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What to do About Allergies

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Allergy Treatment Special Report
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Whether you're afflicted with seasonal allergies or endure allergy 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.

Allergies can range from irritating inconveniences to chronic debilitating conditions. They can even be life-threatening, as in the case of allergic shock, or 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 allergy treatment options. While allergies still can't be cured, doctors are learning more about how to prevent them and how to manage allergy symptoms successfully. This means that youíll not only feel better but also be less likely to suffer the permanent tissue damage that can result from long-term allergies.

Allergic Reaction, Treatment, & Allergy Symptoms

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 soon to an allergy clinic near you.

Prepared by the editors of Harvard Health Publications in consultation withMariana C. Castells, M.D., Ph.D., Associate Professor of Medicine, Harvard Medical School and Associate Director, Allergy and Clinical Immunology Training Program, Brigham and Women’s Hospital, Division of Rheumatology, Immunology, and Allergy. 48 pages. (updated: 2007)

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Table of Contents:

  • Why are you allergic?
    • Your genes
    • What’s in a name?
    • Your environment
    • Antigens and allergens
  • What is an allergic reaction?
    • Tolerating intolerances
    • Allergies and your immune system
    • What is inflammation?
  • Pinpointing your allergic triggers
    • Diagnosing allergies
    • Skin testing
    • Blood testing
    • What to tell your doctor
    • Elimination diets and food challenges
    • Drug challenges
    • Complementary and alternative diagnostics
  • The changing world of allergy treatments
    • Antihistamines
    • Decongestants
    • Anti-inflammatory medications
    • Bronchodilators
    • Allergy shots
    • New meds on the block
  • Managing your allergies
    • Allergic rhinitis (nose)
    • Allergic asthma (lungs)
    • Allergic conjunctivitis (eyes)
    • Atopic dermatitis (eczema)
    • Contact dermatitis
    • The itchies: Urticaria (hives)
    • All puffed up: Angioedema
    • Anaphylaxis (allergic shock)
    • Latex allergy
    • Drug hypersensitivities and allergies
    • Vaccine allergies
    • Seminal fluid allergies
    • Insect allergies
    • Food allergies
  • What you can do to help yourself
    • Pollen: Sized for a special job
    • Molds and other fungi
    • Dealing with dust mites
    • Roaches on the run
    • Pouncing on pet dander
  • Glossary
  • Resources
    • Organizations
    • Books and Special Health Reports

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Here's an Excerpt from this Allergy Treatment Special Health Report

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.

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.

Genes alone are not enough to give you allergies. The circumstances of your early childhood apparently influence how likely you are to develop allergies. For instance, if you have siblings, your place in the birth order matters. Children who have three or more older brothers or sisters are less likely to develop allergies than siblings born earlier. Scientists think this is because younger siblings are, by definition, more exposed to germs generously passed around by older brothers and sisters. Exposure to a wider array of germs early in life may dampen the body’s tendency to turn on the allergic response. Similarly, children in day care, who are exposed to germs as they come in contact with many other children, seem less likely to develop asthma. Being breast-fed also provides some protection against developing allergies.

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