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International Medical Faculty
NAME :- MOHIT RULANIYA
TOPIC :- POLLINOSIS(allergic rhinitis), INSECT ALLERGY &
FOOD ALLERGY
1. Food allergy :-
• Food allergy is an abnormal response to a food triggered by your body's
immune system.
• In adults, the foods that most often trigger allergic reactions include
fish, shellfish, peanuts, and tree nuts, such as walnuts.
• Problem foods for children can include eggs, milk, peanuts, tree nuts, soy,
and wheat.
• Food allergy symptoms are most common in babies and children, but they can
appear at any age.
CAUSES:-
• 8 types of food account for about 90 percent of all reactions:
o Eggs, Milk
o Peanuts, Tree nuts
o Fish, Shellfish
o Wheat, Soy
SYMPTOMS:-
- Symptoms of an allergic reaction may involve the skin, the gastrointestinal tract,
the cardiovascular system and the respiratory tract.
They can surface in one or more of the following ways:-
 Vomiting and/or stomach cramps
 Hives
 Shortness of breath, Wheezing
 Repetitive cough, Shock or circulatory collapse
 Tight, hoarse throat; trouble swallowing
 Swelling of the tongue, affecting the ability to talk or breathe
 Weak pulse
 Pale or blue coloring of skin
 Dizziness or feeling faint
 Anaphylaxis, a potentially life-threatening reaction that can impair breathing and send the body into shock; reactions may
simultaneously affect different parts of the body (for example, a stomachache accompanied by a rash)
DIAGNOSIS:-
1. Skin prick tests:-
2. The blood tests:-
Alternative tests
• There are several shop-bought tests available that claim to detect allergies, but should be
avoided.
• They include:
I. vega testing – claims to detect allergies by measuring changes in your electromagnetic field
II. kinesiology testing – claims to detect food allergies by studying your muscle responses
III. hair analysis – claims to detect food allergies by taking a sample of your hair and running a
series of tests on it
IV. alternative blood tests (leukocytotoxic tests) – claim to detect food allergies by checking for
the "swelling of white blood cells"
Treatment:-
• There are two main types of medication that can
be used to relieve the symptoms of an allergic
reaction to foods :-
1. antihistamines – used to treat mild to moderate
allergic reaction
2. adrenaline – used to treat severe allergic
reactions (anaphylaxis)
2. Insect Sting Allergy:-
• Stings from five insects –
i. honeybees,
ii. hornets,
iii. wasps,
iv. yellow jackets,
v. fire ants
• Thease are known to cause allergic reactions to the
venom injected into the skin. While most people are
not allergic to insect venom, the pain from a sting may
cause them to mistake a normal reaction for an allergic
one.
Insect Sting Allergy Symptoms:-
• Pain
• Redness
• Swelling (in area of sting and sometimes beyond)
• Flushing
• Hives
• Itching
• Anaphylaxis
Diagnosis:-
• skin-prick test,
• an intradermal skin test,
• a blood test.
Management:-
- Insect sting allergy is treated in a two-step approach:
i. The first step is the emergency treatment of the symptoms
of a serious reaction when they occur.
ii. The second step is preventive treatment of the underlying
allergy with venom immunotherapy.
Treatment:-
 Avoid insects.
 Immediately inject epinephrine (adrenaline) if symptoms of
anaphylaxis develop.
 Consider allergy shots (immunotherapy).
3. POLLINOSIS:-
• pollinosis (uncountable) An allergy to grass and other pollen which causes cold
symptoms in sufferers; hay fever.
• HAY FEVER:- Technical names allergic rhinitis/ pollinosis.
• an allergic reaction to pollen, dust, etc,characterized by sneezing, runny nose, a
ndwatery eyes due to inflammation of the mucousmembranes of the eyes and n
ose.
Allergic rhinitis:-
• An allergen is an otherwise harmless substance that causes an allergic reaction.
• Allergic rhinitis, or hay fever, is an allergic response to specific allergens.
• Pollen is the most common allergen in seasonal allergic rhinitis.
• These are allergy symptoms that occur with the change of season
Types:-
• The two types of allergic rhinitis are seasonal and perennial
symptoms of allergic rhinitis:-
 sneezing, coughing
 a runny nose, a stuffy nose, an itchy nose
 a sore or scratchy throat
 itchy eyes, watery eyes, dark circles under the eyes
 frequent headaches
 eczema
 hives
 excessive fatigue
Cause:-
• In addition to tree pollen, other common allergens include:
• grass pollen
• dust mites
• animal dander, which is old skin
• cat saliva
• mold
Risk factor:-
• Having asthma or atopic eczema can also increase your risk of allergic rhinitis.
Others-
• cigarette smoke
• chemicals
• cold temperatures
• humidity
• wind
• air pollution
• hairspray
• perfumes
• colognes
• wood smoke
• fumes
Diagnosis:-
• A skin prick test is one of the most common.
• A blood test, or radioallergosorbent test (RAST)- amout of Ig-E.
Treatments:-
1.Antihistamines-
o levocetirizine (Xyzal)
o cetirizine (Zyrtec)
o desloratadine (Clarinex)
o loratadine (Claritin)
2.Decongestants:-
o oxymetazoline (Afrin nasal spray)
o pseudoephedrine (Sudafed)
o phenylephrine (Sudafed PE)
o cetirizine with pseudoephedrine (Zyrtec-D)
3. Eye drops and nasal sprays
4. Immunotherapy
5. Sublingual immunotherapy (SLIT)
Complications of allergic rhinitis:-
• inability to sleep
• development or worsening of asthma symptoms
• frequent ear infections
• sinusitis or frequent sinus infections
• frequent headaches

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Pollinosis(allergic rhinitis), insect allergy & food allergy

  • 1. International Medical Faculty NAME :- MOHIT RULANIYA TOPIC :- POLLINOSIS(allergic rhinitis), INSECT ALLERGY & FOOD ALLERGY
  • 2. 1. Food allergy :- • Food allergy is an abnormal response to a food triggered by your body's immune system. • In adults, the foods that most often trigger allergic reactions include fish, shellfish, peanuts, and tree nuts, such as walnuts. • Problem foods for children can include eggs, milk, peanuts, tree nuts, soy, and wheat. • Food allergy symptoms are most common in babies and children, but they can appear at any age. CAUSES:- • 8 types of food account for about 90 percent of all reactions: o Eggs, Milk o Peanuts, Tree nuts o Fish, Shellfish o Wheat, Soy
  • 3. SYMPTOMS:- - Symptoms of an allergic reaction may involve the skin, the gastrointestinal tract, the cardiovascular system and the respiratory tract. They can surface in one or more of the following ways:-  Vomiting and/or stomach cramps  Hives  Shortness of breath, Wheezing  Repetitive cough, Shock or circulatory collapse  Tight, hoarse throat; trouble swallowing  Swelling of the tongue, affecting the ability to talk or breathe  Weak pulse  Pale or blue coloring of skin  Dizziness or feeling faint  Anaphylaxis, a potentially life-threatening reaction that can impair breathing and send the body into shock; reactions may simultaneously affect different parts of the body (for example, a stomachache accompanied by a rash)
  • 4. DIAGNOSIS:- 1. Skin prick tests:- 2. The blood tests:- Alternative tests • There are several shop-bought tests available that claim to detect allergies, but should be avoided. • They include: I. vega testing – claims to detect allergies by measuring changes in your electromagnetic field II. kinesiology testing – claims to detect food allergies by studying your muscle responses III. hair analysis – claims to detect food allergies by taking a sample of your hair and running a series of tests on it IV. alternative blood tests (leukocytotoxic tests) – claim to detect food allergies by checking for the "swelling of white blood cells"
  • 5. Treatment:- • There are two main types of medication that can be used to relieve the symptoms of an allergic reaction to foods :- 1. antihistamines – used to treat mild to moderate allergic reaction 2. adrenaline – used to treat severe allergic reactions (anaphylaxis)
  • 6. 2. Insect Sting Allergy:- • Stings from five insects – i. honeybees, ii. hornets, iii. wasps, iv. yellow jackets, v. fire ants • Thease are known to cause allergic reactions to the venom injected into the skin. While most people are not allergic to insect venom, the pain from a sting may cause them to mistake a normal reaction for an allergic one.
  • 7. Insect Sting Allergy Symptoms:- • Pain • Redness • Swelling (in area of sting and sometimes beyond) • Flushing • Hives • Itching • Anaphylaxis Diagnosis:- • skin-prick test, • an intradermal skin test, • a blood test.
  • 8. Management:- - Insect sting allergy is treated in a two-step approach: i. The first step is the emergency treatment of the symptoms of a serious reaction when they occur. ii. The second step is preventive treatment of the underlying allergy with venom immunotherapy. Treatment:-  Avoid insects.  Immediately inject epinephrine (adrenaline) if symptoms of anaphylaxis develop.  Consider allergy shots (immunotherapy).
  • 9. 3. POLLINOSIS:- • pollinosis (uncountable) An allergy to grass and other pollen which causes cold symptoms in sufferers; hay fever. • HAY FEVER:- Technical names allergic rhinitis/ pollinosis. • an allergic reaction to pollen, dust, etc,characterized by sneezing, runny nose, a ndwatery eyes due to inflammation of the mucousmembranes of the eyes and n ose. Allergic rhinitis:- • An allergen is an otherwise harmless substance that causes an allergic reaction. • Allergic rhinitis, or hay fever, is an allergic response to specific allergens. • Pollen is the most common allergen in seasonal allergic rhinitis. • These are allergy symptoms that occur with the change of season Types:- • The two types of allergic rhinitis are seasonal and perennial
  • 10. symptoms of allergic rhinitis:-  sneezing, coughing  a runny nose, a stuffy nose, an itchy nose  a sore or scratchy throat  itchy eyes, watery eyes, dark circles under the eyes  frequent headaches  eczema  hives  excessive fatigue Cause:- • In addition to tree pollen, other common allergens include: • grass pollen • dust mites • animal dander, which is old skin • cat saliva • mold
  • 11. Risk factor:- • Having asthma or atopic eczema can also increase your risk of allergic rhinitis. Others- • cigarette smoke • chemicals • cold temperatures • humidity • wind • air pollution • hairspray • perfumes • colognes • wood smoke • fumes
  • 12. Diagnosis:- • A skin prick test is one of the most common. • A blood test, or radioallergosorbent test (RAST)- amout of Ig-E. Treatments:- 1.Antihistamines- o levocetirizine (Xyzal) o cetirizine (Zyrtec) o desloratadine (Clarinex) o loratadine (Claritin) 2.Decongestants:- o oxymetazoline (Afrin nasal spray) o pseudoephedrine (Sudafed) o phenylephrine (Sudafed PE) o cetirizine with pseudoephedrine (Zyrtec-D)
  • 13. 3. Eye drops and nasal sprays 4. Immunotherapy 5. Sublingual immunotherapy (SLIT) Complications of allergic rhinitis:- • inability to sleep • development or worsening of asthma symptoms • frequent ear infections • sinusitis or frequent sinus infections • frequent headaches