Hayfever

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Information about Hayfever
Health & Medicine

Published on August 3, 2009

Author: myhealthbeijing

Source: slideshare.net

Allergic Rhinitis (“Hayfever”) Richard Saint Cyr MD DABFP [email_address] www.myhealthbeijing.com August 2, 2009

Case: Spring In The Garden

When: late April You spend the afternoon at the Beijing Botanical Garden That night: slight headache and runny nose. Itchy eyes and sneezing at night; “fuzzy head” in daytime You take OTC Rx for a “cold”; doesn’t help Case: Spring In The Garden

When: late April

You spend the afternoon at the Beijing Botanical Garden

That night: slight headache and runny nose. Itchy eyes and sneezing at night; “fuzzy head” in daytime

You take OTC Rx for a “cold”; doesn’t help

Q: What Next? Get antibiotics at pharmacy Get anti-allergy pill from pharmacy Go to clinic doctor

Get antibiotics at pharmacy

Get anti-allergy pill from pharmacy

Go to clinic doctor

Dx: Allergic Rhinitis “ Hay fever” 花粉病 huāfěnbing Allergic reaction to pollen in flowers Seasonal patterns Spring - Trees Beijing poplar 杨树 yángshù & willow 柳树 liǔshù Summer – Grasses Fall – dry grasses & weeds Indoor allergens (all year) Mold 霉病 méibìng , dust mites 尘螨 chénmǎn Dog & cat hair

“ Hay fever” 花粉病 huāfěnbing

Allergic reaction to pollen in flowers

Seasonal patterns

Spring - Trees

Beijing poplar 杨树 yángshù & willow 柳树 liǔshù

Summer – Grasses

Fall – dry grasses & weeds

Indoor allergens (all year)

Mold 霉病 méibìng , dust mites 尘螨 chénmǎn

Dog & cat hair

Beijing Tree “Sex Change” Female poplar & willows April-May: huge pollen release 2007 campaign to: inject females to neuter them replace with males replace all with gingko trees

Female poplar & willows

April-May: huge pollen release

2007 campaign to:

inject females to neuter them

replace with males

replace all with gingko trees

Symptoms Common: Sneezing; watery, itchy eyes; clear runny nose; sore throat; itchy skin rash Serious: Bacterial infection (sinus, ears) Children: asthma 哮喘 xiàochuǎn , eczema 湿疹 shīzhěn Anaphylaxis 过敏性 guòmǐnxìng Usual Course: Flower season, every year

Common:

Sneezing; watery, itchy eyes; clear runny nose; sore throat; itchy skin rash

Serious:

Bacterial infection (sinus, ears)

Children: asthma 哮喘 xiàochuǎn , eczema 湿疹 shīzhěn

Anaphylaxis 过敏性 guòmǐnxìng

Usual Course:

Flower season, every year

Racoon Eyes “Allergic Shiners”

“Allergic Shiners”

Prevention Avoid the pollen Take antihistamine daily Nasal rinse daily Severe cases only: Allergy injections to build immunity

Avoid the pollen

Take antihistamine daily

Nasal rinse daily

Severe cases only:

Allergy injections to build immunity

Prevention: Indoor Allergens Air purifiers Open windows every day ~1/2 hour Not overnight! Diesel fumes too strong Pets – wash Only helps ~24 hours Beds, pillows (dust mites) Special covers Throw out old pillows

Air purifiers

Open windows every day ~1/2 hour

Not overnight! Diesel fumes too strong

Pets – wash

Only helps ~24 hours

Beds, pillows (dust mites)

Special covers

Throw out old pillows

Air Purifiers Work well – but $$$ Look for HEPA rating IQAir – best rated; 10,000RMB+ BlueAir – very good; 6,000RMB+ Chinese products?

Work well – but $$$

Look for HEPA rating

IQAir – best rated; 10,000RMB+

BlueAir – very good; 6,000RMB+

Chinese products?

Self Treatment Avoid the pollen OTC Rx Antihistamine 全身抗组胺药 pills Clarityn 开瑞坦 once a day; non-sedating Benadryl 苯海拉明 every 6 hours; sedating Steroid nasal spray Flixonase 辅舒良 Eye drops Naphcon-A 那素达 Nasal saline rinse Epi-pen: epinephrine injection 肾上腺素 Carry always, if severe risk

Avoid the pollen

OTC Rx

Antihistamine 全身抗组胺药 pills

Clarityn 开瑞坦 once a day; non-sedating

Benadryl 苯海拉明 every 6 hours; sedating

Steroid nasal spray

Flixonase 辅舒良

Eye drops

Naphcon-A 那素达

Nasal saline rinse

Epi-pen: epinephrine injection 肾上腺素

Carry always, if severe risk

Rinse Out Your Nose Cleans out toxins & mucus Helps allergies & colds Twice a day 8 oz (250cc) warm water (filtered/boiled) + ½ teaspoon salt + pinch of baking soda 不好玩儿!

Cleans out toxins & mucus

Helps allergies & colds

Twice a day

8 oz (250cc) warm water (filtered/boiled) + ½ teaspoon salt + pinch of baking soda

What Clinics Can Do Physical exam: allergy vs. infection Lab test: Allergy panel; CBC Rx: Severe reactions: injections OTC and prescription Rx Hospital/ER: Severe reaction; shock

Physical exam: allergy vs. infection

Lab test:

Allergy panel; CBC

Rx:

Severe reactions: injections

OTC and prescription Rx

Hospital/ER:

Severe reaction; shock

In Your Travel Kit… Antihistamine pills, sprays, eye drops Epi-pen: history of severe reaction

Antihistamine pills, sprays, eye drops

Epi-pen: history of severe reaction

Get antibiotics at pharmacy Take anti-allergy pill Go to clinic doctor A: What Next?

Get antibiotics at pharmacy

Take anti-allergy pill

Go to clinic doctor

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