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Pregnancy and its Effects on Asthma & Allergies

Pregnancy and its Effects on Asthma & Allergies

Pregnancy and its associated changes may affect either your asthma or rhinitis, or both. Should you become pregnant please notify your OAAC physician as soon as possible. This will allow us to work closely with the physician providing your obstetrical care. A team approach to the assessment and care of the pregnant allergic patient will result in the best care for your condition.

Remember, the final decisions on your medications and treatments are always made by the physician providing the obstetrical care. However, your OAAC physician should follow your asthma closely during the pregnancy. We can provide advice about continuation or discontinuation of treatments you are already on for your allergy/asthma prior to the pregnancy.

Allergy Immunotherapy (Shots)

There is no reason to discontinue immunotherapy during pregnancy. It does not pose a risk to the development of your baby. However, we do not want to present an increased risk for systemic reaction during the pregnancy.

Therefore all immunotherapy during a pregnancy must be at a stable or maintenance dose. We do not build or increase the dose of your shots during pregnancy. If you are on build-up of your immunotherapy and you become pregnant, contact your OAAC provider immediately to discuss how to proceed. If you are on your maintenance dose and are having symptoms from the injections or other concerns, contact your OAAC provider.

Rhinitis (Nasal Symptoms)

Your nasal allergy symptoms may improve (15%), worsen (34%) or stay unchanged (46%) during your pregnancy. Some patients develop unrelated non-allergic nasal congestion (rhinitis of pregnancy) during the second half of their pregnancy. If you are having problems please contact your OAAC physician. Some medications are considered safer than others during pregnancy. Non-medical approaches like saline nasal rinses and external nasal dilator strips are very safe.

Asthma

Asthma symptoms during pregnancy appear to worsen, improve or remain unchanged in roughly equal proportions (1/3, 1/3, 1/3). This means that some patients with even very mild asthma may develop more severe symptoms when pregnant. The period of greatest increased incidents of increased symptoms is the third trimester (2436 weeks).

Since the well-being of the baby depends on the severity of the asthma in the mother, close monitoring is necessary. We want to work with your obstetrical physician to maintain your asthma control with the least amount of medications possible. However, because uncontrolled asthma presents the greatest risk to the baby (versus drug side effects) it is imperative not to discontinue or change your asthma medications without the consultation of your OAAC physician. Inhaled steroids for example are considered safe and effective in pregnancy.

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New Year’s Resolutions for Asthma and Allergies

Source: Asthma and Allergy Network

Tips to help you gain better control

Are you tired of your nagging cough or runny nose? Does the thought of spring flowers immediately make you want to sneeze? Are you looking for new ways to eat healthy despite your food allergies?

Take control of your allergies and asthma in the new year. No more sleepless nights and red, itchy eyes. No more sitting on the sidelines due to your asthma. Step up to better breathing with these New Year’s tips:

1 – Make a wish list

What would you like to be able to do if asthma or allergies didn’t hold you back? Ask yourself if there is anything that you’ve been avoiding because of your allergies or asthma that you usually enjoy doing.

2 – Review your treatment plan

Schedule an appointment with your doctor apart from an emergency or acute care visit. Share your wish list and ask if there are ways to reach your goals. There is no one, perfect way to treat allergies and asthma. Shared decision making is the key to a successful outcome: Work with your doctor to find the plan that works best for you.

  • Talk with your doctor about what is and is not working with your plan. Be honest about lifestyle and economic barriers you face. Are there medication side effects you’re worried about?
  • Take your medications to the appointment and review each one with your healthcare team: Why is it prescribed? When should you take it? How much should you take? How quickly should you expect results? What should you do if you don’t think it’s working?
  • If you use an inhaler, review your inhaler technique with your healthcare team. The medication can’t work if it doesn’t get into the lungs where it belongs.
  • Do you have a written Asthma Action Plan or an Allergy and Anaphylaxis Emergency Plan? If not, ask for one.

3 – Clean your indoor air

Change or clean air filters in your heating and air conditioning system. Vacuum carpets and corners regularly to keep dust and allergens down. Consider dust-mite proof pillow and mattress encasings and an air purifier if you have pets or mold. Keep pets out of the bedroom.

4 – Plan ahead

For seasonal allergies, begin using your allergy medication 3-4 weeks before your symptoms usually appear. The earliest tree allergens are from mountain cedars, which can peak in Texas and the southwest in January; in other parts of the country tree and grass allergens typically arrive in February and March.

5 – Prevent flares

Take care of yourself. Stop smoking and stay away from smokers; go to bed one hour earlier; get plenty of exercise; eat healthy foods; drink plenty of water per day – at least 2 liters if you do not have a medical condition prohibiting this – as staying hydrated keeps mucus from forming and prevents illnesses; get the flu shot and wash your hands regularly to avoid flu and cold viruses; and use nasal washes to keep your sinuses clean and flush out germs before they take hold.

6 – Follow up

Start a daily symptom diary online or in a notebook. Track your medication use, activities and symptoms; review it at your next appointment with your healthcare provider.

7 – Be reliable and proactive

Keep the appointment! See a board-certified allergist if your treatment plan isn’t working. Practice preventive care – healthcare should be a priority even when you are not sick.

The post New Year’s Resolutions for Asthma and Allergies appeared first on Oklahoma Allergy and Asthma Clinic.

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