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MoonDragon's Health & Wellness
Disorders

HIVES
(Urticaria)




baby with hives


BASIC INFORMATION


DESCRIPTION

Hives, called uticaria by the medical profession, is a skin condition that is characterized by sudden outbreaks of red, itchy, swollen bumps (welts) or patches (Wheals) on the skin. Any area of the body may be affected. The welts may vary in appearance, from tiny, goosebump-like spots to rashes that cover significant areas of the body. Hives usually go away within a few hours to a few days, but in rare cases they become chronic and may last for 6 weeks or more.

Many cases of hives are brought on as allergic reactions and coincide with the release of histamine in the body. The release of histamine into the skin produces an inflammatory reaction, with itching, swelling, and redness. Hives can cause significant discomfort, but it does not cause injury or damage to any vital organs. Sometimes hives occur as a result of unknown reasons.

The skin is the largest organ of the body. It is important part of the excretory system. The skin acts in conjunction with other systems in our body to remove toxins and waste. Hives can be a natural reaction to the presence of a foreign substance in the body. However, an offending substance need not enter the body to trigger an outbreak of hives. Merely coming into contact with various substances, such as pesticides, soaps, shampoos, hair sprays, residues from laundry products or dry cleaning chemicals on clothing, or any other of a vast array of other seemingly innocuous household items can unleash a maddening attack of hives.

Angioedema is a condition that is similar to hives but affects deeper layers of the skin and causes larger wheals or anaphylaxis. Anaphylaxis is a systemic allergic reaction causing generalized itching and difficulty breathing.





CAUSES

Hives and angioedema form when, in response to histamine, blood plasma leaks out of small blood vessels in the skin. Histamine is a chemical released from specialized cells (mast cells) along the skin's blood vessels. Allergic reactions, chemicals in foods, insect stings, sunlight exposure, or medicines can all cause histamine release. Sometimes it is impossible to find out exactly why hives have formed.

Hives are very common - 10-20 percent of the population will have at least one episode in their lifetime. Most episodes of hives disappear quickly in a few days to a few weeks. Occasionally, a person will continue to have hives for many years.

A typical outbreak of hives may form anywhere on the body. When hives form around the eyes, lips, and genitals, the tissue may swell excessively. Although frightening, the swelling usually goes away in less than 24 hours. However if you have difficulty breathing or swallowing you should go to the emergency room.

hives (urticaria)


TYPES OF HIVES

There are several different types of hives, including:
    Acute Urticaria: Hives lasting less than six weeks. The most common causes are foods, medicines, latex, or infections. Insect bites and internal disease may also be responsible.

    The most common foods that cause hives are nuts, chocolate, fish, shellfish, tomatoes, eggs, fresh berries, and milk. Fresh foods cause hives more often than cooked foods. Certain food additives and preservatives may also be to blame. Hives may appear within minutes or up to two hours after eating, depending on where the food is absorbed in the digestive tract.

    Almost any prescription or over-the-counter medication can cause hives. Medicines that can cause hives and angioedema include antibiotics, pain medication (aspirin and other nonsteroidal anti-inflammatory medications such as ibuprofen), or pain killers such as codeine. Other medications include high blood pressure medications (ACE inhibitors), sedatives, tranquilizers, and diuretics (fluid pills). Dietary supplements, antacids, arthritis medication, vitamins, eye and eardrops, laxatives, vaginal douches, or any other non-prescription item can be a potential cause of hives. If you have an attack of hives, it's important to tell your health care provider about all of the preparations that you use to assist in finding the cause.

    Many infections can cause hives, such as bacterial infections and viral infections. Colds are a common cause of hives in children.

    Chronic Urticaria & Angioedema: Hives lasting more than six weeks. The cause of this type of hives is usually more difficult to identify than those causing acute urticaria. For more than 87% of people with chronic urticaria, the cause is unknown and the cause is found in only a small number of people. Chronic urticaria and angioedema can affect other internal organs such as the lungs, muscles and gastrointestinal tract. Symptoms include muscle soreness, shortness of breath, vomiting, and diarrhea.

    Physical Urticaria: Hives caused by direct physical stimulation of the skin. Hives can be caused by cold, heat, sunlight exposure, vibration, pressure, sweating, and exercise. The hives usually occur right where the skin was stimulated and rarely appear anywhere else. Most of the hives appear within one hour after exposure. Hives due to sunlight are called solar urticaria. This is a rare disorder in which hives form on exposed areas within minutes of sun exposure and fade within one to two hours. Hives due to cold are more common. These appear when the skin is warmed after exposure to cold. If the cold has affected large areas of the body, large amounts of histamine may be release which can produce wheezing, flushing, generalized hives and fainting.

    Dermatographism: Hives that form after firmly stroking or scratching the skin. It affects about 5 percent of the population. Most people with this condition are otherwise healthy. These hives can also occur along with other forms of urticaria. They may typically appear in young women and last for months or even used. Dermatographism is considered a normal skin condition.


CAUSES OF HIVES


  • Chemicals are a major cause of hives for many people. These may include anything from perfumes, to household cleaners. These can trigger a reactions. Cosmetics, pesticides, latex, laundry soaps and cleansers. Metals such as nickel, gold, mercury, and others used alone or in metal alloys can also trigger a reaction. Latex allergies are common among health care workers.


  • Nervous conditions and stress can trigger hives.


  • Viruses also can cause hives. Hepatitis B and Epstein-Barr virus, the virus that causes infectious mononucleosis, are the two most common culprits. Some bacterial infections likewise can cause outbreaks of hives, both chronic and acute. An association between Candida albicans and chronic hives has been established in several clinical studies over the past several years.


  • Drugs, such as antibiotics (penicillin and related compounds) are the most common cause of drug-induced hives. At least 10 percent of American population is thought to be allergic to penicillin. Nearly one quarter of those people will develop hives, angioedema, or anaphylaxis if they ingest penicillin.


  • Plants can cause hive reactions in sensitive individuals. The most common known plants are poison ivy, poison oak, poison sumac, and stinging nettle. Pollen or contact with the plant itself can occur. Insects and insect stings can also cause hives along with animal dander allergies or contact with animal excretions.


  • Food sensitivities such as dairy, eggs, nuts, fish, shellfish, soy, wheat, and others can result in hives. Food additives, food preservatives, and molds are included. Alcohol may produce hives. Other hives-producing substances are being identified with increasing frequency. Meat, dairy, and poultry products, especially frozen or fast foods are increasingly associated with hives, probably because many farmers and ranchers routinely give their livestock antibiotics in an effort to prevent disease or infection. These antibiotics are not affected by any subsequent amount of processing, or cooking. Allergic reactions have been traced to antibiotics in milk, soft drinks, and even frozen dinners.

    The following are some of the drugs and other substances that most commonly cause outbreaks of hives in susceptible people. This list is not exhaustive, and we do not mean to imply that these items will cause a hives outbreak, only that they at least contribute to the condition in some people:
    • Animals, especially animal dander and dog saliva.
    • Aspirin.
    • Antimony, a metallic element that is present in various metal alloys.
    • Antipyrine, an agent used to relieve pain and inflammation.
    • Barbituates.
    • BHA & BHT, preservatives used in many food products.
    • Bismuth, another metallic element present in certain metal alloys.
    • Cancer, especially leukemia.
    • Chloral Hydrate, a sedative used in the treatment of tetany.
    • Chlorpromazine (Thorazine), a tranquilizer and anti-emetic.
    • Corticotropin (also known as adrenocorticotropic hormone, or ACTH, and sold for medicinal purposes under the brand names Acthar and Cortrosyn).
    • Environmental Factors, especially heat, cold, water, and sunlight.
    • Eucalyptus, a tree whose leaves yield an aromatic oil that is used in cough remedies and other medicines.
    • Exercise.
    • Fluorides, which are found in certain dental care products and in fluoridated drinking water.
    • Food Allergies, especially allergies to shellfish, eggs, fruits, and various nuts.
    • Food Colorings & Food Preservatives.
    • Gold.
    • Griseofulvin (Fulvicin, Grisactin, and others), an anti-fungal medication.
    • Hyperthyroidism.
    • Infections, especially strep infections, hepatitis, and parasites.
    • Insect Bites.
    • Insulin.
    • Iodines, used in certain antiseptics and dyes.
    • Liver extract.
    • Makeup and other cosmetics.
    • Menthol, an extract of peppermint oil used in perfumes, as a mild anesthetic, and as a mint flavoring in candy and cigarettes.
    • Meprobamate (Miltown, Equanil, Meprospan), a tranquilizer.
    • Mercury, a toxic metallic element found in dental fillings, certain antacids, and some first-aid preparations, among other things.
    • Morphine.
    • Opium.
    • Para-Aminosalicylic Acid, an anti-inflammatory drug.
    • Penicillin.
    • Phenacetin, an ingredient in some pain medications.
    • Phenobarbitol, a sedative and anticonvulsant.
    • Pilocarpine, a glaucoma medication.
    • Plants.
    • Poliomyelitis Vaccine.
    • Potassium Sulfocyanate, a preservative.
    • Preservatives.
    • Procaine (Novocaine), an anesthetic.
    • Promethazine (Phenergan), and antihistamine, sedative, and anti-emetic.
    • Quinine, used in quinine water and anti-malaria medications.
    • Reserpine, a heart medication.
    • Saccharin, an artificial sweetener found in Sweet'n Low, many toothpastes, and many dietetic and "sugarless" products.
    • Salicylates, chemicals used as food flavorings and preservatives.
    • Soaps, including laundry soap.
    • Shampoo.
    • Sulfites, chemicals used as food preservatives and in the production of dried fruits such as raisins.
    • Tartrazine, a food dye and an ingredient in Alka-Seltzer.
    • Thiamine Hydrochloride, an ingredient in some cough medications.



    MoonDragon's Health & Wellness: Allergies

    MoonDragon's Health & Wellness: Insect Allergy

    MoonDragon's Health & Wellness: Insect Bite

    MoonDragon's Health & Wellness: Plant Allergy

    MoonDragon's Health & Wellness: Dermatitis





  • SIGNS & SYMPTOMS

    The severity of a hives outbreak can vary from case to case as well as from person to person. Some people can break out in hives if they merely touch a certain type of plant or bush; others may develop hives only with considerable exposure, such as over consumption of a certain food.

    Hives usually cause itching, but may also burn or sting. They can appear anywhere on the body, including the face, lips, tongue, throat, or ears. Hives vary in size (from a pencil eraser size to the size of a dinner plate), and may join together to form larger areas known as plaques. They can last for hours, or up to three to four days before fading.

    Angioedema is similar to urticaria, but the swelling occurs beneath the skin instead of on the surface. Angioedema is characterized by deep swelling around the eyes and lips and sometimes of the genitals, hands, and feet. It generally lasts longer than urticaria, but the swelling usually goes away in less than 24 hours.

    Occasionally, severe, prolonged tissue swelling can be disfiguring. Hives cause discomfort, skin irritation and breakdown, and can result in skin infection. Rarely, angioedema of the throat, tongue, or lungs can block the airways, causing difficulty breathing. This may become life threatening.


    RISK FACTORS

    There are several known factors that cause histamines to be released, and hives to form. These include allergies to medications or substances in the environment, chronic infections, foods, underlying systemic disease such as asthma (a condition that causes inflammation and obstruction of the airways in the lungs), blood products given intravenously (into the vein), scratching, heat or cold, and exposure to sunlight. Anaphylaxis is a medical emergency that cause difficulty in breathing and lead to death. It is important to call 9-1-1 immediately if anaphylaxis is suspected.

    Hives are not contagious.





    PREVENTION

    Remove yourself from triggers that may cause hives and other allergic reactions. If a hives outbreak is the result of a food or drug that you have ingested, you obviously do not want that substance in your body again. If you cannot isolate whatever food or drug it might be that causes hives, having a health care provider do some blood work or skin testing to find the allergen may be your only solution, even though this approach can be relatively expensive.

    An elimination diet is important. See Allergies for more information.

    Occasionally, hives can persist for weeks or even months, resisting all attempts at treatment. for this reason alone, it is best to learn what the cause of the outbreak is in order to avoid it. If you suffer from chronic hives and cannot isolate the cause, eliminating all the possible allergens from your home may be your only resort. This can be a long and drawn out process. See Allergies for more information.

    Chronic hives may be linked to Candida albicans. If you suspect this may be the cause of hives, adopting a yeast-free diet can be of some benefit. See Candidiasis for more information.

    Antihistamine medications, such as diphenhydramine, cetirizine or loratadine, can be used to prevent hives. An individual should also avoid substances that provoked the reaction if it is known. Epinephrine is used to treat severe reactions such as anaphylaxis. If you have severe reactions, you should carry with you at all times injectable epinephrine to be used in case of emergency to prevent anaphylaxis.




    DIAGNOSIS & TREATMENT


    PHYSICAL EXAM

    Your health care provider will need to ask many questions in an attempt to find the possible cause. In addition to asking questions, your health care provider will perform a complete physical examination. Your skin, eyes, nose, ears, and throat will be examined. Your health care provider will look for inflammation (redness and swelling), drainage, or other signs of allergy symptoms. Since there are no specific tests for hives, or for the associated swelling of angioedema, testing will depend on your medical history and a thorough examination by your health care provider.

    Skin tests (see below) may be performed to determine the substance that you are allergic to. Routine blood tests are done to determine if a system-wide illness is present.





    DIAGNOSTIC SKIN TESTS

    An allergy skin test, also called a scratch test, is used to identify the substances that are causing your allergy symptoms. It is performed by applying an extract of an allergen to your skin, scratching or pricking the skin to allow exposure, and then evaluating the skin's reaction.

    First, a health care provider will examine the skin on your forearm and clean it with alcohol. (Sometimes, the skin test is performed on an area of your back.) Areas on your skin are then marked with a pen to identify each allergen that will be tested. A drop of extract for each potential allergen -- such as pollen, animal dander, or insect venom -- is placed on the corresponding mark. A small disposable pricking device is then used so the extract can enter into the outer layer of the skin, called the epidermis. The skin prick is not a shot and doesn't cause bleeding. Sometimes, instead of the skin pricking method, a small amount of the allergen is injected just under the skin. If there are allergic antibodies in your system, your skin will become irritated and may itch, much like a mosquito bite. This reaction means you are allergic to that substance.

    Plan to spend about an hour for the entire appointment. The allergen placement part of the test takes about 5 to 10 minutes. Then you will have to wait about 15 minutes to see how your skin reacts.

    SKIN TEST PREPARATION

    Inform the health care provider who is going to perform the skin test about all medicines you are taking, including over-the-counter medications. Since over-the-counter antihistamines stop allergic reactions, you should not take them for at least 48 hours before the test. Prescription antihistamines should be discontinued five to seven days before the test. Talk to your health care provider about discontinuing your prescription medicines prior to the test. Your health care provider will give you a list of medicines to avoid before the test, since there are other drugs that can interfere with the results. Since you may not be able to discontinue certain medicines, the health care provider may perform a separate "control" test to determine if that particular drug will interfere with the scratch test.

    WHAT TO EXPECT

    The test may be mildly irritating, but most people say it does not hurt too much.

    Although small amounts of allergens are introduced into your system, a skin test is considered safe when performed properly.

    After the test, the extracts and ink marks will be cleaned off your skin with alcohol. A mild cortisone cream will be applied to your arm to relieve any itching at the sites of the skin pricks. Keep the tested area on your arm uncovered when you go home. Your health care provider or allergist will use the results of the test to help develop a management plan for you.

    Call your health care provider if you experience any of the following symptoms:
    • Fever.
    • Lightheadedness or dizziness.
    • Wheezing.
    • Shortness of breath.





    DIAGNOSTIC BLOOD TESTS

    Blood tests are sometimes performed to find out what triggers an allergic reaction. Blood tests are often used if patients have a skin condition or are taking medications, such as antihistamines, that could interfere with an allergy skin test, the most common test used to identify allergy triggers. The radioallergosorbent test (RAST) and the enzyme-linked immunosorbent assay (ELISA) test are two types of blood tests used to diagnose allergies. In both, a small amount of blood is taken from the allergy sufferer and analyzed for antibodies. High levels of antibodies in the blood indicate an allergic reaction. These blood tests are not as effective as skin testing and tend to be somewhat more expensive, but can be useful in some situations.




    CONVENTIONAL MEDICAL TREATMENT

    The best treatment for hives and associated swelling is to identify and remove the trigger, but this is not always an easy task. The purpose of treatment is to relieve discomfort and reduce inflammation.

    Many people who suffer from acute attacks find at least temporary relief from the symptoms of hives by taking antihistamines such as hydroxyzine (Atarax, Vistaril), chlorpheniramine (Chlor-Trimeton, Teldrin, and others), or diphenhydramine (Benadryl and others). Antihistamines are usually prescribed by your health care provider to provide relief from symptoms, but some are available over-the-counter, such as Benadryl. Chronic sufferers have less success with this approach, as antihistamines are suppressive agents and may actually contribute to the persistence of hives. Antihistamines in gel or spray form can be applied topically for immediate but temporary relief of itchiness or burning. Antihistamines work best if taken on a regular schedule to prevent hives from forming in the first place. No one antihistamine works best for everyone, so your health care provider may need to try more than one or different combinations to find what works best for you.

    Depending on the nature and severity of the symptoms, health care providers may prescribe antihistamines, cortisone, or a bronchodilator such as terbutaline or ephedrine for people with hives. They may also prescribe sedatives for anxiety in severe cases.

    If a hives outbreak is the result of a food or drug that you have ingested, you obviously do not want that substance in your body again. If you cannot isolate whatever food or drug (or other cause) it might be that causes hives, having a health care provider do some blood work and/or a skin test (see above) to find the allergen may be your only solution, even though this approach can be relatively expensive if you do not have health insurance that covers the testing.

    Occasionally, hives can persist for weeks or even months, resisting all attempts at treatment. For this reason alone, it is best to learn what is the cause of the outbreak is in order to avoid it. If you suffer from chronic hives and cannot isolate the cause, eliminating all the possible allergens from your home may be your only resort. This can be a long, drawn-out, and painstaking process.

    MoonDragon's Health & Wellness: Allergies

    Chronic hives may be treated with antihistamines or a combination of medications. When antihistamines do not provide relief, oral corticosteroids may be prescribed.

    For severe hives or angioedema outbreaks, an injection of epinephrine (adrenaline) or a cortisone medication may be needed.

    MANAGEMENT:

    While you are waiting for the hives and swelling to disappear, here are some tips:
    • Avoid hot water; use lukewarm water instead.
    • Use gentle, mild, hypoallergenic unscented soap.
    • Apply cool compresses or wet cloths to the affected areas.
    • Try to work and sleep in a cool room. Heat & humidity can cause sweating and this can aggravate the problem.
    • Wear loose-fitting lightweight clothes, preferably made of natural fibers such as cotton, that will allow air flow through the fibers, keeping the skin cool and sweat-free. Avoid synthetic materials such as nylon or polyester, or other non-breathing fabrics.

    MEDICATION CONSIDERATIONS

    Both oral antihistamines and oral corticosteroids can have side effects, such as drowsiness, dry mouth, constipation and the inability to urinate. Antihistamines, especially the older ones such as diphenhydramine, can cause more severe reactions in the elderly.

    Do not take any medications (including aspirin, pain relievers, sedatives, laxatives, cough syrups, and antacids) that are not prescribed for you. If you have a reaction to any prescribed medication, consult with your health care provider about other options that may be available for you.

    See Allergy Resources for more helpful information.






    SURGERY

    Surgery is not necessary for hives.




    RECOMMENDATIONS

  • Avoid alcohol and all processed foods, which put added stress on the body by depleting nutrients. Also avoid dairy products, eggs, chicken, and nuts. Especially avoid foods high in saturated fats, cholesterol, and sugar.


  • FOOD ADDITIVES TO AVOID:
    • FOOD COLORINGS: Tartrazine (FD&C Yellow Dye No. 5), a food dye, has been long known to cause hives, particularly in children. This dye is added to nearly every packaged food as well as to some drugs. People who are sensitive to aspirin are especially likely to be sensitive to tartrazine. Foods that commonly contain tartrazine include ice cream, margarine, cake mixes, cloves, jam and jelly, bakery goods except plain bread, Jell-O, candies, gum, hot dogs, oil of wintergreen, toothpaste, mint flavors, lozenges, mouthwash, and lunch meats such as salami and bologna. The following liquids also commonly contain tartrazine: cider and cider vinegars, wine and wine vinegars, Kool-Aid and similar beverages, soda and soft drinks, gin and all distilled alcoholic beverages (except vodka), all tea, beer, diet drinks and supplements, and birch beer.


    • FLAVORINGS include those found in puddings, cake mixes, ice cream, chewing gum, and soft drinks. Sometimes vanilla, cinnamon, menthol, and the artificial sweetener Aspartame can cause hives.


    • SALICYLATES, found in aspirin and some over-the-counter drugs, are also naturally occurring substances found in foods. Salicylates commonly cause reactions in people who are also sensitive to tartrazine (above). Foods containing salicylates include almonds, apples, apricots, blackberries, boysenberries, cherries, cucumbers and pickles, currants, gooseberries, grapes or raisins, nectarines, oranges, peaches, plums or prunes, raspberries, strawberries, and tomatoes.


    • FOOD PRESERVATIVES: Benzoic acid and benzoates, the most commonly used food preservatives, are likely to cause hives. BHT and BHA can also be allergenic. Sulfites added to many processed foods and most beers anti wines can also cause hives. Sulfites and benzoates are commonly used on fish and shrimp to help keep them fresh, which explains why so many people develop hives after eating these foods.


    • EMULSIFIERS AND STABILIZERS: These substances are used in processed foods to ensure that the oils and solids don't separate. The polysorbate in ice cream and the vegetable gums found in other foods including acacia, gum arabic, tragacanth, quince, and carrageenan can be allergenic.

  • An Elimination Diet is important. See Allergies for more information.

  • Use only hypoallergenic skin care products.


  • Tension and stress usually make hives worse. For tension and stress-related hives, practice stress relaxation.


  • MoonDragon's Health Therapy: Relaxation Techniques

    MoonDragon's ObGyn Information: Stress

  • Try to identify the item or substance that caused the condition. Avoid anything you suspect may be causing outbreaks of hives.


  • For a typical case of hives, avoid using prednisone or other steroids. Instead use the herbs and nutrients listed below. Try using Nettle first.


  • For topical treatment, use cornstarch or colloidal oatmeal added to bath water. A good oatmeal product for this purpose is Aveeno Bath Treatment, available at drugstores. Bathing in cool water with baking soda added also may relieve symptoms.


  • Take a cool shower when you see the first signs of hives appearing. Make sure that it is cool, not hot. This may slow the spreading of hives.


  • Wear loose fitting clothing made of natural fibers.


  • If you have had hives for longer than six weeks, or if you are developing an acute case of hives, consult your health care provider.


  • If sun exposure is the cause of your hives, apply a strong sunscreen. This will usually alleviate the problem.


  • If hives develop in your mouth or throat, and especially if it causes swelling around the throat or interferes with swallowing or breathing to any extent at all, seek medical help immediately. Go to the emergency room of the nearest hospital or call for emergency assistance. Hives can signal or accompany the onset of anaphylaxis, a dangerous allergic reaction that can block the breathing passages. The possibility of anaphylaxis is what makes allergies to insect stings, such as those from bees, a potentially serious concern. If you have ever had this type of reaction, you should be under a health care provider's care and have an epinephrine injection kit on hand. Make sure you know how to use it, and keep the kit with you at all times.





  • HERBS

  • Alfalfa, Bilberry extract, Cat's Claw, Chamomile, Echinacea, Ginseng, Licorice, Nettle, Sarsaparilla, and Yellow Dock are all beneficial to the hives sufferer. Alfalfa can also be used as a preventive blood tonic. It cleanses the blood and helps keep the body free of toxins. Caution: Do not use chamomile on an ongoing basis, and avoid it completely if you are allergic to ragweed. Do not use ginseng or licorice if you have high blood pressure.


  • Applying Aloe Vera gel to the affected area can be helpful.


  • Black Nightshade leaves may help. Wash and boil the leaves in water, put them on a cloth, and apply as a poultice to the affected area. See Using A Poultice for more information. Caution: Do not take this herb internally, and avoid getting it in your eyes.


  • The leaves and the bark of the Red Alder tree, when brewed into a strong tea, can help hives. Apply it locally to the affected area, and take a couple of tablespoons internally as well. Reapply several times daily until the hives abate. Red alder contains the astringent tannin.


  • HOMEOPATHIC REMEDIES

    Bovista, Cantharis, and Rhus Toxicodendron are homeopathic remedies that may alleviate symptoms of hives.

    Herbal Remedies: Rhus Tox (Rhus Toxicodendron) Homeopathic Clikpak, 30C, 84 Pellets



    OTHER HOMEOPATHIC REMEDIES






    NUTRITIONAL SUPPLEMENT RECOMMENDATIONS

    The following nutrients are important for healing once appropriate local treatment has been administered. Unless otherwise specified, the following recommended doses are for those over the age of 18. For a child between 12 and 17 years old, reduce the dose to 3/4 the recommended amount. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended amount.

    NUTRIENTS
    Supplement Suggested Dosage Comments
    Helpful
    Acidophilus As directed on label. Take on an empty stomach. Reduces allergic reactions and helps replenish "friendly" bacteria. Use non-dairy formula.
    Acidophilus Supplement Powder, Non-Dairy, 3 oz. Bulk,
    Acidophilus, 3 Billion, NOW Foods, 90 Tabs,
    Lactobacillus Acidophilus Supplement, Non-Dairy, 100 Caps,
    Lactobacillus Acidophilus, Kosher Liquid, All Natural, Vegetarian Medium, Lactose Free, Apple Strawberry Flavor, Dynamic Health, 16 fl. oz.
    Essential Fatty Acids
    (Flaxseed Oil or Primrose Oil)
    As directed on label. Has anti-inflammatory properties. Relieves itching, pain, and inflammation, essential for healthy skin. Promotes lubrication of the skin.
    Barlean's Flax Oil, 100% Highest Lignan Content, Organic, Pesticide & Herbicide Free, 16 fl. oz.,
    Evening Primrose Oil With Gamma-Linolenic Acid (GLA), Barlean's, 1300 mg, 120 Softgels,
    Garlic (Kyolic) As directed on label. Aids in destroying bacteria.
    Garlic Oil Tincture, Alcohol Free, Nature's Way, 1 fl. oz.,
    Garlic Bulb Cloves, Garlic Supplement, Nature's Way, 580 mg, 100 Caps,
    Odorless Garlic Supplement, NOW Foods, 50 mg, 250 SoftGels,
    Garlic Supplement, Kwai, Triple Concentrated, 180 Tabs,
    Every Day Garlic Supplement, Kwai, 30 Tabs,
    Garlic Tincture, 100% Organic, 2 fl. oz.,
    Aged Garlic Extract, Cardiovascular Formula 100, Wakunaga Kyolic Supplements, 300 Caps,
    Kyolic Liquid Aged Garlic Extract, Cardiovascular, Vegetarian, Wakunaga Kyolic, 4 fl. oz.,
    Kyolic Aged Garlic Extract, One-A-Day, Vegetarian, 1000 mg, Wakunaga Kyolic, 30 Caps,
    Aged Garlic Extract, Cholesterol Formula 104, Wakunaga Kyolic, 200 Caps
    Herpanacine
    (Diamond-Herpanacine Associates)
    As directed on label. Contains antioxidants, amino acids, and herbs that promote overall skin health.
    Multi-Vitamin & Multi-Mineral Complex As directed on label. To correct any nutrient or mineral deficiencies that may be contributing to outbreaks.
    Super Multi-Vitamin & Multi-Mineral, Pure Vital Earth, 32 fl. oz. (98% Bio-Available for Absorption), Damage Control Master Formula, High Potency, Multi-Vitamin & Mineral, 60 Packets (30 Day Supply)
    Quercetin
    (Quercetin-C)
    500 mg twice daily or as directed on label. Increases immunity and decreases reactions to certain foods, pollens, and other allergens. Reduces inflammation and reactions to substances that may cause hives.
    Quercetin, NOW Foods, 500 mg, 100 Vcaps,
    Quercetin W/Bromelain, Hypoallergenic Bioflavonoid, NOW Foods, 800 mg, 120 Vcaps
    Anti-Allergy Formula
    From Freeda Vitamins
    As directed on label. A combination of quercetin, calcium pantothenate, and calcium ascorbate (vitamin C).
    Vitamin B Complex As directed on label (amounts of individual vitamins in a complex will vary). Needed for the functioning of the nervous system and for healthy skin.
    Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs,
    Vitamin B-100 Complex, w/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps
    Plus
    Pantothenic Acid (Vitamin B-5)
    And
    Vitamin B-12
    B-5: 250 mg 3-4 times daily at first outbreak. Reduce to 1-2 times daily when hives subside.

    B-12: 1,000-2,000 mcg daily.
    B-5: Aids with the body's immune defense.

    B-12: Prevents nerve damage and promotes normal growth of the skin. Use a lozenge or sublingual form.
    Vitamin B-5 (Pantothenic Acid), 100% Natural, Nature's Way, 250 mg, 100 Caps,
    Vitamin B-12 Complex Liquid, NOW Foods, 2 fl. oz.,
    Vitamin B-12, Nature's Way, 2000 mcg, 100 Sublingual Lozenges,
    Vitamin B-12, California Natural, 1000 mcg, 60 Tabs,
    Vitamin B-12 LipoSpray, NOW Foods, 2 fl. oz.
    Vitamin C With Bioflavonoid 1,000 mg 3 times daily. Enhances immune response, acts as an anti-inflammatory.
    Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
    Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
    Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 Vcaps,
    The Right C, Nature's Way, 1000 mg, 120 Tabs
    Vitamin D (D-3) 400 IU daily. To reduce outbreaks.
    Vitamin D, Nature's Way, 100% Natural, 400 IU, 100 Caps
    Vitamin E 600 IU daily. Necessary for proper immune function. A powerful antioxidant that improves circulation to the skin tissues.
    Ester E Natural Vitamin E, California Natural, 400 IU, 60 Softgels,
    Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels,
    Vitamin E-1000, NOW Foods, 1000 IU, 100 Gels,
    Vitamin E, d-alpha-tocopherol, 400 IU, 100 Softgels
    Plus
    Selenium
    100 mcg daily. Do not exceed a total daily intake of 800 mcg daily from all sources, including diet. If you are pregnant, do not exceed 40 mcg daily. Works with Vitamin E. Antioxidant. Caution: Do not take supplemental selenium if you are pregnant or have heart, kidney, or liver disease.
    Selenium Supplement, Yeast Free, NOW Foods, 200 mcg, 180 Caps,
    Selenium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.,
    Ionic Selenium, Trace Minerals, 300 mcg, 2 fl. oz.,
    Selenium, 100% Natural, Nature's way, 200 mcg, 100 Caps
    Zinc 50 mg daily. Do not exceed a total of 100 mg daily from all supplements. Necessary for proper immune function. Promotes a healthy immune system and healing of skin tissues. Needed for proper concentrations of vitamin E in the blood. Use zinc gluconate lozenges or OptiZinc for best absorption.
    Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
    Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges,
    Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges,
    Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 Caps


    ALLERGY & HIVES SUPPLEMENTS

    Information and supplements for allergies, a condition that occurs when the body's immune system responds negatively to a substance that is not usually considered harmful. Information and supplements for hives, a sudden outbreak of red, itchy welts on the skin.

    ABC of Asthma, Allergies and Lupus: Eradicate Asthma, Now!, by F. Batmanghelidj, M.D.

    This informative book presents a new discovery that unintentional dehydration causes many painful, degenerative diseases. It explains the direct relationship between water deficiency in the body and allergies, asthma and lupus.
    Acidophilus & Bifidus, NOW Foods, 8 Billion, 60 Caps

    Acidophilus and Bifidus contains a high potency balanced blend of the two prominent species of resident intestinal bacteria. Regular intake of Acidophilus and Bifidus can aid in maintaining healthy intestinal flora.
    Acidophilus & Your Health, By Frank Murray

    A "Good Health Guide" essential for digestion, acidophilus helps cure diarrhea and candida infections, lower cholesterol, prevent and heal cancer and restores healthy intestinal flora after antibiotic treatment.
    Alfa Max, Alfalfa Extract, Nature's Way, 525 mg, 100 Caps

    Nature's Way Alfa-Max Alfalfa Extract capsules is a 10x extract of fresh green Alfalfa leaves.
    Alive! Whole Food Energizer Multi-Vitamin With Mineral, Nature's Way, 18 mg, Iron Added, 90 Tabs

    Nature's Way Alive multi vitamin with mineral is better absorbed into your blood stream because its tablets disintegrate up to 5X faster than other leading brands. No other supplement contains more life-giving nutrients than Alive, which is just the way it will make you feel.
    AllergEase Herbal Tea, 20 Tea Bags

    Use AllergEase Herb Tea to regulate the immune system, especially in allergy conditions that effect the sinuses and to remove wind-heat.
    Allergy Care, 60 mg, 20 Caps, Nature's Way

    Allergy Care clears nasal and sinus passages for temporary relief of stuffiness, sinus congestion, and sinus pressure due to allergies, hay fever, sinusitis or other upper respiratory allergies.
    Allergy Free: Alternative Medicine Definitive Guide, By Konrad Kail, Bobbi Lawrence, Burton Goldberg

    This Book explores dozens of clinically tested natural options for treating allergies, and includes patient success stories of alleviating allergies without drugs.
    Allergy Formula Tincture, 100% Organic, 2 fl. oz.

    This herbal allergy remedy can be used as a preventative and to help lessen the symptoms of allergies and hay fever.
    Allergy Hayfever, Nelson Bach, Homeopathic 84 Pills, Formerly Aller-Away

    Aller-Way is a homeopathic remedy for the symptomatic relief of hay fever and sinus allergies.
    Allergy Support for Children, Seasonal Aller-g-Ease, 4 fl. oz.

    Childlife's Aller-g-Ease seasonal provides nutritional and herbal support for children during the allergy season. It is an all-natural formula.
    Allergy Support Formula, TheraVedas Ajay, 60 Vcaps

    Supports proper histamine levels.
    Aloe Vera Gel & Juice, 99.7% Pure, Certified Organic, Nature's Way, 1 Liter

    Nature's Way Aloe Vera Gel and Juice provides the unique soothing benefits of the interior potent aloe gel fillet. Aloe Vera Gel & Juice blend contains high amounts of aloe nutrients including polysaccharides.
    Amalaki (Dhatri), 100% Natural, 450 mg, 120 Vcaps

    An Ayurvedic effective against allergies, anemia, cold & flu, constipation, diabetes, digestive disorders, and liver problems.
    Bee Pollen Granules, Fresh American Bee Pollen, 16 oz.

    Fresh Bee pollen contains much more protein per ounce than any other natural food and it is the only food that contains the 22 amino acids of the human body.
    Bee Propolis Formula Tincture, 100% Organic, 2 fl. oz.

    Bee Propolis, a resin collected from plants by bees and used in the construction of hives, is a medicinal marvel of the hive. Research shows it has antiseptic, antibiotic, antibacterial, antifungal, and even antiviral properties.
    Black Seed Herbal Honey, Energizing, 16 fl. oz.

    A sensational blend of honey and herbs in three different formulations that offer a natural boost of energy, immune support, or relaxation that's great for anyone who wants to enjoy the benefits of Black Seed without taking capsules or oil. This rich tasting honey can be added to tea, smoothies, shakes, or deserts, and may be used in cooking.
    Blood Cleanse Detoxification & Support For Healthy Blood, Banyan Botanicals, 90 Tabs

    Blood Cleanse is a blend of five powerful blood purifiers that remove toxins from the blood, lymphatics and liver, leading to vibrant, healthy skin. According to Ayurveda, most inflammatory skin conditions are a result of high pitta in the blood. Blood cleanse is formulated to remove this excess pitta, thus relieving skin irritations. It increases circulation and promotes healing as it clears out foreign tissues, obstructions and stagnant blood. Blood Cleanse also helps calm pitta emotions such as anger and aggression.
    Brigham Tea, 415 mg, 100 Caps

    Brigham Tea was used anciently to promote circulation.
    Colloidal Silver Lotion, SilvaSolution, Homeopathic, 4 fl. oz.

    Effective for minor skin irritations, rashes hives, insect bites, sores, burns, inflammation, skin swelling and dry, itchy, cracked skin.
    Coral Calcium (Okinawa) Plus w/ Magnesium & Vitamin D, 100% Natural, 500 mg, 100 Vcaps

    Okinawa Coral Calcium Plus with Magnesium, Vitamin D and 70 other trace minerals provides essential minerals, restores body alkalinity, supports the immune system, and is bio available for better absorption.
    Dry Vitamin A & D, Nature's way, 15,000 / 400 IU, 100 Caps

    Vitamin A & D are both involved in the cycles of mineral and hormone balance which help to maintain normal bone formation and density. In addition, Vitamin A is an important nutrient in maintaining cell membrane integrity, and normal vision and reproduction.
    Eucalyptus Oil, 100% Pure, 1 fl. oz.

    Eucalyptus Oil is a strong antiseptic. Eucalyptus Oil is used as an inhalant for asthma, diphtheria, sore throats, sinus and respiratory problems.
    Flax Protein / Fiber / Lignan Cold Milled Powder Plus Omega 3, Certified Organic, 16 oz.

    With 6g Fiber/300mg Lignan/5g Protein (including 18 amino acids) per serving, Nature's Way EFAGold is one of nature's richest sources of protein, fiber & essential fatty acids.
    Flax Seed, Whole, Certified Organic, 1 lb. Bulk

    Flax Seeds are an important source of polyunsaturated fatty acids, including Omega-3, plus Magnesium, Zinc and dietary fiber. Flax oil from flax seeds is the richest known source of linolenic acid.
    Garlic Tincture, 100% Organic, 2 fl. oz.

    The Europeans use garlic as an all-around treatment for preventing atherosclerosis, the cause of heart disease and strokes.
    Grape Seed Extract, 350 mg, 90 Caps

    A very powerful antioxidant, this standardized Grape Seed Extract helps maintain capillary health, and has the ability to neutralize free radicals.
    HAS (Hayfever Allergy Sinus) Fast Acting Formula, +30 mg, 100 Caps

    HAS (Hayfever Allergy Sinus) Fast Acting Formula is for the temporary relief of nasal and sinus congestion due to the common cold, hay fever or other upper respiratory allergies.
    Hypo Allergenic Multiple Vitamin Mineral, 180 Caps

    NutriBiotic Hypo-Allergenic Multivitamin Mineral is for people concerned about common food born antigens. This formula is a balanced blend of the purest bio-nutrients available.
    Immune Renew, Vegetarian, NOW Foods, 90 VCaps

    NOW Immune Renew is a potent immune system supporting formulation containing Standardized Astragalus Extract and a High Beta-Glucan Proprietary Mushroom Blend Astragalus has been shown in non-clinical studies to support a number of aspects of healthy immune function, including the enhancement of T-Cell and Natural Killer Cell activity.
    Jewelweed Soap Bar, Poison Ivy Treatment, 1 - 4 oz. Bar

    Jewelweed soap bar Calms the itch immediately and has been proven to offer fast relief by thousands of users.
    Liquid Multi Vita-Mineral, Orange Mango, Trace Minerals, 32 fl. oz.

    The most complete all-in-one liquid vitamin daily supplement that combines the benefits of multiple vitamins with the advantages of ionic minerals and trace minerals to replace those needed minerals not found in processed foods.
    MSM (Methylsulfonylmethane), Pure Lignisul, with Vitamin C, 875 mg / 100 mg, 120 Caps

    MSM with Vitamin C offers support for allergies, connective tissue, joint flexibility, immune function, arthritis, osteoporosis, digestive disorders, circulation,bruising, carpal tunnel syndrome, and antioxidant protection.
    Multi-Vitamin With Iron, Nature's Way, 100 Caps

    This multivitamin with Iron contains vitamins and minerals important for proper body function in quality forms and safe doses.
    Nasaline Salt, 8 oz. Jar

    This pure non-iodized salt is for use with Nasaline or possibly a Neti Pot.
    Neti Pot, Clay Nasal Pot

    According to ayurveda, a nasal pot helps to promote the removal of excess mucus due to congestion, rid nostrils of pollen and other allergens and cleanse the nasal membranes.
    Neti Pot, Stainless Steel Nasal Pot

    According to ayurveda, a neti pot helps to promote the removal of excess mucus due to congestion, rid nostrils of pollen and other allergens and cleanse the nasal membranes.
    Noni Juice Concentrate (Morinda citrifolia), 1 fl. oz.

    Noni comes from the family Rubiaceae making it a relative of Samento or Uncaria Tomentosa and complimentary in use.
    Noni Juice, Trace Minerals, 32 fl. oz.

    Trace Minerals Noni Juice product may provide nutritional support for Bio-Electric Health and Body Mineral Balancing.
    NutriBiotic Nasal Spray, with Grapefruit Seed Extract, 1 fl. oz.

    Nasal Spray is useful to aiding many conditions. During allergy season it helps to re-moisturize the nasal passages and clean them of dust, dirt, dander and other allergens. The nasal spray is also useful during a bout of sinusitis, or inflammation and infection of the sinus passages.
    NutriBiotic Skin Ointment, with Grapefruit Seed Extract & Lysine, 0.5 oz.

    NutriBiotic Skin Ointment with GSE can be used topically for such things as scrapes, scratches and cuts. NutriBiotic Skin Ointment with GSE can also be used on the lips and in the mouth on cold sores and canker sores.
    Oregon Breeze Essential Oil, 2 fl. oz.

    Oregon Breeze Oil helps relieve headache and sinus pain and reduces allergy symptoms.
    Peppermint Leaf (Mentha X Piperita) Powder, 4 oz. Bulk

    Peppermint leaf calms the muscles of the stomach and improves the flow of bile, which the body uses to digest fats. As a result, food passes through the stomach more quickly.
    Quercetin With Bromelain, Hypoallergenic Bioflavonoid, NOW Foods, 800 mg, 120 VCaps

    This non-citrus Quercetin is non-allergenic, with bromelain to enhance the absorption of quercetin.
    Rooibos, 100% Natural, 350 mg, 60 Caps

    Rooibos contains potent anti-oxidant and anti-aging properties packed with selenium, vitamin A, C, E and magnesium.
    Sinus and Lung Congestion Formula Tincture, 100% Organic, 8 fl. oz.

    The Sinus & Lung Congestion Formula was created to help clear the lungs and sinuses of congested matter.
    Sinus Clikpak Tube, Nelson's Homeopathic, 84 Pellets

    All natural, safe and highly effective homeopathic medicine for relief of nasal congestion, sinus pressure and sinus headache associated with sinusitis or colds.
    Sinustop, 20 Caps

    Sinustop is for fast and effective temporary relief of congestion and sinus pressure due to the common cold, allergies, or sinusitis.
    Snore Stop Allergy Formula, 20 Chewable Tabs

    Snore Stop Allergy Formula Tablets are specially formulated to stop or reduce snoring symptoms associated with allergies and hay fever.
    The Miracle of MSM: The Natural Solution for Pain By Stanley W. Jacob M.D., Ronald M. Lawrence MD & Martin Zucker

    Learn how to stop the pain of numerous ailments with MSM. How much, when, with what food and in what form to relieve pain in its many forms. Helpful against pain and allergies, this supplement is safe, natural and side-effect-free.
    Unker's Medicated Salve, 3.5 oz.

    Unker's For the temporary relief of pain and itching associated with minor cuts, scrapes, minor burns, sunburns or minor skin irritations.
    Unker's Medicated Salve, 7 oz.

    Unker's Medicated Salve has been providing healing and relief for over 60 years. It works great for arthritis, sore muscles and joints, cuts, burns, bruises, throat congestion, sinus problems, psoriasis, and much more.
    Unker's Natu-Rub, All Natural Liquid Medicated Salve, 1 fl. oz (Up To 200 Applications)

    This all natural liquid version of Unker's Medicated Salve absorbs into the skin quickly.
    Violet Leaf Tincture, 100% Organic, 2 fl. oz.

    Violet leaf can be used for coughs, sore throats, asthma, tumors, acne, swollen glands and headaches.
    Vitamin B-100 Complex With Coenzyme B-2, Nature's Way, 631 mg, 100 Caps

    A complete Vitamin B complex of 8 essential vitamins. B Vitamins are precursors of coenzymes involved in the conversion of cellular energy, manufacture of hormones and proteins, and repair and maintenance of nerve structures.
    Vitamin C 1000 with Bioflavonoids, 100% Natural, 1000 mg, 250 Vcaps

    Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.
    Vitamin C 1000 with Rosehips, 100% Natural, 1000 mg, 250 Caps

    Vitamin C provides antioxidant protection for many of the body's' important enzyme systems. White blood cells utilize Vitamin C to help produce cytotoxic enzymes which they use to eliminate foreign matter.
    Vitamin E (D-Alpha-Tocopheryl Acetate), 100% Natural, NOW Foods, 400 IU, 250 Softgels

    Vitamin E is a major antioxidant and the primary defense against lipid peroxidation. It is particularly important in protecting the body's cells from free radical/oxidative damage.
    Yerba Mate Tea Royale w/ Stevia, 25 Tea Bags

    Yerba Mate Tea Royale is widely regarded as an excellent appetite suppressor when consumed 15 to 20 minutes before meals.
    Zinc Chelate, 100% Natural, Nature's Way, 30 mg, 100 Caps

    Nature's Way chelated zinc supplement is 100% natural chelated with an advanced amino acid complex for superior absorption.


    HerbalRemedies: Hive Information

    HerbalRemedies: Hives Supplements, Information & Products

    HerbalRemedies: Allergy Supplements & Products

    HerbalRemedies: Insect Allergy Information

    HerbalRemedies: Insect Allergy Supplements & Products




    NOTIFY YOUR HEALTH CARE PROVIDER IF...

    If hives or angioedema occur with any of the following symptoms, contact your health care provider right away or call 9-1-1 and go to the emergency room for treatment:
    • Dizziness.
    • Wheezing.
    • Difficulty breathing.
    • Tightness in the chest.
    • Swelling of the tongue, lips, or face.

    ALLERGIES

  • You have allergies or suspect allergies and may need professional consultation and allergy testing.


  • You have any increase of symptoms or other signs of allergies.


  • You have any unexpected or unusual symptoms. Some people may have sensitivity, allergies, or other health conditions which would prevent them from using certain herbs or other treatments.

    USE YOUR EPINEPHRINE KIT IF YOU HAVE A SUDDEN INTENSE REACTION TO ANY ALLERGEN SUBSTANCE AND IMMEDIATELY GO TO YOUR NEAREST HOSPITAL EMERGENCY ROOM FOR ASSESSMENT. THIS CAN BE LIFE-THREATENING!





    ALLERGY RESOURCES

    The Allergy Report
    A manual for primary health care professionals
    (800) 822-2762
    Copies: $22
    www.theallergyreport.org

    AllergyWeb
    www.allergyweb.com

    American Academy of Asthma, Allergy and Immunology (AAAAI)
    611 E. Wells Street
    Milwaukee, WI, 53202
    (404) 272-6071 or (800) 822-2762
    www.aaaai.org

    American Academy of Dermatology
    930 N. Meacham Rd.
    Schaumburg, IL 60173
    (847) 330-0230 or (888) 462-DERM (3376)
    www.aad.org

    American Academy of Ophthalmology
    P.O. Box 7424
    San Francisco, CA 94120-7424
    (415) 561-8500
    www.aao.org/news/eyenet

    American Academy of Pediatrics
    www.aap.org/

    The American Association of Immunologists
    9650 Rockville Pike
    Bethesda, MD 20814
    (301) 530-7178
    E-mail: infoaai@aai.faseb.org
    www.aai.org

    American Board of Allergy and Immunology
    (215) 592-9466
    E-mail: abai@abai.org
    www.abai.org

    American College of Allergy, Asthma and Immunology (ACAAI)
    85 West Algonquin Road, Suite 550
    Arlington Heights, IL 60005
    (847) 427-1200 or (800) 842-7777
    http://allergy.mcg.edu

    American College of Chest Physicians
    3300 Dundee Rd.
    Northbrook, IL 60062-2348
    (847) 498-1400 or (800) 343-2227
    E-mail: accp@chestnet.org
    www.chestnet.org/

    American College of Physicians
    American Society of Internal Medicine
    190 N. Independence Mall West
    Philadelphia, PA 19106-1572
    (215) 351-2600 or (800) 523-1546 ext. 2600
    www.acponline.org/

    American Dietetic Association
    1225 W. Jackson Blvd.
    Chicago, IL 60606-6995
    (312) 899-0040
    www.eatright.org

    American Lung Association (National Office)
    61 Broadway, 6th Floor
    New York, NY 10006
    (212) 315-8742 or (800) LUNG-USA (586-4872)
    E-mail: info@lungusa.org
    www.lungusa.org

    American Thoracic Society (ATS)
    Medical Section of the American Lung Association
    1740 Broadway
    New York, NY 10019-4374
    (212) 315-8700
    E-mail: jcorn@lungusa.org
    www.thoracic.org

    The Anaphylaxis Campaign
    www.Anaphylaxis.org

    AsmaNet
    www.remcomp.com/asmanet/

    Asthma and Allergy Foundation of America (AAFA)
    1125 Fifteenth Street
    Washington, DC, 20005
    (202) 466-7643 or (800) 7-ASTHMA (727-8462)
    E-mail: info@aafa.org
    www.aafa.org

    Asthma and Allergy Information Association
    65 Tromley Dr., Suite 10
    Etobicoke, Ontario, M9 8 5Y7
    (905) 712-2242


    I Breathe
    Site sponsored by GlaxoSmithKline
    www.ibreathe.com

    Clinical Immunology Society
    www.clinimmsoc.org

    Food Allergy Awareness Support and Training Inc.
    www.FAASTCincy.org

    The Food Allergy Network
    10400 Eaton Place, Suite 107
    Fairfax, VA 22030
    (703) 691-3179 or (800) 929-4040
    E-mail: fan@worldweb.net
    www.foodallergy.org

    Food Allergy Research and Resource Program
    http://farrp.unl.edu/

    Food Anaphylactic Children Training and Support Associations
    www.allergyfacts.org.au

    Global Initiative for Asthma (GINA)
    www.ginasthma.com

    Health Talk Interactive: Asthma Education Network
    www.healthtalk.com/aen/index.html

    Immune Deficiency Foundation
    25 W. Chesapeake Ave., Suite 206
    Towson, MD 21204
    (410) 321-6647 or (800) 296-4433

    The Joint Council of Allergy, Asthma and Immunology
    50 N. Brockway, Suite 3.3
    Palatine, IL 60067
    (847) 934-1918
    E-mail: JCAAI@aol.com
    www.jcaai.org

    National Advisory Allergic and Infectious Disease Council
    9000 Rockville Pike
    Bethesda, MD 20892
    (301) 496-5717

    National Heart, Lung, and Blood Institute (NHLBI)
    National Asthma Education Program and Prevention Program
    NHLBI Information Center
    P.O. Box 30105
    Bethesda, MD 20824-0105
    (301) 251-1222
    www.nhlbi.nih.gov

    National Institute of Allergy and Infectious Diseases
    NIAID Office of Communications and Public Liaison
    Building 31, Room 7A-50
    31 Center Drive MSC 2520
    Bethesda, MD 20892-2520
    www.niaid.nih.gov

    Northwest Asthma & Allergy Center
    (800) 437-4055
    E-mail: info@nwasthma.com
    www.nwasthma.com




    LOCAL RESOURCES

    Tufts New England Medical Center
    John Ohman, M.D. FACP
    Chief, Allergy Department
    750 Washington Street
    Boston, MA 02111
    Phone: 617-636-5333
    Fax: 617-636-4843


    John Ohman, M.D. FACP
    Daniel Steinberg, M.D.
    Chestnut Hill Medical Center
    25 Boylston Street
    (Route 9 in Chestnut Hill next to Legal Seafood)
    Chestnut Hill, MA 02467
    Phone: 617-232-1690

    E-mail: johman@tufts-nemc.org
    Webpage: www.nemc.org/medicine/ohman.htm






    ALLERGY READING LIST

    Allergies A to Z
    By Myron A. Lipkowitz, RP, MD
    Facts on File, Inc.
    Department M274
    11 Penn Plaza
    New York, NY 10001
    (212) 290-8090 or (800) 322-8755

    Allergies, Disease in Disguise: How to Heal Your Allergic Condition
    By Carolee Bateson-Koch
    Alive Books, 1994
    4728 Byrne Rd.
    Burnaby, BC, CAN V5J3H7
    (604) 438-1919
    ISBN: 0929430422

    Allergy Plants That Cause Sneezing and Wheezing
    By Mary Jelks, MD
    Asthma and Allergy Foundation of America
    1125 15th St. NW, Suite 502
    Washington, DC 20005
    (202) 466-7643
    www.aafa.org

    Allergy, Asthma and Immunology From Infancy to Adulthood
    By Warren Bieman, et al.
    W.B. Saunders Company, 1995
    Independence Square West
    Philadelphia, PA 19106
    (215) 238-7800
    ISBN: 0721655874

    Best Guide to Allergy
    By Nathan Schultz, Allan Giannini, Terrace Chang
    Humana Press, 1994
    3554 Chain Bridge Road, Suite 200
    Fairfax, VA 22030
    (703) 385-4403

    Essential Allergy
    By Niels Mygind, et al.
    Blackwell Scientific Publications
    3 Cambridge Center
    Cambridge MA 02142
    (617) 225-0401

    Human Exposure Assessment for Airborne Pollutants: Advances and Opportunity; and Indoor Allergens: Assessing & Controlling Adverse Health Effects
    National Academy Press
    2101 Constitution Ave., NW
    Washington, DC 20005
    (202) 334-3313

    Manual of Allergy & Immunology
    By Glenn J. Lawlor, Jr., et al.
    Little Brown & Company, Inc., 1994
    34 Beacon St.
    Boston, MA 02108
    (617) 227-0730

    Sinus Survival: A Self-Help Guide for Allergies, Bronchitis, Colds and Sinusitis
    By Robert S. Ivker
    J.P. Tarcher, 1995
    5858 Wilshire, Suite 200
    Los Angeles, CA 90036
    (213) 935-9980
    ISBN: 0874776848

    Sneezing Your Head Off? How to Live With Your Allergic Nose
    By Peter Boggs, MD
    Allergy and Asthma Network/Mothers of Asthmatics
    3554 Chain Bridge Road, Suite 200
    Fairfax, VA 22030
    (703) 385-4403 or (800) 878-4403

    You Can Do Something About Your Allergies
    By Nelson L. Novick
    MacMillan Publishing, 1994
    866 Third Ave.
    New York, NY 10022
    ISBN: 0025907859

    CHILD ALLERGIES

    Cooking For The Allergic Child
    By J. Moyer

    Complete Book of Children's Allergies
    By B.R. Feldman, MD

    Taming Asthma and Allergy By Controlling Your Environment
    By Robert A. Wood, MD
    ISBN: 0964327201

    Children With Asthma: A Manual for Parents
    By Thomas E. Plaut, MD
    Allergy Control Products
    96 Danbury Rd.
    P.O. Box 793
    Ridgefield, CT 06877
    (203) 438-9580 or (800) 442-3878
    www.allergycontrol.com

    FOOD ALLERGIES

    Diets to Help Gluten and Wheat Allergy
    By Rita Greer
    Harper Collins Canada Limited/Order Dept.
    1995 Markham Rd.
    Scarborough, ON, M1B 5M8, IT
    (800) 387-0117
    ISBN: 0722529104

    Food Allergy: A Primer for People
    By S. Allan Bock, MD
    Asthma and Allergy Foundation of America
    1125 15th St. NW, Suite 502
    Washington, DC 20005
    (202) 466-7643
    www.aafa.org

    Your Food-Allergic Child: A Parent's Guide
    By Janet E. Meizel
    National Allergy and Asthma Network
    3554 Chain Bridge Road, Suite 200
    Fairfax, VA 22030
    (703) 385-4403 or (800) 878-4403

    ASTHMA

    A Parent's Guide to Allergies and Asthma
    By Marion Steinmann

    Asthma Resource Directory
    By Carol Rudoff, MA

    Understanding Asthma: The Blueprint for Breathing National Allergy and Asthma Network
    3554 Chain Bridge Road, Suite 200
    Fairfax, VA 22030
    (703) 385-4403 or (800) 878-4403

    All About Asthma and How to Live With It
    By Glennon, Paul, MD, and Barbara Fafoglia
    Sterling Publishing Co., Inc., New York

    Ask the Doctor: Asthma
    By Vincent Frieldewald, MD
    Andrews McMeel Publishing
    P.O. Box 419150
    Kansas City, MO 64141
    (816) 932-6700 or (800) 826-4216
    ISBN: 0836270231

    Asthma: The Complete Guide; One Minute Asthma ... What You Need to Know
    By Thomas F. Plaut, MD
    Asthma and Allergy Foundation of America
    1125 15th St. NW, Suite 502
    Washington, DC 20005
    (202) 466-7643
    www.aafa.org

    Asthma and Exercise
    By Nancy Hogshead and Gerald S. Couzens
    Henry Holt and Company, 1990
    3554 Chain Bridge Rd., Suite 200
    Fairfax, VA 22030
    (703) 385-4403 or (800) 878-4403

    Asthma in the Workplace
    By Bernstein, et al.
    John H. Dekker & Sons, 1993
    2941 Clydon St., SW
    Grand Rapids, MI 49509
    (616) 538-5160
    ISBN: 0824787994

    The Asthma Organizer; and School Information Packet Allergy and Asthma Network/Mothers of Asthmatics
    3554 Chain Bridge Road, Suite 200
    Fairfax, VA 22030
    (703) 385-4403 or (800) 878-4403

    Breathing Disorders: Your Complete Exercise Guide
    By Neil F. Gordon, MD, PhD, MPH
    Human Kinetics, 1993
    P.O. Box 5076
    Champaign, IL 61825
    (217) 351-5076 or (800)747-4457
    ISBN: 0873224264

    Breathing Easy With Day Care; A Parent's Guide to Asthma; Consumer Update on Asthma
    By Nancy Sander
    Allergy and Asthma Network/Mothers of Asthmatics
    3554 Chain Bridge Road, Suite 200
    Fairfax, VA 22030
    (703) 385-4403 or (800) 878-4403

    Bronchial Asthma: Principles of Diagnosis and Treatment
    By Eric M. Gershwin and Georges Halpern
    Humana Press, 1994
    Crescent Manor
    Clifton, NJ 07015
    (973) 773-4389
    ISBN: 0896032531

    Conquering Asthma: An Illustrated Guide to Understanding and Care for Adults
    By Michael T. Newhouse and Peter J. Barnes
    Login Publishers Consortium, 1997
    1436 W. Randolph St.
    Chicago, IL 60607
    (312) 733-8228

    Coping With Asthma
    By Carolyn Simpson
    Rosen Publishing Group

    Let's Talk About Having Asthma
    By Elizabeth Weitzman
    Rosen Publishing Group's PowerKids Press
    29 E. 21st St.
    New York, NY 10010
    (212) 777-3017 or (800) 237-9932

    Diets to Help Asthma and Hay Fever
    By Roger Newman Turner
    Harper Collins Canada Limited/Order Dept.
    1995 Markham Rd.
    Scarborough, ON, M1B 5M8, IT
    (800) 387-0117
    ISBN: 0722529112




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