Last updated: Mar 22, 2010

hay-feild-allergies

Mike Henry

By Hallie Levine Sklar
From Health magazine

Its like a scene from a low-budget horror flick: the trees are blooming, the grass is growing … and runny-nosed zombies are invading the planet! Seasonal allergies are here, but if youre one of the sniffly multitudes, you may have noticed that the “allergy season” can span most of the year (and that symptoms may flare right before your period).

Heres your best defense—from least to most invasive, medically speaking. Try the first few and you may not need to hit the pharmacy at all.

The triggers: Seasonal Tree Pollens, Grasses, and Weeds

Your symptoms surfaced as early as February, when trees started blooming. Right now, its grasses that are making you miserable (they will through late summer). Weeds will keep you wheezing through fall.

Police pollen. Click on the The National Allergy Bureaus Web site (Aaaai.org/nab) for a daily ranking of allergens, including seasonal tree pollens, grasses, weeds, and outdoor molds. Stay indoors when levels are high or very high for those that youre sensitive to.

Wear a mask. If you must finish that gardening before the in-laws show up, don a not-so-chic but très useful N95 filter mask ($24.95 for 20), which keeps pollen out of your nose and mouth.

Wash your hair at night. Rinse the pollen out, especially if youre a gel or mousse fan. These products can trap pollen.

Soak up the calm. In one study, seasonal allergy (hay fever) sufferers had a more extreme reaction the day after performing a stressful task, such as giving a speech. “Stress raises levels of the hormone cortisol,” says Clifford Bassett, MD, an allergist at New York University Medical Center, and that often leads to an amped-up allergic response. A few minutes of meditation or a soak in the tub should help.

Keep your nose clean. “Your nose is like a car windshield—pollen sticks to it,” says Neil Kao, MD, an allergist at the Allergic Disease and Asthma Center in Greenville, South Carolina. Try a saline sinus rinse, found at any drugstore. If that doesnt do it, buy the nonprescription herbal nasal spray NasalCrom (cromolyn sodium), which helps prevent allergic reactions in your nose.

Take an antihistamine. There have never been more over-the-counter antihistamine options. You may be able to find relief with 10 milligrams of cetirizine (Zyrtec) once a day. If those dont work, ask your doctor for a prescription antihistamine such as fexofanadine (Allegra, but also available as a generic) or levocetirizine dihydrochloride (Xyzal).

Try the sprays. If nasal washes and antihistamines dont work for you, up the ante with a prescription steroid spray like Flonase, but you can skip decongestants; Dr. Kao says they dont work for allergies and may worsen your congestion after several days of use.

Next page: The trigger: Dust Mites

The trigger: Dust Mites

Cool (and dry) it. Dust mites thrive in homes that are warmer than 70 degrees and have a humidity above 50 percent. Keeping your home temp in the mid to low 60s and the humidity between 40 and 45 percent should send them packing. Buy a home hygrometer to measure humidity levels for about $30 on Amazon.com.

Use barriers. You can find mattress and pillow encasements at stores like Target, as well as online retailers like AllergyBuyersClub.com; costs range from $50 to $150 for bedding made from organic cotton.

Boil your bedding. Not literally, but you should wash your sheets and pillowcases weekly in water thats at least 140 degrees; a study in the Annals of Allergy, Asthma and Immunology found that this temperature wiped out all dust mites.

Outsource housekeeping. This wont take much arm-twisting, will it? Vacuuming and sweeping stir up dust mites and their droppings, which can take more than two hours to settle. If you cant hire someone else, invest in a vacuum cleaner with a high-efficiency particulate air (HEPA) filter, like the Eureka Boss SmartVac ($169.99)—and wear a trusty filter mask.

Try acupuncture. At least one study and lots of anecdotal evidence suggest it can help. “Ive seen amazing results in my allergic patients,” says Roberta Lee, MD, vice chair of the Department of Integrative Medicine at the Beth Israel Medical Center in New York City. She thinks acupuncture may decrease stress hormones, which can reduce inflammation. A session usually costs $100 to $150; ask your insurance company if some or all of that is covered.

Next page: The trigger: Indoor Mold

The trigger: Indoor Mold

Mold thrives in warmer, more humid weather. Dont assume its not there just because you cant see it: mold can hide under carpets, in walls, or anywhere. To beat it:

Bleach it. A 5 percent bleach solution and a rag or sponge can zap small mold problems. If youve got a very large moldy area (more than 10 square feet), consider hiring a mold-cleanup crew (find one at the Indoor Air Quality Association Web site, Iaqa.org). And if mold triggers your symptoms, toss indoor plants—mold blooms in potting soil.

Dry up rooms. Put an exhaust fan in bathrooms and laundry rooms, and a dehumidifier in unfinished basements.

Get HEPA. Filters, that is. Ideally, you want a central air-conditioning system with a HEPA filter attached. If you dont have central air, try free-standing air cleaners in key rooms such as the bedroom. Change the filters at least every three months and have your heating and air-conditioning units inspected (and cleaned, if necessary) every six.

The trigger: Pet Dander

If youre set off by pets, you may be allergic to proteins found in the animals saliva, dander (dead skin flakes), and urine. And all furry pets carry these proteins; studies suggest hypoallergenic cats and dogs can cause just as many symptoms as the regular kind. Here are better steps you can take if you cant bear to part with Rover or Frisky:

Ban him from the bedroom. Just keeping pets out (or better yet, away from your upstairs entirely) can help relieve your symptoms.

Cut the rug. Consider replacing wall-to-wall carpeting with hardwood floors, tile, or linoleum, which wont trap dander.

Get him groomed. Ask your non-allergic partner or child to comb him every day, preferably outside, with a comb dipped in distilled water, which traps dander. And a weekly bath (more often will dry his skin, making the dander problem worse) is a must.

Get shot. Immunotherapy has about an 85 percent effectiveness rate in decreasing allergic symptoms, including those triggered by animal proteins. You get one to two weekly shots to expose you to very small doses of the allergen, and the dose is gradually increased over about six months. Youll need maintenance shots about once a month for three to five years.

Is it an allergy ... or something else?

Do you have a runny, stuffy nose that just wont quit? If dust-proofing your house and taking antihistamines dont make you feel better, you may have a condition called chronic nonallergic rhinitis, a swelling of your nasal lining and passages that leaves you congested and drippy.

“Unlike your usual allergies, you dont have an itchy nose, eyes, or throat, and you dont respond to allergy medications,” explains Clifford Bassett, MD, an allergist at New York University. Try eliminating irritants like strong odors (like perfume or household cleaners). Saline nasal sprays and rinses often bring relief, but if they dont work, ask your doctor for a steroid nasal spray.



 

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