ALLERGY

HOW IS ALLERGY AND PREALLERGY DIAGNOSED?

Allergies occur when your immune system reacts to a foreign substance — such as pollen, bee venom or pet dander — that doesn't cause a reaction in most people.

Your immune system produces substances known as antibodies. Some antibodies protect you from unwanted invaders that could make you sick or cause infection.

When you have allergies, your immune system makes antibodies that identify a particular allergen as harmful, even though it isn't. When you come into contact with the allergen, your immune system's reaction can inflame your skin, sinuses, airways or digestive system.

The severity of allergies varies from person to person and can range from minor irritation to anaphylaxis — a potentially life-threatening emergency. While most allergies can't be cured, a number of treatments can help relieve your allergy symptoms.

Symptoms

Allergy symptoms depend on the substance involved and can involve the airways, sinuses and nasal passages, skin, and digestive system. Allergic reactions can range from mild to severe. In some severe cases, allergies can trigger a life-threatening reaction known as anaphylaxis.

HAY FEVER also called allergic rhinitis, may cause:

  • Sneezing
  • Itching of the nose, eyes or roof of the mouth
  • Runny, stuffy nose
  • Watery, red or swollen eyes (conjunctivitis)

A FOOD ALLERGY may cause:

  • Tingling mouth Sneezing
  • Swelling of the lips, tongue, face or throat
  • Hives
  • Anaphylaxis

AN INSECT STING ALLERGY may cause:

  • A large area of swelling (edema) at the sting site
  • Itching or hives all over your body
  • Cough, chest tightness, wheezing or shortness of breath
  • Anaphylaxis

A DRUG ALLERGY may cause:

  • Hives
  • Itchy Skin
  • Rash
  • Facial Swelling
  • Wheezing
  • Anaphylaxis

ATOPIC DERMATITIS an allergic skin condition also called eczema, may cause skin to:

  • Itch
  • Redden
  • Flake or peel
Anaphylaxis

Some types of allergies, including allergies to foods and insect stings, have the potential to trigger a severe reaction known as anaphylaxis. A life-threatening medical emergency, this reaction can cause you to go into shock. Signs and symptoms of anaphylaxis include:

  • Loss of consciousness
  • A drop in blood pressure
  • Severe shortness of breath
  • Skin rash
  • Lightheadedness
  • A rapid, weak pulse
  • Nausea and vomiting
Cause

An allergy starts when your immune system mistakes a normally harmless substance for a dangerous invader. The immune system then produces antibodies that remain on the alert for that particular allergen. When you're exposed to the allergen again, these antibodies can release a number of immune system chemicals, such as histamine, that cause allergy symptoms.

Common allergy triggers include:

  • Airborne allergens, such as pollen, animal dander, dust mites and mold
  • Certain foods, particularly peanuts, tree nuts, wheat, soy, fish, shellfish, eggs and milk
  • Insect stings, such as bee stings or wasp stings
  • Medications, particularly penicillin or penicillin-based antibiotics
  • Latex or other substances you touch, which can cause allergic skin reactions
Risk factors

You may be at increased risk of developing an allergy if you:

  • HAVE A FAMILY HISTORY OF ASTHMA OR ALLERGIES. You're at increased risk of allergies if you have family members with asthma or allergies such as hay fever, hives or eczema.
  • ARE A CHILD.Children are more likely to develop an allergy than are adults. Children sometimes outgrow allergic conditions as they get older. However, it's not uncommon for allergies to go away and then come back some time later.
  • HAVE ASTHMA OR AN ALLERGIC CONDITION.Having asthma increases your risk of developing an allergy. Also, having one type of allergic condition makes you more likely to be allergic to something else.
Complications

Having an allergy increases your risk of certain other medical problems, including:

  • Anaphylaxis If you have severe allergies, you're at increased risk of this serious allergy-induced reaction. Anaphylaxis is most commonly associated with food allergy, penicillin allergy and allergy to insect venom.
  • AsthmaIf you have an allergy, you're more likely to have asthma — an immune system reaction that affects the airways and breathing. In many cases, asthma is triggered by exposure to an allergen in the environment (allergy-induced asthma).
  • Atopic dermatitis (eczema), sinusitis, and infections of the ears or lungsHYour risk of getting these conditions is higher if you have hay fever, a pet allergy or a mold allergy.
  • Fungal complications of your sinuses or your lungsYou're at increased risk of getting these conditions, known as allergic fungal sinusitis and allergic bronchopulmonary aspergillosis, if you're allergic to mold.
Prevention

Preventing allergic reactions depends on the type of allergy you have. General measures include the following:

  • Avoid known triggersEven if you're treating your allergy symptoms, try to avoid triggers. If, for instance, you're allergic to pollen, stay inside with windows and doors closed during periods when pollen is high. If you're allergic to dust mites, dust and vacuum and wash bedding often.
  • Keep a diaryWhen trying to identify what causes or worsens your allergic symptoms, track your activities and what you eat, when symptoms occur and what seems to help. This may help you and your doctor identify triggers.
  • Wear a medical alert braceletIf you've ever had a severe allergic reaction, a medical alert bracelet (or necklace) lets others know that you have a serious allergy in case you have a reaction and you're unable to communicate.
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