Seasonal Allergies
Winter colds may have dried up, but sniffles and sneezes can
continue throughout the warmer months for many. According to
some estimates seasonal allergies affect up to 25% of the general
population in Western societies. Though popularly called 'hay
fever', symptoms of watery, itchy eyes, burning throats and
congestion of the sinuses and nasal passages are only rarely caused
by hay and are usually only accompanied by fever if the person is
also suffering an infection. These symptoms, known medically
as 'allergic rhinitis', aren't just experienced in summer,
either. Grass pollen levels are at their highest between May
and August and other airborne allergens, such as moulds, fungi and
tree pollens can make many sufferers feel like they have a cold for
much of the year. For many, such allergies can make them more
susceptible to colds and 'flu, and conditions such as sinusitis and
ear infections.
What happens when I
sneeze? Ironically, an allergic reaction is
a manifestation of the body's immune response trying to protect it
from something potentially harmful. Though benign to the
majority of the population, certain substances (allergens) trigger
an immune response in sensitive people. As the body attempts
to guard against the perceived irritant, special antibodies (IgE)
recognize the 'invading' substance and then multiply themselves
to make large numbers of antibodies . These antibodies cause
other blood cells to release certain chemical substances, including
histamine. In an attempt to flush out the allergen, fluid is
drawn to the site of the 'attack', resulting in the the relevant
mucous membranes become inflamed, with streaming eyes and
runny nose characteristic of seasonal allergic
rhinitis.
Sufferers may also experience related stomach
problems, tiredness and skin symptoms such as itching and
hives.
Why me? It is not yet known why
the immune system of an affected person overreacts in this way. In
the UK, there has been a fourfold increase in allergies in general
since the 1950s, with no consensus as to the reason why. Some
writers point to hereditary factors, others to the time of year a
person was born (babies born in the spring are said to be more
likely to develop hay fever), while others blame environmental
toxins and the immune-compromising effect of long-term stress.
Whatever the cause, there's little doubt that such conditions are
troublesome. Thankfully, there are a number of measures you
can take to reduce those familiar symptoms.
 Manage your lifestyle, manage your symptoms; top tips for
beating the summer sniffles
- Keep a symptom diary , recording where
you were and what you were doing during an attack and what symptoms
you experienced. This will help you plan your anti-allergy
strategy much more comprehensively than guess
work.
- Keep track of the pollen count.
Limit outdoor activity on high days (less than 30 is low,
more than 50 is high), shut doors and windows and if your symptoms
are severe consider using an air purifyer.
- Remove your outdoor clothes away from
your bedroom and wash your hands and face on returning home after
being out they may be covered in pollen.
- Try
applying a barrier balm to the base of your
nostrils. A blend of beeswax and vegetable oil can help
to stop pollen from entering your body and triggering the allergic
reaction.
- Drink lots of water . Water is a natural
antihistamine and being dehydrated can lead to the production of
even more histamine. If plain water is rather unexciting
for you, try Red Bush/Rooibus, a caffeine-free tea with
antihistamine properties or try infusions of other plants which also
have antihistamine properties (see below).
- Reduce stress . 2010's Hay Fever
Health Report by Professor Jean Emberlin showed that 71% of those
with the worst symptoms reported higher than average stress
levels.
- Consider supplementation . Vitamin
C is the main antioxidant in the cells of the
respiratory passages and acts as a natural
antihistamine. Patrick Holford, founder of the Institute
for Optimum Nutrition, suggests four 1000mg tablets of vitamin C
daily for rhinitis sufferers. Bioflavanoids (such as quercetin)
are compounds found in many fruits and vegetables, and can
boost vitamin C's ability to relieve hay fever symptoms. Bromelain,
a mixture of protein-digesting enzymes found in pineapples, is also
a natural anti-inflammatory, and Magnesium
, a mineral involved in around 300 enzyme-related
processes in the body, is used by some allergy sufferers with
success.
- Sluice out the sinuses . Nasal
irrigation using a neti pot (a small, teapot-like receptacle with a
long spout used to deliver saline solution) is a technique which
dates back to ancient India and nowadays is used over the world to
relieve symptoms of rhinitis, sinusitis, and other conditions
associated with the upper respiratory passage. Long term use
of saline solution may dry out the passages, however, so a
convenient and more gentle alternative is Weleda's
Rhinodoron , a simple, effective nasal spray with
soothing aloe vera. The aloe vera forms a coating on the nasal
passage acting as a barrier to the pollen.
- Assess your options . Many
sufferers report that herbal
medicine has been effective in addressing their
seasonal allergies. Drawing on their extensive knowledge of
medicinal plants, a herbalist will view your symptoms with regard to
your overall health and wellbeing and will tailor a prescription
specifically to you. You can find a herbalist close to you at
the National Institute of Medical Herbalists' Herbalist
Finder . Others use acupuncture
to control their allergies. In 2008, a study in
the European Journal of Integrative Medicine randomly assigned
over 5000 people with allergic rhinitis to receive acupuncture for a
3 month period or to a control group that received no
acupuncture. The authors of this trial concluded that treating
patients with allergic rhinitis with acupuncture led to clinically
relevant benefits.
Herbal hay fever
relief There are many plants which have natural
antihistamine qualities. Nettle
(Urtica dioica) , for
example, can be taken throughout the day to ease the inflammatory
reaction which causes many of the symptoms associated with hay
fever. Plantain
(Plantago lanceolota) is also antihistamine
and helps thin the mucous gunging up your nose and sinuses.
Both herbs make pleasantly 'green' tasting teas and are also the
main constituents of Woodland Herbs Plantain
and Nettle tea , which also contains soothing
German Chamomile (Matricaria recutita) , Lemon Balm
(Melissa officinalis) and Elderflower (Sambuccus
nigra). Eyebright
(Euphrasia officinalis) is drying and
has a specific action on the eye, making it useful for the watery
itchy eyes associated with seasonal allergies. Studies have shown that aged
garlic can inhibit the release of histamine and can
enhance various immune factors such as natural killer cell activity
and antibody generation. The latter suggests that aged garlic may be
useful in preventing the development of congested sinuses and ears
into infections, a common complication of seasonal allergies.
Garlic is also a good source of quercetin (more on
which below).
Essential oils and homeopathy
are often very useful components of an anti-allergy
strategy. Visit the relevant sections on our website to find
out how homeopathic
remedies and aromatherapy
may help symptoms of allergy and hay fever.
Understanding what is happening in the body and how to cope is
very important to people with allergies and those around them.
Allergy UK has a number of factsheets
available on a range of other specific
allergies, intolerances and sensitivities.
Supplement of the Month: Quercetin
Rather than preventing the production of histamine,
antihistamines block the action of histamine at receptor
sites. Quercetin inhibits the release of histamine by mast
cells, which are especially numerous in the parts of the body in
promiximity to the outside world. Quercetin is one of a group
of nutrients known as flavonoids (also called bioflavonoids), which
are a group of compounds that give many fruits and vegetables their
colour and which have been found to have many health benefits.
Bee pollen, which is taken by many as they feel it
helps reduce the allergic reaction, also contains quercetin.
Quercetin belongs to the family of flavonoids known as Oligomeric
Proanthocyanidins (OPCs), which are powerful antioxidants and help
the absorption of vitamins C and E in the body and prevent and
reduce inflammation. OPCs therefore have potential
applications in a range of conditions from joint troubles and
allergies to ageing. Many herbs and foods contain small amounts of
quercetin, such as onions, apples, black and green tea, capers,
berries and brassicas such as broccoli.
Solgar's Quercetin
Complex includes quercetin in a formula with Ester-C
Plus (a patented, pH neutral form of vitamin C that is gentle on the
stomach) and bromelain, a natural enzyme derived from pineapple
which has been the subject of much research regarding its potential
to inhibit inflammation.
Herb of the Month: Nettle
Quercetin is one of a number of flavonoids found in Nettle
(Urtica dioica)a familiar plant which herbalists often
use as part of an overall anti-allergy treatment plan. Abundant in
ditches, shrubberies and verges, nettle's heart-shaped leaves and
tiny, hollow needles that release stinging chemicals are familiar to
almost everyone. Nettle has been used both as a food source and
medicinally for thousands of years - the Ancient Greeks and Romans
used it for a wide variety of medicinal purposes - and the plant's
leaves are used to make infusions, tinctures, compresses and
ointments.
Infusions and tinctures of nettle have been commonly used to
provide relief from allergy symptoms for centuries and in 2009 a
study published in the peer reviewed Phytotherapy Research
identified the specific processes by which nettle inhibits the
symptoms of allergic rhinitis.
It may often also be used for its high levels of vitamin C, iron,
silica and potassium. In the past the nettle stems were used to
make clothing and bedsheets.
Cautions and
Contraindications: Nettle increases urinary flow,
so use with caution if you're taking other (herbal or conventional)
diuretics. We normally recommend seeking advice from your
Doctor, Herbalist or other health professional if taking
prescription medicines, pregnant or breastdfeeding and
thinking about self-treating with herbs.
Legislation on the sale of herbs has changed
Due to the Traditional Herbal Medicinal Products Directive
(2004/24/EC) we are no longer able to dispense herbal tinctures
for internal use over the counter or on our website. This
means that most of the tinctures we currently sell will not be
available, unless it is recommended by a medical herbalist after a
private consultation. Medical herbalists still have
access to the full to the full range of medicinal herbs. Dried
herbs are also affected, though we are trying to keep as many
available as possible. You can find out more information at
the website of the European
Herbal and Traditional Medicine Practitioner Association (EHTPA)
and at the National
Institute of Medical Herbalists .
The National
Institute of Medical Herbalists' site has a facility allowing you to
find
a herbalist in your area
Cautions and
Contraindications: This newsletter does not substitute the
advice of a healthcare professional. Always consult your GP or
Medical Herbalist before self-treating with herbs and/or
supplements.
References: Bourdin A
Vachier I and Chanez P (2009), Allergic rhinitis and asthma; united
disease through epithelial cells, Thorax 64 pp999-1004 Dykewicz
MS, Hamilos DL (February 2010). "Rhinitis and sinusitis". J. Allergy
Clin. Immunol. 125 (2 Suppl 2) Aged Garlic Extract: Research Excerpts from Peer Reviewed
Scientific Journals and Scientific Meetings, www.kyolic.ca/AGE-Research.pdf
Brinkhaus et al, 2008,
Effectiveness of acupuncture in patients with allergic rhinitis
Results of a pragmatic randomised trial, European Journal of
Integrative Medicine, (1, Supp
1)
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