Allergy more common in urban areas

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Dr. Tauhida Rahman Ereen is a Consultant Dermatologist in Dhaka, Bangladesh with working experience in both Bangladesh and Nigeria. She is currently affiliated with Surecell Medical Limited as a Consultant Dermatologist. She has done diploma in Dermatology and Dermatosurgery from the department of Medical Science, Ministry of public Health Bangkok,Thailand and also received her MBBS degree from Mymensing Medical College in the year 2003. She also passed the assessment examination conducted by University of Nigeria Teaching Hospital in Enugu, required for foreign doctors to practice in Nigeria. She returned to Bangladesh after 10 (ten) years of education and advanced training in Dermatology.Now working in three different places.

I have a question for you all- During the last two decades the increase in allergic diseases in children as well as in adults has been drastic. Why? Answer is pretty simple; it’s all because of rapid urbanisation. A person is more likely to suffer from an allergy if they like in a highly industrialized area. On the national level, allergies are more common in an individual that lives in an urban area as opposed to rural area. An allergic reaction occurs when body’s immune system reacts unusually to specific allergen.

These health hazards may be found where you live, work or play. Not sure if you have allergies? Symptoms can include itchy skin, rashes, hives, itchy watery eye, runny nose, itchy throat, fatigue, nausea, vomiting, irritability, difficulty in breathing. There are too many to mention, these are just some examples. We’ve come to rely on allergens too much that it pervades every corner of the world, every facet of our live. Out door allergen pollen: Pollen spread by the wind from trees, grasses, and weeds are the main cause of outdoor allergies. Spring is the time of year that we normally think of when it comes to seasonal allergies. As the trees start to bloom and the pollen gets airborne, allergy sufferers begin their annual ritual of sniffling and sneezing. Spring is not the only allergy season, many plants pollinate year round. Your location will determine the time and duration of your pollen season. during pollen season, especially during the day.

Take a shower, wash your hair, and change clothing after working or playing outdoors. Cover your nose and mouth with a mask to avoid pollen once you are in outside. Indoor allergen dust: Life with dust allergies – whatever they are your or a family member’s-comes with a load of questions. Dusts, mites, mold, pet hair, cockroaches trigger dust allergy. Though pollen allergy is likely to attack when you are outdoors, being allergic to dust puts you at risk of experiencing environmental allergies indoor, including your own home.

Dust mite feed off dead human skin, so they are found in highly volumes anywhere we tend to shed dead skin , pillows and mattresses . Good home hygiene can help reduce your exposure to dust.change furnace, and air-conditioner regularly. Use high quality pleated filters, using home air purifier can do a lot to reduce these allergies. If you have pets, consider keeping them outside. If your allergies are severe, you might ask someone else to take care of them. Animal dander and saliva are common allergens for many people. If you decide to keep your pets inside, don’t let them in your bedroom. Bathe them often, too. Sun reactions of the allergy: Most people’s skin will burn if there is enough exposure to ultraviolet radiation , however some people burn particularly easily or devlop exaggerated skin reactions to sunlight like-solar urticaria , PMLE( polymorphic light eruption) .Avoid sun light , maintain your spf routine , call your dermatologist for specific management .

Allergic reaction due to chemical and additives: They promise to make your skin soft, your hair shiny, but for some people chemicals in shampoo, cosmetic, detergent, trigger allergic reactions. Certain ingredients used in cosmetics such as fragrances and preservatives can cause skin irritation. Stay away from strong odors such as perfume, hair spray, paint, cooking exhaust, cleaning products and insecticides. Room air fresheners and electronic air cleaners also can trigger symptoms. Smoke and irritants Factories and petroleum refineries release large amounts of hydrocarbons, carbon monoxide and other chemicals into the atmosphere. Insecticides, Pesticides and fertilizers emit harmful chemicals in the air. Ammonia, which is a byproduct of our agricultural processes, is one of the most dangerous chemicals in our atmosphere. These all trigger allergic reaction. Avoid tobacco smoke and do not allow anyone to smoke in your home or car.

If you smoke, try to quit. Do not use wood burning stoves or fireplaces. Install an exhaust fan over your stove to remove cooking fumes. An exposure history, which is a set of questions about your home, workplace, habits, jobs, lifestyle, and hobbies, can help you find out what is making you sick. It may point to chemicals or other hazards that you’ve been exposed to recently or in the past. Diagnosis is usually based on a medical history; avoid allergen, patient’s skin prick test, patch test, blood test for IG E antibody.

Parent with an allergy is more likely to pass to their child and child’s allergy is more likely to be severe. Identical twins will share the same allergy 70% of time. Once the allergen has been correctly identified, symptoms can be effectively managed and treated in a number of ways. Depending on the allergen, severity and frequency, treatment options include: antihistamine, topical and systemic steroid, nasal spray, lukotriene inhibitor. There is an worldwide effort on all levels to reduce the rise of Allergen reduction. Governments are supporting technological advances that will give us a cleaner source of energy. Let’s all do our share and keep the environment allergen free for us and for future generations.

Dr. Tauhida Rahman Ereen

Dermatologist, Surecell Medical Limited

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