Allergy Overview

Overview

What are allergies?

Allergies are your body’s reaction to a substance it views as a harmful “invader.” For example, coming into contact with what is normally a harmless substance, such as pollen, might cause your immune system (your body’s defense system) to react. Substances that cause these reactions are called allergens.

What is an allergic reaction?

An “allergic reaction” is the way your body responds to the allergen. A chain of events occur that result in an allergic reaction.

If you are prone to allergies, the first time you’re exposed to a specific allergen (such as pollen), your body responds by producing allergic (IgE) antibodies. The job of these antibodies is to find the allergens and help remove them from your system. As a result, a chemical called histamine is released and causes symptoms of allergies.

What are the types of allergies and how are they treated?

You can be allergic to a wide variety of substances – including pollen, animal dander, mold and dust mites.

Pollen

Seasonal allergic rhinitis, or hay fever, is an allergic response to pollen. It causes inflammation and swelling of the lining of your nose and of the protective tissue of your eyes (conjunctiva).

Symptoms include sneezing, congestion (feeling stuffy), and itchy, watery eyes, nose and mouth. Treatment options include over-the-counter and prescription oral antihistamines, anti-leukotrienes, nasal steroids, nasal antihistamines, and nasal cromolyn. In some people, allergic asthma symptoms (wheezing, shortness of breath, coughing, and/ or chest tightness) can be caused by exposure to pollen.

Your symptoms can be reduced by avoiding pollen. Stay indoors when pollen counts are high, close your windows, and use air conditioning. Ask your healthcare provider about immunotherapy (“allergy shots”) to treat pollen allergy.

Dust mites

Dust mites are tiny organisms that live in dust and in the fibers of household objects, such as pillows, mattresses, carpet, and upholstery. Dust mites grow in warm, humid areas.

The symptoms of dust mite allergy are similar to those of pollen allergy. To help manage dust mite allergies, try using dust mite encasements (airtight plastic/polyurethane covers) over pillows, mattresses, and box springs. Also, remove carpet, or vacuum frequently with a high-efficiency filter vacuum cleaner. Treatment may include medications to control your nasal/eye and chest symptoms. Immunotherapy may be recommended if your symptoms are not adequately controlled with avoidance methods and medications.

Molds

Molds are tiny fungi (like Penicillium) with spores that float in the air like pollen. Mold is a common trigger for allergies. Mold can be found indoors in damp areas, such as the basement, kitchen, or bathroom, as well as outdoors in grass, leaf piles, hay, mulch or under mushrooms. Mold spores reach a peak during hot, humid weather.

Treatment may include medications to control your nasal/eye and chest symptoms. Immunotherapy may be recommended if your symptoms are not adequately controlled with avoidance and medications.

Animal dander

Allergic reactions can be caused by the proteins secreted by sweat glands in an animal’s skin, which are shed in dander, and by the proteins in an animal’s saliva. Avoidance measures don’t work as well as simply removing the pet from your home. However, because many people are reluctant to do this, second-best measures include keeping your pet out of your bedroom, using air cleaners with HEPA filtration and washing your pet (cat or dog) frequently.

Treatment may include medications to control your nasal/eye and chest symptoms. Immunotherapy may be recommended if your symptoms are not adequately controlled with avoidance methods and medications.

Latex

Some people develop a latex allergy after repeated contact with latex. Rubber gloves, such as those used in surgery or home cleaning, are a major source for causing this type of reaction. Skin rash, hives, eye tearing and irritation, wheezing and itching of the skin may occur if you have a latex allergy.

Allergic reactions to latex can be mild, such as skin redness and itching. More severe reactions can occur if your mucosal membranes are exposed, such as during an operation or a dental or gynecologic exam.

Treatment of latex reactions begins by removing the offending latex product. If you have latex allergy, it is important for you to wear a Medic Alert® bracelet and carry an emergency epinephrine kit. All procedures should be carried out in a “latex-safe” fashion. There is no cure for latex allergy, so the best treatment for this condition is prevention and avoidance.

Certain foods

Food allergies develop when your body develops a specific antibody to a specific food. An allergic reaction occurs within minutes of eating the food, and symptoms can be severe. In adults, the most common food allergies are shellfish, peanuts and tree nuts. In children, they include milk, egg, soy, wheat, shellfish, peanuts and tree nuts.

If you have a food allergy, your symptoms include itching, hives, nausea, vomiting, diarrhea, breathing difficulties and swelling around your mouth.

It is extremely important to avoid the foods that cause allergy symptoms. If you (or your child) have a food allergy, your doctor may prescribe injectable epinephrine (adrenaline) for you to carry at all times. This is needed in case you accidentally eat foods that cause allergies. There are new therapies for peanut allergies called oral immunotherapy.

Insect venom (stings)

If you get a bee sting, a normal reaction includes pain, swelling and redness around the sting site. A large, local reaction includes swelling that extends beyond the sting site. For example, if you are stung on the ankle, you may see swelling in your leg.

The most serious reaction to an insect sting is an allergic one, which needs immediate medical attention. Symptoms of an allergic reaction to an insect sting include:

• Difficulty breathing.
• Generalized (widespread) hives that appear as a red, itchy rash that spreads to areas other than the area that was stung.
• Swelling of your face, throat or mouth tissue.
• Wheezing or difficulty swallowing.
• Restlessness and anxiety.
• Rapid pulse.
• Dizziness or a sharp drop in your blood pressure.

If you have a reaction like this, a re-sting can cause a serious reaction that can be life-threatening.

An allergic reaction is treated with epinephrine (adrenaline). If you’ve had an allergic reaction to bee stings, see a board-certified allergy/immunologist to get a skin and/or blood test to confirm your allergy to bee venom. Venom immunotherapy is recommended if venom allergy is confirmed. This will help reduce the possibility that a re-sting will cause a serious reaction.

What is allergic rhinitis?

Nasal allergy symptoms and hay fever are referred to as “allergic rhinitis.” Seasonal allergic rhinitis is nasal allergies that change with the seasons because of pollen from plants (trees, grasses, or weeds). Seasonal symptoms arise during the pollinating seasons for particular plants. Because you can be allergic to more than one thing, your symptoms may get worse at different times throughout the year, or may be constant.

Does everyone get allergies?

No. Most allergies are inherited, which means they are passed on to children by their parents. People inherit a tendency to be allergic, although not to any specific allergen. If your child develops an allergy, it is very likely that you or your partner has allergies.

How common are allergies?

More than 50 million Americans (1 in 6) experience all types of allergies, including indoor/outdoor allergies, food and drug, latex, insect, skin and eye allergies. The number of people who have allergies continues to increase across all ages, sex and racial groups.