Scheme of treatment for Allergic disease

Treatment of Alergic disease

Allergy treatment has to be planned from 5 main fronts:

To avoid the allergens causing allergy, the first thing is to know what one allergic is to. This is the main aim of an Allergy Test. An allergy test is the only way that a person’s allergies can be pin pointed. Allergy is a disease caused by multiple allergens. Once the causative allergens are identified, the aim is to keep down to a minimum, the exposure to these items (foods, inhalant dusts) and minimize the “total allergic load”, beyond which the symptoms get precipitated.

Inhalant allergies are commonly due to inhalation of dust in the home. Even the “cleanest room” anywhere in the world will have “house dust and house dust mite” as important constituents. House dust is inhaled by an individual for 6 to 8 hours during sleep. A room may look clean but may not necessarily be “dust free”. Suggestions on making a room dust free should be followed.

Other inhalant allergens include  human hair, fungi, disintegrated insect parts, pollens coming in from the environment outside including animal hair etc.

Food allergies are treated by avoidance of the foods found allergic to, taken in reduced quantity or rotated. It is initially recommended to avoid the foods found allergic to on skin prick testing for one month. Later on the food items are added in a particular sequence.

Avoid sprays, perfumes, deodorants, insect sprays, odours from paints etc. They are irritants and not necessarily allergenic.

Avoiding triggers helps cut down on the “total allergic load” and helps keep the total level of allergen exposure to below the threshold level at which the allergic symptoms get precipitated.

Deworming treatment and vitamin C and calcium tablets may be taken after the initial month of food avoidance and dust control.  Later anti inflammatory and anti allergic treatment may be prescribed as and when necessary. Many people with mild allergies are content to continue with the above as an initial measure and take the help of an occasional anti allergic tablet.

Reserved for certain cases of nasal polyposis by functional endoscopic sinus surgery (FESS), correction of a deviated nasal septum, drainage of pus locked in the sinuses treatment may be performed as and when necessary. Drainage of sinus discharges to open up drainage paths.

Oral Vaccine Therapy (OVT) for developing immunity to the offending allergens completes the spectrum of treatment modalities available for complete control of allergic disease. OVT is available only after the Skin Prick Test result  and banned after the RAST Test. World Health Organization – (WHO) and World Allergy Organization (WAO).

Immuno-modulation is the only way of changing the immune system of a particular person to prevent the antigen antibody reaction in any organ by building up specific IgE antibodies against specific allergens that cause allergy in that person, as identified by an allergy test. Oral vaccines are safe and easy to take in a home environment.

The final aim of relief from allergy symptoms is to achieve allergy control with allergen avoidance and immunotherapy, with, if necessary, minimal medical therapy. Adhering to the above scheme should improve quality of life, prevent progress of inflammation to irreversible pathological changes, relieve physical distress and prevent the detrimental effects on psychological & social aspects of an allergic individual’s life.