Los Angeles Times: 5 tips to keep sniffles and sneezes out of your holiday plans

With the holidays upon us, there’s a lot to look forward to: seeing old friends, eating too much, wearing ugly sweaters; the list goes on. Likewise, there are a lot of things that might make you sigh: awkward questions from your aunts, arguing about politics and of course, how you’re going to work off all that extra weight in the new year.

One question millions of Americans should keep in mind this holiday season is how to best handle their asthma and allergies. While everyone else is singing along to carols and letting their food digest, others are tearing up, coughing and going into a sneezing fit.

“People don’t realize how many hidden triggers are associated with the holidays and winter season,” said allergist Bradley Chipps, MD, president of the American College of Allergy, Asthma and Immunology (ACAAI). “Those who suffer from allergies and asthma assume things will ease up once the cold weather hits, but there are other factors that can cause your allergies and asthma to flare. In fact, two-thirds of allergy sufferers have year-round triggers and symptoms.”

To help make the holidays as enjoyable as possible, here are five tips to manage your allergies this season.

An excuse to stay out of the hugging circle. There are a lot of hugs and kisses during the holidays, which can make it easy for germs and viruses to spread. Catching a cold or coming down with the flu is pretty awful, but because those illnesses make asthma and allergy symptoms even worse, those with allergies must take extra precautions. One more reason to avoid the mistletoe!

Watch out for that ... tree! For many, picking out a Christmas tree is a holiday tradition. For others, a tree can be pure misery. Mold on the tree and terpene found in the sap can trigger allergies you thought you had under control. A much better option is to use an artificial tree — just be sure to dust it off! Dust allergies can be a problem year-round.

Keep an eye on holiday treats. Holidays are about food, and people usually share the food they make. As a result, you need to be extra careful about food allergies. If you or your kids have food allergies, let your host know what ingredients should be avoided. If you are hosting, prepare food you know everyone in your clan can eat.

Your nose knows to sniff out those "pleasant" scents. People love to add those little touches to create a cozy holiday atmosphere in their homes. Unfortunately, scented candles, wood-burning fireplaces, aerosols and potpourri can trigger allergies and asthma. There are plenty of other nice touches you can add, but this year, forgo the scents!

Leave the house prepared. Whether it’s someone’s lovable dog, a co-worker wearing too much perfume or a moldy Christmas tree, many triggers exist out there. Before you leave the house, take your medications, and if your allergy and asthma symptoms worsen during the season, be sure to schedule an appointment with your allergist.

If you need help with allergies, visit AllergyandAsthmaRelief.org to find a board-certified allergist in your area. ACAAI member-allergists are board-certified physicians trained to diagnose allergies and asthma, administer allergy shots (immunotherapy), and provide patients with the best treatment outcomes.

 

AARP: Can’t sleep? These potted plants in your bedroom may help

by Claire R. McIntosh, AARP,

November 16, 2017

Houseplants help remove toxins, impart a feeling of calm and promote drowsiness when used in the bedroom.

Insomnia? Allergies? Asthma? Stress? Let’s clear the air, shall we? We’ve seen the science, so here’s the secret: You’ll rest easier with potted plants in your bedroom. There are studies by NASA, which has extensively researched how plants remove VOCs (volatile organic compounds such as formaldehyde and benzene) from a space station.

There’s research done by a Japanese company to design gardens that clean the air in hospitals. And then there’s that nerdy kid who sealed cat poop into one container with plants, and moldy bread into another container with plants.

He found that, relative to control containers that had the yucky stuff but not the plants, airborne contaminants were greatly reduced hours later. We wouldn’t bother mention his study but his coauthor was a nurse practitioner who worked in dad’s allergy clinic, and the physician later shared the results with colleagues at the annual meeting of the American College of Allergy, Asthma and Immunology.

Not only do certain houseplants help remove toxins, impart a feeling of calm and promote drowsiness, they’re also a Pinterest-pretty way to boost your boudoir style! Don’t you just love how the hanging plants, macramé and rattan planters and glass terrariums we all had in our first apartments are currently trending on Etsy? Cultivate these horticultural hacks and you can rest easy.

JASMINE

Researchers in Germany tested the scent of jasmine on lab mice and watched them curl up in a corner and chill. The plant affects the same key neurotransmitter that makes us mellow out after a dose of valium — and was found to be just as potent as psychotropic drugs in a clinical setting. Jasmine fragrance produces the molecular mechanism also triggered by barbituates to soothe, ease anxiety and promote sleep. Even better, let the fragrance of a potted jasmine waft through your bedroom tonight and you may avoid tomorrow’s afternoon slump.

VALERIAN

You’ve heard of swallowing this as a supplement or tea for restful sleep. Well, some Japanese neuroscientists learned that sniffing it helps too. While valerian is generally cultivated outside, follow these tips for green-thumbing it indoors.

ENGLISH IVY

Remember the kid, the moldy bread and the cat poop? Mold and pet feces are common household allergens, and English ivy is what cleared the air. Who can sleep when you’re sneezin’ and wheezin’? NASA scientists give it the nod, too. So if you want to nod off, let some English ivy trail down your nightstand.

GARDENIA

Five sleep researchers in Osaka. Twenty-one tossing and turning men. Six weeks. One compound derived from gardenias. Countless Zzzzzzzs. Zero side effects. You know what we love? This bedside-table perfect bonsai version from Harry and David.

LAVENDER

Of course, you knew this, because your mother kept lavender sachets in the drawer with her nightgowns. You want to sleep like a baby? Think lavender bouquet by the bed, essential oil on your pillow or added to your bedtime bath. Moms who bathed their babies in lavender smiled more, were less stressed and touched their babies more in the bath. The babies cried less, made more eye contact and had longer periods of deep sleep. Cortisol levels dropped in both moms and infants. Yes, please!

ALOE VERA

It vacuums up those VOCs while you catch your Zzzzs, say NASA scientists.

BOSTON FERN

Remember back in the '80s when yuppie watering holes were called "fern bars" because of this ubiquitous decoration? Turns out, this plant drinks up formaldehyde from the air. Here’s to your health.

SNAKE PLANT (MOTHER-IN-LAW’S TONGUE)

No green thumb? If you can’t keep this easy-care plant alive, you might as well give up and buy an air purifier.

 

Inquisitr: Boy with dairy allergies dies after school employee allegedly feeds him grilled cheese

NOVEMBER 9, 2017 

BOY WITH DAIRY ALLERGIES DIES AFTER SCHOOL EMPLOYEE ALLEGEDLY FEEDS HIM GRILLED CHEESE, FAILS TO CALL 911 

CHERYL P

A preschool in New York City is under investigation after a 3-year-old boy died after he reportedly had an allergic reaction to a grilled cheese sandwich he was served for lunch. ABC reports that an employee at the Seventh Avenue Center for Family Servicein Harlem served the toddler the sandwich last week, allegedly ignoring school records that documented that the toddler was severely allergic to dairy products.

The report states that the New York City Fire Department has confirmed 911 was not called when the toddler, named Elijah, had a severe allergic reaction to the sandwich. Instead, one of the employees is said to have called the boy’s mother and she transported him to the hospital after she arrived at the preschool.

According to a statement on the GoFundMe account set up to help Elijah’s family, the little boy “went into anaphylactic shock” after he was served the sandwich. After his mother, Dina, arrived at the school, the boy’s mother transported him to the Pediatric ER at Harlem Hospital where he later died.

According to the American College of Allergy, Asthma, and Immunology, between 2 and 3 percent of children ages 3 and under are allergic to milk and other dairy products. Symptoms range from hives, upset stomach, and/or vomiting to anaphylaxis, a condition that impairs breathing and can cause the body to go into shock.

To date, Elijah’s GoFundMe has collected close to $30,000. In addition to using the money for a funeral and other expenses, some of the donated money will be used to pay for a second autopsy to help the boy’s parents determine who is ultimately responsible for his death. According to PBS, the fee for an independent autopsy can cost between $3,000 and $5,000, with additional fees often charged for transporting the body to an autopsy facility.

“At this moment, it is unclear where responsibility for Elijah’s death will fall between the pre-k and the hospital itself,” a statement on the GoFundMe page reads. “We want to find out exactly what caused Elijah’s death and that will mean sorting out exactly where, if any, breakdowns may have occurred at either the school or the hospital. Having a third party medical examination will ensure our ability to get a clear picture. We just want justice for Elijah.”

Toddler with dairy allergies dies after eating grilled cheese [Image by chokkicx/iStock]

A spokesman for the New York City Department of Health and Mental Hygiene tells ABC News that the Seventh Avenue Center for Family Service, where the incident took place, is currently closed as they “aggressively investigate” the boy’s death.

Elijah leaves behind his parents, Thomas and Dina, and his 5-year-old brother, Sebastian.

The Stir by CafeMom: Mom gets real about why she only bathes her baby twice a week

 

LAUREN LEVYThursday at 5:21 PM

Every family's bedtime routine is different, and there are countless opinions on when, how, and where you should put your baby to bed. But despite these varying schools of thought, many have a few things in common: food, bath, book, and lights out. However, one mom has a strict yet "unconventional" evening ritual with her baby girl. Instead of being afraid of what judgmental commenters might think about her parenting, she got real about what she actually does -- or doesn't do -- each night before her infant goes to bed.

British reality star Amy Childs posted a video on her Instagram account sharing details about her 7-month-old baby girl's bedtime process, and although she discussed what her favorite products are, it's what she doesn't do with Polly that caught many parents' attention: She doesn't bathe Polly daily. Amy explained that although she loves bath time with her baby girl, she's worried that it will cause her to develop eczema, so she only suds her up twice a week.

"So I only bathe Polly twice a week because the midwife he said to me if you keep bathing them every day, they get eczema. I suffer from bad eczema, I don't want obviously Polly to have that," she said. "Like I love getting her out of the bath and smothering her with loads of cream. I'm strict with routines, she has her food, she has her bath, she has a little bit of bottle, and then she goes to sleep so it's a good routine for her."

More from CafeMom: Why Everyone Needs to See This Photo of a Girl With Disabilities on the Bathroom Floor

Instagram/ amychilds1990

Since sharing that she puts Polly down for the night on most days without bathing her first, Amy has received mixed responses from those who either appreciate or are confused by her honesty.

Although there has been mixed advice floating around in regards to whether bath time actually helps or harms eczema in babies, researchers have found that it's not the time or frequency that a baby spends in the water -- it's what the parents do after that has a major impact on the dry and itchy skin. This condition is most common in babies, and despite common belief that bathing too frequently will remove important oils, irritate the skin, or dry it out further, researchers have found that if parents "soak and smear" daily, it will actually help keep the child's skin hydrated.

"The smear part is really the most important element, because unless moisturizer is applied immediately, then the skin is likely to dry out even more," Dr. Neal Jain, an allergist-immunologist from Arizona, wrote in a paper published in the journal Annals of Allergy, Asthma and Immunology. "The weight of the evidence in the literature we reviewed and our experience in caring for these patients suggests daily bathing with 'soak and smear' is more effective for soothing dry skin from eczema."

According to the National Eczema Association, bathing daily is actually incredibly important to help ease symptoms when irritation is present. "The most effective way to treat dry skin is to give it the moisture it needs. Proper bathing and moisturizing are important for this reason -- especially if you have eczema," the organization states on its website. "The best way to replace moisture in the skin is to soak in a bath or take a shower and then moisturize immediately afterward."

Omaha World Herald: 8 ways to help your child if he or she is allergic to the family pet

By Dr. Jill Hanson / Boys Town

Nov 11, 2017

Furry friends are often an important part of family life. After all, more than 70 percent of households have at least one pet, according to the American College of Allergy, Asthma and Immunology.

But what’s to be done when Fido or Whiskers causes sneezing or coughing for your little one?

Allergy symptoms from pets are the same as symptoms caused by other allergen triggers. Your child may experience sneezing, coughing, chest tightness or wheezing, runny/stuffy nose, facial pain (from congestion), watery, red, itchy eyes and skin rash or hives.

Before blaming your pet, make sure there aren’t any other possible triggers, such as mold, pollen or dust mite allergy. Schedule an appointment with an allergist to have allergy testing and make sure the pet is the problem. If your child is allergic to your pet, you may have to consider getting rid of the pet. But there are some other options to reduce the amount of allergen in the home.

The most effective option is to remove the pet from the home. However, saying good-bye to a fur-baby is simply not an option for many families. Therefore, strategies to reduce the amount of pet allergen in the home are key to keeping the paws in the picture.

If possible, transition your pet to live outdoors full-time. Make sure he or she has warm shelter, food and water available outside. Consider fencing in your yard if it isn’t already, and if you’re worried about nighttime dangers, explore the idea of keeping Garfield outside during the day and inside one room or the garage at night.

If you don’t feel comfortable sending your pet outside, restrict the pet to certain areas of the house as much as possible. Do not allow him or her access to the bedroom of the allergic child. It can also be helpful to keep Spot out of the laundry room as well, so dander doesn’t end up on the clean clothes.

Bathe your pet in tepid water weekly. This may cut back on the amount of dander and hair your pet drops as he or she wanders around. While it may be difficult to make this a consistent practice, it can be very helpful.

Install a HEPA filter on your furnace or use an air purifier to remove pet dander and hair from the air as it circulates in your house. While this won’t prevent all allergens from making their way to your allergic child, it can significantly cut back on the amount.

Make sure your child avoids kissing, hugging or petting the pet. If your child does interact with your pet, make sure your child washes his or her hands immediately after.

Inform family, friends and daycare about your child’s allergy, especially if they have pets in the house. Let them know some easy methods to remove allergens, such as vacuuming before your child visits or leaving the pet outside.

Allergy shots may help make your child more comfortable with pets by alleviating symptoms over the long-run.

Keep in mind that “hypo-allergenic pets” are not 100 percent allergen-free. While they may have less hair, the allergen is still found in the skin and no pet is skin-free! And if you would like a pet but are afraid of how this might affect your child’s allergies, consider making a reptile such as a turtle a part of your family instead.

***

Dr. Jill Hanson is a pediatrician for Boys Town, specializing in allergy, asthma, immunology and pediatric pulmonology. Read more about her here

Parents.com: Half of kids who have allergic reactions don’t get epinephrine before visiting ER

A new study has found that more than half of kids who need epinephrine following an allergic reaction don't get it. Here's what parents should know.

By Melissa Willets

A new study out of the American College of Allergy, Asthma, and Immunology uncovers an alarming statistic: Approximately half of kids who need epinephrine following an allergic reaction don't get it before they seek emergency care. In fact, even children who were prescribed epinephrine for previous allergic reactions weren't getting the life-saving medication they needed right away in emergency situations.

According to the study's co-author, Dr. David Stukus from Nationwide Children's Hospital, anyone who suffers anaphylaxis—a severe allergic reaction characterized by any combination of symptoms including hives, swelling, nausea, vomiting, breathing problems, or wheezing—should get a dose of epinephrine ASAP. "If in doubt, give it," Dr. Stukus told Parents.com about administering an epinephrine auto-injector to a person suffering an allergic reaction.

How & When to Use an EpiPen

After looking at more than 400 kids who went to urgent care or the ER for anaphylaxis, researchers found that less than half had received epinephrine prior to their arrival. This is despite the fact that 67 percent had a prior prescription for an epinephrine auto-injector.

Interestingly, the study found kids were more likely to receive a dose of epinephrine if they had a reaction at school versus at home. Dr. Stukus told us that since students with food allergies are required to have a signed, written allergy treatment plan, school administrators are likewise required to follow those directives in the event of a reaction. But at home, emotions can come into the picture, understandably. As he notes, "It's a very stressful experience for parents." And it can be difficult to think through the necessary steps. "It's difficult to stick a needle in your child's leg," Dr. Stukus recognizes.

He stresses, however, that there is no downside to administering epinephrine, even when in doubt. But he also emphasizes that this research is by no means intended to guilt parents who may not have given their child the appropriate treatment. Instead, researchers hope to raise awareness that epinephrine is the only appropriate and effective treatment for anaphylaxis, and the sooner it's given, the better.

In fact, according to the study, kids who received epinephrine before they came to the ER were less likely to be treated with it there, and were more likely to go home than those who didn't get a dose pre-arrival.

The takeaway? Dr. Stukus told Science Daily, "It's vital to keep your epinephrine with you if you suffer from any sort of severe allergy. Anaphylaxis symptoms occur suddenly and can progress quickly. Always have a second dose with you and, when in doubt, administer it too. Anaphylaxis can be deadly if left untreated."

He also told Parents.com, "Being prepared is always the best policy." Dr. Stukus offers these additional tips for managing a food allergy:

  • Fully educate yourself about the allergy.
  • Practice administering an epinephrine auto-injector at every encounter with your child's pediatrician and allergist.
  • Role play what to do in an emergency with your child.

And in the event of an emergency, remember that step 1 is to administer the epinephrine. Step 2 is to call 911.

If you do not have an auto-injector with you for any reason, call 911 immediately and make sure paramedics have an epinephrine auto-injector on board their rig. Dr. Stukus strongly discourages parents from driving to the ER themselves if their child is suffering a reaction, especially if the hospital is far away. It is also never a good idea to go to a pharmacy and wait on line to fill a prescription. Again, call 911 and get help immediately.

Live Science: Half of kids don’t get epinephrine until they get to the ER

By Sara G. Miller, Staff Writer | July 14, 2017 07:29am ET

When a person has a severe allergic reaction, an injection of epinephrine can be lifesaving, and the sooner, the better.

But a new study finds that less than 40 percent of kids who had this type of allergic reaction, called anaphylaxis, received an injection of epinephrine before they got to the emergency room or an urgent care clinic.

Epinephrine can be given immediately to a child with anaphylaxis using an epinephrine auto-injector, a device that automatically injects a dose of the drug into a person's body. EpiPens are one type of epinephrine auto-injector. [8 Strange Signs You're Having an Allergic Reaction]

In the study, the researchers looked at medical records from more than 400 kids and teens who went to either the emergency room or the urgent care clinic at Nationwide Children's Hospital in Ohio for a severe allergic reaction. Nearly half of the patients were ages 5 or younger.

Only 36 percent of the kids in the study received epinephrine before arriving at the hospital or clinic, the researchers found. Not every patient included in the study ended up being treated with epinephrine once they arrived, the researchers noted. But 50 percent of the patients in the study did receive it when they arrived at the hospital or clinic, including some who had already gotten it before seeking care, the researchers found.

The children and teens were more likely to have received the drug prior to arriving at the hospital if their allergic reaction struck while they were at school, the researchers found.

"Treatment with epinephrine is often delayed or avoided by parents and caregivers," lead study author Dr. Melissa Robinson, an allergist at the National Jewish Hospital in Denver, said in a statement. "And sometimes, antihistamines are used even though they are not an appropriate treatment." Antihistamines are another common type of allergy medicine.

A majority of the kids and teens included in the study had had an anaphylactic reaction in the past, the researchers noted, but less than half of those patients had been prescribed an epinephrine auto-injector. And among those who did have a prescription, only about two-thirds had the device with them at the time of allergic reaction.

But the symptoms of anaphylaxis "occur suddenly and can progress quickly," senior study author Dr. David Stukus, an allergist at Nationwide Children's Hospital, said in a statement. "It's vital to keep your epinephrine with you if you suffer from any sort of severe allergy."

In fact, people with such allergies should also carry a second dose of the medicine, Stukus said. "When in doubt, administer [that second dose], too." 

The study was published July 12 in the journal Annals of Allergy, Asthma and Immunology. 

MedPageToday: Many allergic kids who need epinephrine don’t get it

One in three prescribed an epinephrine injector didn't have it when needed

Only about one in three children with anaphylaxis presenting to a busy pediatric hospital emergency department (ED) or urgent care center (UCC) received epinephrine before arrival, even though the life-saving medication had been previously prescribed to about half of them, researchers report.

Just 50% of the children received epinephrine upon arrival for treatment, while about 65% had experienced a previous anaphylactic reaction, according to a retrospective review of medical records from Nationwide Children's Hospital in Columbus, Ohio.

The review, published online in Annals of Allergy, Asthma & Immunology, included 408 cases of anaphylaxis treated at the hospital between 2009 and 2013.

The children and teens who received epinephrine prior to arrival at the hospital's ED or UCC were less likely to be treated with epinephrine once they arrived, and they were also more likely to be sent home without hospital admittance.

"Allergists want parents, caregivers, and emergency responders to know epinephrine should always be the first line of defense when treating anaphylaxis. Our study found that only two-thirds of those who had an epinephrine prescription had their auto-injector available at the time of their allergic reaction," the senior researcher, David Stukus, MD, of Nationwide Children's, said in a press statement.

He and his colleagues noted that despite guidelines calling for the use of epinephrine for anaphylaxis management, it is often not used as promptly as it should be or at all.

"Treatment with epinephrine is often delayed or avoided and may be substituted with other treatment options, such as antihistamines," the team wrote. "Survey research has shown poor understanding of indications for the use of epinephrine among families with food allergic children, school nurses, and emergency responders, likely contributing to the underuse of epinephrine before the arrival at the ED."

In an effort to better understand issues associated with anaphylaxis management before hospital ED or UCC arrival, the researchers performed a retrospective review of electronic medical records for all patients (age range of 0 to 25) presenting with anaphylaxis at the pediatric academic referral center between 2009 and 2013.

The mean age of the 408 patients included in the analysis was 7.25, and 62% were male. A total of 264 patients (64.7%) had a known history of prior anaphylactic reactions, and 195 (47.9%) had been previously prescribed self-injectable epinephrine before the event that brought them to the hospital.

Just over two-thirds (69.7%) of patients who had been previously prescribed epinephrine had access to it at the time of the event, and 86% of these patients received epinephrine before arrival at the ED or UCC.

Among the other findings:

  • The odds of receiving epinephrine before ED or UCC arrival were four times higher (OR, 3.9, 95% CI 1.7-8.9) among patients with multiple food allergies compared with those with single food allergies
  • Allergic reactions occurring at home were less likely to be treated with epinephrine before arrival than reactions occurring at school (OR, 0.29, 95% CI, 0.15-0.59)
  • Patients who did not receive epinephrine before arrival were significantly less likely to be discharged to home (OR, 0.56, 95% CI 0.37-0.86; P=0.01)

Most patients (92.6%) reported cutaneous symptoms (flushing, urticaria, angioedema), and three out of four (74.8%) had documentation of respiratory symptoms. Gastrointestinal symptoms were reported in 36%. The odds of receiving epinephrine before arrival at the ED or UCC were significantly lower when two or three organ systems were involved, compared with just one organ system.

"The reasons for this were beyond the scope of this study, and, admittedly, this is a very ominous and illogical finding, considering a marked campaign in recent years specifically identifying multi-organ system reactions and reactions beyond 'just hives' as prime indications for epinephrine administration," the researchers wrote.

They added that while the implications of the finding are not clear, it may reflect "regional preferences or advice for treatment, regional emergency medical services practices, or a failure at the patient level to simply implement anaphylaxis management plans."

The researchers concluded that studies examining barriers to anaphylaxis use are needed.

Tonic: More adults are waking up with brand new allergy symptoms

 

Jul 7 2017, 7:00am

Guess you're not done growing.

For the lucky majority of Americans who've never suffered from allergies, spring and summer are usually uncomplicated stretches of natural bliss. Unencumbered by watery eyes and runny noses, they get to frolic amongst blooming vegetation or tussle with the denizens of local dog parks with abandon. But every now and then, one of these smug adults will step outside, take a deep breath, and feel a wholly unexpected nasal irritation or a welling of tears for the first time in his or her life. 

As these unlucky few soon learn, adults can develop allergic symptomsat any time, even fairly late in life. No one knows for sure how many of us will fall victim to this unexpected pain in the ass, but the risk theoretically hovers over everyone, no matter how remote it may be. And some reports suggest the number of adults suddenly manifesting environmentally triggered sniffles could be on the rise. The reality that one could live life carefree one day and wake up the next in bleary fatigue is hard to contend with, especially when so few of us understand how or why these sudden latter-day allergic responses could be triggered. 

An estimated 30 to 40 percent of Americans will likely suffer from allergies at some point, most of them triggered by airborne irritants like pollen outside or pet dander or dust mites inside and only a comparative few of them triggered by foods. According to Stephen Tilles, president of the American College of Allergy, Asthma, and Immunology, these folks are born with a genetic predisposition for allergies, but then triggered when they're exposed to a specific allergen—although sometimes that trigger is dependent on additional, little-understood epigenetic triggers. These allergens, although factually harmless, lead prone immune systems to overreact, producing a glut of histamines that can cause irritation in localized areas, or in extreme causes lead to full-body reactions and life-threatening airway closures. Even mild allergies can still lead to real misery and temporary impairment. 

The vast majority of people develop allergies as children, when first exposed to triggering allergens. Some people's allergic responses might fluctuate through their teenage years as their bodies—namely their hormones—change rapidly. But Tilles says most people will have developed a stable allergic profile in their 20s. If they "haven't developed allergies by the time they're 30," he adds, "it's very unlikely they're going to [do so] later on." In fact some research actually suggests that as people age their allergies tend to decrease or vanish, although that is unfortunately due to the weakening of the immune system over time. 

Beyond this point, Tilles says, most people will only develop allergies if they make a major life change, like a move to a new region, that finally exposes them to a substance they've always been predisposed to have an allergic reaction to. It's also possible that people who haven't moved or encountered a new environment are just manifesting allergies they had when younger, but then went dormant for an oddly longer period of time (perhaps beyond the usual teenage years of hormonal flux) and were only reactivated by some mysterious trigger. 

It's also possible, some doctors speculate, for someone with perhaps a minor allergic inclination to undergo some health event that causes an upheaval in their immune system later in life that might suddenly make it newly sensitive to an allergen. This could be anything from pregnancy to an infection to a major and sickening stretch of stress. (These events may help explain why some people's latent and forgotten or previously minor childhood allergies surge back, too.) 

"We are still humble about this," Tilles says. "We'll still skin test for allergies in elderly patients who come in with new onset symptoms. But it's relatively rare for them to have proven allergic causes [for suffering] if they've never had any. It certainly can happen, but it's not common." 

It's far more common, Tilles says, for adults to develop non-allergic nasal allergy symptoms out of nowhere. Although indistinguishable symptomatically from allergies for patients, this issue, which Tilles says accounts for about a third of any allergist's patients, is triggered not by distinct allergens and the antibodies they conjure up but by general irritation. "There are sub-groups that are, for example, only triggered by barometric pressure changes," he explains, "and others that are only triggered by [broad] irritants or something like that. There are others that look like allergic inflammation, but we just can't determine that there's an allergen [at work]."

We do know, Tilles says, that smokers or workers in industrial jobs involving airborne irritants they aren't protected from are at increased risk of "non-allergic rhinitis," as allergists refer to this broad nasal irritation. It's also possible the same factors that re-trigger or newly awaken adult-onset allergies, or play a role in the emergence or development of childhood onset allergies, could trigger lifelong general sensitivity in people who aren't genetically disposed to outright allergies.

Beyond that, it's honestly a bit of a crapshoot who suffers when and who doesn't. Long story short, adult onset allergies aren't really a discrete thing. They're the murky common symptom of a ton of different possible exposures or exacerbations, many of which even the nation's foremost allergists only have a basic grasp on. For those wishing to avoid the unique pain of developing allergic symptoms late in life, that is not useful information. Unless one wants to build a bubble of environmental consistency and can somehow avoid major immune system shifts, the risk of waking up snuffling, fatigued, and miserable will always lurk in life.

But on the limited bright side, Tilles says, allergic symptoms are rarely dangerous. They do suck—massively. Still, there are a number of solid treatments available, many of them over the counter. Most treatments meant for allergies will be effective for non-allergic rhinitis as well. And most irritants can be avoided with a bit of planning. Managing irritant exposure risks and symptoms is far from ideal. We just have to deal with the realities of chaotic bodies as best we can.

Yahoo! Finance: 16 best dogs for allergy sufferers

16 Best Dogs for Allergy Sufferers

Joseph Gedeon and Cheyenne Buckingham

24/7 Wall St.

July 13, 2017

In case you haven't noticed, Americans love dogs! While recently putting together research for another 24/7 Wall St. story on dog popularity, we learned that 36.5% of Americans were part of a dog-loving household -- more than any other pet. But what happens when you start having allergies as soon as you get close to a playful pup?

Don’t worry, you’re not alone. According to the American College of Allergy, Asthma and Immunology, nearly one out of every 10 Americans are allergic to dogs.

And while no dog is completely hypoallergenic, there are plenty of breeds that go well with allergy sufferers. In fact, most people are actually not allergic to dog fur. The dogs on this list are hypoallergenic because compared to other breeds, they produce less dander, a substance attached to pet hair that the American Kennel Club says causes most pet allergies in humans.

We even had a hypoallergenic dog take the international spotlight as a recent member of our highest elected office. Bo, who belongs to President Obama and his family, is a Portuguese water dog, one of the lovable breeds on the list. Find out which other dogs made the cut!

Methodology:

To identify which dog breeds are best suited for allergy sufferers, 24/7 Wall St. reviewed the American Kennel Club’s verified list of hypoallergenic dogs. All information related to each breed’s personality, trainability, shedding, size, and life expectancy.

1. Bedlington terrier
> Size: 15-17.5 inches, 17-23 pounds
> Shedding: Infrequent
> Good with kids?: Better with supervision
> Trainability: Responds well
> Life expectancy: 11-16 years

This lamb-lookalike terrier is an energetic and graceful medium-sized dog that becomes a loyal member of the family. Although the Bedlington terrier requires weekly grooming, its distinctive, fleecy coat makes it a one-of-a-kind breed for owners who deal with allergies.

2. Bichon Frise
> Size: 9.5-11.5 inches, 12- 18 pounds
> Shedding: Infrequent
> Good with kids?: Yes
> Trainability: Responds well
> Life expectancy: 14-15 years

With a history of being pampered by French royalty, the Bichon Frise lives up to the English translation of its name: curly dog. This easily trained little dog is hypoallergenic, and rarely sheds. According to the American Kennel Club, the Bichon Frise makes a good companion for young children.

3. Chinese Crested
> Size: 11-13 inches, 8-12 pounds
> Shedding: Infrequent
> Good with kids?: Better with supervision
> Trainability: Responds well
> Life expectancy: 13-18 years

The Chinese Crested is a small dog with a big heart. These alert and affectionate dogs are said to be cat-like, enjoying sitting in high places, according to the AKC.

4. Coton de Tulear
> Size: 9-11 inches, 8-15 pounds
> Shedding: Seasonal
> Good with kids?: Yes
> Trainability: Responds well
> Life expectancy: 15-19 years

This small, active companion originating from Madagascar has all the right traits to fit in a hypoallergenic household. The Coton de Tulear sheds very little and is distinguished by its long, soft coat that grows up to four inches in adulthood.

5. Irish Water Spaniel
> Size: 21-24 inches, 45-68 pounds
> Shedding: Seasonal
> Good with kids?: Better with supervision
> Trainability: Eager to please
> Life expectancy: 12-13 years

This mop-headed dog helps shed the myth that hypoallergenic pets must be close to hairless. The tallest of all spaniels recognized by the AKC, the Irish Water Spaniel is a medium-to-large sized dog that is distinguished by its curly, waterproof coat. It has yet to become a popular household choice in the United States.

6. Kerry Blue Terrier
> Size: 17.5-19.5 inches, 33-40 pounds
> Shedding: Infrequent
> Good with kids?: Better with older children
> Trainability: Independent
> Life expectancy: 12-15 years

Although the Kerry Blue Terrier was originally bred to guard, herd, and hunt, this medium sized dog fits in well with apartment life. Intelligent and independent, the Kerry’s soft, wavy coat rarely sheds, making it a great hypoallergenic dog for any owner living in the city.

7. Maltese
> Size: 8-10 inches, 6-8 pounds
> Shedding: Infrequent
> Good with kids?: Better with older children
> Trainability: Responds well
> Life expectancy: 12-15 years

This elegant pooch has quite the hairdo. With a floor-length coat of silky white hair, the Maltese needs to be groomed often in order to avoid knotting. Despite their dainty appearance, they have a reputation for being courageous and perky.

8. Poodle
> Size: <10-15 inches, 4-50 pounds
> Shedding: Infrequent
> Good with kids?: Yes
> Trainability: Eager to please
> Life expectancy: 10-18 years

The Poodle is another dog breed that has to have an exceptionally groomed coat to look presentable. It is one of the only dogs that come in three sizes: standard, miniature, and toy. This proud pooch enjoys walking, running, and swimming, so if you’re the athletic type you may just want to invite your Poodle along for the workout!

9. Portuguese water dog
> Size: 17-23 inches, 35-60 pounds
> Shedding: Seasonal
> Good with kids?: Yes
> Trainability: Eager to please
> Life expectancy: 11-13 years

Hailing from Portugal, the Portuguese water dog has a distinctive appearance. Described as medium sized and robust by the AKC, this breed has an advantage above the other water-loving pups -- a waterproof coat. Easily the most well-known of the breed is former “first dog” Bo, who belongs to President Obama and his family. Malia, President Obama’s daughter, is allergic to dogs, which led to Bo’s “appointment.”

10. Standard Schnauzer
> Size: 17.5-19.5 inches, 30-50 pounds
> Shedding: Infrequent
> Good with kids?: Yes
> Trainability: Responds well
> Life expectancy: 13-16 years

This dog rarely sheds, which is why it’s such a great candidate for someone who suffers from allergies. Just like any of the three types of Schnauzers, this breed has a wiry, tight-fitting coat that keeps debris off. What’s dug up outside, stays outside.

11. Giant Schnauzer
> Size: 23.5-27.5 inches, 55-85 pounds
> Shedding: Seasonal
> Good with kids?: Better with supervision
> Trainability: Eager to please
> Life expectancy: 12-15 years

This powerful, imposing dog is essentially the Schnauzer 2.0. With a dense outer coat, the Giant Schnauzer is built for work and is suited for an active owner seeking a hypoallergenic partner in adventure.

12. Soft Coated Wheaten Terrier
> Size: 17-19 inches, 30-40 pounds
> Shedding: Non-shedding
> Good with kids?: Better with supervision
> Trainability: Eager to please
> Life expectancy: 12-14 years

Whether at home or in the field, the Soft Coated Wheaten Terrier is a playful companion from pup well into old age. The aptly-named happy and friendly breed is set apart from other terriers by its soft and silky coat.

13. Xoloitzcuintli
> Size: 10-23 inches, 10-55 pounds
> Shedding: Infrequent
> Good with kids?: Better with supervision
> Trainability: Responds well
> Life expectancy: 13-18 years

Can you even pronounce this dog’s name? According to the AKC, the Xoloitzcuintli is one of the world's oldest and rarest breeds. The name comes from the Aztec god Xolotl, and the Aztec word for dog, Itzcuintli. In remote Mexican and Central American villages, these dog were used to ward off and cure ailments such as asthma and insomnia, establishing their reputation as healers.

14. American Hairless Terrier
> Size: 12-16 inches, 12-16 pounds
> Shedding: Infrequent
> Good with kids?: Yes
> Trainability: Eager to please
> Life expectancy: 14-16 years

It’s no wonder why this pooch is hypoallergenic -- it’s hairless! Not only are American Hairless Terriers suitable companions for those with allergies, but they also train easily and get along with other pets in the household. In other words, you most likely won’t have to pawn off your kitty when you introduce this pup to your home.

15. Lagotto Romagnolo
> Size: 16-19 inches, 24-35 pounds
> Shedding: Infrequent
> Good with kids?: Better with supervision
> Trainability: Eager to please
> Life expectancy: 15-17 years

This curious and rather odd looking dog has an affectionate personality, which means this breed is a great contender for a cuddle sesh. The Lagotto Romagnolo is an ancient breed that originated in Italy and its fur is quite similar to that of the Portuguese Water Dog.

16. Afghan Hound
> Size: 25-27 inches, 50-60 pounds
> Shedding: Infrequent
> Good with kids?: Better with supervision
> Trainability: Independent
> Life expectancy: 12-18 years

It’s no question that the Afghan Hound has a gorgeous coat. The dog’s thick, flowy coat served as protection from harsh climates in the mountainous regions of Afghanistan. The Afghan Hounds also have huge paw pads that act as shock absorbers, another physical attribute they developed over time due to the arduous terrain.