An adviser in internal environment does not go to relooker your inside. On the other hand, after an audit of the quality of the air of your habitat, he can give you advice customised to limit, or even evict allergens.

Your health is linked to the quality of the air of your habitat

There is a very strong link between the quality of the air of our habitat and our health. At the same time, the allergic persons and particularly the asthmatic, are very sensitive to internal pollution and to presence of different types of allergens.
And these are not easy to eliminate, explaining the increasing number of allergic persons on one hand and the fact that the allergic are more and more often badly controlled (their treatment is not sufficient to remove symptoms).
It is from this type of official report that a new profession developed about fifteen years ago: the medical advisers in internal environment. Having endowed with a double training (engineer in habitat and professional of health), such advisers move in the domicile of the allergic patient to accomplish an audit of the quality of the air of their environment and to lavish advice customised to evict allergens as dust mites.
This type of expertise allows to get rates of ousting of more important allergens, what reverberates apparently on the health of the allergic with in concrete terms a reduction among visits immediately for asthma and falling medicinal catch.

You have tendency to sneeze every pollen season for example? It is indeed about a rhinitis, but symptoms do not bother you still enough to go to consult your doctor. It is a fault, because you have 3,5 times more risks of developing an asthma later.

Allergic rhinitis corresponds to a hypersensitivity in allergens (dusts, pollens, dust mites, mildew, hair of chat) which is translated by a nose which runs, of frequent and repetitive sneezes, a blockage and/or nasal itches.
The similarity of both diseases, rhinitis and asthma, led the researchers to analyse their relations.
Indeed, rhinitis and asthma correspond to an excessive immune reaction contrary to a present allergen in air. Concerning rhinitis, this reaction touches only the upper air routes: the nose, the mouth and the pharynx, where from the classical symptoms (nose which runs or blocked, sneezes). In the case of asthma, immune reaction touches lower respiratory tract (bronchuses, pulmonary alveoli, etc.) and draw away a reduction of the vital capacity, embarrassing, disabling and dangerous.

In the course of this study, about 6.500 persons native to 14 European countries and from 20 to 44 years old were followed during 9 years. While all participants were unharmed of any episode of asthma at the time of recruitment, they note that the persons who are attained of an allergic rhinitis see their risk of developing an asthma multiplied by 3,5 in comparison with those who do not make rhinitis. Non-allergic rhinitis also constitutes a predictive factor of asthma, since subjects attained by this affection have 2,7 times more risks of becoming asthmatic.

The relation between rhinitis and asthma is very strong. It is probable that after the inhalation of allergens, the nasal inflammation favours the migration of the inflammatory mediators in the circulation of the blood and in cloths, and notably at the level of bronchuses.

Diagnose rhinitis to control asthma

It is therefore important to diagnose a rhinitis to reinforce surveillance and to deflect an easier, starting asthma to be controlled. On the other hand, maintain that the treatment of rhinitis allows to tell or to postpone the happening of an asthma am premature. However, they know that to treat rhinitis allows to control better the symptoms of asthma at the asthmatic persons.
Anyhow, it is necessary to remember that it is important to control asthma because it is a serious illness.

Asthma is a frequent illness. This illness of bronchuses touches more than 3,5 million Frenchmen. As for allergy, she concerns one person of three, proportion which does not cease advancing. Against the sharp demonstrations of these two affections, to know asthma attack and allergic reaction, it is possible to act on behaviours and on monitoring of the environment.

Allergens and annoying substances are everywhere and are likely to launch crises and reactions to the asthmatic and the allergic. It is however possible to act on his own behaviours and on his environment to limit symptoms and risks.

How to limit asthma attacks?

- While the treatment of crisis allows to relieve the happening of a crisis (by dilating bronchuses), the thorough treatment, it, acts upstream, by telling them. He must therefore be taken every day, even in the absence of any symptom.

- Identify factors launching crises, then avoid them.

- Identify the first signs of crisis to endow take its treatment as early as possible.

- Assess his respiratory state  in case of worsening of symptoms, to be possible contact his doctor very fast, without delay.

Control his environment to limit allergic reactions

Item by item, it is possible to limit them (furniture, plants, clothes, tobacco, external air, animal).

- Favour the smooth soil (paving, varnished Office of Public Prosecutor).

- Avoid the double curtains (keep only net curtains).

- On walls, but also in wardrobes and cupboards, to prefer painting and wallpaper, instead of curtains and of cloths.

- Air every room every day during at least 20 minutes, except the peaks of air pollution.

- Cover its mattress of a dust cover anti-dust mites integral (the mattress is entirely enveloped).

- Choose pillows and washable covers in synthetic.

- Wash sheets one time a week.

- Before washing fuzz in machine, leaving them 24 hours in the freezer, enveloped in a bag of food freezing.

- Do not smoke in the home or the flat.

- As many as possible, avoid contacts with domestic animals as cat.

Why is the allergy to the dust mites more frequent in autumn and in winter? How does she manifest itself? How to eradicate this million microscopic animals whom are the dust mites?

Why is the allergy to the dust mites more frequent in autumn and in winter?

The dust mites proliferate all year long in our houses. But they have a predilection as hot places and humid. That’s how they proliferate in pillows, mattresses, carpets, chairs, fuzz And more intensely in autumn and in winter, when the time is humid and that our accommodation is heated well and is less aired.

How manifests itself the allergy to the dust mites?

The dust mites are involved in respiratory diseases, but also in skin disorders and oculars.

The most classical answer is allergic rhinitis: nose which runs, repeating sneezes, itches, etc.

The dust mites can also launch allergic rhino-conjunctivitises: besides the symptoms of allergic rhinitis, watering of the eyes, redness and prickle of eyes.

Finally, all these reactions are at the origin of sleep troubles and of tiredness which draw away a deterioration of the quality of life and of disabilities in the daily.

How to eliminate the dust mites?

Too much do not heat his accommodation: 19-21°C and 16-18°C in the room.

Limit the rate of humidity to 50 % maximum.

Air the room regularly every day, or even several times a day by dry time.

Ban moquettes, carpets, chairs in cloth, and other nests with dusts and with dust mites.

Cover the mattresses of dust covers anti-dust mites.

To treat the symptoms of allergy to the dust mites, it is necessary to consult his doctor, ideally an allergist, who will assess opportunity to accomplish a desensitizing to the dust mites.

With spring, the season of respiratory allergies returns. And as though to sneeze all day long was not enough, for the allergic, the night is often a bad time to be crossed.

Respiratory allergies and sleep

A recent study on allergies and sleep showed that allergic rhinitis, one of the most frequent respiratory allergic affections, was very often accompanied with sleep troubles. These would be caused, across a still badly known mechanism, by a reaction of the brain to the inflammation which touches cloths of the nose. This phenomenon comes to get worse an already unpleasant situation at first …

Even more embarrassing symptoms at night

Indeed, the respiratory allergies, which are accompanied by important production of phlegm, of cough, of cloths congested in the nose and in the throat, sometimes seem linked to prevent sleep to begin, cough or sneezes do not help to fall asleep. And even once they succeeded in closing the eye, as the nose is crimson and blocked, it is possible to breathe only by the mouth. And this breathing is not optimum on long length: congestion gets worse, mucous membranes become dry, or even painful. The person suffering from allergy is uncomfortable, thirsty, and wakes up very easily. The result of every it is an unsettled sleep, which returns the all the more difficult days with tiredness, difficulties in concentrating and possibly petulance.

How to spend good nights in spite of allergies?

The first stage, it is to make sure that the allergies are under control. It means to consult a competent allergist and to follow the treatment of possible bottom which will have been prescribed. Some medicine anti-allergy are likely to draw drowsiness away, it is useful to decide on an hour in which you take them according to this side effect. Moreover, some “knack” is recommended by the specialists and the persons affected by allergies:

- Change sheets regularly to avoid that allergens as dust mites or dust pile up there.

- Wash hair in the evening to get rid of allergens kept in hair in the course of the day, especially for allergies in the pollen.

- Take the time, before going to lie down, to make a soft rinsing of the nose with a nasal specialised spray (not willy-nilly medicinal). It will free you from allergens which are already in your respiratory tract and will improve the humidity of mucous membranes.

- To raise the height of the head of the bed of some centimetres makes breathing easier (but aggravate the problems of legs).

- To drink enough throughout the day returns the easier and more liquid phlegm to be evacuated.

The principle of desensitizing consists in inoculating in small doses the allergen responsible for phenomena of annoyance, for chronic or seasonal rhinitis, so that organism immunises of itself. It is a kind of vaccination. Little by little our body learns to support the intruder.

How are you getting on?

Desensitizing consists therefore in managing doses, at first infinitesimals, responsible allergen (that they identified in anticipation by means of patch tests and blood). According to the treatment which stretches over several months, the dose is augmented. Then follows a stage, in the course of which they will not exceed the maximum dose tolerated for the patient. This identical dose is then going to be managed in regular intervals. Progress in this immunization: injections by injections can be replaced with drops under the language. Distinctly nicer! But if injections are weekly and are made at the allergist’s, the catch by oral way must be daily, in the morning on an empty stomach. With the sublingual system they arrive in fourteen days, to attain the maximum dose which will then be followed in stage of maintenance. But attention: the desensitizing in venoms is not made by sublingual way.

How long lasts a desensitizing?

It depends on every patient. But it is necessary to count on average from three to five years for well-known results. In initial stage, during quarter about, doses are augmented. Then the stage of maintenance succeeds him.

Does the desensitizing treat on all allergies?

Three-five years, it is long! Game has therefore to be worth the candle. Having apparently identified the responsible allergen, and because the patient is very handicapped by his symptoms, because his illness deteriorates, or even degenerates into asthma, desensitizing is envisaged. Dust mites and pollens make the object of an efficient desensitizing, with a rate of 70 % success while venoms of Hymenoptera (wasps, honeybees) walk to more than 90 %. A border however: when they are allergic in several allergens, desensitizing becomes less efficient. The more reasons of allergies are multiplied, the more it is difficult to be desensitized.

Can the children benefit from it?

They consider that from the age of 5 years, and on the condition of having identified well the allergen, and undertaken its ousting when it is possible? elimination of the dust mites or of the domestic animal? the child can benefit from it. Rather than an injection, they will favour sublingual mode.

Are there side effects?

So as to injection, in the subcutaneous way, there can happen a small local reaction, redness, swelling. She is short-term. Also there can be symptomatic demonstrations, sneezes, annoyance of the nose. To the allergist to watch the treatment.

In what signs do they realise that the treatment is efficient?

Simply because the habitual symptoms become blurred: less of nasal discharge, prickle, headaches. For the dust mites, beneficial effects have to be felt at the end of six months. For pollens after the first season!

Are there contraindications?

Desensitizing on an immunocompromised person will not be practiced (by whom immune system went down) on a person attained by a cancer, on a pregnant woman. Some medicaments in long course (cardiovascular diseases) double point this therapeutics out. It is always necessary to specify which treatments are followed to the allergist.

In the past, the desensitizing of the persons attained by allergy, notably by allergic rhinitis, imposed series of injections. Since a dozen years, it is enough to deposit drops under the language . A true revolution in the treatment of allergic rhinitis! What are the key points to be known?

1) At the persons who suffer from allergic rhinitis, the sublingual desensitization way reduces symptoms and use of medicaments. The symptoms of rhinoconjunctivitis are diminished about 37 %, the nasal blockage of 59 % and 50 % watering of the eyes (1).

2) The improvement of symptoms is supported several years after sublingual desensitizing. But it is necessary to know that the relapse will be all the more precocious as the length of desensitizing was short.

3) It is especially efficient in case of allergy in pollens, but also used in case of allergy in dusts of home and in dust mites.

4) Before undertaking a desensitizing, it is necessary to assess allergy to identify the allergen in reason.

5) Desensitizing risks being ineffectual in case of poly sensibilisation. She contacts therefore allergic subjects in a specific allergen.

6) The sublingual desensitization way is tolerated well and seldom requires a stopping of the treatment. The most common reactions are local, they happen principally at the beginning of treatment and are of light intensity in moderate: buccal edema, oral pruritus(itches), edema of the language, annoyance of the throat and sometimes prurit ocular.

7) To the asthmatic, the results of desensitizing are more modified (2). Nonetheless, an improvement of symptoms (bronchial hyperreactivity) is got.

Food allergies are more and more frequent and the list of the food in which it is possible to be allergic is more and more long, without speaking about crossed allergies! Can you admit different types of symptoms which a food allergy can cause?

To what is due a food allergy?

As for all allergies (dust mites, hair of animals, pollens, latex), it is about an exaggerated reaction to an element. Organism admits him wrongly as a dangerous element and implements actions of struggle against this one.

When does the allergic reaction manifest itself?

In the contact of the food admitted to be dangerous. But attention, there are several modes of contact likely to launch a food allergy:

- Having eaten the food in question.

- But also after a contact on the skin. That’s how to manipulate a lever of console of games which was used by a person having eaten peanuts for example, can be enough to launch an allergic reaction at an allergic person in the peanut.

- Finally, the allergen can be inhaled. Sniff the smells of cooking of a food in which they are allergic is possible be also enough to launch an allergic reaction.

To know that in the majority of cases, food allergy expresses itself in minutes, or even the hours which follow the contact with the allergen. However, intensity and delay of reaction depend on the type of contact, on the quantity of allergens and on the frequency of exhibition, without speaking about personal factors.

What are the symptoms of food allergy?

Cutaneous signs:

An atopic dermatitis manifests itself: the skin is dry, it itches and peels off. It is red, hot and painful.

A hives, sometimes very sprawling.

Buccal signs:

The bottom of the throat stings, lips are filled, with a discomfort to swallow. This sign is frequent at the persons’ who introduce an allergy crossed in the pollen.

Respiratory and ocular signs:

They are similar to the symptoms of allergic rhinitis and of allergic conjunctivitis: blocked nose or which runs, sneezes, red eyes, watering of the eyes, etc.

These signs are so sometimes fronts - runners of a strict allergic reaction.

Attention, it is well necessary to differentiate these signs of those of asthma, affection which touches pulmonary respiratory tract and that manifests itself by hiss and a respiratory discomfort.

Digestive signs:

The most common are nausea, vomiting, diarrheas and abdominal pain.

Finally, the anaphylactic shock is the most serious reaction. He requires an urgent treatment. He manifests itself by a feeling of feeling of faintness, itches, a hives and a respiratory discomfort.