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Hayfever
 

Hayfever

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    Hayfever Hayfever Presentation Transcript

    • Allergic Rhinitis (“Hayfever”) Richard Saint Cyr MD DABFP [email_address] www.myhealthbeijing.com August 2, 2009
    • Case: Spring In The Garden
      • When: late April
      • You spend the afternoon at the Beijing Botanical Garden
      • That night: slight headache and runny nose. Itchy eyes and sneezing at night; “fuzzy head” in daytime
      • You take OTC Rx for a “cold”; doesn’t help
      Case: Spring In The Garden
    • Q: What Next?
      • Get antibiotics at pharmacy
      • Get anti-allergy pill from pharmacy
      • Go to clinic doctor
    • Dx: Allergic Rhinitis
      • “ Hay fever” 花粉病 huāfěnbing
      • Allergic reaction to pollen in flowers
      • Seasonal patterns
        • Spring - Trees
          • Beijing poplar 杨树 yángshù & willow 柳树 liǔshù
        • Summer – Grasses
        • Fall – dry grasses & weeds
      • Indoor allergens (all year)
        • Mold 霉病 méibìng , dust mites 尘螨 chénmǎn
      • Dog & cat hair
    • Beijing Tree “Sex Change”
      • Female poplar & willows
      • April-May: huge pollen release
      • 2007 campaign to:
        • inject females to neuter them
        • replace with males
        • replace all with gingko trees
    • Symptoms
      • Common:
        • Sneezing; watery, itchy eyes; clear runny nose; sore throat; itchy skin rash
      • Serious:
        • Bacterial infection (sinus, ears)
        • Children: asthma 哮喘 xiàochuǎn , eczema 湿疹 shīzhěn
        • Anaphylaxis 过敏性 guòmǐnxìng
      • Usual Course:
        • Flower season, every year
    • Racoon Eyes
      • “Allergic Shiners”
    • Prevention
      • Avoid the pollen
      • Take antihistamine daily
      • Nasal rinse daily
      • Severe cases only:
        • Allergy injections to build immunity
    • Prevention: Indoor Allergens
      • Air purifiers
      • Open windows every day ~1/2 hour
        • Not overnight! Diesel fumes too strong
      • Pets – wash
        • Only helps ~24 hours
      • Beds, pillows (dust mites)
        • Special covers
        • Throw out old pillows
    • Air Purifiers
      • Work well – but $$$
      • Look for HEPA rating
        • IQAir – best rated; 10,000RMB+
        • BlueAir – very good; 6,000RMB+
        • Chinese products?
    • Self Treatment
      • Avoid the pollen
      • OTC Rx
        • Antihistamine 全身抗组胺药 pills
          • Clarityn 开瑞坦 once a day; non-sedating
          • Benadryl 苯海拉明 every 6 hours; sedating
        • Steroid nasal spray
          • Flixonase 辅舒良
        • Eye drops
          • Naphcon-A 那素达
      • Nasal saline rinse
      • Epi-pen: epinephrine injection 肾上腺素
        • Carry always, if severe risk
    • Rinse Out Your Nose
      • Cleans out toxins & mucus
      • Helps allergies & colds
      • Twice a day
      • 8 oz (250cc) warm water (filtered/boiled) + ½ teaspoon salt + pinch of baking soda
      不好玩儿!
    • What Clinics Can Do
      • Physical exam: allergy vs. infection
      • Lab test:
        • Allergy panel; CBC
      • Rx:
        • Severe reactions: injections
        • OTC and prescription Rx
      • Hospital/ER:
        • Severe reaction; shock
    • In Your Travel Kit…
      • Antihistamine pills, sprays, eye drops
      • Epi-pen: history of severe reaction
      • Get antibiotics at pharmacy
      • Take anti-allergy pill
      • Go to clinic doctor
      A: What Next?