{"id":10529,"date":"2017-05-24T08:33:25","date_gmt":"2017-05-24T14:33:25","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=10529"},"modified":"2023-09-28T16:40:04","modified_gmt":"2023-09-28T22:40:04","slug":"aaahh-chooo-its-allergy-season-in-the-rockies","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/aaahh-chooo-its-allergy-season-in-the-rockies\/","title":{"rendered":"Aaahh-chooo! It’s allergy season in the Rockies"},"content":{"rendered":"
<\/div>

\"AAaahhh-choooo!\u00a0 It\u2019s springtime in the Rockies, and that means allergy season.<\/p>\n

Although many people believe that allergy season started earlier than usual this year, that\u2019s an annual complaint, said Dr. Stephen Dreskin, physician, teacher, lecturer, author of medical articles and Professor of Medicine and Immunology at the \u00a0University of Colorado School of Medicine.<\/p>\n

Dr. Dreskin has practiced for 40 years \u2013 in Colorado since 1989, and he has helped develop the Comprehensive Lung and Breathing Program at UCHealth University of Colorado Hospital.<\/a> Over the years, he\u2019s seen a few patients with allergies.<\/p>\n

One reason that so many sufferers always think the season is here early is that \u201cwe have a pretty pollen-free winter and then, all of a sudden, the tree pollen goes from zero to 60 in a short period of time.\u201d<\/p>\n

This year, it may have started a bit earlier \u2013 mid-February as opposed to later in February, he admitted.\u00a0 \u201cAnd the tree pollen does seem to be high this year.\u201d<\/p>\n

\"Headshot
Dr. Stephen Dreskin, physician, teacher, lecturer, author of medical articles and Professor of Medicine and Immunology at the University of Colorado School of Medicine.<\/figcaption><\/figure>\n

Almost every spring, he said, \u201cPeople think this is the worst season ever.\u201d<\/p>\n

Compounding the situation this year is a spate of \u201csignificant spring respiratory viruses \u2013 and sometimes it\u2019s hard to tell if you have a cold or allergies,\u201d he added.<\/p>\n

Although children and young to middle-aged adults often suffer in greater numbers than older adults, anyone can have allergies and anyone can get them at any time in their life.<\/p>\n

\u201cI just saw a patient the other day who never had any allergic symptoms his whole life and now, at age 40, he\u2019s having fairly severe symptoms.\u201d<\/p>\n

Senior citizens often start to experience reduced allergic symptoms as their immune system becomes less active, he said.<\/p>\n

What you\u2019re allergic to often depends on where you live. If you live somewhere damp, with lots of water, you may become allergic to mold or dust mites. If you live in Colorado, where it\u2019s relatively dry, there are no dust mites and mold is uncommon, so you\u2019re more likely to become allergic to sagebrush and tumbleweed, or to indigenous trees, such as cottonwoods, aspens and junipers.<\/p>\n

\u201cYou can only be allergic to something if you\u2019re exposed to it,\u201d he said.<\/p>\n

It\u2019s not uncommon for someone who lives elsewhere to come to Colorado on vacation and suddenly experience no allergies. The person may even move here for that reason. Then, a few years later, after becoming acclimated to Colorado, a whole new set of allergens may have to be contended with.<\/p>\n

\u201cIt\u2019s called the honeymoon period,\u201d Dreskin said.<\/p>\n

What\u2019s more likely to cause seasonal allergies is the genetic component. If both your parents have allergies, chances are 60 to 70 percent that you will have allergies. If neither of your parents suffer from allergies, it\u2019s more like 20 percent, Dreskin said.<\/p>\n

What are the best treatments for common seasonal allergies?<\/p>\n

He suggests starting with over-the-counter medications.<\/p>\n

\u201cMany of the medications that were prescriptions 5-10 years ago are so safe, they\u2019ve been moved to over the counter.\u00a0 The best ones are antihistamines with a very low sedation side effect, called type 1,\u201d including Zyrtec, Allegra and Claritin.<\/p>\n

But don\u2019t feel like you need to buy the name brands, he tells patients. \u201cThe generic are just as good and a lot cheaper,\u201d he added.\u00a0 \u201cYou take them once a day. And few people have side effects from these.\u201d<\/p>\n

A second class of medications that may be good to try are nasal sprays, like Flonase, because they are low dose and topical. \u00a0\u201cThink of it like putting hydrocortisone cream on a skin rash.\u201d \u00a0Nasal sprays need to be used consistently and may take a few days to a week to have a full effect, though.<\/p>\n

\u201cThese medications work best if taken in advance. They do not reverse the effects of what is already going on,\u201d Dreskin said.<\/p>\n

Nasal saline washes can help, too \u2013 used once or twice a day, they can help to keep seasonal allergies at bay. They also may help your medications be more effective, he added.<\/p>\n

\"a\u201cThe great thing about that is it\u2019s very inexpensive and non-medicinal.\u00a0 Even wearing a cloth mask you can get at the hardware store just to keep the dust and pollen out may help.\u201d<\/p>\n

For patients still having problems, despite reasonable medications, allergy immunotherapy is available. That would be shots or oral sublingual treatments (under the tongue). The latter features lower doses and are sometimes more difficult to tolerate (i.e., the patient can have a reaction). \u00a0They are also less effective than are allergy shots.<\/p>\n

\u201cWhen we speak about allergy shots, we\u2019re talking about a very effective treatment for allergic individuals, helping 60-70 percent of those who can complete a course of shots,\u201d Dreskin said. \u201cBut it\u2019s time consuming and slow to work. A complete treatment can take 3-5 years of monthly injections, so it\u2019s a commitment.<\/p>\n

\u201cThe positive effects may not be appreciated for a year. But it\u2019s highly effective and, for 30-50 percent of patients, it puts seasonal allergies into complete remission.\u201d<\/p>\n

Left untreated, seasonal allergies can incite other health issues.<\/p>\n

\u201cThey affect not only the nose; they affect the eyes and lungs, too. The thing we most worry about is having it develop into an asthma attack for a patient with underlying asthma.\u201d<\/p>\n

Seasonal allergies can have profound effects on the body, including fatigue, difficulty thinking or interfering with sleep.<\/p>\n

Allergies also can develop into a sinus infection. And although allergies do not cause pneumonia directly, \u201cthose with severe allergies do have an increased frequency of getting pneumonia,\u201d he said.<\/p>\n

After years of tending patients and studying the phenomenon, Dreskin concludes that \u201callergies seem to becoming more prominent in our modern world.\u201d<\/p>\n

Seasonal hay fever was relatively rare in the 19th century, but now affects 20-30 percent of the population, he added.<\/p>\n

\u201cThere are lots of theories out there as to why,\u201d he said. \u201cOne hypothesis is that we are \u2018too clean\u2019 \u2013 protected against infectious diseases by modern plumbing, better hygiene and changes in how children play.<\/p>\n

\u201cFood allergies are also increasing in prevalence. But almost everyone with food allergies also has hay fever. Somehow, there\u2019s a link.\u201d<\/p>\n

He counts himself lucky not to suffer from allergies.<\/p>\n

\u201cI\u2019m an unusual allergist in that I\u2019m not allergic to anything.\u201d Dreskin said.<\/p>\n

\u201cOf course, the word allergy has lots of different meanings to different people. People will say, \u2018I\u2019m allergic to milk,\u2019 when actually they\u2019re lactose intolerant. Or they\u2019re sensitive to something and call it an allergy.<\/p>\n

\u201cWhen a physician thinks of allergy, they think of a specific reaction to something.\u201d<\/p>\n

But most people are on the same page when talking about seasonal allergies. Once they experience the itchy eyes and nose, sneezing, drainage and such, they\u2019ve identified it pretty clearly.<\/p>\n

The good news is, along Colorado\u2019s Front Range, there\u2019s usually a respite in July, after the spring pollens and before the fall allergens. There\u2019s another break from late October (after the first snow) till some time in February.\u00a0\u00a0 And if you have seasonal allergies, know that they are at their worst mid-day, so if you want or need to be outside, early morning is a good time to do that.<\/p>\n

Stay on top of your medications. Follow pollen counts on a weather station and check out the many possible solutions in your pharmacy. With any luck, you\u2019ll find one that works for you. If not, see your physician for help.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Aaahhh-choooo!\u00a0 It\u2019s springtime in the Rockies, and that means allergy season. Although many people believe that allergy season started earlier than usual this year, that\u2019s an annual complaint, said Dr. Stephen Dreskin, physician, teacher, lecturer, author of medical articles and Professor of Medicine and Immunology at the \u00a0University of Colorado School of Medicine. 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