Approaches to  Allergic Rhinitis Adam Rinde, ND Naturopathic Physician Sound Integrative Health, PLLC Kirkland, WA Phone: ...
 
Definition <ul><li>Allergic rhinitis is a collection of symptoms, predominantly in the nose and eyes, caused by airborne p...
Signs of Allergic Rhinitis <ul><li>Allergic Shiners </li></ul><ul><li>Nasal Creases </li></ul><ul><li>Nasal Mucosa blue/gr...
Symptoms <ul><li>Sneezing </li></ul><ul><li>Throat Irritation </li></ul><ul><li>Runny Nose </li></ul><ul><li>Burning Eyes ...
Causes of Allergies <ul><li>Pollens (trees, grasses, weeds) </li></ul><ul><li>Molds </li></ul><ul><li>Dust Mites </li></ul...
Weed Pollen <ul><li>Common in late summer and fall </li></ul><ul><li>most common:  ragweed, pigweed, sage, mugwort, yellow...
Tree Pollen <ul><li>Common in Early Spring </li></ul><ul><li>most common tree allergens birch, oak, maple, cedar, olive, e...
GRASSES <ul><li>Common in Late Spring </li></ul><ul><li>Most common grass allergens:  </li></ul><ul><li>Kentucky Blue Gras...
MOLDS <ul><li>Appear in Summer and Fall </li></ul><ul><li>Common Indoor Molds : Pennicillium, Aspergillus </li></ul>
Dust Mites <ul><li>Present Year Round </li></ul><ul><li>Feed on Pillows, Mattresses, Stuffed Toys, Carpets, Upholstered Fu...
Other Causes
Complications of Allergic Rhinitis <ul><li>Learning disorders </li></ul><ul><li>Sleep Disorders </li></ul><ul><li>Fatigue ...
Diagnostic Methods <ul><li>Skin Prick Test </li></ul><ul><li>RAST Test (Blood) </li></ul><ul><li>Nasal Cytology </li></ul>...
General Therapeutic Approaches <ul><li>Avoidance and Environmental Control </li></ul><ul><li>Pharmacotherapy </li></ul><ul...
Avoidance and Environmental Control <ul><li>Identify specific allergen's and set up avoidance strategies </li></ul><ul><li...
The Healthy Home Environmental Control <ul><li>EPA estimates that indoor pollutants are maybe two to five times higher the...
The Healthy Home General Measures for reduction of Dust <ul><li>Humidity Control </li></ul><ul><ul><ul><li>Hypoallergenic ...
The Healthy Home General Measures for reduction of Mold <ul><li>Humidity Control </li></ul><ul><li>Ventilation </li></ul><...
The Healthy Home General Measures for reduction of Pet Dander <ul><li>Secure Bedroom </li></ul><ul><li>Bathing Pets </li><...
Strategies for Weed Pollen Avoidance <ul><li>Avoid Outdoors between 5-10 am on dry, hot, and windy days </li></ul><ul><li>...
Strategies for Grass Pollen Avoidance <ul><li>Wear mask when mowing </li></ul><ul><li>Cut grass Short </li></ul><ul><li>Ch...
Strategies for Tree Pollen Avoidance <ul><li>Avoid 5-10 a.m outdoor activities </li></ul><ul><li>Plant allergen-free trees...
Nasal Lavage (Netti Pot)
Air Filtering Technology <ul><li>High Efficiency Particulate Air (HEPA) </li></ul><ul><li>ULPA- Ultra HEPA Filters </li></...
Pharmacotherapy <ul><li>Second Generation antihistamines </li></ul><ul><li>Leukotreine receptor inhibitors (Singulair) </l...
Immunotherapy <ul><li>Can be highly effective </li></ul><ul><li>Effect often not noticed for -12 months. </li></ul>
Natural Nutrients and Botanicals
Allergic Rhinitis Options <ul><li>Neti Pot (one-three times per/day) </li></ul><ul><li>Vitamin C (1-2 grams per/day) </li>...
Neti Pot <ul><li>1 tsp sea-salt in lukewarm water wash intra‑nasally in shower +  1 tsp Bicarb. </li></ul><ul><ul><li>QD‑B...
Nasal Irrigator
Resources <ul><li>HEPA Filters:  </li></ul><ul><ul><li>Air filter, Austin air junior plus $300 and $25 for shipping purcha...
Approaches to  Allergic Rhinitis Adam Rinde, ND Naturopathic Physician Sound Integrative Health, PLLC Kirkland, WA Phone: ...
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Approaches to Allergies

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If you or someone you know suffers from seasonal allergies, you are aware of how troublesome they can be. Did you know there are viable whole-person, natural approches available toward treating allergies?

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Approaches to Allergies

  1. 1. Approaches to Allergic Rhinitis Adam Rinde, ND Naturopathic Physician Sound Integrative Health, PLLC Kirkland, WA Phone: 425-889-5894 email: DrRinde@SoundIntegrative.com
  2. 3. Definition <ul><li>Allergic rhinitis is a collection of symptoms, predominantly in the nose and eyes, caused by airborne particles of dust, dander, or plant pollens in people who are allergic to these substances. </li></ul><ul><li>When these symptoms are caused by pollen, the allergic rhinitis is commonly called hay fever. </li></ul><ul><li>Affects 20% of N. Americans </li></ul>
  3. 4. Signs of Allergic Rhinitis <ul><li>Allergic Shiners </li></ul><ul><li>Nasal Creases </li></ul><ul><li>Nasal Mucosa blue/gray, boggy </li></ul><ul><li>Creases below inferior eyelids </li></ul><ul><li>Mouth Breathing </li></ul><ul><li>Cobble stoning of posterior pharynx </li></ul>
  4. 5. Symptoms <ul><li>Sneezing </li></ul><ul><li>Throat Irritation </li></ul><ul><li>Runny Nose </li></ul><ul><li>Burning Eyes </li></ul><ul><li>Shortness of Breath </li></ul><ul><li>Nasal Congestion </li></ul><ul><li>Nasal Itching </li></ul>
  5. 6. Causes of Allergies <ul><li>Pollens (trees, grasses, weeds) </li></ul><ul><li>Molds </li></ul><ul><li>Dust Mites </li></ul><ul><li>Pet Dander </li></ul><ul><li>Cockroaches </li></ul><ul><li>Rodents </li></ul>
  6. 7. Weed Pollen <ul><li>Common in late summer and fall </li></ul><ul><li>most common: ragweed, pigweed, sage, mugwort, yellow dock, sheep sorrel, english plantain, lambs quarter, and russian thistle </li></ul><ul><li>* </li></ul>
  7. 8. Tree Pollen <ul><li>Common in Early Spring </li></ul><ul><li>most common tree allergens birch, oak, maple, cedar, olive, elm </li></ul>
  8. 9. GRASSES <ul><li>Common in Late Spring </li></ul><ul><li>Most common grass allergens: </li></ul><ul><li>Kentucky Blue Grass, Orchard, Retop, Timothy, Vernal, Meadow, and Bermuda </li></ul>
  9. 10. MOLDS <ul><li>Appear in Summer and Fall </li></ul><ul><li>Common Indoor Molds : Pennicillium, Aspergillus </li></ul>
  10. 11. Dust Mites <ul><li>Present Year Round </li></ul><ul><li>Feed on Pillows, Mattresses, Stuffed Toys, Carpets, Upholstered Furniture, and Pet Shedding </li></ul>
  11. 12. Other Causes
  12. 13. Complications of Allergic Rhinitis <ul><li>Learning disorders </li></ul><ul><li>Sleep Disorders </li></ul><ul><li>Fatigue </li></ul><ul><li>It is commonly associated with </li></ul><ul><ul><li>Asthma, Atopic Dermatitis, Nasal Polyps, Fatigue </li></ul></ul>
  13. 14. Diagnostic Methods <ul><li>Skin Prick Test </li></ul><ul><li>RAST Test (Blood) </li></ul><ul><li>Nasal Cytology </li></ul><ul><li>Diagnostic Imaging </li></ul><ul><ul><li>X-Ray </li></ul></ul><ul><ul><li>CT Scan </li></ul></ul><ul><ul><li>MRI </li></ul></ul>
  14. 15. General Therapeutic Approaches <ul><li>Avoidance and Environmental Control </li></ul><ul><li>Pharmacotherapy </li></ul><ul><li>Immunotherapy </li></ul><ul><li>Natural Lifestyle Measures </li></ul><ul><li>Natural Medicine </li></ul>
  15. 16. Avoidance and Environmental Control <ul><li>Identify specific allergen's and set up avoidance strategies </li></ul><ul><li>Maintain A Healthy Home Environment </li></ul>
  16. 17. The Healthy Home Environmental Control <ul><li>EPA estimates that indoor pollutants are maybe two to five times higher then outdoor pollutants </li></ul><ul><li>Americans spend 90% of their time indoors </li></ul>
  17. 18. The Healthy Home General Measures for reduction of Dust <ul><li>Humidity Control </li></ul><ul><ul><ul><li>Hypoallergenic Bedding </li></ul></ul></ul><ul><ul><ul><li>Hypoallergenic Floors </li></ul></ul></ul><ul><ul><ul><li>Vacuum </li></ul></ul></ul><ul><ul><ul><li>HEPA filter </li></ul></ul></ul>
  18. 19. The Healthy Home General Measures for reduction of Mold <ul><li>Humidity Control </li></ul><ul><li>Ventilation </li></ul><ul><li>Control Water Damage </li></ul><ul><li>Yard Waste Management </li></ul><ul><li>Air Conditioning Management </li></ul>
  19. 20. The Healthy Home General Measures for reduction of Pet Dander <ul><li>Secure Bedroom </li></ul><ul><li>Bathing Pets </li></ul><ul><li>Hygiene </li></ul><ul><li>Dust Often </li></ul>
  20. 21. Strategies for Weed Pollen Avoidance <ul><li>Avoid Outdoors between 5-10 am on dry, hot, and windy days </li></ul><ul><li>Windows-Close them! </li></ul><ul><li>Use Dryer instead of outdoor hangers </li></ul>
  21. 22. Strategies for Grass Pollen Avoidance <ul><li>Wear mask when mowing </li></ul><ul><li>Cut grass Short </li></ul><ul><li>Choose low-pollen grass covers. </li></ul><ul><ul><li>include: Irish Moss, Bunch, Dichondra. </li></ul></ul>
  22. 23. Strategies for Tree Pollen Avoidance <ul><li>Avoid 5-10 a.m outdoor activities </li></ul><ul><li>Plant allergen-free trees </li></ul><ul><ul><li>examples: crape myrtle, dogwood, fir, fig, palm, pear, plum, redbud, and redwood trees </li></ul></ul><ul><ul><li>female ash, box elder, cotton wood, maple, poplar, or willow.. </li></ul></ul>
  23. 24. Nasal Lavage (Netti Pot)
  24. 25. Air Filtering Technology <ul><li>High Efficiency Particulate Air (HEPA) </li></ul><ul><li>ULPA- Ultra HEPA Filters </li></ul><ul><li>Electrostatic Filters </li></ul><ul><li>Electrostatic Precipitators </li></ul><ul><li>Ionization </li></ul>
  25. 26. Pharmacotherapy <ul><li>Second Generation antihistamines </li></ul><ul><li>Leukotreine receptor inhibitors (Singulair) </li></ul><ul><li>First Generation antihistamines (sedating) </li></ul><ul><li>Decongestants (alpha-adrenoreceptor agonists) </li></ul><ul><li>Nasal Corticosteroids </li></ul><ul><li>Intranasal Antihistamines </li></ul><ul><li>Intranasal Chromolyns (Nasalchrom) </li></ul><ul><li>Intranasal anticholinergics (Atrovent) </li></ul>
  26. 27. Immunotherapy <ul><li>Can be highly effective </li></ul><ul><li>Effect often not noticed for -12 months. </li></ul>
  27. 28. Natural Nutrients and Botanicals
  28. 29. Allergic Rhinitis Options <ul><li>Neti Pot (one-three times per/day) </li></ul><ul><li>Vitamin C (1-2 grams per/day) </li></ul><ul><li>Freeze Dried Nettles (300 mg TID) </li></ul><ul><li>Quercetin 1-2 grams daily </li></ul><ul><li>Butterbur (Petasites hybridus) 8 mg total petasine three times daily. </li></ul><ul><li>Probiotics (Lactobacillus GG, Lactobacillus P, Bifidobacterium longum)/ </li></ul><ul><li>Quercetin Nasal Spray </li></ul>
  29. 30. Neti Pot <ul><li>1 tsp sea-salt in lukewarm water wash intra‑nasally in shower + 1 tsp Bicarb. </li></ul><ul><ul><li>QD‑BID am or evening before bed during pollen season, before outdoor jobs until infection. </li></ul></ul><ul><li>For green/yellow mucus: </li></ul><ul><ul><li>Add 3‑4 dropperfulls colloidal silver. </li></ul></ul><ul><li>For swelling inflammation: </li></ul><ul><ul><li>Open 1 cap Quercetin in H20 </li></ul></ul>
  30. 31. Nasal Irrigator
  31. 32. Resources <ul><li>HEPA Filters: </li></ul><ul><ul><li>Air filter, Austin air junior plus $300 and $25 for shipping purchased @ www.needs.com </li></ul></ul><ul><li>Mold Testing Kits </li></ul><ul><ul><li>PNK microbiology 866-871-1984 ask for MEA ager plates. $45 analysis/plate. </li></ul></ul><ul><li>Allergy Control Products </li></ul><ul><ul><li>http://www.achooallergy.com/ </li></ul></ul>
  32. 33. Approaches to Allergic Rhinitis Adam Rinde, ND Naturopathic Physician Sound Integrative Health, PLLC Kirkland, WA Phone: 425-889-5894 email: DrRinde@SoundIntegrative.com

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