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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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Why Should You Visit an Allergist
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Why Should You Visit an Allergist

Is it a cold, the flu, or persistent seasonal allergies made worse by Oklahoma weather? Do your rashes seem to appear at a certain time of year or after you eat specific foods? A board-certified allergist can help you untangle these mysteries and get you to a place where you feel. In this article, you will learn the following points:

  • What an allergist does and what they test for
  • When you may consider getting an allergy test

When You Go to an Allergist, What Do They Do?

Allergists perform testing to determine what their patients are allergic to. They prescribe various treatments, including antihistamines, inhalers, creams, and allergen immunotherapy, to help their patients feel better. If you're considering visiting an allergist, think about your symptoms and when they appear. For example, you may know that you have a severe cat allergy if you always sneeze, cough, or break out into hives when you visit your best friend, who has five feline companions in the house. A food allergy may be equally obvious and even life-threatening due to its severity.

On the other hand, you may have no clue what you're allergic to. This is where a qualified allergist can help you by performing standardized, research-backed allergy testing to determine the cause of your suffering.

What Do Allergists Usually Test For?

Your allergist at Oklahoma Allergy & Asthma Clinic will first talk to you, discuss your medical history and review your symptoms. If you experience hives or anaphylactic shock (a serious, life-threatening reaction) after eating a food, your doctor may run a series of tests to determine the offending food. If your symptoms involve itchy eyes, sneezing, a sore throat, or a cough, your allergist will likely perform a skin test for environmental allergies such as different types of pollen, animal dander, dust, and mold.

If you have eczema or other skin symptoms related to allergies, the allergist may review the products you use daily and perform patch testing for contact dermatitis caused by lotions, shampoos, or fragrances.

When Should You Get an Allergy Test?

When to see an allergist depends on the severity and frequency of your symptoms. Sometimes, it's enough for patients with milder symptoms to simply take an over-the-counter antihistamine for the duration of allergy season. If your symptoms are frequent and bothersome, you've had a severe reaction to food, or you have symptoms of asthma, including shortness of breath or frequent coughing, it's time to visit an allergist for treatment. Allergies typically don't get better over time, but a personalized treatment regimen can help a great deal.

Is It Expensive To See an Allergist?

Your insurance may cover part or all your consultation and testing. Don't let financial concerns stop you from seeing an allergist — especially if you or your child is suffering from chronic or unexplainable symptoms. Treating allergies can drastically improve a person's quality of life.

Get in touch with Oklahoma Allergy & Asthma Clinic as soon as possible to determine coverage for evaluation of services. We look forward to serving you and your family!

Image Source: ronstik / Shutterstock

The post Why Should You Visit an Allergist appeared first on Oklahoma Allergy and Asthma Clinic.

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