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What to Do about Allergies Health Article

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What to Do about Allergies

In springtime, when trees burst with leaves and flowers open, are you distracted by sneezing, sniffling, and itchy eyes? In summer, do you shut out the breeze and hide indoors? Year-round, do you wage a constant battle with dust mites or pet dander? If so, you are all too familiar with the symptoms of an allergy attack. But whether you're afflicted with seasonal allergies or endure symptoms all year, you are not alone. The American Academy of Allergy, Asthma, and Immunology (AAAAI) estimates that 40 million to 50 million Americans suffer from allergies.

Allergy misery has a high sticker price. As the sixth leading cause of chronic disease in the United States, allergies account for annual health care costs of more than $18 billion. Hidden costs include lost work days, missed school time, and curtailed leisure activities. And the situation is getting worse: In Western industrialized countries, cases of allergic reaction — the body's overly sensitive immune response to a harmless substance — are on the rise.

Allergies can range from irritating inconveniences to chronic debilitating conditions. They can even be life-threatening, as in the case of allergic shock, known as anaphylaxis. Because of their potential severity and increasing prevalence, allergic reactions have been the focus of rigorous research. This work has resulted in a greater understanding of the complex nature of allergic reactions, which in turn has led to more effective treatment options. While allergies still can't be cured, doctors are learning more about how to prevent them and how to manage the symptoms successfully. This means that you'll not only feel better but also be less likely to suffer the permanent tissue damage that can result from long-term allergies.

This report will explain how and why an allergic reaction happens, discuss the advantages of newer treatments, and shed light on some controversial topics such as peanut allergies, alternative diagnostic approaches, and toxic house syndrome. When it comes to managing allergies, the watchword is "avoidance," particularly of those triggers that fire the starter's gun on a full-blown allergic attack. Finally, this report will take a look ahead to what may be coming to an allergy clinic near you, and will discuss efforts to develop a hypoallergenic pet.

Why are you allergic?

Allergic reactions are inappropriate, overblown responses mounted by the body's immune system against a harmless substance. Take ragweed pollen, for example. Ragweed pollen is not poisonous, infectious, or in any way harmful to humans. But in some people, it triggers an attack by immune system cells that takes the form of an allergic reaction. When this happens, the ragweed pollen — or any offending substance — is called an allergen.

You develop allergies for two reasons: First, you are genetically predisposed to be allergic; second, factors in your environment, especially when you are young, make you more susceptible. Most allergies are caused by some combination of genetics and environment.

Your genes

While many people suffer from allergies, others don't. If you're one of the unlucky ones, blame your parents. Scientists now know that many people have a genetic predisposition to be allergic. For instance, a child with one parent who has allergies has a 50% risk of developing allergies. And this risk increases to 70% if both the child's parents are allergy sufferers.

Someone with a genetic predisposition to allergies is said to be atopic (see "What's in a name?") and more likely to suffer from childhood atopic dermatitis (eczema), atopic rhinitis (sinus symptoms), and atopic asthma (lung symptoms). Atopic allergies typically first appear in very young children with the signature itchy, red rash of eczema. These children may go on to develop the sneezing, runny nose, and congestion of atopic rhinitis around age one or two. And many then go on to develop atopic asthma by age five or six. Unlike early allergies to certain foods, there's little likelihood of outgrowing these particular allergies. Consequently, people who are atopic are typically afflicted with more than one type of allergy throughout their lives. Atopic diseases are often referred to as allergic diseases.

What's in a name?

Allergy and atopy are not synonymous. Allergy describes an individual's hypersensitivity to an allergen upon a second or subsequent exposure after an uneventful initial exposure, meaning you'll get away with it the first time but not the second. Atopy means you are genetically predisposed to be allergic to certain allergens from the start. Although people who are atopic have a predisposition to allergic reactions, keep in mind that a predisposition isn't an automatic sentence. You may be one of the lucky ones who has a genetic predisposition, but — for whatever reason — doesn't go on to develop allergies. The reverse is also true: You may not be genetically predisposed, yet develop allergies anyway.


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Date Last Reviewed: 01-01-2007
Published Date: 01-01-2007
 
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