Page 38 - The Connection Bridgewater Somerville Edition, September 2012

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PAGE 38
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ALLERGIC RHINITIS
By: Kristine Krol, M.D.
Board Certified Allergist, Allercare
Have you ever had a cold that just
won’t go away? Has your child
been put on antibiotics month
after month for treatment of
recurring ear infections? Have you
suffered from many sinus infec-
tions every year? Do you know
someone who does not smoke,
yet has a chronic cough? If you
answered yes to any of these
questions, you may be surprised
to find out that the underlying
cause of each of these conditions
could be allergies.
What is an Allergy? To have an
allergy means to be affected by
something that is harmless to
most people. The substance caus-
ing the allergic reaction is called
an allergen. People can be allergic
to all sorts of things, including
pollens, molds, dust mites, ani-
mals, certain foods, insect stings
or medications. It is generally
accepted that the tendency to
have allergies is linked to heredity.
Rhinitis: The symptoms of rhinitis
includes inflammation inside the
nose, sneezing, congestion, runny
nose, nasal itching, burning
palate and throat, and headaches.
Rhinitis has many causes. Some
people have allergic rhinitis,
which is a term used to describe
allergic reactions that take place
when an airborne allergen is
inhaled. This allergy was first
called “hay fever” because it was
thought to be caused by pollen
from hayfields. But it is now
known that pollen produced by
any plant as well as many other
allergens can cause allergic rhini-
tis. There are two types of allergic
rhinitis: seasonal and perennial.
Pollens from trees, grasses, or
weeds are usually to blame for sea-
sonal symptoms in spring and fall,
whereas dust mites, mold, and pets
are the usual triggers of year-round
(perennial) allergic rhinitis.
Some common complications of
rhinitis include infected ears, fluid
in the ears, and infected sinuses.
How does an allergy cause ear
infections? When the nose is
inflamed due to allergic rhinitis, it
is common for the Eustachian
tube and ear to become involved
in that inflammation. The Eusta-
chian tube can swell to the point
of complete closure, trapping air
in the middle of the ear cavity.
Fluid then accumulates in the mid-
dle ear. This is called otitis media
with effusion. If an infection-caus-
ing agent such as a virus or bacte-
ria is trapped in the middle ear cav-
ity, the result will be an infected
middle ear, or otitis media.
If a patient is desensitized to their
allergies with allergy injections or
sublingual immunotherapy (drops
under the tongue) they will defi-
nitely see a decrease in the num-
ber of ear/sinus infections.
Dr. Krol is board-certified in Allergy
and Immunology with locations in
New Jersey and New York.
Somerville Location:
177 W. High St., Somerville, NJ 08876
(908) 725-8666
Bedminster Location:
2345 Lamington Rd., Bedminster, NJ 07921
(908) 781-5550
Staten Island Locations:
4434 Amboy Road, Staten Island, NY
(718) 948-1868
1110 South Avenue, Staten Island, NY
(718) 370-7143
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