Wednesday, April 11, 2012

Natural Allergy Relief


Relieve Allergies the Natural Way

If spring and fall send your seasonal allergies into a spin, many experts say look to Mother Nature for relief that can be as comforting and easy as a day at the beach.
Whether it's the long-awaited change of winter into spring, or the quiet fading of summer into fall, for many folks the changing of the seasons means more than just vacation plans and a new wardrobe -- it signals the start of seasonal allergies.
Sneezing, wheezing, runny nose, and itchy, watery, red eyes -- these are just some of the symptoms that more than 35 million Americans face each year as the pollen from trees, grass, flowers, and plants makes it way into the air.
For many, relief is just a drugstore counter away -- with a wide array of traditional medications available to help. However, for an increasing number of allergy sufferers the road to relief is best paved by Mother Nature, with a variety of all-natural treatments that studies show can help -- often without many of the troubling side effects ascribed to traditional care.
"Using nature-based products can be a very useful way to handle mild allergies and a useful adjunct for more significant allergies, and there are many types of treatments you can safely try," says Mary Hardy, MD, director of integrative medicine at Cedars Sinai Medical Center in Los Angeles.
Among those generating the loudest buzz right now is the European herb butterbur (Petasites hybridus), which, says Hardy, "has had some very impressive clinical trial results."
In one study, published recently in the British Medical Journal, a group of Swiss researchers showed how just one tablet of butterbur four times daily was as effective as a popular antihistamine drug in controlling symptoms of hay fever -- without the traditional symptom of drowsiness that sometimes occurs. In a second study, presented at the 60th annual meeting of the American Academy of Allergy, Asthma, and Immunology (AAAAI), a group of British researchers put their stamp of approval on butterbur's effectiveness in quelling symptoms of grass allergy.
Other herbal supplements proving helpful, says Hardy, include freeze-dried nettles and a tonic made from the herb goldenseal, which she recommends adding to still one more natural treatment -- a saline (salt water) nasal spray.
"The saline works to wash out pollen and reduce or thin mucous -- the goldenseal has astringent and local antibacterial properties which can aid in this process," Hardy tells WebMD.
In addition to herbs, many naturopathic doctors also believe certain nutrients can be helpful in quieting seasonal symptoms. Among the most popular are grape seed extract and a flavonoid compound known as quercetin. Although both occur naturally in many foods -- and are especially abundant in red wine -- when used in supplement form they can be extremely helpful in reducing allergy symptoms, particularly in conjunction with vitamin C, says James Dillard, MD.
"There is even some evidence that quercetin may control the release of histamine and other chemicals that help initiate the allergic response," says Dillard, clinical advisor to Columbia University's Rosenthal Center for Complementary and Alternative Medicine, and assistant clinical professor at Columbia University College of Physicians and Surgeons.
Turning the focus from the medicine chest to the kitchen cabinet, you might want to try cooking up some allergy relief in the form of hot, spicy foods. The reason: Experts say the spicier the dish, the more likely it is to thin mucous secretions, which in turn can clear nasal passages. Among the most frequently recommended spices for this purpose include cayenne pepper, hot ginger, and fenugreek, as well as the traditional onion and garlic.
Interestingly, what you don't eat may be even more important than what you do eat. The reason, according to Hardy, is that food intolerance may be far more intimately entwined with seasonal allergies than we realize.
"You have to really look at your diet and cut out any foods that seem to provoke even a mild sensitivity, such as occasional hives or even stomach upset, " says Hardy. In doing so, she says, you can literally lighten the burden on your immune system, which in turn may help reduce the impact of seasonal allergic reactions.
According to New York University allergist Clifford Bassett, MD, if you suffer from ragweed or other weed pollen allergies, "you should avoid eating melon, banana, cucumber, sunflower seeds, chamomile, and any herbal supplements containing echinacea, all of which can make symptoms much worse," he says.

Seasonal Allergies From the Inside Out

If your seasonal allergies are causing you to spend more time indoors than out, you may be tempted to try an air filtration system, which many say can remove irritating dust and pollens from your personal space, and in the process improve seasonal allergies. But according to a recent report from the Agency for Health Care Research and Quality, while these sometimes-costly units may clear the air, once an allergy is in progress they don't appear to have much impact on symptoms.
What may work somewhat better, however, is donning a paper dust filter mask when outdoors in high pollen conditions.
In addition to whatever natural treatments you try on your own, you may also find significant relief visiting a practitioner of the ancient Chinese medical practice known as acupuncture. Based on the idea that stimulating points outside the body can change or initiate reactions inside, in this case treatment is thought to affect the immune system, where allergic reactions begin.
In a small but significant study of 26 hay fever patients published in the American Journal of Chinese Medicine, acupuncture reduced symptoms in all 26 -- without side effects. A second study of some 72 people totally eliminated symptoms in more than half, with just two treatments.
"Acupuncture can be particularly useful if you are suffering from multiple allergies, since it works to quiet the areas of the immune system that are overstimulated by exposure to multiple irritating factors," Dillard tells WebMD.
Though many nontraditional treatments can be extremely helpful, allergist Marianne Frieri, MD, cautions that natural doesn't always mean better -- or safer. She points out that it's possible to overdose on even the most seemingly mild preparations, and it's important to remember that almost anything in nature's pharmacy could cause a toxic reaction if you use too much.
More important, she says, is never to mix alternative treatments with traditional drugs without your doctor's approval.
"If, for example, you are taking the allergy drug Allegra -- an antihistamine -- at the same time you decide to try a natural substance with antihistaminic properties, you can end up with far too much antihistaminic activity -- which can result in some significant problems," says Frieri, chairwoman of the department of allergy and immunology at Nassau University Medical Center in East Meadow, N.Y.
In addition, both Hardy and Frieri caution that if allergies are moderate to severe, you should not self-treat -- even with seemingly benign natural products -- without checking with your allergist first. When you are ready to try some alternative care, Hardy says one key to success is starting treatment before allergy symptoms kick in. The ideal time to begin, she says, is "three weeks before allergy season is scheduled to start."
Courtesy WebMD

Monday, April 9, 2012

Spring Time Seasonal Allergies and Children

By Vincent Iannelli, M.D., About.com


Allergic rhinitis, or hay fever, is a common problem in infants and children. The most common symptoms include a stuffy or runny nose with clear drainage, sneezing, itchy eyes and nose, sore throat, throat clearing and a cough that may be worse at night and in the morning. These symptoms usually occur during certain times of the year for people with seasonal allergies, corresponding to being exposed to outdoor allergens, such as tree pollens, grasses and weeds. Other people may have perennial allergies, with problems occurring year round from exposure to indoor allergens, such as dust mites, pets, second hand smoke and molds.
Other signs of having allergic rhinitis include the 'allergic salute,' a common habit of children which consists of rubbing their nose upward. This is usually because the nose is itchy and this practice can lead to a small crease in the skin of the lower part of the nose. Children with allergic rhinitis also commonly have 'allergic shiners,' which are dark circles under the eyes caused by nasal congestion.
Allergic rhinitis does run in certain families and are more common in children that have asthma or eczema. It is also more common in children that are exposed to second hand smoke, air pollution and pets.
Having uncontrolled allergies can put your child at risk for getting a secondary sinus infection, ear infections, and for having poor concentration at school. It can also make asthma symptoms worse.
The best treatment for allergic rhinitis is to avoid what your child is allergic to by following prevention and environmental controls. For seasonal allergies, this includes keeping windows closed in the car and at home to avoid exposure to pollens and limit outdoor activities when pollen counts are highest (early morning for tree pollen in the spring, afternoon and early evening for grasses in the summer, and midday for ragweed in the fall).
The medications that are used to control the symptoms of allergic rhinitis include decongestants, antihistamines and steroids. If symptoms are mild, you can use over the counter medications as needed. Avoid using topical decongestants (such as Afrin) for more than 3-5 days at a time or frequent use of over the counter allergy medicines with antihistamines, as they can cause drowsiness and poor performance in school.
Prescription allergy medications include the newer, non-sedating antihistamines, such as Claritin and Zyrtec (usual dose is 1-2 teaspoons or 1 pill once a day), and topical steroids, such as Nasonex, Flonase, and Nasacort Aqua (usual dose is 1-2 squirts in each nostril once each day). If your child's symptoms are well controlled, then you can decrease the dose of the nasal steroid that you are using for 1-2 weeks and then consider trying your child off of it and see how they do. Continue the antihistamine for 1-2 months or until your child's allergy season is over. Allegra is another antihistamine that is commonly used in older children because it is only available in a pill form.
To be effective, your child should be using these medications every day. They will not work as well if just used on an as needed basis. They are in general very safe with few side effects, but the nasal steroids have been associated with growth suppression when used in high doses. This is however rare, and your pediatrician will monitor your child's growth to make sure this does not happen.
If your child's symptoms are not improving with the combination of the antihistamine and steroid, then we may also use a decongestant, such as Sudafed, AH-CHEW D, or as a combination (Claritin D).
For seasonal allergies, it is best to start using these medications just before your child's season begins and then continue the medicines every day all through the season. For perennial allergies, your child may need to take these medicines year round.
Your child may also benefit from nasal irrigations using saline nose drops 1-3 times a day. This will help the sinuses drain.
If your child does not improve with these interventions, then we will consider having him see an allergy specialist for skin testing to figure out what he is allergic to and to possibly start immunotherapy injections (allergy shots).
See our guide to Allergies and Children for more information.

Sunday, April 8, 2012


~ SUNDAY INSPIRATION ~


“Autists are the ultimate square pegs, and the problem with pounding a square peg into a round hole is not that the hammering is hard work. It's that you're destroying the peg.” 
 Paul Collins