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PATIENT EDUCATION

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TREATMENT OF ALLERGIES

Once we find out what a person if allergic to, avoidance is the bet measure. Based on the targeted organs, we either treat the nasal symptoms, eye symptoms, or asthma problems. Allergy injections reduce the specific IgE antibody levels, and build up the IgG antibody levels.

The most common treatment for nasal symptoms are nasal sprays. There are two major classes of nasal sprays. The first class is “relief” medications which helps within a few minutes. The most common is the non-prescription, over-the-counter decongestant sprays. Long-term use of this is not recommended as it can be habit forming. The other type of relief nasal sprays are antihistamine nasal sprays, i.e, Astelin, and anticholinergic nasal sprays such i.e. Atrovent.

The second major class of nasal sprays are “control” medications for nasal symptoms. Most common in this group are the nasal steroids. They do not have any systemic side effects as we use them in minute amounts. The most common side effects are nose bleeds, dryness, and irritation. These nasal sprays must be taken on a regular basis in order to work. There is also a control nasal spray, cromolyn sodium, which is very safe to use; but this nasal spray must be taken at least three to four times a day on a regular basis.

The relief-type medications (antihistamines, decongestants, or a combination) can be taken on an as-needed basis, mostly by mouth.

In the long run, avoiding exposure to allergens, taking medications on a regular basis, and getting allergy injections will prevent nasal symptoms. If nasal symptoms are not well controlled, complications of chronic sinusitis, chronic ear infections, postnasal drip, chronic mouth breathing, and in some instances, lacrimal-duct obstruction and venous congestion in the lower eyelids (dark circles under the eyes), can occur.