Seasonal Allergies
Of all the things that can cause an allergy and allergic asthma, pollen is one of the most widespread. Many of the foods, drugs, or animals that cause allergies can be avoided to a great extent; even insects and household dust are escapable. Short of staying indoors when the pollen count is high β which may not even help β there is no easy way to evade wind born pollen.
What Are Seasonal Allergies?
Seasonal allergies occur when the immune system mistakenly identifies harmless airborne substances as threats, leading to an allergic reaction. These reactions are typically tied to specific seasons due to the prevalence of certain allergens like pollen during those times. Unlike perennial allergies, which can occur year-round, seasonal allergies are largely dependent on the flowering and pollination patterns of different plants.
Plants produce microscopic round or oval pollen grains to reproduce. In some species, the plant uses the pollen from its own flowers to fertilize itself. Other types must be cross-pollinated; that is, in order for fertilization to take place and seeds to form, pollen must be transferred from the flower of one plant to that of another plant of the same species. Insects do this job for certain flowering plants, while other plants rely on wind transport.
The types of pollen that most commonly cause allergic reactions are produced by the plain-looking plants (trees, grasses, and weeds) that do not have showy flowers. These plants manufacture small, light, dry pollen granules that are custom-made for wind transport. Samples of ragweed pollen have been collected 400 miles out at sea and 2 miles high in the air. Because airborne pollen is carried for long distances, it does little good to rid an area of an offending plantβthe pollen can drift in from many miles away. In addition, most allergenic pollen comes from plants that produce it in huge quantities. A single ragweed plant can generate a million grains of pollen a day.
The chemical makeup of pollen is the basic factor that determines whether it is likely to cause hay fever. For example, pine tree pollen is produced in large amounts by a common tree, which would make it a good candidate for causing allergy. The chemical composition of pine pollen, however, appears to make it less allergenic than other types. Because pine pollen is heavy, it tends to fall straight down and does not scatter. Therefore, it rarely reaches human noses.
Among North American plants, weeds are the most prolific producers of allergenic pollen. Ragweed is the major culprit, but others of importance are sagebrush, redroot pigweed, lambβs quarters, Russian thistle (tumbleweed), and English plantain.
Grasses and trees, too, are important sources of allergenic pollens. Although more than 1,000 species of grass grow in North America, only a few produce highly allergenic pollen. These include timothy grass, Kentucky bluegrass, Johnson grass, Bermuda grass, redtop grass, orchard grass, and sweet vernal grass. Trees that produce allergenic pollen include oak, ash, elm, hickory, pecan, box elder, and mountain cedar. In New York City, Aliantus (TK) trees due to their abundance; they are the most common backyard tree and the 3rd most common street tree in the NYC five boroughs. Additionally, their pollen is relatively weighty, more often falling on the ground surrounding the tree than drifting airborne. West of the Mississippi, pine and cedar are the leading sources of allergenic pollen.
One of the most obvious features of pollen allergy is its seasonal nature; people experience it symptoms only when the pollen grains to which they are allergic are in the air. Each plant has a pollinating period that is more or less the same from year to year. Exactly when a plant starts to pollinate seems to depend on the relative length of night and dayβand therefore on geographical locationβrather than on the weather. (On the other hand, weather conditions during pollination can affect the amount of pollen produced and distributed in a specific year.) Thus, the farther north you go, the later the pollinating period and the later the allergy season.
A pollen count, which is familiar to many people from local weather reports, is a measure of how much pollen is in the air. This count represents the concentration of all the pollen (or of one particular type, like ragweed) in the air in a certain area at a specific time. It is expressed in grains of pollen per square meter of air collected over 24 hours. Pollen counts tend to be highest early in the morning on warm, dry, breezy days and lowest during chilly, wet periods. Although a pollen count is an approximate and fluctuating measure, it is useful as a general guide for when it is advisable to stay indoors and avoid contact with the pollen. Pollen counts are highest from March to May.
Causes of Seasonal Allergies
The primary cause of seasonal allergies is the body's hypersensitive reaction to outdoor allergens. Common allergens include:
Tree Pollen: Common in the spring.
Grass Pollen: Typically peaks in the late spring and early summer.
Weed Pollen: Often a problem in late summer and fall.
Fungal Spores: Can be a year-round issue but are more prevalent in warm and humid conditions.
These allergens trigger the immune system to release histamines and other chemicals, causing allergy symptoms.
Signs and Symptoms of Seasonal Allergies
Symptoms of seasonal allergies can vary in severity and may include:
Nasal Symptoms: Sneezing, congestion, runny nose.
Ocular Symptoms: Itchy, red, or watery eyes.
Throat and Ear Symptoms: Sore throat, itchy throat, ear congestion.
Respiratory Symptoms: Coughing, wheezing, shortness of breath (especially in asthmatics).
Other Symptoms: Fatigue, irritability, and impaired concentration.
Risk Factors of Seasonal Allergies
Factors that may increase the likelihood of developing seasonal allergies include:
Family History: A strong genetic component, with higher risk in those with family members suffering from allergies or asthma.
Personal History of Allergies or Asthma: Existing allergies or asthma can increase the risk.
Exposure to Allergens: High exposure to specific allergens, especially during early childhood.
Environmental Factors: Pollution, climate change, and urbanization can exacerbate allergies.
How Are Seasonal Allergeis Diagnosed?
Diagnosis of seasonal allergies typically involves:
Medical History: Assessing symptoms, their duration, and any seasonal pattern.
Physical Examination: Focusing on the nose, throat, eyes, and ears.
Allergy Testing: Skin prick tests or blood tests (specific IgE testing) to identify specific allergen sensitivities.
Treatments for Seasonal Allergies
Treatment for seasonal allergies aims to reduce symptoms and improve quality of life. Options include:
Antihistamines: Oral or nasal antihistamines can help alleviate sneezing, itching, and runny nose.
Nasal Corticosteroids: These sprays are effective for treating nasal inflammation and are often considered the most effective symptom relief for allergic rhinitis.
Decongestants: Used for short-term relief of nasal stuffiness.
Leukotriene Modifiers: Montelukast can be used, particularly in patients with concomitant asthma.
Immunotherapy: Allergy shots or sublingual tablets can alter the immune system's response to allergens, providing long-term relief.
Nasal Irrigation: Using saline solution to rinse the nasal passages.
Eye Drops: Antihistamine eye drops can relieve itchy, watery eyes.
Preventive Measure to Avoid Seasonal Allergies
Prevention focuses on avoiding or reducing exposure to allergens:
Monitor Pollen Counts: Stay indoors on days when pollen counts are high.
Keep Windows Closed: Use air conditioning in your home and car.
Wear Protective Gear: Sunglasses or a hat to shield eyes from pollen.
Regular Cleaning: Dust and vacuum regularly to remove allergens from the home.
Shower and Change Clothes: After being outdoors to remove pollen.
Use HEPA Filters: In vacuum cleaners and air purifiers.
Avoid Outdoor Activities: Especially during peak pollen times (e.g., windy days or early mornings).
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