Allergy takes place when the averted immune system of the body overreacts to a source from the environment, known as an “allergen.” All these allergens usually exist in our environments but generally do not cause any body immune response from other people. Sometimes, the body immune system of some people, in turn, will produce an antibody against these foreign bodies or allergens, which would bring about inflammation, and eventually a host of symptoms, ranging from mild to quite severe.
It may be ordinary sneezing with a runny nose, or something like a swelling of the face, tongue, a skin rash, or itching, or even difficulty in breathing, etc.—in short, very diverse symptoms of allergy. Anaphylaxis is a severe reaction to any kind of allergy and can be lethal if not attended to immediately.
Allergic symptoms are frequent complaints of patients presenting for treatment in each and every part of the world. Different allergens can be implicated in this allergic condition, such as dust, molds, mites; foods like nuts; fish; medicines, for example, penicillin. The clinical treatment is only antihistamines medicines, and the use of steroids and OTC preparations to give relief from the symptoms.
Causes Of Allergy
It is the response of an abnormally responding immune system of the body to an external trigger called an ‘allergen,’ which does not evoke similar responses in most other human beings. When the allergen comes into contact with the human body, it activates a response system by producing IgE antibodies.
Normally, such an immune reaction causes no harm. When an immune reaction is exaggerated, as in the case of an allergy, the immune system may react to things that are harmless, and in most people, the immune system is supposed to protect the body against substances such as bacteria or viruses, not against a chemical There are innumerable substances that can cause allergies. The most commonly observed allergens are:
- Dust: Tiny particles found in many environments that can provoke nasal and respiratory irritation.
- Mold: Fungi that thrive in moist conditions and release spores that can cause allergic reactions when inhaled.
- Mites: Microscopic organisms, particularly dust mites, found in household dust which feed on human skin flakes and can trigger allergies.
- Pollen: Fine powder released by plants for reproduction, known for causing seasonal allergic reactions such as hay fever.
- Animal Fur: Dander, or flakes of skin, as well as fur from pets like dogs and cats, can cause allergic reactions in sensitive individuals.
- Insect Bites: Stings or bites from insects like bees or mosquitoes can lead to allergic reactions in some people.
- Latex: A natural rubber that can cause allergic reactions ranging from skin irritation to anaphylaxis in those who are sensitive.
- Foods: Common allergenic foods include peanuts, shellfish, and milk, which can trigger everything from mild allergic reactions to severe anaphylaxis.
- Certain Medications: Drugs such as penicillin and NSAIDs (non-steroidal anti-inflammatory drugs) can provoke allergic reactions in some individuals.
- Seasonal Changes: Changes in the season can bring about allergies due to variations in pollen counts, mold growth, and other environmental allergens.
Symptoms Of Allergy.
Skin Allergy (Eczema)
- Your skin might get red, itchy, and hurt if it touches something it doesn’t like. Sometimes, your skin might also start to flake or peel.
Eye Allergy (Allergic Conjunctivitis)
- Allergens can make your eyes red, puffy, and watery. You might feel like something is burning or itching in your eyes. Sometimes, you might not see as clearly.
- Eating something your body doesn’t agree with can make your mouth feel weird, puff up your face, swell your lips and tongue, make it hard to breathe, and cause itching all over. If it’s really bad, you might have a dangerous reaction called anaphylaxis.
Insect Allergy
- A bug bite or sting can hurt, swell up, and turn red. You might itch everywhere, have trouble breathing, feel tightness in your chest, and wheeze. The worst-case scenario is anaphylaxis.
Respiratory Allergy (Like Hay Fever and Asthma)
- Allergies can make it hard to breathe, cause coughing, wheezing, chest tightness, and a runny nose. This happens when your lungs and nose react to allergens.
Medicine Allergy
- Some medicines can make your face and body swell, make it hard to breathe, cause coughing, chest tightness, a rash, and itching. The worst reaction is also anaphylaxis.
Anaphylaxis (Severe Allergic Reaction)
- This is a super serious and quick reaction that can be deadly. You might go into shock, have a big drop in blood pressure, pass out, struggle a lot to breathe, have a weak pulse, feeling of nausea, and get a skin rash.
Risk Factors For Allergy
Allergies are increasingly common around the world, with more people affected every year. Here’s a quick overview:
- Food Allergies: Affecting 200-250 million people, these allergies can range from mild reactions to life-threatening anaphylaxis.
- Allergic Rhinitis: Around 400 million people experience this, often caused by pollen, dust, or animal dander, leading to sneezing, congestion, and itchy eyes.
- Asthma: Approximately 300 million individuals deal with asthma, which allergens like pollen and dust can exacerbate, resulting in difficulty breathing, coughing, and wheezing.
- Medicine Allergies: With one in ten people globally affected, reactions to medications can vary from skin rashes to anaphylaxis.
Key risk factors include:
- Family History: Allergies run in families. If your parents or relatives have allergies, you’re at a higher risk of developing them too.
- Occupational Exposure: Regular contact with allergens at work, especially dust, can lead to allergies. This exposure is particularly relevant for jobs in dusty environments or those involving handling potential allergens.
Understanding these factors is crucial for recognizing the potential for allergies and taking steps to mitigate exposure or manage symptoms effectively.
Diagnosis Of Allergy
Patient History and Symptom Analysis
- The first step involves the doctor asking detailed questions about the patient’s symptoms, their onset, and any potential allergen exposure. This conversation helps identify patterns or triggers related to the allergic reactions.
Physical Examination
- A comprehensive physical check follows, where the doctor looks for physical signs of allergies. This examination aims to correlate symptoms with possible allergenic exposures, helping narrow down potential allergens.
Skin Prick Test
- This test is a direct method to identify specific allergen sensitivities. By introducing a tiny amount of common allergens into the skin, doctors can observe for signs of an allergic reaction, such as rash or bumps at the prick site, indicating sensitivity to that allergen.
Laboratory Tests for Total IgE
- Total IgE tests measure the levels of Immunoglobulin E (IgE) antibodies in the blood. High levels of IgE can indicate an allergic condition. These tests provide a broader picture of a person’s allergic response and can help confirm the presence of an allergy.
Specific Allergy Tests
- Depending on the suspected allergens, more targeted tests can be conducted, including:
- Allergy to Medicines: Tests to identify allergies to specific medications.
- Allergy to Inhalants: Tests for allergies to airborne substances, like pollen and dust.
- Allergy to Food: Identifies allergies to specific food items.
- Depending on the suspected allergens, more targeted tests can be conducted, including:
Prevention Of Allergy
You can’t stop allergies from happening since they usually run in the family. But, you can avoid the trouble they cause. The key is to stay away from what triggers your allergies.
Here’s how to dodge common allergies:
- For Dust: When there’s a lot of dust around, either put on a mask or tie a wet cloth around your nose and mouth.
- For Food: If certain foods cause allergies, it’s best to not eat them at all.
- For Medicine: If you’ve reacted badly to a medicine before, make sure your doctor knows. They can find a different one for you.
- For Mold: Mold grows in damp and dark places. Keeping your home bright and airy can help keep mold away.
Specialist To Visit
Repeated Symptoms: If you often find yourself sneezing, developing a skin rash, or feeling tightness in your chest after coming into contact with certain things in your surroundings, it’s a sign you might have allergies.
Seek Expert Advice: For managing allergies, consider consulting with:
- An immunologist or allergist, specialists in allergies.
- A general physician for a broad assessment.
- A dermatologist if you have skin-related allergic reactions.
- A respiratory specialist for issues with breathing due to allergies.
- An ENT specialist for allergies affecting the ear, nose, or throat.
Emergency Situations: Severe allergic reactions, known as anaphylaxis, are emergencies. Symptoms can escalate quickly and might include difficulty breathing, a sudden drop in blood pressure, or loss of consciousness. In such cases:
- Immediately go to the hospital’s emergency department.
- Care might be provided by an intensive care specialist to manage the severe reaction.
Treatment Of Allergy
Allergy treatments aim to ease symptoms and help your immune system handle reactions better.
Symptomatic Relief
- Antihistamines: These medications relieve itching, swelling, and rashes by blocking histamine, a substance your body makes during an allergic reaction. They come in pills or creams for skin issues and drops for eye allergies. Nasal sprays help with sneezing and congestion. Examples include Levocetirizine, Chlorpheniramine Maleate, and Loratadine.
- Nasal Decongestants: Drugs like Xylometazoline and Oxymetazoline reduce nasal congestion and make breathing easier.
- Corticosteroids: Available as pills, injections, eye drops, and creams, they quickly reduce inflammation and rash. Examples are Prednisolone, Hydrocortisone, Betamethasone, and Dexamethasone.
- Bronchodilators: Medicines like Salbutamol relieve acute asthma symptoms and are used daily to manage asthma.
Immunotherapy
- For tough allergies or when regular meds don’t work, immunotherapy can help. It slowly exposes you to more allergens over years through shots or tablets, teaching your immune system not to overreact.
Anaphylaxis Treatment
- Anaphylaxis, a severe allergic reaction, needs immediate action with an adrenaline injection, possibly repeated. Symptoms include dizziness, trouble breathing, rashes, nausea, and a fast heartbeat. Hospital care is vital to manage these reactions safely.
Home-care For Allergy
Avoiding allergens is key to preventing allergic reactions. You can do this by making some changes to your daily routines:
- Avoid Dust and Mold: Keep away from places that are dusty or have mold.
- Use Protection: Wear a mask or cover your nose and mouth with a wet cloth when you’re in dusty places or cleaning.
- Let Air and Light In: Open windows to let in fresh air and sunlight to stop mold from growing.
- Stay Away from Pollen and Insects: If you’re allergic to pollen or insect bites, avoid gardens and fields.
- Avoid Pets: If pet fur or dander (skin flakes) cause allergies, it’s best to stay away from animals.
- Watch What You Eat: Avoid foods that you’re allergic to, such as nuts, milk, certain fish, and mushrooms.
- Be Careful with Metals and Detergents: Some people get skin allergies from touching certain metals or using detergents.
Managing Symptoms at Home
If you have an allergic reaction:
- Stay Calm: Don’t panic.
- Avoid the Allergen: Stop contact with whatever is causing the reaction.
- Over-the-Counter (OTC) Relief: For mild symptoms like a runny nose or rash, use OTC meds or emollient creams.
- Nasal Rinse: Saline nasal rinses can clear nasal congestion.
- Cold Compress or Shower: This can soothe skin rash or a burning feeling.
- Emergency Kit: Always have an epinephrine shot ready for severe reactions, like anaphylaxis.
Complications Of Allergy
Ignoring or not noticing allergies can lead to several serious health issues:
Anaphylaxis: This severe allergic reaction can be life-threatening if not treated quickly. It requires immediate medical attention.
Asthma: People with allergies are more likely to develop asthma, a condition that narrows the airways and makes breathing difficult. Symptoms include wheezing, coughing, and shortness of breath. Allergies can also worsen asthma symptoms.
Recurrent Infections: Allergies can make someone more susceptible to bacterial infections, such as sinusitis and pharyngitis, due to the weakened defense mechanisms against pathogens.
Respiratory Allergies: Conditions like asthma and nasal allergies (allergic rhinitis) are on the rise globally, particularly among children. These allergies can significantly impact respiratory health, leading to increased medical care and limitations on daily activities.
Alternative Therapies For Allergy
- Ayurveda: This traditional Indian medicine system sees allergies as imbalances of the body’s three doshas: Vata, Pitta, and Kapha. Ayurvedic treatments focus on avoiding allergens and balancing these doshas. Detox methods like Nasya Chikitsa are recommended for respiratory allergy symptoms. Herbal remedies, including tulsi, ginger, ashwagandha, and triphala, may reduce mild allergic reactions.
- Homeopathy: Homeopathic treatments aim to desensitize the immune system, acting as an immunomodulator. This approach seeks to permanently treat allergies without side effects such as dizziness or drowsiness. Common homeopathic remedies for allergic rhinitis include Arsenic Album, Allium Cepa, Natrum Mur, Sabadilla, and Arundo.
- Yoga: Breathing exercises, particularly Pranayama, can offer relief from respiratory allergy symptoms like nasal congestion, runny nose, and difficulty breathing. Yoga promotes overall well-being, which can help manage allergy symptoms more effectively.
Is there any first aid for a severe allergic reaction?
If someone has a severe allergic reaction, do this fast:
- Call for help right away. Severe allergies are emergencies.
- Use an epinephrine shot (like an EpiPen) if they have one. It goes in the thigh.
- Keep them calm. Have them lie down if they can.
- If they stop breathing, start CPR if you know how, and keep going until help arrives.
Always get them to a doctor even if they start to feel better.
How can I identify if I have allergies?
To identify if you have allergies, watch out for these common signs and consider these steps:
- Note Your Symptoms: Common allergic reactions include sneezing, runny or stuffed nose, itchy or watery eyes, rash, or difficulty breathing. Food allergies might cause stomach pain, hives, or swelling.
- Track When They Occur: Allergies often have a pattern. For example, pollen allergies worsen during certain seasons, while food allergies occur after eating specific foods.
- Over-the-Counter Relief Test: Taking antihistamines can provide temporary relief if symptoms are allergy-related.
- Keep a Symptom Diary: Record what you eat, where you go, and what symptoms you experience to help identify triggers.
- Consult a Doctor: A healthcare provider can conduct tests, like skin prick tests or blood tests, to identify specific allergies.
- Consider Family History: Allergies can be hereditary, so family history might give you a clue.
Remember, professional diagnosis and treatment are the best ways to manage allergies effectively.
What foods to avoid if I have allergies?
If you have food allergies, the specific foods you need to avoid depend on what you’re allergic to. However, some common allergenic foods include:
- Peanuts: Avoid peanuts and products containing peanut ingredients.
- Tree Nuts: This includes almonds, walnuts, cashews, and more. Check labels for nut content.
- Milk: Those allergic should avoid cow’s milk, dairy products, and milk derivatives.
- Eggs: Avoid eggs and many baked goods or processed foods containing eggs.
- Fish: Stay away from fish and seafood products if you’re allergic.
- Shellfish: This includes shrimp, crab, lobster, and others.
- Wheat: Check food labels for wheat, as it’s a common ingredient in many products.
- Soy: Avoid soybeans and soy-based products.
Always read food labels carefully for these ingredients, as they can appear in unexpected products. If you’re unsure whether a food is safe, it’s best to avoid it and consult with a healthcare provider or an allergist for personalized advice.
Do I need to carry epinephrine shots with me all the time if I have allergies?
Yes, if you have a history of severe allergic reactions (anaphylaxis), it’s crucial to carry an epinephrine auto-injector (like an EpiPen) with you at all times. This is especially important if you’re allergic to common triggers that are hard to avoid, such as bee stings, peanuts, or shellfish. Epinephrine is the most effective treatment for anaphylaxis, and having it readily available can be life-saving in case of an emergency. Always make sure your auto-injector is not expired, and consider carrying two doses as recommended by some health professionals.