Showing posts with label food allergies. Show all posts
Showing posts with label food allergies. Show all posts

Tuesday, 12 April 2016

Princess Health and  Spring fever: If over-the-counter medicines don't quell your allergies, it's a good time to see an allergist. Princessiccia

Princess Health and Spring fever: If over-the-counter medicines don't quell your allergies, it's a good time to see an allergist. Princessiccia

By Ann Blackford
University of Kentucky

The beauty of spring is upon us, but as lovely as it may be to look at, it can wreak havoc in your nose, throat and eyes. The higher the pollen count, the greater the misery.

Seasonal allergies are the result of a chain reaction that starts in your nose. If you are allergic to pollen, the immune system will overreact by producing allergic antibodies. The antibodies attach cells in your airway and cause release of chemicals, causing an allergic reaction.

Many people find relief in some very effective over-the-counter medications. If OTC medications don't provide relief, or cause significant side effects, this is a good time to visit an allergist. An allergist/immunologist is a pediatrician or internist who has spent an additional two to three years of training specifically in this field.

Allergists will discuss treatment options: typically allergy avoidance, followed by medical management, and lastly allergy injections.

Allergy shots are the only known cure to date for allergic rhinitis (nasal allergies). The concept behind allergy shots � allergy immunotherapy � is that the immune system can be desensitized to specific allergens that trigger allergy symptoms, thereby building up resistance or tolerance to the allergens.

Allergy shots generally work in two phases. The buildup phase can last from three to six months and involves receiving injections in increasing amounts of the allergen and are taken once or twice a week.

The maintenance phase begins when the most effective dose is reached. The dose can be different for each person, depending on how allergic you are and your response to the build-up injections. Once the maintenance dose is reached, there are longer periods of time between injections, typically two to four weeks.

Some people will experience relief of their symptoms during the build-up phase, but for others, it may take as long as 12 months on the maintenance dose. If there is no improvement after a year, your allergist may discuss other treatment options.

Allergy shots are a good option for people with allergic rhinitis (hay fever), allergic asthma, conjunctivitis (eye allergy) or stinging insect allergy. Shots can be given to children as young as four to five years old.

Shots are not recommended for food allergies, but can help in patients with oral allergy syndrome. This syndrome occurs in patients highly allergic to pollens; the body reacts to cross-reacting foods, and causes itching of the mouth and tongue. Allergy shots are not started on pregnant women but can be continued on patients who become pregnant while on shots.

Recently the Food and Drug Admimistration approved allergy drops or sublingual immunotherapy for grass and ragweed allergy. However, most patients have many confounding allergens (i.e. trees, molds, mites, animal danders), which can be included in allergy shots, thus making shots much more effective.

Saturday, 11 April 2015

Princess Health andCrittenden County Elementary School is latest school in area to restrict nuts to protect the health of those with nut allergies.Princessiccia

This story has been updated to include information about other Western Kentucky schools with nut restrictions.

Peanut butter and jelly sandwiches are a lunchbox staple for many American children, but they can also pose a serious health risk to those with peanut and tree-nut allergies, especially in the young. The risk has prompted the Crittenden County school district to become the latest in the area to restrict the use of nuts at the Crittenden County Elementary School in Marion.

"Peanut and tree nut allergies plague an estimated 19 million Americans and the number of children with peanut allergies in the U.S. has nearly doubled in just over a decade," The Crittenden Press noted.

After researching the issue and how other schools have dealt with it, the school's parent-teacher council and wellness committee created a policy that restricts but doesn't ban nuts, the Press reports.

The policy asks everyone to be aware that nut products are dangerous to some of the students and asks them to not send those products to school, Principal Melissa Tabor told the Press. She said at least five students have proven nut allergies.

Several other Western Kentucky schools have peanut restrictions,Genevieve Postlethwait reports for The Paducah Sun, including Carlisle County and Fulton County schools, with Paducah and Hickman County schools having restricted peanuts for varying periods of time in the past. (Story is behind a pay wall.)

"We do it on a case-by-case, year-by-year basis," Penny Holt,the district's nutrition director, told Postlethwait of Paducah schools' approach to restricting peanuts and other allergens. "If a child has an allergy that is that serious, we're not going to risk it," she said, noting that they are seeing an increase in all kinds of food allergies.

Another school, Heath Elementary, has a child with an airborne peanut allergy so the school does not serve any peanut products or cook with any peanut products, Sara Jane Hedges, food services director for McCracken County schools. told Postlethwait. Students are still allowed to bring peanut butter products, but " "It's just taken care of very carefully," Hedges said.

Crittenden County Elementary school's policy does not require school personnel to check backpacks or lunchboxes for nut-containing products, but if they see children have one of these products, they ask them to sit at a designated table for that day, where they can ask a friend to join them.

The school sent home a list of nut-free snacks, including safe name brands that do not contain peanut oil, to help parents re-think what to pack in their child's lunch or to send for school snacks or for school parties.

So far, the principal said, parents have been receptive to the policy, and one parent told her that they had successfully switched to a soy butter that tastes like peanut butter because their child wants peanut-butter sandwiches for lunch.

The policy states that those with severe allergies to peanuts or nut products may be at great risk of anaphylactic shock, "an allergic reaction causing swelling, difficulty breathing, itching, unconsciousness, circulatory collapse and sometimes death," if they ingest or are exposed to these products.

"Because of the possibility of cross-contamination, a campus-wide, comprehensive avoidance of foods containing nuts was deemed to be the best solution to reduce the health risks to students with allergens," Tabor told the Press.

Crittenden County School Supt. Vince Clark told the weekly newspaper that he supports the school's policy, despite the argument that it creates a burden to parents of students who love peanut butter.

�There are valid points on each side of the issue,� he told the Press. �Ultimately, we have to support efforts to offer a safer learning environment for the children.� (Read more)

Tuesday, 12 March 2013

Princess Health and Bill encouraging schools to stock EpiPens to stop deadly allergic reactions will become law.Princessiccia

Princess Health and Bill encouraging schools to stock EpiPens to stop deadly allergic reactions will become law.Princessiccia

A bill encouraging Kentucky schools to stock EpiPens, or epinephrine auto-injectors, to stop anaphylaxis, a life-threatening allergic reaction, has passed will soon be signed into law by Gov. Steve Beshear.

When someone has anaphylaxis, the sooner you use an EpiPen, the better the outcome can be, said Thomas Sternberg, an allergist at Graves-Gilbert Clinic in Bowling Green, told Alyssa Harvey of the Daily News.

Under House Bill 172, schools could keep at least two EpiPens in case of emergency, and school boards would develop and approve policies and procedures for managing a student�s life-threatening allergic reaction, reports Harvey.

The bill also helps schools receive or buy the auto-injectors through local health departments and directs the state Department for Public Health to develop clinical protocols for using the auto-injectors in schools. Harvey reports that EpiPens can be donated to schools, and the EpiPens for Schools Program will provide up to four free auto-injectors per school year; if more are needed, they can be purchased at a discounted rate.

"You don�t know when someone could have an anaphylactic reaction,� Rep. Addia Wuchner, R-Florence, who sponsored the bill, told the Daily News. She alluded to an incident in Virginia, where a 7-year-old student died last year after an anaphylactic reaction, and no medications were available at the school to treat her. "There could be a hero in the school who was able to reach for that epinephrine pen and save a child�s life and not a tragedy like in Virginia,� Wuchner said. She filed the bill late in the 2012 session, but the language has been revised for this year's session to encourage rather than mandate schools to stock EpiPens.

Amy Wallace, treasurer and former president of the Bowling Green area's Food Education Allergy Support Team, told Harvey she was disappointed schools will not be required to make necessary provisions, but said advocates of the bill are happy to see that the problem is being addressed. (Read more)