Seasonal allergy

Pollinosis or seasonal allergy is the response of the immune system to certain irritants that interact with the human body at certain times, seasons. Seasonal allergy was not accidentally called a pollinosis, this word has the Latin root pollen, which means pollen. People suffered from hay fever before, in ancient Greece they sang "the food of the gods" - ambrosia nectar, which, incidentally, was completely inadequate for either the powerful or the common people, because they caused severe skin rashes and gasps.

A brief mention of the disease, reminiscent of seasonal allergy, is also found in Galen, later Dr. Van Helmont connected massive coughing attacks with flowering trees. But the first specific description of the disease, called hay fever, refers to the beginning of the XIX century. English doctor Bostok officially marked the seasonal allergic reaction, linking it with a provoking factor - hay. After more than 50 years, his compatriot Dr. Blakely proved that seasonal allergies are caused by pollen from plants. After a decade, a message about pollinosis appeared in Russia, in St. Petersburg, it was made by Dr. Silich at an open meeting of the Russian doctors' organization. Mass clinical manifestations of seasonal allergy belong to the 50-60s of the last century, the first outbreak of pollinosis was noted in the Krasnodar Territory, where ragweed began to breed, seeds and pollen which were imported from the US states along with a load of food (grain).

Today, every fifth inhabitant of the planet suffers from hay fever, regardless of age, sex, region and climatic conditions of residence. It is obvious that the true number of people suffering from the flowering season of plants is much larger and this is a serious problem, as every year statistical indicators inexorably increase, despite obvious achievements in studying this disease.

[1], [2], [3], [4], [5],

The causes of seasonal allergies

In clinical sense, the pollen has been studied very extensively, the good that the material - patients suffering from rhinitis, skin rashes, dyspnea, has always been abound. But the etiology, the causes of seasonal allergies have been determined quite recently. Previously it was believed that the main factor provoking an allergy relates to a possible predisposition associated with a genetic cause. Genetic predisposition does exist, but it is proved that the allergy is directly inherited, this is confirmed by statistics:

• In a mother with allergies, children with allergic reactions are born in 25% -30% of cases.
• 20-25% of allergy sufferers have an allergic heredity for their father.
• 50% of children born from the father and mother of allergy sufferers have a history of allergies.

Scientists have found specific genes that allergic parents transmit directly to the baby, literally from the first hours of conception. Such children form a deficiency of the secretory function of IgA immunoglobulin, which further contributes to the sensitization of the body and the aggressive reaction of immunity to pollen from plants, trees and grasses.

In addition, can fall ill with such groups of people:

• The population of territories where the ecological situation is recognized as unfavorable.
• People who have a history of allergies of a different kind, when the provoking factor is medicines, food, chemical compounds. Pollinosis in such cases is a secondary disease, an example of this is the reaction to houseplants that are not capable of producing pollen.
• Patients with chronic bronchopulmonary diseases.
• People with weakened immunity.
• Employees of occupations associated with hazardous working conditions.

The cause of allergy in the flowering period of plants is their pollen, it should be noted that the pollen can also be caused by spores of fungi, which also produce them in seasonal periodicity.

Pathogenetic mechanism of the development of pollination is caused by sensitization, "habituation" of immunity to allergens of pollen and fungal spores, which today number from 500 to 700 species. It is established that 50 subspecies of pollen allergens are the most aggressive and widespread, usually plants and trees that grow everywhere, are unpretentious to weather changes and are able to survive in virtually any climate. Each species is capable of acting as an antigenic determinant and provoking an atypical response from the immune system. In addition, pollen allergy can promote cross-sensitization, when the trigger is not pollen, but an obligate food allergen.

The causes of seasonal allergies, more precisely, the culprits of an allergic reaction are the following trees and plants:

• Birch and its sub-species.
• Alder.
• Hazel (hazel).
• Willow.
• Oak.
• Linden.
• Ash.
• Sycamore.
• Cypress.
• Maple.
• Elm.
• Walnut.
• Weed flowering herbs - wormwood, ragweed.
• Meadow blooming grasses - clover, timothy grass, alfalfa.
• Cereals - buckwheat, oats, rye, wheat.

Also, a peculiar reason can be considered the change of natural seasons, pollinosis is most acute in spring and autumn, there are fewer cases of allergy to plants in the middle of summer, and extremely rarely in winter.

Seasonal allergy in spring

Spring is the time of revival of nature, flowering and reproduction of plants. It is the spring period that is considered to be the most aggressive in the allergic sense, yielding to the number of exacerbations of pollinosis only early autumn, when ragweed comes into its own. Seasonal allergies in the spring are most often manifested by rhinoconjunctival symptoms, rashes and hives rarely occur. As such, the spring allergic season starts in early April and ends in May. At the end of April, the most aggressive in the allergic sense trees - birch and alder - are regenerated and begin to bloom. Hazel bloom a little later, although it all depends on the "living" of trees and climatic conditions. Pollen produced by a birch can spread for many kilometers, therefore the person suffering from allergies and not having these white-bellied beauties under the window is sometimes perplexed after diagnosis, which determines the birch allergen. In addition, pollen can also carry poplar fluff, which is often blamed for all allergic "sins," in which he is not guilty. In the southern territories the poplar blooms quite early, and at the end of May it topples the earth with down, which is an excellent vehicle for heavier pollen. Nearby blooming trees often coexist with poplars, so their pollen settles on downy seeds and spreads everywhere.

Symptoms that show seasonal allergies in the spring, can debut long before the very fact of flowering, about 50% of allergic people begin to notice tearing, reddening of the eyes 7-10 days before "hour X". During this period, allergy can still be prevented or at least taken to reduce the severity of symptoms.

Signs of spring pollinosis:

• Typical rhinitis - the nose is stuffed, it's difficult to breathe. Characteristic sneezing attacks, and mucus secreted from the nasal sinuses, has a clear, liquid consistency.
• Allergic conjunctivitis - eyes turn red, swell. There is tear, photophobia, a feeling of "mote" in the eyes.
• Attacks of dyspnea, similar to bronchial asthma. Cough is frequent, persistent, exhausting, it is difficult to exhale.
• Dermatitis, usually atopic. Skin is itching, there is a rash, wet or dry vesicles.
• Exacerbation of symptoms may result in angioedema, a threatening condition requiring immediate medical attention. Quincke's edema develops in 10% of allergic people suffering from spring exacerbations.

Often seasonal allergies in the spring are accompanied by an increase in body temperature, headaches, a decrease in appetite, a general bad condition. It is no mere chance that in many developed countries they are fighting against carnivorous plants and planting only safe flora on the streets, since allergy sufferers not only lose their quality of life, but their working capacity almost doubles. In addition, European countries have a good tradition to water the streets in the early morning, especially effectively in the spring period - and clean, and the pollen is washed away.

Symptoms of seasonal allergies

Pollinosis differs little from other types of allergic reactions according to the pathogenetic mechanism, the symptoms of seasonal allergy develop according to the classical scheme - from the nasal, respiratory tract, descending below - into the bronchi and lungs. Nevertheless, hay allergy also has differences, they are associated with conjunctival symptoms. In addition to the nose, allergies suffer from eyes, pollen settles on the eyeball, penetrates the mucous membranes and gives rise to aggressive immune processes. The first reaction of immunity is the recognition of an allergen, which is not always functional, then the body begins to produce specific antibodies to suppress the foreign antigen. Since all typical allergens have a structure that contains protein, the immune system interacts with protein elements, so there is a process of sensitization, a kind of adaptation.

To ensure that the symptoms of seasonal allergies are manifested and formed into a recognizable clinical picture, a minimal portion of pollen is sufficient. However, in children the signs of pollinosis can be hidden, and sensitization also proceeds asymptomatically. Only after a few weeks or even months the child becomes covered with a rash, his eyes turn red and swell, an allergic rhinitis appears.

For the classical development of pollinosis, the so-called allergic triad is characteristic:

• Conjunctivitis and tear.
• Rhinitis or rhinosinusitis.
• Cough and bronchospasm.

Typical for seasonal allergies are the following symptoms:

• Itching and redness of the eyes.
• Swelling of the eyes and increased tear.
• Photophobia.
• Itching in the nasal cavity, sneezing ("allergic salutes").
• Nasal discharge of light color of liquid consistency.
• Nasal congestion, shortness of breath.
• Pain in the ears, caused by the involvement of the Eustachian tubes in the process.
• Hoarseness of voice, change of his timbre.
• Atopic dermatitis, urticaria.
• Headache, possibly a rise in body temperature.
• Specific type of asthma - pollen asthma and bronchospasm.

Bronchospastic manifestations do not occur in every allergic person if timely measures are taken, shortness of breath and spasm may not manifest, but in 30% of patients who have a history of exacerbations of the past seasons, asthmatic attacks still occur. The most threatening consequence of bronchospasm is the Quincke's edema, which develops in a matter of minutes and requires emergency medical care.

The general condition of pollinosis often resembles signs of acute respiratory infections, colds, but without a rise in temperature. In addition, seasonal allergies can manifest as pollen intoxication, when a person begins a migraine attack, develops weakness, irritability, sleep is disturbed. If the pollen penetrates the digestive system, which is often the case with cross-allergies, nausea and abdominal pain occur, which often makes it difficult for the primary diagnosis - allergic symptoms may be so nonspecific. Especially dangerous are such conditions in children and the elderly, when the symptomatology is hidden in the initial period, and the aggravations develop rapidly. Therefore, if you have the first signs that are similar to an allergic reaction, you should consult a doctor.

Seasonal allergies in children

Pollinosis in modern children is a frequent phenomenon that can develop due to such causes:

• Hereditary predisposition, genetic factor.
• Infectious, viral diseases of the mother during pregnancy.
• Contact with virus carriers, bacterial infections and as a consequence - a decrease in immune defense.
• Living in a dysfunctional environment.
• Violation or sudden change in diet, especially in infancy.
• Untimely or incorrect vaccination.
• Artificial feeding.
• Dysfunction of the digestive system.

Seasonal allergies in children can occur nonspecifically, by the type of "disguised" pollinosis. Allergies can be manifested by pain and stuffiness in the ears in the absence of a classic picture of the symptoms of hay fever. In some children, the allergic reaction looks like a partial and transitory reddening of the eyes, a habit of constantly touching the nose - doctors describe this symptom "allergic salute" figuratively. Sometimes children begin to cough and the allergy may be similar to a typical bronchial asthma without rhinoconjunctival symptoms. The exact cause of the ailment can only be established by an allergist with the help of a specific diagnosis that determines the specific allergen.

Seasonal allergy in pregnancy

Almost all groups of the population are prone to pollinosis, and pregnant women are no exception. Seasonal allergy during pregnancy proceeds according to the same scheme as in other patients, the main triad is tear and conjunctivitis, runny nose, cough and possible bronchospasm. Skin rashes with pollen are less common, they happen only with direct contact with a provoking factor. It should be noted that the hormonal system of expectant mothers works in a special regime, and therefore signs of pollinosis can manifest in an atypical form. The most indicative criterion for determining the root cause of discomfort phenomena can serve as a family anamnesis. If parents are pregnant allergies, it is likely that a woman has a predisposition to allergies. There are also special features in the differential diagnosis of pollinosis in pregnant women, for example, rhinitis in the third trimester can be a signal not of allergy, but is caused by the effect of hormonal changes (progesterone). Therefore, as a rule, an accurate diagnosis can be established only after the birth, when the function of the hormonal system is normalized, and during the period of gestation, only correct symptomatic therapy is performed.

If the seasonal allergy during pregnancy is still manifested, then the main rules for the patient - this is the constant monitoring of the doctor and the maximum elimination of the provoking factor. Dynamic observation in an allergist is necessary to reduce the risk of developmental pathology of the baby, because with persistent coughing or nasal congestion in the mother, especially in the case of bronchospasm, hypoxia of the fetus is possible. The future mother is much more difficult to tolerate seasonal allergic rhinitis (ATS), and exacerbation significantly worsens her condition and quality of life in general.

Confirmed pollinosis in the mother almost guarantees a predisposition to allergies in the child, at least, the statistics determine this way:

• Half of the children born from allergic parents have a predisposition to allergic reactions.
• If the seasonal allergy is manifested in a future mother, and the child's father is healthy in this sense, the risk of developing an allergic reaction in a child is possible in 25-30%.

Treatment of seasonal allergies during pregnancy is very specific. Absolutely unreasonable opinion about the danger of using antiallergic drugs for pregnant women is much more dangerous than the exacerbation and pathology of the fetus with untreated pollinosis. In addition, in 1.5% of expectant mothers during pregnancy, the reaction to pollen causes severe bronchospasm and Quincke's edema, so refusal of symptomatic treatment is at least a threat to health, as a maximum - for life in general. Currently, there are quite a few sparing methods of antiallergic therapy, safe means that do not affect the course of pregnancy and fetal development. Most often, drugs are prescribed in the nasal form, systemic antihistamines can be prescribed only in exceptional cases, with exacerbations and the threat of life. Of course, the simplest and most inconvenient complications is the elimination method, that is, the rejection of contact with a provocative situation, a factor. Pregnant, prone to allergies, you need to choose the time and place for walking, after them, you must wash your whole body under running water, take a shower. In sunny windless days it is better to stay at home with closed windows and windows. Also important is the humidity level in the room, the higher it is, the less risk of contact with pollen allergens. It should be noted that the trigger may be not pollen, but mold spores fungi, so the hygiene of the dwelling should be observed very carefully. Limiting the use of household chemicals, a gentle hypoallergenic diet, a positive attitude and confidence in the experience and knowledge of the doctor will help the future mother safely survive the pollen plant season and prepare for childbirth.

Temperature with seasonal allergy

Among the symptoms that show pollinosis, there may be a temperature increase. The temperature with seasonal allergy is not a specific symptom and it is rare, but if it is noted, it greatly complicates the diagnosis of the disease. This is due to the fact that quite often allergies to plants are similar in the clinic to the picture of acute respiratory infections, acute respiratory infections, especially in the initial period. Runny nose, malaise, headache, no rash - all this can mislead the patients themselves, who begin to treat a false cold on their own. Uncontrolled intake of drugs not only erases the typical symptoms of allergy, but also complicates its course, which can be expressed in hyperthermia as the most aggressive reaction of the body to the inflammatory process.

Most often, the temperature with seasonal allergies is noted in young children. Especially when the hay fever is manifested as a rash, hives. A feverish condition with allergies is an adaptive, compensatory mechanism of the body for the effect of a non-infectious aggressive factor. The main role in the pathogenesis of fever is played by interleukin (IL), an intercellular mediator that activates in inflammatory processes. In children, the level of IL is always somewhat higher due to age characteristics, so the hyperthermia they last for a long time, sometimes even after the acute symptoms subsided. It has been established that children between the ages of 2 and 7 are prone to atopic reactions, so the probability of fever for various exacerbations is very high. In adults with allergies, fever is extremely rare, and may serve as a signal of aggravation of the concomitant infectious disease, but not pollinosis. The main drug that removes heat, the elevated temperature is paracetamol and its derivatives. When prescribing an antipyretic, the doctor always takes into account the characteristics of the patient, the course of the allergic reaction, and the appropriateness of taking the antipyretics in principle. As a rule, the fever with seasonal allergy subsides after the main symptoms are neutralized, most often immediately after elimination.

Diagnosis of seasonal allergies

The identification of the root cause of an allergic seasonal reaction is based on the patient's questionnaire and taking into account the special calendar of flowering of the carnivorous flora prevalent in a specific locality.

In addition to collecting anamnesis, including family history, the diagnosis of seasonal allergies involves an allergic test, which reveals the main "culprit" of an aggressive immune response. The definition of the "culprit" of sensitization

Is carried out in several ways:

• Endonasal provocative allergens.
• Conjunctival provocative tests.
• Prick-test, test with microinjection.
• Provocative inhalation test.
• Skin scarification tests.
• Identification of specific antibodies, IgE.

Almost all samples are carried out outside the period of exacerbation and, in principle, outside the flowering season (except for the immunological analysis of blood serum). At the height of the season, eosinophilia can be detected in nasal mucus, but this is a nonspecific sign indicating a specific type of allergy, especially not defining an allergen.

Diagnosis of seasonal allergies can include such areas:

1. General clinical examination - blood tests and sputum.
2. Instrumental examination of nasal sinuses, broncho-pulmonary system.
3. Specific allergic tests outside the season of palinacing.
4. Consultations of related specialists - dermatologist, immunologist, ENT doctor, pulmonologist.

[6], [7], [8], [9]

Treatment of seasonal allergies

Therapeutic measures that involve the treatment of seasonal allergies depend on the flowering period (spring, summer or autumn), the stage of the allergic process and the characteristics of the patient's body.

The task of treatment is not only to reduce the severity of symptoms, but also to protect vulnerable organs (targets) from exposure to allergens. In addition to eliminating the provoking factor, one of the main methods is pharmacotherapy, which can be conditionally divided into the following groups:

1. Prophylactic agents are antihistamines of a nonsteroid group. These drugs can inhibit the very initial phase of the immune response to the allergen. Prevention of secretion of inflammatory mediators, oppression of histamine production helps to reduce the severity of allergy manifestations. Antihistamines are shown during the whole season of flowering of trees and plants, even in the absence of obvious symptoms. Forms of funds can be tableted or intranasal, in the form of sprays, powders for inhalation, aerosols. For children there is a convenient form - syrup, which is no less effective and is well perceived by the kids. Ointments and gels, as a rule, have glucocorticosteroids in the GCS. Local SCS is very active in skin rashes, itching and inflammation are good, but they act in a slow mode (penetrate into the skin), so they are combined with medicinal forms that can quickly stop allergy manifestations.
2. Symptomatic treatment of seasonal allergy also involves the use of antihistamines, most often for the relief of rhinitis and conjunctivitis. Preparations of the new generation are produced in a convenient form for reception, both locally and internally. Forms and benefits of antihistamines III, IV generation:

• Forms - drops, sprays, syrups, suspensions, aerosols, tablets.

Advantages - 1-2 times a day, no drowsiness effect, quick action (within 30-60 minutes), duration of action (up to 24 hours), high absorption rate by the digestive organs, no addictive effect.

Symptomatic therapy is effective in the first days of an acute allergic process, then a transition to preventive drugs with mandatory compliance with a hypoallergenic diet is indicated.

How to ease seasonal allergy?

In order to answer the question - how to ease seasonal allergy, you must first remember the main therapeutic actions:

• Avoidance and exclusion of contact with the allergen, that is, with pollen. Elimination is 70% success in the treatment of pollinosis, and it can be done by the patient himself.
• Medicinal therapy, which includes the administration of antihistamines, most often in the form of sprays, ophthalmic or nasal. Glucocorticosteroids can be prescribed with exacerbation of the process and only in exceptional cases, and SCS is also prescribed to those who suffer from pollen asthma for arresting asthma attacks.
• ASIT - allergen-specific immunotherapy. This is a whole process that lasts for months, during which the body "accustoms" to counteract the allergen less aggressively. ASIT is a very effective method, but it can not be carried out during an exacerbation, that is, from the beginning of spring to the end of the autumn season. The best time for ASIT is winter, when you can get a full course of treatment and relatively safely survive the season of flowering plants.

How to ease seasonal allergy with the help of pharmacotherapy?

Treatment of pollinosis involves the use of drugs that can suppress the inflammation caused by allergies. Drugs should be taken at the doctor's prescription throughout the season, daily even in the absence of pronounced signs of reaction to pollen. What is prescribed for seasonal allergies?

• Antihistamines of the last generation, not invoking complications, addictive. Often they are prescribed even to small children and pregnant women in order to avoid serious exacerbations or to stop them.
• Preparations of sodium cromoglycate. Cromons are more often prescribed for allergic rhinitis, conjunctivitis in the form of eye, nasal drops, sprays. They block the calcium channels of the mast cell membrane, which reduces the aggressiveness of the inflammation.
• Vasoconstrictors are decongestants, which regulate the tone of the circulatory system and relieve symptoms of rhinitis.
• Glucocorticosteroids are prescribed when the use of antihistamines does not give results. SCS is taken short course until complete relief of the most acute symptoms, then treatment involves more sparing methods.

Means for seasonal allergy

Treatment of pollinosis involves complex actions based on the main event - the elimination of the pollen trigger and the exclusion of food provocators from the food with cross-allergies.

Means for seasonal allergies are divided into different groups and can be as follows:

• Antihistamines of the latest generation. They are effective and safe, have a long-term effect, it is often enough to take one tablet, which lasts up to 12 hours.
• Vasoconstrictors.
• Combined preparations.
• Preparations of sodium cromoglycate.
• GCS - glucocorticosteroids.
• ASIT - specific immunotherapy.
• Hemocorrection.

Consider in more detail the funds for seasonal allergies.

1. Antihistamines, whose mechanism of action is aimed at preventing exacerbation. In the first hours after taking antihistamines, the swelling of the nasal sinuses decreases, nasal discharge ceases. Antihistamines are divided into 4 groups, 2 the last of them are considered the most effective and safe, these are medications of III and IV generations.

Generation I	Generation II
Chloropyramine	Clemastine
Dimedrol	Hifenadine
Chlorphenamine	Doxypamine
Pipolphen	Azelastine
Diprazine	Oxatomide
Suprastin

Generation III	Generation IV
Astemizole	Loratadine (claritine)
Terfenadine	Ebastin
Norastemizol	Cetirizine (zirtek)
Acryvastin

Previously produced antihistamines had such complications:

• Dizziness, drowsiness.
• Dryness in the oral cavity.
• Nausea.
• Violation of coordination of movements.
• Decreased or increased appetite.
• Violation of the heart rate.
• Joint pain.

Preparations of a new generation have no such side effects and are absolutely safe, of course, provided the doctor prescribes.

2. Vasoconstrictors are stimulants of α - adrenergic receptors. It can be sanorin, oxymetazoline, otrivin, galazolin and other drugs that help to neutralize the allergic rhinitis and stuffiness in the nasal cavity. The course of treatment with a nasal form of the drug should not exceed a week, in the absence of a result, the doctor corrects the appointment, self-administration of vasoconstrictors can cause complications.
3. Combined drugs are antihistamines in conjunction with pseudoephedrine - actipede, clarinase.
4. Cromones are sodium cromoglycates. When pollinosis, kromones are administered topically in the form of drops - kromoglin, lomuzol, hi-krom, optic. Sodium is able to bind the membrane protein and reduce the aggressive manifestations of allergies in the eyes and nose.
5. GCS - glucocorticosteroids can quickly remove inflammation, they are prescribed topically in the form of ointments, less often in the form of drops, inhalations - with pollen asthma. It can be betamethasone, nazakort, syntaris, rhinocort, baconase and other medicines from the SCS group.

Preparations for seasonal allergies

Medicinal treatment of pollinosis is aimed at relief and control of symptoms, preparations for seasonal allergies are selected in accordance with the clinical manifestations and severity of the process.

• Mild symptoms, minor manifestations of hay fever. The main treatment is the use of preventive non-steroidal antihistamines - claritin, zirtek, kestin. These preparations from seasonal allergies do not cause drowsiness, they act for a long time and do not provoke addiction. First-generation drugs can be prescribed for itching, rashes, when on the contrary, drowsiness and sedation will be effective. Nasal form - allergodil, histimetum help to remove itching in the nose, runny nose and nasal congestion neutralize naftizine, galazolin and other vasoconstrictive drops.
• The average severity of pollinosis is controlled by local SCS (glucocorticosteroids), rashes, dermatitis respond well to such medications. Also, SCS for tear and eye hyperemia are effective, octane or dexamethasone is prescribed. Antihistamines of the last generation in combination with ointments of GCS give a result literally after 1-2 days.
• Severe seasonal allergy involves the administration of high doses of hormones for relief of acute symptoms. Antileukotriene agents that reduce the inflammatory process are also shown. Hormones are shown in a short course, once the exacerbation is neutralized, the patient is transferred to more sparing therapy.

Thus, preparations for seasonal allergies are the main groups:

• Antihistamines of 4 generations.
• Cromones.
• GCS - glucocorticosteroids.
• Combined drugs (a combination of antihistamines and ephedrine).

Eye drops with seasonal allergies

In the treatment of conjunctival symptoms in pollinosis, the main drugs are 2 groups of drugs - antihistamines and mast cell stabilizers. Eye drops with seasonal allergies can be prescribed as monotherapy, but they are also used in complex therapy.

Chronic and subacute forms of conjunctivitis caused by allergies are treated with cromones - sodium cromogicates. These are such drugs as cromohexal, alomide. 2% Cromohexal is effective in the treatment of symptoms in children, as it less often causes burning and irritation of the eyes. Alomide is also able to induce the release of histamine, in addition it helps to restore the structure of the cornea of the eye, so it is prescribed for all types of allergies, accompanied by ophthalmic symptoms.

Acute allergic conjunctivitis is treated with more active drugs. Eye drops with seasonal allergies in this form are allergodyl, spersallerg. These drops are able to remove the symptom within 15 minutes, the effect lasts up to 6 hours, which makes these kinds of remedies very popular in the treatment of ophthalmic manifestations of hay fever.

Also effective are such drops, prescribed for allergic inflammatory process in the eyes:

• Ithral.
• Hi-krom.
• Lecrolin.
• Allergic.
• Irtan.

Treatment of seasonal allergy by alternative means

In addition to specific therapy, the allergy is treatable by so-called alternative means. Of course, you can use such recipes only with the consent of the attending physician, and only during the remission period to prevent recurrence of exacerbation. Natural gifts should be used with caution, since many herbs themselves are allergens.

Treatment of seasonal allergy by alternative means, safe and tested by many patients, recipes:

1. Infusion of leaves and twigs of black currant. You need to prepare 2 tablespoons of dry material or take 4 tablespoons of fresh shredded leaves. They need to pour 300 ml of boiling water, insist in a thermos for 1 hour, then strain and add warm boiled water to a volume of 500 ml. Infuse to drink for a week every 2 hours for a tablespoon. If the infusion ends, it needs to be cooked again, a freshly digested product much more activates the immune system and removes toxins from the body.
2. Field horsetail - 2 tablespoons dry herbs pour a glass of boiling water, insist 30 minutes, filter. You need to drink the medicine every hour during the day, then repeat the course after 2 days. In total, you need to spend 7 courses, that is, a decoction of horsetail is taken within two weeks.
3. 2 tablespoons of first aid kits mixed with a tablespoon of dry nettle. Pour a mixture of 500 ml of boiling water, insist in a thermos 10 hours (convenient to prepare the product in the evening). In the morning the decoction is filtered, it should be about 400 ml of the finished product. Take half the glass 30 minutes before each meal for a week.
4. The juice of the celery root, which includes amino acids, tyrosine, choline, nicotinic acid. Juice has a good effect on blood composition, normalizes metabolism, removes toxins. The remedy should be made from fresh root, take one teaspoon before meals, at least half an hour. The course of treatment is 14 days. It is recommended to start taking celery juice from a teaspoon, then observe the condition of the body, since the celery contains Apium graveolens - ethereal compounds that can cause a secondary allergic reaction.
5. If there is no allergy to essential oils, then you can use fennel or dill in the form of an oil extract for a week. Essential oil must be dripped on a piece of sugar for 3-5 drops, the regimen - three times a day for half an hour before meals.
6. Effectively prevents the exacerbation of pollinosis, a solution of calcium chloride, drunk 30-40 minutes after eating. The recipe is the following: a teaspoon of Salcium chloridum is added to a glass of cooled boiled water.
7. Daily intake of fresh or dried figs helps to normalize digestion, metabolism and strengthen the immune system. Figs are taken on an empty stomach, in the morning before breakfast 30-40 minutes before eating. The dosage structure does not exist, but it is recommended to eat one fruit in the morning and in the evening.
8. Recipe Avicenna - reception mumie. 1 gram of a substance is dissolved in a liter of warm boiled water, taken only in the morning. Children from 3 to 5 years are recommended to take 30-50 ml of the solution, older children under the age of 14 years - 75 ml daily, adults allergic people can drink 100 ml in the morning. The course of treatment lasts at least three weeks. Doctors are supportive of this prescription and are advised to use it as a prophylaxis and treatment for seasonal allergies annually.
9. Skin rashes and itching will help to remove special baths, in a liter of warm water dilute 10 tablespoons of pharmacy clay, pour the solution into the main warm water. Lying in this clay "medicine" needs 15-20 minutes, then wash it off the skin under the shower.
10. Decoction of the string, combined with bathing in the healing solution of this herb, can greatly alleviate the condition of a person suffering from pollinosis. Recipe: 5 tablespoons of turn pour cold water, after an hour begin to cook the product on low heat for 15 minutes. The cooled composition is filtered and divided into 2 parts. The first need to drink 50 ml every 3 hours, the second pour into a warm bath and lie in this water for 20-25 minutes. Such procedures should be repeated every three days for 2 consecutive months.

You should pay attention to the recipes containing honey. Many sources advise taking a solution or honey in its pure form, however, allergists are categorically against such experiments. First, honey itself is a pollen product and can trigger an allergy attack. Secondly, even if a reaction to honey has not previously been observed, it is likely that it may appear as a symptom of cross-allergy.

Treatment of seasonal allergies by alternative means can be quite effective, provided that the recipes are regularly used, the patient has patience and the doctor's recommendations are mandatory. Sometimes herbal preparations are drunk for years to achieve the effect, some allergy sufferers see a decrease in symptoms after a few weeks, it all depends on the intensity of the allergic process and the individual characteristics of the person.

With a seasonal allergy

As in any other therapeutic strategy, in the treatment of pollinosis there is a diet that helps alleviate the condition of the patient and reduce the risk of possible exacerbations. Allergy sufferers are in principle very sensitive to any food, which is due to the pathogenesis of the disease itself, so a diet with seasonal allergies should be special. It should immediately identify those products that can cause

The same signs as in contact with pollen allergens:

1. An allergy to pollen of flowering weeds (wormwood, chicory, ragweed) can manifest itself when using such products:

• Sunflower seeds - sunflower, pumpkin.
• Halva.
• Vegetable oils.
• Melon.
• Mayonnaise.
• Eggplants, zucchini.
• Watermelon.
• Alcoholic beverages containing weeds (aperitifs) - vermouth, balsam, tinctures.
• Mustard.
• Greens, especially tarragon, parsley, basil.
• Honey.
• Bananas.
• Carrot (raw).
• Garlic.
• All citrus fruits.

These same products can not be used for allergies to sunflower, calendula. In addition, one should carefully use phyto-drugs containing such herbs:

• Chamomile.
• Yarrow.
• Dandelion.
• Mother and stepmother.
• Elecampane.
• Tansy.

2. Seasonal allergy to pollen of flowering trees - alder, hazel, birch, apple:

• All kinds of nuts.
• Fruits growing on flowering trees - pears, apples, apricots, cherries and so on.
• Raspberries.
• Kiwi.
• Black olives.
• Parsley.
• Dill.
• Birch juice.
• Tomatoes.
• Bow.
• Cucumbers.

Do not take decoctions of birch buds, cones of alder, tansy and marigold.

3. Allergy to pollen grains - wheat, buckwheat, corn, oats, rye:

• Take care of all baked goods.
• Kvass.
• Beer.
• Oatmeal, rice, wheat porridge.
• Coffee.
• Smoked meat - meat and fish.
• Cocoa products.
• Citrus.
• Strawberry wild-strawberry.

The list of prohibited foods is very large, and the question is quite logical, but what should people eat that suffer from pollinosis?

• Buckwheat grain.
• All sour-milk products, yoghurts without fruit additives. Especially useful is curd, which contains calcium, which contributes to the strengthening of the vascular wall and its "impenetrability".
• Brynza.
• Low-fat varieties of meat, poultry.
• Braised cabbage, with caution - zucchini.
• Green peas, young beans.
• Light varieties of apples in baked form.
• Refined, deodorized vegetable oil.
• With care - butter.
• Boiled, baked potatoes.
• Bread, croutons.
• Raisins.
• Dried fruits compote.
• Green tea.

The list of "forbidden" foods is not a dogma, you should limit their use during the exacerbation period, for about two weeks, then you can gradually include them in the menu. Diet with seasonal allergies is not a test or torture, you need to treat it with all seriousness, as well as to any other type of treatment. Sometimes it is compliance with the diet significantly facilitates the severity of allergic symptoms, which once again indicates its importance and significance.

Preventing seasonal allergies

To ensure that the season of flowering and allocation of pollen does not become a period of aggravation of the allergic reaction, certain preventive measures must be observed.

Preventing seasonal allergies includes such actions and prohibitions:

• Avoid contact with provoking plants. If possible, less out on the street, reduce walking time, especially in windy or hot, sunny weather.
• The room should be closed windows, doors, a good effect gives the window covering with a damp transparent cloth that absorbs pollen. If the window or window is open at night, it should be closed early in the morning, as the production of pollen is particularly active between 5 and 9 am.
• Every time you come home from the street, you should thoroughly wash your hands and whole body, preferably wash and head, since the hair can contain enough for the allergy amount of pollen.
• After walking, you should change clothes, on which there may be traces of pollen.
• When moving in a car, it is necessary to close the windows, in which pollen can get along with the air flow.
• If possible, in the most active period of flowering of trees and plants, it is better to take a vacation and move to the territories with moist air (sea or river coast).
• Do not forget that the herbs provoke allergies, so that you do not like the smell of freshly cut grass or the type of trimmed lawn, these places should be avoided.
• After washing, clothes and clothes must be dried indoors, since the damp cloth is an excellent "sorbent" for pollen.
• A few months before the "hour X", that is, before the flowering season, care should be taken to strengthen the immune system, normalize the digestive system. It is also necessary to check the body for helminthic invasion, as they significantly increase the speed of sensitization of the body to the allergen.
• It is necessary to familiarize and remember the list of "forbidden" products, which can become obligate allergens in case of cross-allergy. This list includes medicinal herbs, of which there are many among the pharmacy collections and phytopreparations.

Seasonal allergy is a disease of civilization, as many doctors believe, the reasons for this can be related to external and internal factors that sometimes do not lend themselves to curative treatment. However, with all the scale, the hay fever still affects not every inhabitant of the planet. Therefore, the use of timely preventive measures makes it possible to take pollinosis under control - at least reduce the severity of clinical manifestations of allergies or prolong the period of remission, as a maximum - completely rid of seasonal allergies.