Allergies: Managing Symptoms and Medication Concerns - Internal Medicine

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Allergy


I experience allergies unexpectedly on a regular basis, which is very distressing.
Whether it's from medication or environmental factors (like dust and dirt), I only have one symptom: itchy, red, and swollen eyes.
If I can't resist rubbing them, my eyeball (which seems to be the cornea) protrudes.
There was a time when it was so itchy that I rubbed it a couple of times, and the protrusion became so severe that my vision became blurry, and I could barely see, which terrified me (this time it was due to penicillin allergy).

What troubles me the most is that I haven't taken any medication.
I often experience allergies at home, averaging about every two days, and sometimes even for consecutive days.
I'm puzzled.
I've seen a doctor and undergone allergy testing.
The doctor ultimately advised me to minimize exposure to dust and dirt, but despite my efforts to avoid them, I still easily develop allergies.
Currently, the doctor has prescribed an antihistamine to take only when I have an allergic reaction.
However, given how easily I react, I wonder if the dosage might be too high and whether it could cause side effects or burden other organs.
The medication is an oval-shaped capsule (smaller than a standard capsule) that is red and white.
Thank you for your help; I hope you can assist me.
Thank you.

joanna, 20~29 year old female. Ask Date: 2002/04/01

Dr. Yang Jun reply Internal Medicine


Hello Ms.
Joanna: Based on your description, it appears that your condition is due to an allergic predisposition.
Currently, there is no specific medication treatment; the focus is on minimizing exposure to allergens and using antihistamines to manage symptoms.
However, maintaining a regular exercise routine and consuming more natural foods may help alleviate allergic symptoms.
As for antihistamines, they should be taken only when allergic symptoms occur.
Aside from causing drowsiness, fatigue, and loss of appetite as side effects, there are no significant adverse effects.

Reply Date: 2002/04/01

More Info


Understanding allergies and managing their symptoms can be quite challenging, especially when they are triggered by common environmental factors like dust and pollen. Allergies occur when the immune system reacts to a substance (allergen) that is typically harmless to most people. In your case, it seems that you are experiencing allergic reactions primarily affecting your eyes, leading to symptoms such as itching, redness, and swelling.

Allergic Reactions and Symptoms
The symptoms you describe, particularly the itching and swelling of the eyes, are common in allergic conjunctivitis. This condition occurs when allergens come into contact with the eyes, leading to inflammation. The fact that you have experienced severe symptoms, such as your eye appearing to bulge and causing blurred vision, is concerning and indicates that you should be cautious about rubbing your eyes, as this can exacerbate the irritation and lead to further complications.


Management of Allergies
1. Avoidance of Triggers: As your doctor advised, minimizing exposure to dust and other allergens is crucial. This may include regular cleaning of your living space, using air purifiers, and possibly wearing protective eyewear when outdoors during high pollen seasons.

2. Medication: Antihistamines are commonly prescribed to manage allergy symptoms. They work by blocking the action of histamine, a substance in the body that causes allergic symptoms. If your doctor has prescribed an antihistamine for use during allergic episodes, it is important to follow their guidance on dosage. While it may seem that frequent use could lead to side effects, many antihistamines are safe for regular use when taken as directed.
3. Potential Side Effects: Common side effects of antihistamines can include drowsiness, dry mouth, dizziness, and in some cases, gastrointestinal disturbances. If you are concerned about the long-term use of these medications, it is advisable to discuss this with your healthcare provider. They may suggest alternative treatments, such as nasal corticosteroids or eye drops specifically designed for allergy relief, which can help reduce inflammation without the systemic effects of oral medications.

4. Regular Monitoring: Since you mentioned that your allergic reactions occur approximately every two days, it may be beneficial to keep a diary of your symptoms and any potential triggers. This can help you and your healthcare provider identify patterns and possibly adjust your treatment plan accordingly.

5. Consultation with Specialists: If your symptoms persist despite treatment, or if you experience severe reactions, consider consulting an allergist. They can perform specific tests to identify your allergens more accurately and may recommend immunotherapy (allergy shots) as a long-term solution.


Conclusion
Managing allergies effectively often requires a combination of avoidance strategies, medication, and ongoing communication with healthcare providers. While it can be frustrating to deal with frequent allergic reactions, understanding your condition and working closely with your doctor can help you find a suitable management plan that minimizes symptoms and improves your quality of life. If you have concerns about the medications you are taking, do not hesitate to bring them up with your healthcare provider, as they can provide tailored advice based on your specific situation.

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