Halloween and Food Allergies

Asthma is a chronic disease of the airways in the lung due to inflammation or swelling. This inflammation of the air tubes makes it more difficult to get air through the tubes. In addition to inflammation, lungs with asthma often make excess mucous and the muscles around each air tube are more likely to constrict (bronchoconstriction) and cause the airways to become even smaller. So there are three different causes of asthma inside the lungs that lead to the symptoms of asthma such as coughing, wheezing and shortness of breath.
For many Colorado patients with asthma the symptoms are not present every day, but may increase if triggered by a viral illness, exercise, tobacco exposure or allergen exposure (pet dander or pollens). Research has shown that inflammation of the lungs is still present even if you feel well in between episodes of breathing problems.

How is Asthma Diagnosed?

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What are the symptoms of Exercise Induced Asthma?

The symptoms of Exercise Induced Asthma may include trouble breathing, chest tightness, coughing or trouble catching your breath during or after exercise. Most, but not all, patients with asthma have exercise induced asthma as well. A patient can also have asthma that is ONLY induced by exercise and not other triggers.

How is Exercise Induced Asthma diagnosed?

Exercise Induced Asthma usually diagnosed by history and testing. The testing may include an exercise challenge which will be completed by the allergist. The purpose of diagnosing Exercise Induced Asthma is to maximize the patients exercise tolerance and exercise safety.

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Each patient is unique and may react differently to a medication. For example, one patient may take a medication and develop a rash while the next patient takes the same medication and does not have any adverse or bad reaction. An allergist can help a patient deal with medication allergic reactions.

What is the difference between a Medication Allergy and a Medication Adverse Reaction?

A Medication Allergy is caused by an interaction between the medication and the immune system of a patient and this results in an Allergic Reaction (see the next question). A medication adverse reaction is any symptom or reaction that occurs due to taking a medication. Only about 5% of all ‘adverse reactions” are due to allergic responses. The rest of these adverse reactions are not related to the allergic immune system.

What is an Allergic Reaction?

An allergic reaction is a combination of allergy symptoms due to the body reacting to an allergen. In simple terms, the allergen (which may be a medication) is recognized by the patient’s immune system as “foreign or bad” and the immune system reacts. The reaction is seen as symptoms which may include rash, itching, hives, swelling, trouble breathing or swallowing, vomiting, diarrhea, or light-headedness. A patient does NOT need to have all of these symptoms for the reaction to be an ‘allergic reaction’. The most severe type of allergic reaction is call anaphylaxis. Anaphylaxis is an allergic reaction which affects many different parts of the body and can be life-threatening.

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How common is Food Allergy and why does it seem so much more common?

Nearly 4% of children and 2% of adults have food allergies. There is some evidence that the presence of food allergy is increasing, but the reason that this may be occurring is not fully understood yet.

What is Food Allergy?

Food allergy is defined as an allergic reaction to a food allergen (usually the protein portion of the food). In a patient with a food allergy, he/she has specific antibodies called IgE antibodies that recognize specific food allergens. The binding between the food allergen and the food specific IgE molecule then lead to allergic symptoms. Food allergy is typically immediate (occurs within 6 hours of ingestion) and reproducible (occurs with each ingestion). Food allergy predominately occurs with ingestion of the food although a smaller group of food allergic patients may react with skin symptoms after skin contact with a food allergen. Aerosolized food allergen reactions can occur but are very rare and are more common with fish and shellfish allergy.

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