Summer allergies and oral allergy syndrome

If you are one of the thirty million people suffering from summertime seasonal allergies, it is important to know about pollen-food syndrome, also known as oral allergy syndrome (OAS), caused by allergens such as ragweed pollen. 

Each year, grass pollens and weeds cause seasonal suffering and ragweed begins to bloom around early August in many areas of the U.S.  In the warmer climates weed pollens may be seen during much of the year.

Itchiness of the mouth and throat immediately after eating fresh fruits or vegetables are common symptoms of OAS. Oral allergy syndrome results from a cross-reaction between allergy antibodies directed towards pollens with similar proteins that are found in foods in about one-third of seasonal allergy sufferers.  Individuals with ragweed allergies might experience these symptoms when consuming foods such as:

• Banana
• Cucumber
• Melon
• Zucchini
• Sunflower seeds
• Chamomile tea
• Echinacea

Grass pollen allergic individuals might experience symptoms when ingesting

• fig
• melons
• tomatoes
• oranges
• Mugwort (weed pollen) allergic sufferers may suffer after eating:
• carrots
• celery
• coriander
• fennel
• parsley
• peppers

Generally, cooking or microwaving the food will eliminate a reaction, but not always.  Less commonly it is possible for the OAS to induce mouth and throat swelling if you are allergic to various foods. 

For additional information from the American Academy of Allergy, Asthma and Immunology at http://www.aaaai.org/media/news_releases/2006/08/080206.stm

Dr. Clifford W. Bassett is an assistant clinical professor of medicine at the Long Island College Hospital and on the faculty of NYU School of Medicine.  He is the current vice chair for public education committee of the American Academy of Allergy, Asthma and Immunology.  No information in this blog is intended as medical advice to any reader or intended to diagnose or treat any medical condition.

As we approach the Olympic Games in Beijing, China this week is time to take note if you find yourself “breathing heavy” during or after exercise.  This may a sign of more than just good aerobic activity.  Exercise-associated asthma can be the culprit; in many cases you may not realize you have this form of intermittent asthma.  Symptoms such as coughing or difficulty breathing during or shortly after exercise are commonly seen. 

In the past several Olympic Games up to one-fifth of athletes have a history of EIA (exercise induced asthma).  It certainly does not keep these elite athletes sidelined.  EIA may be triggered by “oversensitivity” to changing conditions including temperature, humidity as well as air quality, during the workout.  

Strategies in dealing with EIA

·         Hydrate with water before, during and after exercise

·         Warm up with a decent stretch and light exercise

·         Give yourself an adequate period for a “cool down” when done

·         Control your allergies and asthma triggers (especially on high pollen count days)

·         Check out the air quality index (pollution and ozone levels) before you exercise outdoors

·         Pre-treat with inhaled medication as advised by your doctor (after your diagnosis is confirmed) to prevent symptoms

Additional info and tips on “exercise induced asthma” can be found at www.aaaai.org/patients/publicedmat/tips/exerciseinducedasthma.stm.

Dr. Clifford W. Bassett is an assistant clinical professor of medicine at the Long Island College Hospital and on the faculty of NYU School of Medicine.  He is the current vice chair for public education committee of the American Academy of Allergy, Asthma and Immunology.  No information in this blog is intended as medical advice to any reader or intended to diagnose or treat any medical condition.