-humidity: When household humidity is above 60%, dehumidifiers and/or air conditioning are effective tools for reducing conditions friendly to dust mites and mold. How to Minimize Indoor Air Pollution and Reduce Allergy Symptoms. "Post hurricane, abundant piles of debris from trees and plants becoming laden with mold and other environmental triggers will heighten allergic symptoms." "So now, all that pollen from the grass is in the air in a very significant way. Piles of yard debris like this one from Hurricane Irma can become laden with mold and other environmental triggers and can "heighten allergic symptoms," said Dr. Farzanna S. Haffizulla, assistant dean for community and global health at Nova Southeastern University in South Florida. Asthma and Allergy Foundation of America: Air Pollution” and Asthma Overview.” They can help keep your allergies under control no matter what the weather or the season. Use air conditioning to filter out mold and pollen.
Bacterial pink eye: Symptoms include a thick order primaquine 15 mg free shipping, often yellow-green discharge that lasts all day (usually not with a cold or flu) effective 15mg primaquine. Know the symptoms of different kinds of pink eye primaquine 15mg without prescription. You might need antibiotic eye drops and ointments for bacterial pink eye if: This kind of pink eye gets better when you avoid the things that are causing the allergy buy cheap primaquine 15 mg line. Pink eye can be caused by a virus, an allergy, or bacteria. Doctors often prescribe antibiotic eye drops or ointments for pink eye. They may be itchy and teary, with a watery discharge, and swollen, crusty eyelids. The eyes are pink because they are infected or irritated. Pink eye is a common condition, especially in children. Many other others, including over-the-counter medicines (those you can buy without a prescription), also can cause allergic reactions. Insect allergy For most kids, being stung by an insect means swelling, redness, and itching at the site of the bite. The tendency to develop allergies is often hereditary, which means it can be passed down through genes from parents to their kids. Surgery - If your watery eyes are significantly impacting your life, we may recommend surgery to clear/create drainage ducts. Eyes that water can make it difficult to see. Lubricating eye drops - If the sensation is caused by dry eye, you may find lubricating eye drops provide relief (albeit temporarily). This sensation may abate somewhat with your eyes closed, though it usually persists regardless. We all know the uncomfortable stinging or burning sensation that comes with irritated eyes. You can minimize the impact of your seasonal allergies by: For a severe allergic reaction (anaphylaxis), call 911 or your local emergency number or seek emergency medical help. Some types of allergies, including allergies to foods and insect stings, can trigger a severe reaction known as anaphylaxis. In some severe cases, allergies can trigger a life-threatening reaction known as anaphylaxis. Allergic reactions can range from mild to severe. In some cases, these symptoms might be accompanied by a runny nose, congestion, or sneezing. This would appear to indicate that there is a need for increased awareness among asthmatic subjects of the potential for these drinks to trigger asthma. PubMed Google Scholar See all References few studies have specifically addressed the role of alcoholic drinks in these responses. It is nevertheless possible that a common pathway exists between aspirin sensitivity and wine sensitivity. However, the relatively short duration of asthmatic responses among the majority of wine-sensitive asthmatic subjects argues against a major role for these chemicals, with asthmatic responses to salicylate-containing medicines generally being longer in duration. The sulfite additives that have been associated with the triggering of asthmatic responses in susceptible individuals 14 x14Simon, R. Sulfite sensitivity. A recent study addressing the use of alternative practitioners in Australia found that individuals using these services were more likely to have a higher alcohol intake. Whether subjects with wine-induced asthma are more likely to visit alternative health practitioners or whether individuals visiting these practitioners are more likely to report wine-induced asthmatic responses is not known. Similarly, the significance of the association between wine-induced asthma and prior consultation with alternative health practitioners for asthma management is not clear but certainly raises other possible interpretations of the self-reported nature of the data. There was, however, a preponderance of women (72.7%) in our study compared with a preponderance of men (63.1%) in the Ayres and Clark 3 x3Ayres, JG and Clark, TJH. Google Scholar See all References and the prevalence of nasal polyps (16.1%), 13 x13Larsen, K. The clinical relationship of nasal polyps to asthma. PubMed Google Scholar See all References , 10 x10Klatsky, AL, Armstrong, MA, and Friedman, GD. Risk of cardiovascular mortality in alcohol drinkers, ex-drinkers and nondrinkers. Although the effect of alcoholic drinks on a number of health outcomes is well documented, 9 x9Klatsky, AL. The cardiovascular effects of alcohol. Table VVariables significantly and independently associated with wine-induced asthma (stepwise logistic regression analysis) Response rate and allergic and asthmatic characteristics of subjects. Logistic regression analysis was used to analyze the association between wine-induced asthma and variables relating to both demographics and asthma disease staThis. Chi-squared tests were used to investigate associations between binary variables in this study. Self-assessment of asthma severity was scored as follows: mild, 1; moderate, 2; severe, 3; and very severe, 4. The 3 individual severity scores were averaged for each patient. The first of these addressed the number of asthma attacks experienced, the second addressed the number of times a general practitioner or specialist had been seen for asthma symptoms, and the third involved a self-assessment of asthma severity. This assessment of sulfite sensitivity was based on the determination of reactivity of asthmatic subjects to a panel of dried fruits and preserved vegetables, which were shown to possess consistently high levels of this additive. This new questionnaire also detailed the asthma characteristics of respondents and investigated the presence of other food and chemical sensitivities. In addition, there is little information regarding the characteristics of asthmatic responses to these drinks or the nature of sensitive individuals. Abstract Full Text PDF PubMed Scopus (5) Google Scholar See all References The specific components of alcoholic drinks to which individuals are sensitive, however, remain unknown. Abstract Full Text PDF PubMed Scopus (27) Google Scholar See all References Although alcohol itself seems to be associated with asthmatic responses in some individuals, 4 x4Shimoda, T, Kohn, S, Takao, A et al. Investigation of the mechanism of alcohol-induced bronchial asthma. Crossref PubMed Scopus (43) Google Scholar See all References However, the role of these drinks in triggering asthmatic responses has not been well described. Sensitivities of individuals to salicylates present in wines may also play a role. Wines were the most frequent triggers, with responses being rapid in onset (<1 hour) and of mild to moderate severity. The Department of Medicine, University of Western Australia and the Asthma and Allergy Research Institute, Western Australia Nedlands, Australia. Find out more about how SO2GO, wine preservative remover has helped our wine allergy sufferers, and can help you, on our Testimonials page See how you can enjoy a glass of preservative free wine, without the unpleasant side effects. By neutralising/lowering preservatives, we may prevent the nasty symptoms caused by wine sensitivities. As sensitivity varies from individual to individual the extent of the reaction will vary, but even our most sensitive customers confirm that SO2GO wine preservative remover , makes their morning after more manageable. Food can be a powerful remedy to allergies. On the other hand, you may have never suffered allergies as a child, but as an adult you find that you are more sensitive to airborne allergens than when you were younger. They have shown to trigger reactions in grass pollen-sensitive individuals. Knowing the true from false allergy misconceptions can help you to clear up your allergies FAST. But for the approximately 36 million people in the US who suffer from seasonal allergies, the switch of seasons is a bit more daunting. An individual must ensure all healthcare providers are aware of their allergies to ensure that they do not prescribe any medications that may cause an adverse reaction. People with a sulfa allergy who come into contact with drugs containing the compound may experience a rash or hives, have itchy skin or eyes, and develop some swelling. Carrying a medical alert card or medical alert bracelet that details any allergies will ensure appropriate treatment should a person have a reaction that renders them unable to communicate this themselves.
The identification of reliable tests that could be used in clinical practice would enormously improve the recognition order primaquine 15 mg overnight delivery, legitimization buy primaquine 15mg otc, and treatment of this disorder cheap primaquine 15 mg mastercard. Clinically primaquine 15mg without prescription, NCGS is often indistinguishable from functional GI disorders and primarily from IBS. Biomarkers are objectively measurable indicators of normal or pathological processes or pharmacological responses to a therapeutic intervention 36 The identification of an NCGS biomarker would represent an important advancement in the field of NCGS, as it would legitimize NCGS and advance diagnosis with the identification of relevant subgroups of patients responding to GFD. A GFD was evaluated in two studies and was associated with a reduction of global symptoms compared with a control diet (relative risk = 0.42), although the statistical significance was not reached. A recent systematic review evaluated the efficacy of exclusion diet in IBS by the examination of randomized controlled trials. Symptoms of NCGS overlap with those of IBS. It is still unclear whether patients with a diagnosis of NCGS should follow a GFD for life. In addition to experiencing GI symptoms, patients with NCGS most often experience a complex of extra-intestinal symptoms, including a foggy mind”, which is described as an inability to concentrate, reduction of mnemonic capabilities, and lack of well-being as well as tiredness, headache, anxiety, numbness, joint/muscle pain, and skin rash/dermatitis 23. The main symptoms in patients with NCGS include abdominal bloating and pain in the upper or lower abdomen, diarrhea, nausea, aphthous stomatitis, alternating bowel habits, and constipation. The re-introduction of gluten with diet or gluten challenge determines symptom reappearance. The effect of gluten on symptoms was observed in only 8% of subjects. The role of gluten as a trigger of NCGS symptoms is supported by different lines of evidence. The result of tTG enzymatic breakdown generates peptides with a great affinity for major histocompatibility complex II (MHC II), which strongly stimulate the immune system in HLA-DQ2/8-positive subjects 9 In celiac disease, at least, the antigen presentation to T cells induces innate and adaptive responses that culminate in villus atrophy, crypt hyperplasia, and enhanced infiltration of intra-epithelial lymphocytes 10 , 11. Previous studies have shown that gliadin, even in healthy subjects, can determine a prompt and transient increase in gut permeability which is related to the amount of the peptide ingested with the diet 7 , 8 The increase in intestinal permeability is thought to be the consequence of binding of gliadin to the CXCR3 chemokine receptor. Gluten proteins are prolamins and are rich in glutamine and proline and have different names according to grain species, including (a) gliadins (monomers) and glutenins (polymers) in wheat, (b) hordeins in barley, and (c) secalins in rye 6 After ingestion, gluten is hydrolyzed by GI proteases, but the abundance of glutamine and proline residues produces incomplete gluten digestion. Gluten proteins represent the major storage proteins of wheat, barley, and rye which are in the endosperm of the grains. It has been suggested that gluten is not the only trigger of symptoms in NCGS. The pathophysiology of NCGS is largely undetermined, as most studies were performed in patients in whom symptoms were self-reported. Although NCGS has been suggested to be the most common gluten-related disorder, its prevalence remains unknown because of a lack of diagnostic markers. In the absence of diagnostic markers, distinguishing NCGS from functional gastrointestinal (GI) disease—principally, irritable bowel syndrome (IBS)—is a challenge. In the absence of a reliable biomarker, confirmation of an NCGS diagnosis can be made only with a double-blind placebo-controlled (DBPC) gluten challenge. The prevalence rate of NCGS is unknown but is suspected to be higher than that of celiac disease. It is still a matter of debate whether NCGS is caused by gluten or other components of wheat. There is great overlap in symptoms between NCGS and other functional gastrointestinal disorders, making a differential diagnosis difficult. The diagnosis is cumbersome and currently confirmed only by gluten withdrawal and double-blind placebo challenge protocols. Coeliac disease: recognition, assessment and management” Are you at risk of coeliac disease? Gluten-free breads, chips and cereals that were first manufactured for a gluten-sensitive group are now continuously marketed to a mostly gluten-tolerant population. The market for gluten-free snacks ballooned by 163 percent from 2012 to 2014, and consumers are gobbling up gluten-free goodies for a couple of reasons. These questions will determine if you should nix gluten from your diet. Double blind challenge with gluten could be considered the gold standard for diagnosis. Skin reactions against allergens have a low sensitivity especially in case of wheat due to the absence of specific components in commercial reagents. HLA typing is useful to exclude celiac disease. Gluten-related disorders are emerging as a relevant clinical entity along with the increasing popularity of the GFD. A SPT enables the identification of food categories responsible for triggering IgE-mediated allergic reactions, but a positive SPT alone cannot be considered diagnostic 85 Similarly, the sole presence of allergen-specific IgE in the serum is not sufficient to confirm the diagnosis of WA. The reference standard for the diagnosis of food allergies is the double-blind placebo-controlled food challenge (as for NCGS). Nowadays, due to the absence of any reliable biomarker for NCGS diagnosis, a double-blind placebo-controlled gluten challenge could be considered a possible gold standard to compare other algorithms or markers. According to this algorithm, a negative HLA-DQ2 and DQ8 genotype can be useful to rule out CD even in the absence of serology 5 , although this would only exclude half the patients with NCGS: in such a case a gluten challenge followed by serology and duodenal biopsies is warranted 78 In patients with suspected NCGS, a short-term low-dose gluten challenge as discussed above can turn out to be a more suitable pragmatic approach than the traditional 8 wk long approach 43 It has been calculated that the application of this diagnostic approach in secondary-care gastrointestinal practice would result in the identification of CD in 7% patients referred for suspected NCGS, while the remaining 93% would receive the confirmation of NCGS 5. To date, NCGS is mainly a diagnosis of exclusion” made after other wheat-related and non-wheat-related disorders have been ruled out. However, the presence of antigliadin IgG has been reported in up to 50% patients, while antigliadin IgA antibodies rarely occur (7%) 3 , 63 , 64 As far as any intestinal damage is concerned, an increase in the number of lymphocytes infiltrating the epithelium has been described in a subset of NCGS patients 64 The frequency of NCGS is higher in first-degree relatives of celiac patients and HLA-DQ2 and DQ8 genotypes are observed in 50% NCGS patients, which finding is mildly elevated in comparison with the general population 62. MA diagnostics and BAT represent new useful tools for the in vitro diagnosis of WA and in some cases may effectively replace the in-vivo functional tests. Challenge tests remain the gold standard for WA diagnosis, but they are cumbersome and potentially dangerous. Molecular-based allergy (MA) diagnostics could overcome some limitations of sIgE in vitro assays using wheat flour extracts. In addition, some authors have showed that commercial wheat flour SPT solutions differ in protein content showing that the improvement and standardization of SPT for wheat is highly recommended 53 SIgE in vitro assays are more sensitive (about 75%-80%) than SPT but less specific (about 60%), mainly due to the cross-reactivity with grass pollens 54 The identification of molecular allergens for laboratory methods has profoundly changed the diagnostic approach to allergic diseases in the recent years. The diagnosis of WA is classically based on skin prick tests (SPT), in vitro specific Immunoglobulin E (sIgE) assays and functional assays. In adults, FA gastrointestinal symptoms could be mild and difficult to recognize, the most common are diarrhea and bloating. Ingested wheat can cause IgE-mediated wheat allergies in both children and adults. The anti-endomysium antibody (EMA) has a higher specificity (around 99%) and can be used as a confirmatory test in cases of uncertain diagnosis in high-risk populations 32 However, EMA test is expensive (monkey esophagus or human umbilical cord are used as substrates) and operator dependent due to the interpretation of immunofluorescent pattern 32 Deamidated gliadin peptide (DGP) IgA and IgG, substituting the anti gliadin antibodies, are used in combination with TTG IgA in children who are less than 2 years old 33 Multiple biopsies of the duodenum (at least four) are recommended as a critical component of the diagnostic evaluation and represent the gold standard in adults. Gluten is the main structural protein of wheat, composed of two main fractions depending on their solubility in aqueous alcohols: the monomeric soluble gliadins (classified according to their primary structures into alpha/beta, gamma and omega types) and the poorly soluble glutenins, which are divided into high-molecular-weight (HMW) and low-molecular-weight (LMW) subunits 8 Homologous proteins have been found in rye and barley. Accordingly, the market for gluten-free products is constantly growing, with the latest European reports estimating a compound annual growth rate of 10.4% between 2014 to 2019 7. Cereal crops and cereal consumption have had a vital role in the history of Mankind but in the recent years gluten ingestion has been found linked with a wide range of clinical disorders. In the recent years gluten ingestion has been linked with a range of clinical disorders. When we clinically investigate these underlying issues, that information allows us to create a customized health program for the individual. If this test is positive, you are reacting to a component of wheat that is not gluten but is nevertheless causing problems in your system. Their production can be suppressed in someone with gluten sensitivity, and this test can illuminate that condition. Many of my patients feel worse when they first come off gluten. If you have celiac disease, you certainly want to know this information. Other autoimmune conditions besides celiac disease. I would go so far as to say that gluten is the aspartame of the 21st century - maligned by the health community and defended by its loyal consumers and industry advocates. Due to the hybridization of wheat to maximize gluten content, heavy spraying with toxic desiccants, and a grain-centric culture that can hardly image a meal without some form of bread, gluten has become an insidious force. Stop eating the food for a while, and then. Histamine (found in Quorn, mushrooms, pickled and cured foods, and alcoholic drinks)
Creticos PS cheap primaquine 15 mg online. Sublingual immunotherapy for allergic rhinoconjunctivitis and asthma 15mg primaquine otc. Bielory L buy cheap primaquine 15 mg on line. Complementary and alternative therapies for allergic rhinitis and conjunctivitis buy cheap primaquine 15mg on-line. De Shazo RD, et al. Pharmacotherapy of allergic rhinitis. AAAAI allergy and asthma drug guide. De Shazo RD, et al. Allergic rhinitis: Clinical manifestations, epidemiology and diagnosis. In children, hay fever often is a factor in middle ear infection (otitis media). Prolonged sinus congestion due to hay fever may increase your susceptibility to sinusitis — an infection or inflammation of the membrane that lines the sinuses. Hay fever can interfere with your enjoyment of activities and cause you to be less productive. Problems that may be associated with hay fever include: Living or working in an environment that constantly exposes you to allergens — such as animal dander or dust mites. Having a blood relative (such as a parent or sibling) with allergies or asthma. The following can increase your risk of developing hay fever: Runny nose with watery or thick yellow discharge; body aches; low-grade fever. Ragweed pollen, which is common in fall. Watery, itchy, red eyes (allergic conjunctivitis) Besides making you miserable, hay fever can affect your performance at work or school and generally interfere with your life. Keep your allergies under control by preparing now while pollen counts are low. Keeping your windows and doors closed will create a safe retreat during the peak pollen season. When the weather is finally warm outside, it is tempting to turn off the heat, open windows, and let the fresh air in. This fresh breeze might feel nice, but it will also bring the pollen inside your home. Pollen can stick to your clothes and hair, making it easy to track pollen spores throughout your home. If you are out sprucing up the yard, wear a NIOSH 95 mask to reduce the inhalation of allergens. A traditional allergy shot program typically takes a few months before patients experience symptom relief, however; Rush or Cluster immunotherapy can reduce relief time to weeks or even days. Antihistamines reduce or block histamines that cause your allergy symptoms. Start taking medication around two weeks before you typically start to feel your allergy symptoms. 6 Ways You Can Prepare for Spring Allergies: Preparing now can help ease your symptoms throughout the season. While the exact cause of allergies is not known, an allergy occurs when your immune system produces antibodies when exposed to harmless foreign matter. Home > Blog > Allergies > How to Prepare for Spring Allergies Now. Allergy sufferers should also avoid yard work on days with high pollen counts and bathe immediately after outdoor activities. Immunotherapy may include allergy shots, or sublingual immunotherapy, where patients are given small drops of the allergen under their tongue,” said Dr. Lange. Your physician may prescribe you a steroid nasal spray, or recommend immunotherapy, a treatment where you are given gradually increased doses of an allergen until your body is less sensitive to the allergen. While environmental allergies can be difficult to avoid, they can be managed,” said Jessica Lange, MD, KentuckyOne Health Ear, Nose and Throat Care. Kentucky is regularly ranked as one of the worst states in the country for allergies, but with the proper prevention and treatment, symptoms can be alleviated. Allergen immunotherapy should only be initiated after assessment by a clinical immunology/allergy specialist to determine if this is an appropriate treatment option. Natural products such as salt water nasal sprays or douches can be effective in relieving symptoms. Combination medications containing an antihistamine and intranasal corticosteroid nasal spray are available and offer the combined advantages of both medications. Antihistamine eye drops can also be helpful in controlling watery eyes due to allergies. Although medications do not cure allergies, they are much more effective with fewer side effects than medications available 20 years ago. Seek advice from your pharmacist or doctor about medications or treatments that will relieve your symptoms. Try to plan your holidays out of the pollen season or holiday at the seaside. Do not picnic in parks or in the country during the pollen season. Stay indoors until after midday (if possible) to reduce your exposure to pollen, particularly in the pollen season and on windy days. White Cypress (Murray) Pine is the only Australian tree that produces highly allergenic pollen. Allergenic grasses in the southern part of Australia are mostly Northern hemisphere grasses, with the main flowering period in October - December. Pollen numbers are higher on the Victorian south coast because the prevailing winds are from the north carrying pollen from the northerly grasslands. Grass pollen numbers are also higher in inland areas, where there are no natural barriers to wind dispersal. Pollen seasons can last for several months. Further information on thunderstorm asthma is available on the ASCIA website: /patients/asthma-and-allergy/thunderstorm-asthma. This plant has taken over large tracts of pasture in rural Australia and produces highly allergenic pollen. Pellitory weed (commonly known as asthma weed) was accidentally introduced in a shipload of marble from Italy in the early 1900s. Several types of weeds with highly allergenic pollen have also been introduced, including: Pollen from exotic trees, which are planted for their autumn colours, is more allergenic than pollen from Australian trees. Improved pasture grasses are more allergenic than Australian native grasses. Other plants (such as pasture grasses and weeds) rely on the wind to spread their pollen. Many of us feel the effects of this process through allergy symptoms. WebMD Medical Reference: Tips for Fighting Spring Allergies.” American Academy of Ophthalmology: Health Tips for Spring Allergies.” Wear a mask, because vacuuming can kick up pollen, mold , and dust that were trapped in your carpet. Wash your hair after going outside, because the allergen can collect there. Some studies show butterbur - specifically an extract called Ze 339 - to work as well at easing allergy symptoms as some antihistamines. There are many medicines that can ease the symptoms of allergies They include: