Interview with pediatrician Anna Levadnaya about seasonal allergies
Spring is not only a time of change, but also allergies. All around is blossoming, blooming, and many of us are not up to the spring mood. We talk with pediatrician and neonatologist Anna Levadnaya about what to do to allergic people, where to run, and what to pay attention first.
Anna Levadnaya, neonatologist, pediatrician, cms:
So, spring is on the nose. The flowering season is just around the corner. And that means that for those who suffer from allergic rhinitis, bronchial asthma and allergic conjunctivitis, the season of torment will begin. So, what can we do?
First, we need to know that there is a “flowering map”. If you know what exactly you have an allergic reaction, you need to keep track of such “flowering maps” and understand when the flowering of the plant that you are allergic to begins – at what time. There is a standard (basic), yearly non-updating map, which roughly indicates when a particular plant blooms – in what month. But now there is the opportunity to more accurately know when exactly in your region starts to bloom this or that plant. This can be determined by navigating a flowering map for your region. Unfortunately, they are not always accurate. This, too, must be borne in mind.
So, what you need to take an allergy sufferer before the flowering season? First, start a basic therapy, without waiting until allergy manifestations begin. You should start taking antihistamines. It is desirable that these are second-generation drugs that do not cause drowsiness and other serious side effects. Some people may be recommended taking antileukotriene drugs based on Montelukast (Latin Montelukastum). Perhaps your doctor has told you about it. Asthmatics may be recommended to increase the level of inhaled basal therapy, but this should also be discussed with your health care provider.
Then, it is important to understand that there is such a thing as “cross-allergy”. And some cereals can give a cross reaction to a number of foods. It is necessary to find out which cross product gives an allergic reaction to your allergen and exclude these products during the flowering period from the diet, so as not to increase the allergic reaction. It used to be that during the period of exacerbation of pollinosis (seasonal allergic rhinoconjunctivitis), planned vaccines should be avoided. Now more and more specialists are inclined to the point of view that one should not postpone planned vaccinations in this period. Nevertheless, after vaccination it is necessary to be under the supervision of a doctor for at least half an hour in order to exclude anaphylactic reactions. By the way, this applies not only to allergies, but also to children who do not suffer from allergies.
Allergy sufferers can also use any salt solutions, apply them to the nasal mucosa in order to reduce the amount of pollen entering the nose. This can be done before leaving the house in order to protect the mucosa, and on returning home in order to clean the nasal mucosa. It is also necessary to take a shower regularly in order to wash allergens off the skin surface. You can also install in the apartment filters for cleaning air – stationary or mobile. There are stationary, which are built into the wall of your apartment. In this case, for the flowering period, you should close the windows and use these filters. In addition, allergic people during intensive flowering should avoid prolonged outdoor activities, especially in those places where trees bloom (carriers / spreaders of allergens). In severe cases, it may be recommended to leave for the flowering period to another region where this plant does not blossom.
If the edema has already begun, then it is necessary to wash the saline solution with mucous membrane and take an antihistamine. It is also recommended that allergy sufferers use non-steroidal anti-inflammatory hormonal sprays, which are applied to the mucous membrane. However, it is important to understand that similar drugs – prolonged (delayed) action. They must be taken in advance and sufficiently large courses. Do not be afraid of side effects! As a rule, local application of hormones is not dangerous. They are not absorbed into the blood and have a minimal amount of side effects – especially if we use them only for the flowering period.
There is also an allergen-specific immune therapy (ASIT). Many of you have heard of it. But, unfortunately, now – namely in the spring, – it’s too late to hold it. It should be carried out in advance, in the autumn-winter period. Therapy is prescribed to children, starting from age 5, and is quite effective. Please do not self-medicate! Do not use drugs that have an unknown composition! The use of homeopathic, herbal preparations with unknown composition can strengthen already existing allergic reactions or cause the development of allergic reactions in those people who have not had them before. Take care of children!