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Although the reasons allergies develop are not known, there are some

substances that commonly cause an allergic reaction. People who have allergies

are typically allergic to one or more of the following: pet dander, bee stings or

bites from other insects, certain foods, certain medications such as penicillin

or aspirin, certain plants and pollen.

The symptoms of an allergic reaction can vary from mild to severe. If a person

is exposed to an allergen for the first time, the symptoms may get worse if he

is repeatedly exposed to the allergen. Symptoms of a mild allergic reaction

can include: hives, itching, nasal congestion (rhinitis), a rash, watery or itchy

eyes etc. Severe allergic reactions can cause other symptoms such as abdominal

cramp or pain; tightness in the chest; diarrhoea; difficulty in swallowing;

dizziness or anxiety; flushing of the face; heart palpitations; swelling of

the face, eyes or tongue; weakness; wheezing; difficulty in breathing;

unconsciousness etc.

Common Allergies – Signs,

Symptoms & Medication

T

he word Allergy means an exaggerated

response of the immune system, often

to common substances called allergens. A

substance that is foreign to the body and

causes a reaction is called an allergen.These

reactions are acquired, predictable and

rapid. Allergies can develop at any age and

there is a greater risk of developing allergic

conditions if a person has a family history

of allergy, especially in parents or siblings.

An allergy develops when the body’s

immune system reacts to an allergen as

though it is harmful, like it would an

infection. It produces a type of antibody

called Immunoglobulin E (IgE), to fight

off the allergen. When the body comes

into contact with the allergen again, IgE

antibodies are released, causing chemicals

like histamine to be produced. Together

these cause the symptoms of an allergic

reaction.

~ Dr Abhijit Bora

Dehing T.E.

JANUARY 2015 47

46 JANUARY 2015

Health is like money, we never have a true idea

of its value until we lose it.

~ Josh Billings

Types of Allergies

Medication

Sl No. Affected Organs Symptoms

1 Nose

Swelling of the nasal mucosa (allergic

rhinitis), runny nose, sneezing

2 Sinuses

Allergic Sinusitis

3 Eyes

Redness and itching of the conjunctiva

4 Airways

Sneezing, coughing, broncho-constriction,

wheezing and dyspnea, sometimes outright

attacks of asthma, in severe cases the airway

constricts due to swelling known as

laryngeal edema

5 Ears

Feeling of fullness, possibly pain and

impaired hearing due to the lack of

Eustachian tube drainage

6 Skin

Rashes, such as eczema and hives (Urticaria)

7 Gastrointestinal

Abdominal pain, bloating, vomiting,

Tract

diarrhoea

Food Allergy –

Food allergy is an

immune system reaction that occurs

soon after eating a certain food. A wide

variety of foods can cause allergic

reactions. 90% of allergic responses to

foods are caused by cow’s milk, soy, eggs, wheat,

peanuts, fish and shellfish.

Contact Allergy –

Contact allergy is also called

allergic contact dermatitis. Here patients develop

allergic reactions on the skin when it comes in direct

contact with what they are allergic to and their skin

becomes itchy and red with blister formations at the

point of contact. Examples of contact allergy are –

nickel allergy present in jewellery, buttons or

clothing; gold; Balsam of Peru – a fragrance used in

perfumes; Neomycin Sulfate – a topical

antibiotic common in first aid creams

and ointments and Formaldehyde – a

preservative found in household

cleaners, cosmetic products and fabric

finishes.

Environment Allergy –

Environment

allergy refers to an allergy to pollen,

dust mite deposits, mould, proteins or

animal dander. Allergic rhinitis,

asthma and atopic dermatitis are

common types of reactions to these allergens.

Insect Venom Allergies –

Some

people are allergic to the venom

injected into the skin during an

insect bite or sting. The more

severe and potentially life–

threatening insect allergies

include reactions to bee, hornet and wasp stings.

Allergic Rhinitis –

Allergic rhinitis is inflammation,

swelling, excessive secretions and itching within the

nose and sinusitis. Allergic

rhinitis is the result of inhaled

allergy triggers, including

dust, mould, pollen, and dog,

cat or other animal dander.

Anaphylaxis –

Anaphylaxis is a dramatic and

dangerous response by the immune system to specific

allergens. In anaphylaxis

abrupt changes affect

the person’s nervous system,

cardiovascular system and

the breathing mechanism.

Anaphylaxis can lead to

death if immediate medical

attention is not given to

counteract the reaction.

Antihistamine –

treats allergies by blocking the action

of the chemical histamine, which the body releases

when it thinks it is under attack from an allergen.

Decongestants –

help to relieve a blocked nose,

which is often caused by hay fever, a dust allergy or a

pet allergy.

Leukotriene reception antagonists –

tablets that block

the effects of leukotriene, which are chemicals released

during an allergic reaction and cause the airways to

become inflamed (swell).

Steroid sprays –

corticosteroid sprays designed to act

on the nasal lining and airways are effective in

suppressing the inflammation.

Immunotherapy –

this is a course of vaccines that

lasts for three years. It may be an option for a small

number of people who are unable to effectively

control their systems by avoiding the allergen or using

medication.

The environment is changing, technology is advancing, and our food and living habits are evolving – not always for the better.

All these changes may bring new allergens into our lives.