Northwest Arkansas Democrat-Gazette

Allergy season

- BY KAREN RICE YOU AT YOUR BEST

A risky time of year for asthma patients

Allergies can mean discomfort for asthma sufferers, both during seasonal allergy season and whenever allergens are encountere­d. For people who already have complicati­ons due to asthma, allergies can be especially problemati­c - even triggering asthmatic episodes.

Allergies and asthma happen to share a lot of traits. Unfortunat­ely, they also happen to occur together frequently. The same substances that trigger hay fever symptoms, such as pollen, dust mites and pet dander, may also cause asthma signs and symptoms. This is called allergic asthma or allergy-induced asthma. On the other hand, intrinsic asthma is triggered by various non-allergic factors like stress, cold or dry air, smoke, anxiety, viruses or infections, and more.

Allergic asthma, where allergies trigger asthma symptoms, is the most common type of asthma. Children who have allergies and also have asthma make up 80 percent of those affected. The rates are 75 percent of young adults (age 20-40) and 65 percent of those aged 55 and older who have at least one allergy and asthma.

Allergy season can be particular­ly scary for those with asthma because the chances of having an attack can be ramped up and may be more severe. Therefore, anyone who is experienci­ng allergic reactions and/ or asthma symptoms should follow this advice.

• Speak with an allergist. He or she

can check out symptoms and prescribe the right treatments. Drugs such as montelukas­t, which is a leukotrien­e modifier, can help control immune system chemicals released during an allergic reaction. It also may help alleviate asthma symptoms.

• Consider immunother­apy.

Immunother­apy involves allergy shots that can reduce sensitivit­y to the allergens over time. It might even help prevent the developmen­t of asthma in some people with seasonal allergies.

• Avoid allergy triggers. Knowing

pollen counts, cleaning a home and preventing dust mites and pet dander from accumulati­ng, and avoiding going outside or having the windows open when counts are high can help. Showering and laundering clothing after being outside can limit allergens brought into the house.

• Try anti-immunoglob­ulin E (IgE)

therapy. The Mayo Clinic says with an allergy, the body’s immune system mistakenly identifies a specific substance as something harmful and releases IgE antibodies to fight the allergen. The next time the IgE antibodies sense an allergen they will release a chemical called histamine into the bloodstrea­m. IgE-targeted medication­s block these reactions and interfere with IgE. Allergies and asthma often go hand-in-hand. Treating symptoms and avoiding triggers can help immensely.

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