Category: <span>The Jacksonville AllerGIST!</span>

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Alexander Fleming first stumbled on penicillin as he grew bacteria in culture dishes in his London lab during September of 1928. Mold accidentally grew in the dishes and he noticed the mold had developed clear areas around itself where the bacteria could not grow. His discovery, and the subsequent scientific initiatives that allowed penicillin to be made widely available, is known as one of the greatest advancements in modern medicine.

Before the availability of penicillin, many bacterial infections were simply untreatable. People with life-threatening blood poisoning from a simple cut would be cared for in a hospital with little more than a “wait and see” approach. Today, penicillin comes in many forms and is still widely used to combat a range of bacterial infections. But in recent years, more and more patients have reported symptoms of penicillin allergies. In fact, according to the CDC, some 10% of patients in the U.S. report having had an allergic reaction to penicillin.

Read on as we explore how and why people develop allergies, proper identification, and what you can do to treat and prevent reactions.

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It’s back-to-school time again, and if you’re the parent of a child in Jacksonville who suffers with allergies or asthma, it can also be a stressful time.

Food allergies affect approximately one in 13 kids. That means that in the average classroom, there are about two students who are coping with some form of food allergy. Of these students, nearly 40 percent have a history of severe allergic reactions or anaphylaxis. Parents, teachers, and school officials need to be aware of the potentially life-threatening situations that can arise and be ready to handle them should they strike.

Here, our board-certified allergists offer advice and resources for allergy- and asthma-sensitive kids and back-to-school preparedness.

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At Allergy & Asthma Specialists of North Florida, we have a lot of patients come through our doors who are desperate for relief from their chronic pet-allergy symptoms but who are also distraught over the prospect of losing their furry best friends. Many allergy sufferers believe that the only way to be free of allergies is to sterilize their homes and live in a sort of bubble-type environment, devoid of any contact with pets. While it is true that some people with severe allergic disease may be required to remove animals from their home, our allergy specialists can work with you to develop a strategy that eases your allergy symptoms and may also allow you to keep your furry friends.

Read on for some easy tips to start reducing your allergy symptoms.

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With spring in full swing and summer on the way, we get to enjoy the benefits warmer weather and longer days. But with warmer weather comes allergies for many people. Even if you’ve never had allergies in the past, it’s possible to develop allergies as an adult. Adult-onset allergies, such as hay fever or food allergies, often appear in your twenties or thirties but can come on at any age. If you have dealt with a runny nose, scratchy throat, or continuous cold this spring, don’t count out spring allergies.

What Are Allergies?

Allergies develop when your immune system mistakes an otherwise harmless substance as a threat. Common allergens include pollen, animal dander, dust, mold, and food. When an allergen enters your body, your immune system cells release chemicals, such as histamines, which attack the allergen and cause allergy symptoms.

Common allergy symptoms include:

• Itchy, runny nose
• Itchy, watery eyes
• Congestion
• Skin irritation
• Digestive system issues

Symptoms can range from mild to severe and in some cases, can cause anaphylaxis, a life-threatening allergic condition.

Why Am I Getting Allergies Now?

The exact reason for adult-onset allergies is hard to pinpoint as experts still don’t know exactly what triggers it. What we do know is allergies, such as allergic rhinitis (hay fever), are increasing rapidly in the U.S. and around the world.

Theories as to why increases in allergies are occurring include:

• High concentrations of airborne pollutants
• Diets
• Less ventilation in offices or homes
• Sedentary lifestyles

Another popular theory is the hygiene hypothesis which states a sanitary environment without exposure to bacteria increases the susceptibility to allergies. Sanity environments could be suppressing the natural development of our immune systems. With our homes and food being much cleaner than past generations, our immune systems may not be seeing the repertoire of environmental substances needed to develop a tolerance, so they overreact to allergens.

Am I at Risk?

If you had allergy symptoms as a baby or toddler (e.g., food allergy), they may fade during the teen years and return as an adult. However, this isn’t the case for all. Some people experience allergies for the first time as adults. As we age, our immune systems change too. Experiencing an illness, getting a pet, being pregnant, or moving to a new location with different allergens may launch an immune response and the development of allergies.

Managing Your Adult-Onset Allergy Symptoms

While no one likes the idea of developing allergies late in life, there are plenty of ways to cope with them and treat them. First, see an allergist for proper diagnosis of an allergen and to discuss proper treatment options for the type of allergen. Management may include avoiding the allergen, taking antihistamines, or immunotherapy (allergy shots) which is a way to retrain your immune system to stop reacting to allergens. Some allergies, such as food allergies or insect venom allergies, can be more serious than others. Be sure to discuss with your allergist the best options for managing and treating your specific allergies.

While allergies can be unpleasant no matter the age, the board certified allergists at the Allergy & Asthma Specialists of North Florida are here to help. Schedule an appointment today for allergy testing and to set up a treatment plan.

The benefits of living in Florida are plentiful. Sunny days, beautiful plants, and warm temperatures are all a part of daily life in the sunshine state. The only downside to such a warm, welcoming climate are the allergies that many residents deal with throughout the year.

Florida grasses, such as Bahia, Bermuda, and Johnson grasses, are significant allergy culprits in the spring and summer months. Long summers cause grasses to grow longer and produce pollen which results in prolonged exposure grass allergens.

Grass pollen allergies typically cause itchy and watery eyes, a runny nose, scratchy throat, nasal congestion, fatigue, and even asthma attacks in severe cases. The symptoms can appear similar to colds and the flu that many may confuse allergy symptoms with a viral illness.

10 Tips to Reduce Grass Allergy Symptoms

While grass allergy season happens every year, it doesn’t mean you should be miserable. Use the following tips for dealing with grass allergies so you can enjoy life as normal this spring.

1. Schedule an appointment with your allergist as soon as possible. Don’t try to tough it out. An allergist can recommend the most optimal medications or other allergy treatments such as immunotherapy (allergy shots) so you don’t have to suffer all summer long. Don’t wait until the symptoms start, schedule your appointment early.
2. Download an allergy app or check the pollen forecast daily. On days with high pollen counts, enjoy indoor activities such as going to a movie or wandering around the mall. Warm days typically result in higher pollen counts. Damp or wet days hold pollen to the ground and are better days to enjoy the outdoors.
3. Keep grasses in your yard short. The shorter your lawn is, the less pollen will likely be released into the air.
4. Delegate yard work duties. If you suffer from grass allergies, mowing your lawn or doing yard work increases your pollen exposure. Delegate these tasks to another family member or hire a yard crew. If you must do the work yourself, wear an N95 protective mask and take an antihistamine beforehand.
5. Change your clothes after being outside. Don’t risk bringing pollen indoors on your clothes and wash your clothes often.
6. Clean your children and pets. Wash the clothes of babies and toddlers often to avoid inhaling pollen they pick up. Also, wipe down your pets and bath them often during the spring and summer to keep them from bringing pollen indoors.
7. Dress children appropriately. If your child suffers from grass allergies and will be playing on the grass, dress them in cool but long pants and sleeves to avoid contact as much as possible.
8. Avoid hanging clothes out to dry outside. While the fresh smell and economic benefits of hang drying your laundry may be preferred, it exposes your clean clothes to pollen. Dry your clothes indoors during the spring and summer months in the dryer or on a hanging rack.
9. Keep the windows shut. A breeze is nice, but not on days with high pollen counts. Keep your home cool by closing blinds or drapes and using air conditioning.
10. Clean the air in your home. To ensure you have clean air in your home each day, change your HVAC air filter every three months. It may also be beneficial to invest in a HEPA filter air purifier to reduce the allergens in your home.

Don’t let spring and summer grass allergies get the best of you. Schedule an appointment with an allergist at the Allergy & Asthma Specialists of North Florida today.

Exercise is important for everyone (including people with asthma) to maintain a strong, healthy body. Regular exercise is one of the body’s strongest defenses against disease. Yet people with asthma can often experience asthma episodes when they exercise.

Don’t let your asthma be an excuse to skip a workout. With proper prevention and management, you should be able to exercise without asthma symptoms.

What Is Exercise-Induced Bronchoconstriction (Asthma)?

Exercise can cause shortness of breath for anyone. But for some people,  the airways in the lungs abruptly narrow in response to strenuous exercise and this called exercise-induced bronchoconstriction (EIB), commonly known as exercise-induced asthma. Nearly 90% of people who suffer from asthma will experience EIB during exercise, but not everyone with EIB has asthma.

Symptoms of exercise induced bronchospasm include the following during exercise:

• Shortness of breath
• Wheezing and coughing
• Tightness in chest
• Decreased endurance

Symptoms usually begin during exercise and can get worse 5-10 minutes into your workout. The symptoms can range from mild to severe and typically resolve within 20-30 minutes with rest.

What Causes EIB?

When you exercise, your breath deepens and you breathe faster because your body needs more oxygen. It’s common to inhale through your mouth drawing in dry or cool air, the main trigger for narrowing airways. When you’re exposed to cold, dry air during exercise, you’re more likely to develop asthma symptoms than you would with warm, humid air. Other triggers can include high pollen levels and other airborne irritants such as smoke or strong fumes.

How to Diagnose EIB

An allergist can help determine whether your symptoms are induced by exercise alone or if you are reacting to other irritants or allergens in the air. During the examination, your allergist will ask questions about your history including if any relatives have asthma. Your doctor may have you do a series of tests to measure your breathing and lung function before, during, and after exercise.

Treatment and Management of EIB

After a diagnosis, your doctor will help you create a plan to prevent asthma symptoms during physical activity. They will also inform you of what to do if you experience an asthma episode during exercise.

Proper management of EIB may include:

• Preventing symptoms by covering your nose and mouth with a scarf when exercising in cold, dry weather
• Taking medication recommended by your doctor before exercising
• Doing a proper warm-up for up to 10 minutes before vigorous activity
• Watching your respiratory status before, during, and after exercise

If your children have EIB, be sure to inform teachers and coaches. Most children can still participate in activities but may need to take medication beforehand.

Consult with your allergist or health provider before starting an exercise program. With proper management, you can still perform well and excel in a variety of sports.

Activities likely to trigger EIB:

• Skiing
• Ice skating
• Ice hockey
• Snowboarding
• Soccer
• Long distance running

Activities that may be less likely to trigger EIB:

• Volleyball
• Baseball
• Gymnastics
• Walking
• Hiking
• Swimming in warm water

Common Medications for EIB

Your allergist may prescribe one of the following types of medications to prevent exercise-induced asthma.

• Short-acting beta-agonists / bronchodilator: When taken 10-15 minutes before exercise, this medication can prevent symptoms. This can also treat symptoms of EIB if they occur.
• Long-acting beta-agonists / bronchodilator: This medication only prevents symptoms and does not offer quick relief once symptoms start. It must be taken 30-60 minutes before an activity and can only be used once in a 12-hour period. It can help prevent EIB symptoms for 10-12 hours.
• Leukotriene inhibitor: This medication is a pill and is typically taken at least 2 hours before exercise and is effective at preventing EIB symptoms for up to 24 hours. There is some evidence that this medication may be more effective than long acting bronchodilators for prevention of EIB symptoms.

If you or your child have EIB, don’t let this keep you from enjoying exercise. Consult with an allergist at The Allergy and Asthma Specialists of North Florida to begin a treatment plan.

Across the country, families are counting down to spring break to enjoy some much-needed rest and relaxation while the kids are out of school. Yet, springtime can also be the worst time of the year for allergies.

Before you head out on your spring break adventures, keep these travel tips in mind so both you and your kids can enjoy a fun and relaxing spring break.

Choose a Proper Destination

Your vacation destination can be key. Certain locations may make your or your child’s allergies even worse. Locations with lush vegetation and pollen-producing plants are more likely to keep you sniffling and sneezing all week long. Popular allergy friendly locations include the desert, beaches, snowy locations, and cruises.

Schedule an Appointment with an Allergist Before You Go

Allergies can come at any age. An allergist can tell you exactly what allergens you or your child is allergic to through allergy testing. These tests are typically conducted as skin tests or blood tests. Skin tests are most common and involve testing an area on the back or forearm. If your child allergic to an allergen, they may briefly experience a small hive at the test spot.

Blood tests are also helpful and may be used as a confirmatory test or when certain medical conditions prevent allergy skin testing. Once you receive a diagnosis, your allergist can recommend the most optimal treatment plan to reduce symptoms.

Start Allergy Medications Before Symptoms Start

The key to making it through allergy season unscathed is by starting allergy medications before the symptoms start. Medications can be useful after symptoms are present, but it takes longer to feel relief. Speak with your allergist to get your kids started on allergy medications before spring break starts.

Keep Windows and Doors Shut

If you’re headed to a location with higher levels of pollen and other outdoor allergens, reduce exposure by keeping the windows and doors shut in the home and in your car. Use air conditioning for fresh, filtered air and make sure the air filters are clean and working properly.

Avoid Peak Times of Day

Download an allergy app or check the pollen count in the area you’re traveling to each day. Some days may be worse than others and you may need to keep the kids inside during peak hours. Pollen counts peak in the afternoon and is lowest in the morning and late afternoon or evening.

Travel Prepared for Anaphylaxis

While most allergies aren’t severe, there’s the potential for a life-threatening reaction to foods or certain stinging insects. Go on vacation prepared by carrying an epinephrine pen if there is a history of severe allergies to foods or insects (such as bees, wasps, hornets or fire ants). Always have the epinephrine pen available in the event your you or your child is exposed to a serious allergen and experiences anaphylaxis.

Get your family ready for a fun and relaxing spring break by thinking about allergy prevention before you go. If you think you or your child needs allergy testing, contact the Allergy & Asthma Specialists of North Florida for testing and treatment options.