ALLERGIC RHINITIS - GENERAL AND HOMOEOPATHIC APPROACH TO A COMMON ALLERGIC DISORDER

Allergic rhinitis, also known as hay fever, is a type of inflammation in the nose which occurs when the immune system overreacts to allergens in the air. Common symptoms include sneezing, stuffy nose, watery eyes, and a sore, scratchy throat. An allergen is a normally harmless substance that causes an allergic reaction. Allergic rhinitis, or hay fever, is an allergic response to specific allergens. Pollen is the most common allergen. People with allergic rhinitis generally experience symptoms after breathing in an allergy-causing substance such as pollen or dust. In the fall, a common allergen is ragweed. In the spring, the most common triggers are grasses and pollen.

Aetiology

An allergen is something that triggers an allergy. When a person with allergic rhinitis breathes in an allergen such as pollen, mold, animal dander, or dust, the body releases chemicals that cause allergy symptoms. Plants that cause hay fever are trees, grasses, and weeds. Their pollen is carried by the wind. Flower pollen is carried by insects and does not cause hay fever. Types of plants that cause hay fever vary from person to person and from area to area. The amount of pollen in the air can affect whether hay fever symptoms develop or not. Hot, dry, windy days are more likely to have a lot of pollen in the air. On cool, damp, rainy days, most pollen is washed to the ground.

Hay fever and allergies often run in families. If both of parents have hay fever or other allergies, child is likely to have hay fever and allergies, too. The chance is higher if mother has allergies.

Risk Factors

Allergies can affect anyone, but you’re more likely to develop allergic rhinitis if your family has a history of allergies.

Some external factors can trigger or worsen this condition, including:cigarette smoke, chemicals, cold temperatures, humidity, wind, air pollution, hairspray, perfumes, colognes, wood smoke, fumes

Clinical Manifestations

Common symptoms of allergic rhinitis include: sneezing, a runny nose, a stuffy nose,

an itchy nose, coughing, a sore or scratchy throat, itchy eyes, watery eyes, dark circles under the eyes, frequent headaches, eczema-type symptoms, such as having extremely dry, itchy skin that often blisters, hives, excessive fatigue

Usually feel one or more of these symptoms immediately after coming into contact with an allergen. Some symptoms, such as recurrent headaches and fatigue, may only happen after long-term exposure to allergens. Fever isn’t a symptom of hay fever.

Some people experience symptoms only rarely. This is highly likely when you’re exposed to allergens in large quantities. Other people experience symptoms all year long.

Investigations

Allergy testing may reveal the pollen or other substances that trigger your symptoms. Skin testing is the most common method of allergy testing.

If your doctor determines you cannot have skin testing, special blood tests may help with the diagnosis. These tests, known as IgE RAST tests, can measure the levels of allergy-related substances.

A complete blood count (CBC) test, called the eosinophil count, may also help diagnose allergies.

Prevention

Stay indoors when pollen counts are high, Avoid exercising outdoors early in the morning, Take showers immediately after being outside, Keep windows and doors shut as frequently as possible during allergy season, Keep mouth and nose covered while performing yard work, Try not to rake leaves or mow the lawn, Bathe dog at least twice per week to minimize dander, Remove carpeting from your bedroom if you’re concerned about dust mites.

MANAGEMENT

The conventional treatment of allergic rhinitis is to keep giving anti-allergic medicines or antihistaminics like Cetrizine or Levocitrizine. In fact these anti allergic medicines are used to treat all sorts of allergies, whether nasal or skin. They tend to provide temporary relief. You take an anti histaminic and you are fine for some hours.The sneezing stops and the running nose stops. The itching in the nose and eyes disappears. But the effect lasts only for some hours. Once the effect wears off, the problem returns in full force. These anti histaminics are sleep inducing and often people tend to feel sleepy or dizzy during the daytime, which can be dangerous at times. The easy availability and low cost makes these anti allergic medicines easily accessible. In fact they have become sort of home remedies for allergies and people just keep taking them without even a prescription from a qualified doctor.

Home Managements

·        A high intake of soy and isoflavones may be associated with a reduced prevalence of allergic rhinitis.

·        Intake of eicosapentaenoic (EPA) and docosahexaenoic acids (DHA) from fish may be associated with a reduced prevalence of allergic rhinitis.

·        Black cumin alleviates symptoms of allergic rhinitis.

·        Peppermint may be clinically effective in alleviating the nasal symptoms of allergic rhinitis.

·        High dietary intake of seaweed, calcium, magnesium, and phosphorus may be associated with a decreased prevalence of allergic rhinitis.

·        Raw milk consumption (relative to boiled) is inversely associated to asthma, atopy and hay fever.

·        Rose extract exhibits antiinflammatory, antiallergic and painkilling activities.

·        Butterbur exhibits protection against chemically induced nasal responsiveness in seasonal allergic rhinitis.

·        Lactobacillus acidophilus can alleviate the symptoms of perennial allergic rhinitis.

·        Propolis may be effective in the relief of symptoms of allergic rhinitis through inhibition of histamine release.

·        An extract of the medicinal mushroom Agaricus blazei Murill can protect against allergythrough reducing Th2 relative to Th1 cytokine levels.

·        Supplementation of mothers and their babies with the probiotic Lactobacillus reuteri reduces IgE associated eczema and may reduce respiratory allergic disease later in life.

·        Curcumin attenuates the development of allergic airway inflammation and hyperresponsiveness.

·        Vitamin D deficiency is higher among children with asthma, allergic rhinitis, atopic dermatitis, acute urticaria, and food allergy.

·        Onion exhibits antiallergic, antihistaminic, antiinflammatory, and antioxidant properties.

·        Indian Oyster mushroom may be effective in the relief of symptoms of allergic rhinitis through inhibition of histamine release.

·        Peach extract inhibits mast cellderived allergic inflammation.

·        Spirulina consumption significantly improves the symptoms of allergic rhinitis.

·        Exclusive breastfeeding during the first 3 months after birth protects against allergic rhinitis in children, both with and without a family history of atopy.

HOMOEOPATHIC MANAGEMENT

Homoeopathic medicines stimulate the immune power to act against the disease. So homoeopathic medicines acts well in cases of Allergic rhinitis. Homoeo medicine helps to reduce the symptoms with out producing any side effect

Homoeopathy is highly effective in the treatment of allergies and fully capable of stimulating the organism to heal to the point of complete relief from all allergy symptoms.

There is a special mention about allergic diseases in Homoeopathic literatures under the heading IDIOSYNCRASY. Dr Samuel Hahnemann, founder of Homoeopathic system of medicine defined idiosyncrasy 200 years ago in his famous book Organon of Medicine as “Idiosyncrasies by which are meant peculiar corporeal constitutions which although otherwise healthy, posses a disposition to be brought into a more or less morbid state by certain things which seem to produce no impression and no change in many other individuals”.

Manifestations of allergic reactions and idiosyncracies are same. Both are hypersensitive reaction. An idiosyncratic individual is oversensitive to one or few things which doesn’t require treatment as the person in healthy, but allergic disorders are due to morbid susceptibility.

Successful Homoeopathic prescribing demands a detailed case taking to find out the evolution of disease, relation with life situation, also to find out characteristic symptoms. According to Hahnemann it is the constitution of an individual that becomes sick first. The objective of treatment should be the improvement of the constitution, so that sensitivity, which has gone bad, is corrected or brought within normal range. It has been proved, verified and confirmed that if a proper indicated constitutional treatment is given to the child for sometime, it improves the constitution. In due course, the attacks become lesser in frequency and severity.

By constitutional approach we can prevent the recurrence of the complaint by modifying the altered susceptibility. Miasmatic remedy can help to remove any miasmatic block obtained from the familial background, past history of patient and also the presentation. Acute prescriptions are required during acute flare-ups.
Thus the concept of totality of symptoms and principle of individualization together enables the homoeopathic physician to perceive the disease in its whole content to make a suitable prescription

Indicated Remedies	Indications
Allium cepa.	For frequent sneezing, a lot of irritating nasal discharge and tearing eyes. This candidate tends to feel thirsty
Arsenicum album.	For stuffiness with copious, burning nasal discharge and violent sneezing. An appropriate candidate for Arsenicum feels restless, anxious, and exhausted.
Apis mellifica	stuffy nose due to a pink edema of the nasal mucous membranes, swollen eyelids. Fresh air unblocks the nose. A reliable homeopathic nasal decongestant.
Arsenicum iodatum	sneezing and excoriating watery rhinitis, nighttime asthma attacks during peak pollen season. Hay fever symptoms are improved by moderate temperatures.
Dulcamara	stuffy nose in rainy and foggy weather, followed by postnasal drip; hay fever at the end of August and in the fall. Dry cough and asthma in damp weather.
Euphrasia.	For nasal discharge, with stinging, irritating tears. A suitable person for this remedy has worse nasal symptoms when lying down.
Galphimia	burning discharge from eyes and nose, swollen itchy eyelids, sneezing, skin rash. Its efficacy in allergic rhinitis is proven by many scientific studies. That is why it is a common ingredient in most complex medicines for hay fever.
Kalium iodatum	very profuse watery discharge from nose and eyes, swollen red eyes and nose; constricting pain at the root of the nose. The copious coryza blocks the sinuses, triggering a frontal headache and allergic sinusitis.
Nux vomica.	For stuffiness with nasal discharge, dry, ticklish, and scraping nasal sensations with watery nasal discharge and a lot of sneezing. An appropriate person for this remedy is irritable and impatient.
Arundo	There is a lot of burning and itching in the nose, the eyes and the roof of the mouth. Sense of smell becomes diminished. the episode begins with intense itching in the palate and the nose,
Merc Sol	There is a lot of sneezing and watery discharge from the nose. The patient is worse even in damp or wet weather. Increased sweating is another indication for this medicine. There is profuse salivation in the mouth. At times the salivation is so much that it keeps the mouth wet most of the time. Despite this increased salivation, the patient keeps on feeling thirsty. There may be foul smell from the mouth.
Natrum Mur	there is a lot of sneezing and in fact, the symptoms start with sneezing only,  There is intense dryness of the mouth and the mucous membranes. The discharge from the nose is thin and watery and resembles the white of an egg. There is an increased desire to eat salt or salty food.

EATING DISORDERS & HOMOEOPATHY

“EATING DISORDERS & HOMOEOPATHY”

Eating disorders are actually serious and often fatal illnesses that cause severe disturbances to a person's eating behaviors. Obsessions with food, body weight, and shape may also signal an eating disorder.

Eating disorder is sub divided into

ü  Anorexia nervosa

ü  Bulimia nervosa

ü  Binge

“ANOREXIA NERVOSA”

-          A condition in which there is a marked weight loss as a result of self-starvation.

-          Typically develops during adolescents, predominantly affecting girls.

v  Aetiology:

•     Unknown aetiology with a number of theories which are speculative.

•     Current social pressures to maintain a slim figure are thought to have been a predisposing factor to recently increased incidences.

•     History of obesity & extreme course of dieting after being teased by their friends.

•     Emaciation may be disguised by wearing loosely fitting clothes & hiding heavy objects when the weight is checked.

•     These subjects are physically overactive.

•     Associative features of Hypotension, bradycardia & peripheral cyanosis can be seen. 

v  Diagnostic criteria:

•     Weight loss of at least 25% of total body Weight.

•     Avoidance of High calorie food.

•     Amenorrhea for at least 3 months.

•     Distortion of body image, so that patients regard themselves as fat even when grossly underweight. 

v  MANAGEMENT:

•     Restore normal body Weight either as an in-patient or out patient.

•     A series of target Weight should be set with a final target within the normal range for patients Weight& Height

•     Psychotherapy

v  PROGNOSIS:

•     Short term prognosis is good, but long term outlook is less favorable.

•     Approximately 20% of individuals make full recovery, 20% remain chronically ill & 60% have recurring episodes.

•     Death occurs either from suicide or physical complications. 

v  Homoeopathic Management:

o   Mind - ANOREXIA nervosa

ARS.calc. Carc. caust. CHIN. hyos. Ign. lach.levo. merc. Nat-m.perh. phos. puls. rhus-t. Staph.SULPH.tarent. verat.

o   Mind - ANOREXIA nervosa - refuses, to eat

ars. bell. caust. cocc. croc. grat. HYOS.Ign. KALI-CHL. kali-p.op. PH-AC. Phyt. plat. puls. sep.TARENT. VERAT.VIOL-O.

“BULLIMIA NERVOSA”

v  A condition alternating with self-starving, eating large amounts of food & self-induced vomiting.

v  Weight is normal & exclusively confined to women.

v  Diagnostic criteria:

Ø  Recurrent episodes of eating.

Ø  Lack of self-control on overeating.

Ø  Self-induced vomiting

Ø  Weight almost maintained with in normal limits. 

v  MANAGEMENT:

ü     Psychotherapy 

v  Homoeopathic Management:

o   Mind - BULIMIA

arg-n. Carc.ign. iod. med. nat-m. Phos.puls. staph.

                                         Binge-eating disorder

People with binge-eating disorder lose control over his or her eating. Unlike bulimia nervosa, periods of binge-eating are not followed by purging, excessive exercise, or fasting. As a result, people with binge-eating disorder often are overweight or obese. Binge-eating disorder is the most common eating disorder in the U.S.

Symptoms include:

• Eating unusually large amounts of food in a specific amount of time
• Eating even when you're full or not hungry
• Eating fast during binge episodes
• Eating until you're uncomfortably full
• Eating alone or in secret to avoid embarrassment
• Feeling distressed, ashamed, or guilty about your eating
• Frequently dieting, possibly without weight loss

                                              “PICA”

v  The persistent eating of non-nutritive substances like paint, plaster, hair, cloth, sand, leaves, soil is called pica. It is frequently associated with mental retardation or vitamin/mineral deficiencies. Complications are usually medical, like lead poisoning, hair-ball tumors, intestinal perforation, etc. It usually remits on its own. Other forms of treatment are aversion therapy, over-correction and supplementation of vitamin deficiencies.

v  Homoeopathic Management:

o   Food - PICA, desires to eat sand, slate, earth, etc.

ALUM.Alumn.CALC. calc-p.chel. cic. con. ferr. hep. hyos. ign. nat-m. NIT-AC. Nux-v.oci. psor. sil. sulph. Tarent.