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Migraine

Know Your Allergic Rhinitis Basics

Down to Basics

When your health care professional says you have an allergy, that means your body reacts to something called an allergen. Many different allergens can cause the body to react. For example, you may have an allergy to pollen from trees, grasses, and weeds. You also can be allergic to things in the home. Mold, dust mites, animal dander, and even cockroaches can cause reactions.

When your body detects an allergen, such as pollen, your immune system identifies it as something that does not belong in your body. As a result, your body reacts to this allergen, and allergy symptoms can develop. Common symptoms may include:

  • Congestion
  • Runny nose
  • Watery eyes
  • Itchy skin and eyes
  • Sneezing

Why Do I Have an Allergy?

The causes of allergies are not well understood, but it is known that allergies can run in families. You may be at increased risk of allergies if your parents have them.

Seasonal and Year-Round Allergies

Seasonal allergic rhinitis, often called hay fever, occurs during certain times of the year when airborne allergens, such as pollens, are more prevalent.

Pollen can come from:

  • Trees
  • Grasses
  • Weeds

Perennial allergic rhinitis also occurs when you breathe in an allergen but it is year-round. It is more often caused by indoor allergens such as mold, dust mites, and animal dander. Dust mites live in pillows, mattresses, curtains, couches, carpet, and bedding. Mold can be found in damp areas of homes.

Is It a Cold or an Allergy?

An allergy often can be mistaken for a cold. Although some of the symptoms may be the same, they are not the same thing. Knowing the differences is important.

In general:

Allergies Colds
Symptoms Runny or stuffy nose, sneezing, wheezing, and watery and itchy eyes Fever, aches and pains, runny or stuffy nose, sneezing, and watery eyes
When symptoms begin Usually shortly after your body detects an allergen Usually develop over several days
How long they last Last as long as you are exposed to the allergen and beyond; if the allergen is present year-round, symptoms may be chronic Symptoms should clear up within several days to a week
Causes Pollen, mold, animal dander, and other substances Viruses

Triggers

Certain substances, or triggers, can set off allergic reactions. These substances can include dust mites, molds, animal dander, and pollens. Here is some information about these triggers, and how to reduce exposure to them.

Dust Mites

You cannot see these tiny organisms; however, they can cause allergic reactions just like pollen or other allergens. Dust mites are very common. To reduce your exposure to dust mites in the home, here are some suggestions:

  • Use airtight plastic or hypoallergenic covers over pillows, mattresses, and box springs.
  • Remove carpeting, or vacuum often using a high-efficiency filter.
  • Control humidity in your home by using a dehumidifier or air conditioner.
  • Use washable throw rugs and wash curtains often to remove dust.
  • Wash bedding at least once a week in hot water (130°F) and dry in a hot dryer.

Molds

Molds can be found outside or in damp areas of the home such as the basement or bathroom. To help reduce exposure to molds, try the following:

  • Get rid of sources of dampness in basements, such as pipe leaks.
  • Use a dehumidifier in any area of your home that smells musty or damp.
  • Do not go outdoors at certain times, such as right after a rainstorm, in foggy or damp weather, or when the mold count is high.
  • Change filters on your furnace and air conditioners regularly.

Animal Dander

These are small scales of skin shed by some animals. Health care professionals may suggest medicines or even immunotherapy (allergy shots) for people who have severe symptoms. There are some other things that may help:

  • Keep pets out of the bedroom.
  • Remove pets from the home if possible.
  • Bathe pets weekly to help reduce allergens.
  • Replace carpeting that has animal dander with tile, wood, linoleum, or vinyl flooring.

Pollen

Weather conditions can affect the amount of pollen in the air. People who have seasonal allergies may notice symptoms occurring anytime from February or March through October. In some parts of the country, trees pollinate in the spring, and grasses can start in the late spring and continue until summer. Here are some tips that may help:

  • Keep your windows closed.
  • Use air-conditioning to help clean and dehumidify the air in the home.
  • Stay indoors when pollen counts are the highest.
  • Keep car windows closed when traveling.

Understanding the Words Your Health Care Professional May Use

You may hear some of these words:

Allergen: Substance that may cause an allergic reaction in the body.

Allergic rhinitis: Nasal symptoms caused by allergic reactions.

Allergy: A sensitive response by the immune system to an allergen.

Animal dander: Small scales of skin shed by some animals.

Dust mites: Tiny organisms that cannot be seen by the human eye and that live in mattresses and upholstered furniture.

Hay fever: Another term for seasonal allergic rhinitis.

Immune response: The reaction of your body’s system to an allergen that can result in symptoms such as itchy eyes, sneezing, or a runny nose.

Immunotherapy: A series of shots meant to help the immune system tolerate the allergen.

Indoor allergens: Allergens that usually are found indoors, such as mold, pet dander, dust mites, and cockroaches.

Mold: A type of microscopic fungus that can be an allergen.

Outdoor allergens: Allergens that usually are found outdoors, such as airborne pollens and mold spores.

Perennial allergic rhinitis: A year-round allergy caused by allergens such as mold and dust mites.

Pollen: Tiny particles produced by certain plants.

Seasonal allergic rhinitis: An allergy occurring during a specific season that causes symptoms such as a stuffy, itchy, or runny nose. Another term for hay fever.

Further Resources

About.com

Allergy & Asthma Network Mothers of Asthmatics

American Academy of Allergy, Asthma, and Immunology

American Academy of Pediatrics

American College of Allergy, Asthma & Immunology

Asthma and Allergy Foundation of America

The Cleveland Clinic health information

eMedicineHealth.com

KidsHealth.org

Mayo Clinic

Pollen.com

WebMD


Further Resources

Allergy and Asthma Network - Mothers of Asthmatics, Inc.

American Academy of Allergy, Asthma, and Immunology

American Lung Association

CDC: asthma's impact on children and adolescents

CDC: how to quit

EPA: asthma and indoor environments

NIH: asthma and physical activity in the school

NIH: National Heart, Lung, and Blood Institute


Further Resources

American Diabetes Association

Diabetes Action Research and Education Foundation

Diabetic Exercise and Sports Association

International Diabetes Federation

NIH: NIDDK diabetes health information

NIH: NIDDK nutrition information

NIH: National Diabetes Education Program

National Institute of Diabetes and Digestive and Kidney Diseases

The Juvenile Diabetes Foundation


Further Resources

American Council for Headache Education

American Headache Society

National Headache Foundation

New England Center for Headache


Further Resources

American Dietetic Association

Dietary guidelines for americans

Food and nutrition information center

NIH: nutrition information

NIH: weight loss and control

NIH: weight control


Always check with the health care professional before beginning any activity plan or increasing activity. It's also important to ask him or her about target heart rate to help determine appropriate exercise intensity.

Always check with your health care professional before beginning any activity plan or increasing your activity. It's also important to ask him or her what your target heart rate is to help determine what exercise intensity is appropriate for you.

Always be sure to check with your health care professional before beginning any activity plan or increasing your activity.

It always helps to ask:

  • What activities are right for me?
  • How much should I do each day?
  • How many days a week?

It's also important to ask him or her what your target heart rate is to help determine what exercise intensity is appropriate for you.

This information is provided by an independent source. Merck is not responsible for this content. Please discuss any and all treatment options with your healthcare professional. The manufacturer of a product generally has the most complete information about that product.

This information is provided by an independent source. Merck is not responsible for this content. Please discuss any and all treatment options with your healthcare professional. The manufacturer of a product generally has the most complete information about that product.

This information is provided by an independent source. Merck is not responsible for this content. Please discuss any and all treatment options with your healthcare professional. The manufacturer of a product generally has the most complete information about that product.

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Health Coach Call

Listen to an example of what a call might sound like.

PlayNutrition call (7:16)
PlayActivity call (7:22)

Here are some important things to know about your Health Coach Call:

Our Coaches are employed by a subsidiary of Merck & Co., Inc., a pharmaceutical company. The information provided is based on generally available nutrition and physical activity guidelines and information applicable to most people. Health Coaches are not licensed dietitians or health and fitness professionals, and they are not in a position to assess your individual nutrition or activity needs. This information is not appropriate if you are pregnant, and it may not be appropriate if you have specialized dietary needs or limitations on the level of activity or exercise you can safely undertake due to your medical conditions. Consult your health care professional regarding your specific needs, limitations, and health conditions. Health Coaches can educate and coach you on nutritional and physical activity recommendations for the typical person. Health Coaches are not health care professionals and cannot offer medical advice, diagnosis, or treatment. Please consult your health care professional because he or she knows you best. If you have a chronic health condition, check with your health care professional to find out if physical activity is safe before you start. If during your call you have concerns about any condition, special dietary needs, limitations on the level of activity or exercise, any treatments, side effects, or adverse experiences, your Health Coach will refer you to your health care professional.

Activity Points Explained

This Planner uses Activity Points as a way to help you stay motivated and focused on your activity goals. Points are assigned to each activity in the Planner. You'll earn more points when you increase the duration of the activity.

For example, when you bicycle for 15 minutes at a moderate pace (12 to 14 mph), you earn 120 Activity Points. To earn the same number of Activity Points while cycling at a very easy pace (less than 10 mph), you would need to bike for 30 minutes.

If you are currently inactive or get very little activity during the week, a good goal to work toward is 500 Activity Points each week. This is equal to 30 minutes of moderate–intensity aerobic exercise on 5 days a week.

If you are moderately or highly active (more than 150 minutes of moderate-intensity activity each week), you may want to aim for up to 1,000 Activity Points each week. This is equivalent to 1 hour of activity on 5 days a week.

What you'll gain

At 500 Activity Points per week: Once you consistently reach this level (ie, 150 minutes of moderate–intensity aerobic activity per week), you may gain substantial health benefits. These benefits include lower risk of coronary heart disease, stroke, high blood pressure, type 2 diabetes, and depression.

At 1,000 Activity Points per week: When you consistently reach this level (ie, 300 minutes of moderate–intensity aerobic activity per week), you may gain even more health benefits. These benefits include a decreased risk of colon and breast cancer and an even lower risk of heart disease and diabetes.