The Daily Dose

By Dr. John Spence

If you have a medical problem, or something is bothering you or a member of your family, The Jackson County Times now has a local physician, Dr. John Spence, of the Panhandle Family Care Associates available to respond to your questions via e-mail.
I’m always shocked at just how many of my patients are plagued with allergy problems or chronic sinus issues. To that end, the next several articles focus on how to stamp out the snotty misery that seems so prevalent in our area. As we progress towards spring, a slew of possible irritants will rain down upon us, from tree pollen and grasses to peanut dust and spores.
How do I know what I’m allergic to?
An allergist can perform skin prick testing to evaluate for specific reactions to allergens. He may evaluate for grass or mold allergens by checking for a superficial skin reaction (hives, redness) to the substance. Knowing the triggers will then allow a patient the opportunity to avoid them or to monitor their counts in the air (webmd.com pollen counter).
How can I get relief with over the counter medications?
Many patients can treat themselves effectively without interventions from their physicians. Several non-sedating antihistamines are available and can be safely used (Claritin, zyrtec). Most allergists and ENTs (ear, nose and throat docs) recommend nasal saline irrigation as a cheap method at treating chronic problems. OTC nasal sprays can be used, but caution should be taken to avoid "addiction" to these decongestants. After two to three days, a patient may develop rebound symptoms whereby congestion rapidly returns after use of the spray. Patients end up using more and more of the spray to have a similar effect. Be wary! Transition to nasal steroid sprays may be the best option for these individuals.
Other OTX medications include drops/lozenges for sore throats and antihistamine drops for eyes that itch, burn and generally drive you nuts.
Are antihistamines themselves addictive?
Some people are under the impression that allergy pills can be addictive just like the nasal sprays. The reality is that they have no "addictive" potential. Some patients do, however, develop a tolerance to these agents and may need to rotate their use of OTC antihistamines to combat the issue. According to experts, tolerance generally occurs after three months. At this point, consider changing to another brand.
I hate taking pills – are there any other ways to manage my allergies?
Logically, avoidance of the trigger is the key. Since many allergens are airborne, windows should remain closed even if the weather appears inviting. Allergens also have a tendency to stick to clothes and are piggy-backed into the house after you spend time outdoors. Showering after exposure, though inconvenient, may be helpful. Clothes need to be washed regularly to prevent transfer of the allergens to furniture, pillows, sheets or spouse.
The next article will focus on formal physician mediated medical management, from prescription pills to shots. Then, I will shatter some myths frequently surrounding allergen avoidance in the home.
Do you have any medical questions or concerns that you would like addressed? You can contact Dr. Spence by email at panhandledailydose@hotmail.com or by mailing your question to Daily Dose, P.O. Box 6107, Marianna, FL 32446.