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Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
Hayfever
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Hayfever

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

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