Paediatric Allergy Clinic

What is an allergy? 

An allergy is the reaction of the body’s immune system to particles or substances in the environment that ordinarily do not cause harm. Your immunity mistakes harmless substances in your environment for threats and attacks them, These attacks cause you a variety of problems. 

What happens when I have an allergy? 

The problems experienced depends on the area of the body that is affected. 

A reaction affecting the eye may cause them to be red, itchy or watery; The same irritants may cause a reaction in the nose making one have stuffy nostrils, sneezing, runny nose, or itchy nostrils.

An allergy on the skin may cause rashes, swellings, or red patches. One may have an itchy, burning, stinging, or painful feeling over the affected area. If it goes deeper and affects the blood vessels swelling may occur in the face, tongue, throat and windpipe, abdomen, or arms and legs. If it affects your gut you may have changes in bowel habits (diarrhoea or constipation), abdominal pain or discomfort, vomiting or reflux. When the airways are affected breathing can become difficult. 

These symptoms typically occur within minutes to hours after contact with the offending substance. 

What substances can cause a reaction in my body? 

These are things that you get into contact within a variety of ways: 

Through the mouth when you eat or drink certain foods, specific ingredients, a food additive, a particular medicine 

Through the air when you breathe in. For example pollen, smoke, dust, molds, fumes, sprays, or fur from pets. 

Through the skin when it touches, rubs or pricks through; something you apply on the skin, a substance in the fabric or jewellery you wear, something that rubs or pricks your skin like a plant or insect. 

It may be injected into you like medicine or intravenous fluids 

An individual could be sensitive to one or a variety of allergens. 

 

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What makes me more likely to have allergies? 

If someone you are related to by blood has  asthma or the problems related to allergies that are mentioned above. 

If you have asthma or allergy symptoms. 

If you are a child. 

What are the common conditions associated with allergies? 

Common allergic disorders include allergic rhinitis or hay fever, asthma, eye allergy, allergic eczema, hives or urticaria, and anaphylactic shock  is at the life threatening end of the spectrum. 

 

Can allergies cause something serious? 

One can get serious allergic reaction that starts rapidly, causes serious problems and can lead to death. This is anaphylaxis. It can cause an itchy rash, throat or tongue swelling, difficulty in breathing, vomiting, lightheadedness, and low blood pressure. It is most commonly triggered by foods, medications and insect stings. 

Some people with allergies also have asthma, a condition of the airways that causes problems like recurrent coughs, wheezing, and shortness of breath. Exposure to allergens can trigger an asthma attack. Severe attacks of asthma can be life threatening. 

People with respiratory allergies and at an increased risk of developing irritation or infection in the sinuses, the ears, the throat and the lungs. 

How do particles cause allergy symptoms? 

When you come into contact with an “allergen” your body detects it and makes proteins called antibodies against it. The antibody latches onto the allergen or antigen and instructs the body to release certain chemicals to facilitate the removal or destruction of the offender. It is these chemical that cause allergy symptoms. 

How is allergy diagnosed? 

Sometimes you already know what you are reacting to; other times you may be mistaken; many times you just have no idea what it is. It is important to work with your doctor to find out the specific allergy and design efficient treatment strategy. Typically the doctor will ask you questions to understand you ,your problem , your environment and whether your family members have allergy related problems. A physical exam will help reveal  if you have features of past or current allergic reactions. Various tests may also be needed. 

What are allergy tests? 

The most helpful test in finding the cause of allergies are skin tests. There are different ways of doing them but all involve exposing the skin to small amounts of extracts from common allergy-causing substances and observing changes on the skin over time. The test may involve a scratch test or prick test  where the allergen is scratched onto the upper layer of the skin. The doctor could inject a small amount of the allergen just under your skin-an intradermal test. He could also stick a patch containing the allergen onto an area of your skin-a patch test. The substances may cause you to see a rash or swelling or redness that may be accompanied by an itchy, stinging, or burning sensation. That is how the doctor knows what may be causing your problem. 

There are allergy blood tests that detect the presence of and measure the amount of antibodies  formed against specific allergens. These include Enzyme-linked immunosorbent assay (ELISA, or EIA) and Radioallergosorbent test (RAST). These may be ordered under some circumstances for example if you tend to get very severe reactions , if your skin has a problem that makes skin tests difficult or if you must continue taking medication that interferes with the test results. 

How is allergy treated? 

Treatment of allergy takes into account one’s medical history, the results of allergy tests and how severe one’s symptoms are. Three strategies may be employed: 

Avoiding allergens where possible. 

Taking medications to suppress the allergy symptoms. There are many safe prescription and over-the-counter anti-allergy medicines. There are some for applying on affected skin, others are eye drops, nose drops or nasal sprays; some may be swallowed in syrup or tablet form; In hospital there are even injectable ones. They also work in a variety of ways. Talk to your allergy team on what would be appropriate to treat your problem. 

Immunotherapy where the allergens are administered to the body either by injections or put under the tongue starting with small doses and increased over time. With time the person becomes progressively less sensitive to the allergen. Allergy shots may work well for certain allergies. 

Talk to your allergist about the risks and benefits of these approaches. 

 

How can I prevent allergies? 

The first step to preventing allergies is understanding your symptoms and triggers. The strategy your allergy team will help you adopt will depend on your type of allergy.Here are some of the approaches: 

Avoid your allergens. Some allergens are more avoidable than others. At least try to reduce contact with it. Your allergy team advise you on how you can avoid specific allergens. 

If you get symptoms take the the medicines your doctor recommends 

Track and record what you do, eat, are in contact with or breathe in when symptoms occur and what seems to help. Your can work with your allergy team to draft a suitable diary. 

If you have ever had a severe allergic reactions your allergy team will recommend that you wear a bracelet or a tag. If you get a reaction, such bracelets help people know your problem better and be able to help you faster. 

 

What is a symptom diary? 

A symptom diary or symptom journal is a  tool it easy to track and  study factors that influence how your symptoms. It is a simple and excellent way to collect more accurate and more complete information about what affects you. A symptom diary can be shared with your Allergy clinic team. It will help to narrow down on the cause of your reactions ,may help in choosing the most appropriate tests, It can help to understand your problem better and communicate it more effectively, and can also be used to follow up changes over time and measure the success of the strategies adopted to tackle the problem.