What is good for allergies on face
American Academy of Allergy, Asthma, and Immunology
This academy’s website provides valuable information to assist readers determine the difference between colds, allergies, and sinusitis. A primer guide on sinusitis also provides more specific information about the chronic version of the illness.
Additional resources include a «virtual allergist» that helps you to review your symptoms, as well as a database on pollen counts.
American College of Allergy, Asthma, and Immunology (ACAAI)
In addition to providing a comprehensive guide on sinus infections, the ACAAI website also contains a wealth of information on allergies, asthma, and immunology. The site’s useful tools include a symptom checker, a way to search for an allergist in your area, and a function that allows you to ask an allergist questions about your symptoms.
Asthma and Allergy Foundation of America (AAFA)
For allergy sufferers, the AAFA website contains an easy-to-understand primer on sinusitis.
It also provides comprehensive information on various types of allergies, including those with risk factors for sinusitis.
Centers for Disease Control and Prevention (CDC)
The CDC website provides basic information on sinus infections and other respiratory illnesses, such as common colds, bronchitis, ear infections, flu, and sore throat. It offers guidance on how to get symptom relief for those illnesses, as well as preventative tips on practicing good hand hygiene, and a recommended immunization schedule.
U.S. National Library of Medicine
National Library of Medicine is the world’s largest biomedical library. As part of the National Institutes of Health, their website provides the basics on sinus infection. It also contains a number of links to join you with more information on treatments, diagnostic procedures, and related issues.
What is an allergy?
Your immune system plays a key role in helping you to remain well by looking out for foreign invaders and reacting to fight against them.
Sometimes the immune system can react to otherwise harmless substances.
This is known as an allergic reaction.
When you own an allergic reaction, the immune system releases chemicals in the blood meant to fend off foreign substances. These chemicals cause the characteristic symptoms of itching, sneezing, redness, runny nose, and watery eyes – depending on the substance to which you’re allergic.
Why is skin testing important?
Information from your skin test helps Dr. Rafiquddin develop a treatment plan to manage your symptoms.
Treatment approaches include medications to ease and control symptoms and making changes to avoid the substance(s) to which you own an allergy. Allergy shots (immunotherapy) are a treatment option for numerous allergies as well.
Dr. Rafiquddin uses skin testing to assist diagnose various allergic conditions, including:
- Food allergies
- Certain drug allergies
- Allergic asthma
- Allergic rhinitis
- Latex allergy
Safety of skin testing
In general, allergy skin tests are most dependable for diagnosing allergies to airborne substances, such as pollen, pet dander, and dust mites.
Skin testing may assist diagnose food allergies, but hold in mind that food allergies can be complicated and require additional testing.
Skin tests are generally safe for adults and children of every ages. However, skin testing isn’t appropriate for everyone. Dr. Rafiquddin may advise against skin testing if you:
- Have certain skin conditions that make skin testing less effective.
- Have had a severe allergic reaction in the past.
- Take medications love antidepressants or heartburn medications that may interfere with skin testing results.
In the event that skin testing is inappropriate, blood tests can be useful in getting to the bottom of your symptoms so that appropriate treatment can begin.
What you can expect
When you visit Dr.
Rafiquddin at Allergy Relief Clinics, you can expect testing to take up to 40 minutes. Skin testing detects immediate allergic reactions that develop within minutes of allergen exposure. Dr. Rafiquddin may recommend additional tests to detect delayed allergic reactions. These develop over several days of allergen exposure. The test is not painful. A nurse practitioner lightly scratches the skin with a suspected allergen and waits to see if you own a reaction.
If you are allergic to one of the substances tested, you’ll develop a raised, red, itchy bump (wheal) that may glance love a mosquito bite.
A nurse will then measure the bump’s size.
A positive skin test means that you may be allergic to a specific substance. Bigger wheels generally indicate a greater degree of sensitivity. A negative skin test means that you probably aren’t allergic to a specific allergen.
Keep in mind, skin tests aren’t always precise. It’s possible to own a untrue positive or untrue negative when you’re exposed to a suspected allergen.
To study more about skin testing and allergy treatment at Allergy Relief Clinics contact our Richardson, Texas clinic to schedule an appointment with Dr.
Rafiquddin, or book here online.
Colonization with the Staphylococcus aureus bacterium was significantly and independently associated with food allergy in young children with eczema enrolled in a pivotal peanut allergy prevention study.
is a marker for severe eczema, and early eczema is a widely recognized risk factor for developing food allergies in young children.
But the findings from the Learning Early About Peanut Allergy (LEAP) study cohort show that even after controlling for eczema severity, skin S. aureus positivity was associated with an increased risk for developing allergies to peanuts, eggs, and cow’s milk.
aureus colonization was also associated with persistent egg allergy until at least age 5 or 6 years in the LEAP cohort analysis in the Journal of Allergy and Clinical Immunology.
The lead researcher, Olympia Tsilochristou, MD, of Kings College London, said in a press statement that the findings could assist explain why young children with eczema own a extremely high risk for developing food allergies. While the exact mechanisms linking the two are not known, «our results propose that the bacteria Staphylococcus aureus could be an significant factor contributing to this outcome,» she said.
The findings also propose that S.
aureus colonization may inhibit peanut tolerance among at-risk infants when peanuts are introduced extremely early in life.
Among the nine participants in the peanut-consumption arm of the study (i.e., no peanut allergy at baseline) who had confirmed peanut allergy at 60 and 72 months, every but one were colonized with S. aureus at one or more LEAP study visits.
«The fact that S. aureus was associated with greater risk of peanut allergy among peanut consumers but not peanut avoiders further suggests that peanut consumption was less effective in the prevention of peanut allergy among participants with S.
aureus compared with those with no S. aureus,» the researchers wrote.
The LEAP study enrolled infants ages months with severe eczema, egg allergy, or both. The babies were randomized to therapeutic peanut consumption or peanut avoidance, and every had eczema clinical evaluation and culture of skin and nasal swabs at baseline.
The follow-up LEAP-On study assessed the children at age 72 months, after 12 months of peanut avoidance in both groups.
Skin and nasal swabs were obtained at baseline and at age 12, 30, and 60 months. A entire of % of the participants had some form of S. aureus colonization (% skin and % nasal) on at least one LEAP study visit, with most having just one positive test result.
The greatest rates of colonization were recorded at months of age.
S. aureus colonization was significantly associated with eczema severity, along with hen’s egg white and peanut specific immunoglobulin (sIg)E production at any LEAP visit. But even after controlling for eczema severity, hen’s egg white and peanut sIgE levels at each LEAP and LEAP-On visit were significantly associated with skin S. aureus positivity, the team noted.
«This relationship was even stronger when we looked into high-level hen’s egg white and peanut sIgE production,» the researchers wrote. «Similar findings were noted for cow’s milk, where high-level sIgE production to milk at 30, 60, and 72 months of age was related to any skin S.
aureus colonization. Together, these data propose that S.
aureus is associated with hen’s egg, peanut, and cow’s milk allergy.»
In the LEAP study, extremely early peanut consumption was found to reduce the risk of peanut allergy at 60 months in infants at high risk for developing the allergy, but infants in the consumption arm of the study with S. aureus colonization were approximately seven and four times more likely to own confirmed peanut allergy at 60 and 72 months, the team said.
Study strengths, Tsilochristou and co-authors noted, included the rigorous design; a limitation was the reliance on bacteriological culture to identify S.
aureus colonization rather than using DNA-based testing.
«S. aureus has been implicated in the development and severity of atopic diseases, namely eczema, allergic rhinitis, and asthma; our findings extend these observations to the development of food allergy independent of eczema severity,» the investigators concluded.
«The role of S. aureus as a potential environmental factor should be considered in future interventions aimed at inducing and maintaining tolerance to food allergens in eczematous infants. Further prospective longitudinal studies measuring S.
aureus with more advanced techniques and interventional studies eradicating S.
aureus in early infancy will assist elucidate its role in the development of eczema or food allergy,» the team wrote.
How to Stay Healthy, Breathe Easier, and Feel Energetic This Winter
Indoor allergies, freezing weather, less sunlight — winter can make it hard to stay well mentally and physically. Discover out how to protect yourself against seasonal allergies, the winter blahs, freezing winds, comfort-eating traps, and fatigue this year.
Learn More About the Ultimate Winter Wellness Guide
Sinusitis can be a confusing thing to treat for anyone.
Because a sinus infection can be so easily confused with a common freezing or an allergy, figuring out the best way to alleviate your symptoms can be difficult.
Even more challenging, a sinus infection can evolve over time from a viral infection to a bacterial infection, or even from a short-term acute infection to a long-term chronic illness.
We own provided for you the best sources of information on sinus infections to assist you rapidly define your ailment and get the best and most efficient treatment possible.
To discover out what allergens affect you, Dr.
Rafiquddin conducts a simple, painless test known as a skin prick test. This involves pricking your skin with a little quantity of suspected allergy-causing substances and waiting about 20 minutes for signs of an allergic reaction.
Favorite Resources for Finding a Specialist
American Rhinologic Society
Through research, education, and advocacy, the American Rhinologic Society is devoted to serving patients with nose, sinus, and skull base disorders. Their website’s thorough coverage of sinus-related issues includes rarer conditions, such as fungal sinusitis, which are often excluded from other informational sites.
It also provides a valuable search tool to discover a doctor, as well as links to other medical societies and resources that are useful for patients.
Their website contains an exhaustive guide on sinusitis and an easy-to-use «Find a Doctor» search tool.
ENThealth provides useful information on how the ear, nose, and throat (ENT) are all connected, along with information about sinusitis and other related illnesses and symptoms, such as rhinitis, deviated septum, and postnasal drip.
As part of the American Academy of Otolaryngology — Head and Neck Surgery, this website is equipped with the ability to assist you discover an ENT specialist in your area.
In most cases, people with allergies develop mild to moderate symptoms, such as watery eyes, a runny nose or a rash. But sometimes, exposure to an allergen can cause a life-threatening allergic reaction known as anaphylaxis.
This severe reaction happens when an over-release of chemicals puts the person into shock. Allergies to food, insect stings, medications and latex are most frequently associated with anaphylaxis.
A second anaphylactic reaction, known as a biphasic reaction, can happen as endless as 12 hours after the initial reaction.
Call and get to the nearest emergency facility at the first sign of anaphylaxis, even if you own already istered epinephrine, the drug used to treat severe allergic reactions.
Just because an allergic person has never had an anaphylactic reaction in the past to an offending allergen, doesn’t mean that one won’t happen in the future. If you own had an anaphylactic reaction in the past, you are at risk of future reactions.
One of the most common medical complaints that we see in our office is dogs with skin infections, “hot spots”, or allergic dermatitis, also known as atopic (atopy) dermatitis.
Unlike people who react to allergens most commonly with nasal symptoms and/or hives, dogs react with skin and/or gastrointestinal problems.
This is because there are a higher proportion of mast cells, which release histamines and other vasoactive substances in the face of an allergic challenge, in the skin of dogs. These problems may range from poor jacket texture or hair length, to itching and chewing, to boiling spots and self-mutilation, gastrointestinal pain and discomfort, diarrhea, and flatulence. Allergies may also frolic a part in chronic ear infections.
The most common causes of canine allergic dermatitis are flea allergy, food allergy, inhalant or contact allergy, and allergy to the normal bacterial flora and yeast organisms of the skin. To make matters more hard to diagnose and treat, thyroid disease may add to the problem as well.
Canine atopic dermatitis (allergic dermatitis, canine atopy) is an inherited predisposition to develop allergic symptoms following repeated exposure to some otherwise harmless substance, an “allergen”. Most dogs start to show their allergic signs between 1 and 3 years of age. Due to the hereditary nature of the disease, several breeds, including Golden Retrievers, most terriers, Irish Setters, Lhasa Apsos, Dalmatians, Bulldogs, and Ancient English Sheep dogs are more commonly atopic, but numerous dogs, including mixed breed dogs can own atopic dermatitis.
Atopic animals will generally rub, lick, chew, bite, or scratch at their feet, flanks, ears, armpits, or groin, causing patchy or inconsistent hair loss and reddening and thickening of the skin.
The skin itself may be dry and crusty or oily depending upon the dog. Dogs may also rub their face on the carpet; ear flaps may become red and boiling. Because the wax-producing glands of the ear overproduce as a response to the allergy, they get bacterial and yeast (Malassezia ) infections of the ear.
In order to overcome these frustrating symptoms, your veterinarian’s approach needs to be thorough and systematic. Shortcuts generally will not produce results and only add to owner frustration and canine discomfort.
Inhalant and Contact Allergies
Substances that can cause an allergic reaction in dogs are much the same as those that cause reactions in people including the pollens of grasses, trees and weeds, dust mites, and molds.
A clue to diagnosing these allergies is to glance at the timing of the reaction. Does it happen year round? This may be mold or dust. If the reaction is seasonal, pollens may be the culprit.
Numerous people don’t suspect food allergies as the cause of their dog’s itching because their pet has been fed the same food every its life and has just recently started having symptoms. However, animals can develop allergies to a substance over time, so this fact does not law out food allergies. Another common misconception is that dogs are only sensitive to poor quality food.
If the dog is allergic to an ingredient, it doesn’t matter whether it is in premium food or the most inexpensive brand on the market. One advantage to premium foods is that some avoid common fillers that are often implicated in allergic reactions.
This type of reaction generally is not to the flea itself, but rather to proteins in its saliva. Interestingly enough, the dogs most prone to this problem are not dogs who are constantly flea ridden, but those who are exposed only occasionally! A single bite can cause a reaction for five to seven days, so you don’t need a lot of fleas to own a miserable dog.
Bacterial hypersensitivity occurs when a dog’s immune system overreacts to the normal Staphylococcus (Staph) bacteria on its skin.
It appears that bacterial hypersensitivity in the dog is more likely to happen if other conditions such as hypothyroidism, inhalant allergy, and/or flea allergy are concurrently present. Bacterial hypersensitivity is diagnosed through bacterial culture and examination of a biopsy sample. Microscopically, there are certain unique changes in the blood vessels of the skin in bacterial hypersensitivity.
Allergy testing is the best diagnostic tool and the best road to treatment for dogs that are suffering from moderate and severe allergies. There are several diverse testing methods available.
The most common is a blood test that checks for antigen induced antibodies in the dog’s blood. Intradermal skin testing may also be performed. In this method of testing, a little quantity of antigen is injected into a shaved portion of the dog’s skin. This is done in a specific pattern and order so that if the dog shows a little raised reaction, the offending antigen can be identified. After a period of time (hours), the shaved area is examined to detect which antigens, if any, created a reaction. Allergy testing is performed to develop a specific therapy for the allergic animal.
Numerous medicated shampoos own compounds in them that are aimed at soothing injured skin and calming inflammation.
In addition, frequent bathing (weekly to every other week) of the dog can remove allergens from the hair jacket, which may contribute to skin allergy flare-ups. The medicated baths we recommend are those that actually contain antimicrobial and antifungal agents as well as ingredients that permit the skin to be bathed on a more frequent basis without drying it out. Application of a rinse afterwards also helps to prevent drying out of the skin and hair coat.
Antihistamines can be used with excellent safety in dogs.
About one third of owners report success with antihistamines. These medications tend to own a variable effect between dogs. For some allergic dogs, antihistamines work extremely well in controlling symptoms of allergic skin disease. For other dogs, extremely little effect is seen. Therefore, a minimum of three diverse types of antihistamines should be tried before owners give up on this therapy. Examples of antihistamines commonly used for dogs include Benadryl, Chlortrimeton, Atarax, Claritin, Zyrtec, and Clemastine. However, antihistamines are considered to be worth trying in most cases since the side effects associated with antihistamines is low, and they are typically inexpensive medications.
Antibiotics and Antifungal Medications
Antibiotics are frequently needed to treat secondary skin infections.
Anti-fungal medications are frequently needed to treat secondary yeast infections.
For dogs with this problem, a strict flea control regime must be maintained. The best flea control options include the use of products such as Advantage, Revolution, Frontline, Comfortis, and Sentinel.
The Omega-3 and Omega-6 essential fatty acid supplements work by improving the overall health of the skin. These fatty acids are natural anti-inflammatory and anti-oxidative agents. They reportedly are helpful in 20% of allergic dogs. My own experience puts this figure a little higher. They are certainly worth a attempt because they are not harmful and own virtually no side effects.
Omega-3 fatty acids are found in fish oils and omega-6 fatty acids are derived from plants containing gamma-linolenic acid (GLA). These supplements are diverse from those sold to produce a glossy jacket. Products that contain both omega-3 and omega-6 fatty acids include Allergen Caps and Halo.
Allergies develop through exposure, so most hypoallergenic diets incorporate proteins and carbohydrates that your dog has never had before. As mentioned previously, the quickest and best way to determine which foods your dog may or may not be allergic to is through diagnostic allergy testing. As dairy, beef, and wheat are responsible for 80% of food allergies in dogs, these items should be avoided.
Novel protein sources used in hypoallergenic diets include venison, egg, duck, kangaroo, and types of fish not generally found in pet food. Carbohydrate sources include potatoes, peas, yams, sweet potatoes, and canned pumpkin.
Hydrolyzed protein diets are diets in which the protein source has been synthetically reduced to little fragments. The theory behind feeding a hydrolyzed protein source is that the proteins in the food should be little enough that the allergic dog’s immune system will not recognize the protein fragments and will not mount an immune response resulting in an allergy.
Most pets with food allergies reply well when switched to a store-bought hypoallergenic diet, but occasionally an animal suffers from such extreme allergies that a homemade diet is the only option.
In this case, the diet should be customized with the aid of a veterinarian.
Corticosteroids and Immunosuppressive Agents
Cortisone products such as prednisone, prednisolone, and dexamethasone reduce itching by reducing inflammation. These medications are not without side effects, so they need to be used judiciously in treating skin allergies. Steroids should be considered only when the allergy season is short, the quantity of drug required is little, or to relieve a dog in extreme discomfort. Side effects can include increased thirst and appetite, increased need to urinate, and behavioral changes. Long-term use can result in diabetes and decreased resistance to infection.
In some dogs, endless term, low-dose alternate day therapy is the only management protocol that successfully controls the atopic pet. This protocol should be used only as a final resort after every other methods own been exhausted to avoid the potential long-term complications of the medication.
Cyclosporine (Atopica) is a medication, which seems to be fairly effective at reducing the inflammation associated with skin allergies and calming the immune system of the affected dog. However, the pricing of cyclosporine may be prohibitive for larger breed dogs.
Allergy shots are extremely safe, and numerous people own grand success with them; however, they are extremely slow to work.
It may be six to twelve months before improvement is seen. Once the allergens for the dog are identified, an appropriate immunotherapy is manufactured for that specific dog, and treatment can start. After the offending antigens are identified, then a mixture of these antigens can be formulated into a hyposensitizing injection. Depending on the type of agents used, these injections will be given over a period of weeks to months until the dog or cat develops immunity to the agents. After initial protection, an occasional booster may own to be given.
If you know which substances your dog is allergic to, avoidance is the best method of control.
Even if you are desensitizing the dog with allergy shots, it is best to avoid the allergen altogether. Molds can be reduced by using a dehumidifier or placing activated charcoal on top of the exposed dirt in your home plants. Dusts and pollens are best controlled by using an air cleaner with a HEPA filter. Air conditioning can also reduce circulating amounts of airborne allergens because windows are then kept closed.
Healthy skin and a normal hair jacket are the results of numerous factors, both external and internal.
There are several glands in the body responsible for the production of hormones that are vital for the regulation of other body functions as well as a normal skin surface and hair jacket. Hypothyroidism may result in poor skin and hair jacket, including hair loss or abnormal hair turnover, dull or brittle hair, altered pigmentation, and oily or dry skin. A blood test is a simplest and most direct way to tell if your dog is hypothyroid. Thyroid testing may include every or part of the following:
Baseline T4 Test or Entire T4 (TT4): This is the most common test. Dogs with a failure of the thyroid gland will own a lowered level of the T4 hormone.
However, there are other conditions that can cause the T4 to decrease, so if this test comes back positive for hypothyroidism your vet should recommend an additional blood test, either the T3 Test or the Baseline TSH test.
Baseline TSH Test: Measures the level of Thyroid Stimulating Hormone. In combination with the T4 or T3 test, it provides a more finish picture of the hormonal activity of your dog’s thyroid gland.
Free T4 by RIA (radio immunoassay): The Free T4 test using RIA techniques does not appear to be more or less precise than the above TT4 test.
Free T4 by ED (equilibrium dialysis): This test may provide more precise data on the level of T4 hormone in your dog’s bloodstream.
Baseline T3 Test: In combination with the T4 or TSH test, these two blood tests can give a clearer picture of the hormone levels found in the bloodstream.
This test is not dependable when used alone. The T3 Test should always be given in combination with one of the other blood tests.
TSH Response Test: In this test, the veterinarian takes an initial measurement of the thyroid hormones in your dog’s bloodstream and then injects Thyroid Stimulating Hormone (TSH) into the vein. After 6 hours, a blood sample is drawn and the level of T4 is checked. If your dog has hypothyroidism, the level of T4 will not increase even after the TSH is injected. This is an expensive test and is being used less often due to decreased production by the manufacturers.
Hypothyroidism is treated with a daily dose of synthetic thyroid hormone called thyroxine (levothyroxine).
Blood samples will need to be drawn periodically to assess the effectiveness of the dosage and make any adjustments necessary.
Successful management of the atopic, allergic dog is sometimes complicated and frustrating because multi-modal management is necessary in the majority of cases to control the allergic flare-ups. Proper diagnosis by a veterinarian and owner compliance and follow up care is essential to maximize the chances of curing or at least controlling the severely affected allergy patient.