THE BASIC CONCEPTS OF ALLERGIES: ARTIFICIAL COLORS

Posted by admin on April 28, 2009 under Allergies | Be the First to Comment

Artificial colors have received a great deal of attention in recent years. Some of them have been removed from the marketplace by the Food and Drug Administration. Most recently, Red Dye No. 2 was removed after tests showed that it caused cancer in experimental animals.2

Long before this, however, starting in the late 1940s, clinical ecologists such as Dr. Stephen D. Lockey warned that artificial colors in drugs were one of the major sources of health problems in adults and children.3

To prove this, I once asked three chemically susceptible patients to take part in an experiment. They were blindfolded and given a glass of spring water to drink. Into each glass had been added the same amount of Red Dye No. 2 that would be found in a large serving of a well-known gelatin dessert. (This was before the link between the dye and cancer had been established.) Two of the three developed severe reactions to this colored water, although they had no reaction to pure spring water.

The practice of coloring fresh foods can also be a source of problems. Oranges, in particular, are frequently dyed, on the theory that consumers will not purchase naturally colored oranges, which are occasionally specked with green. It is difficult to detect a reaction to this dye, because fresh citrus fruits are often packed in crates which have been liberally treated with fungicides, and thus it is difficult to tell if the reaction is to the dye or to the fungicide.

Sweet potatoes are also commonly dyed. But dyed sweet potatoes can usually be eaten if they are carefully peeled. As a practical note, you can generally spot a dyed sweet potato by noting the presence of the dye on the broken ends of the tubers. Increasingly, in recent years, food wholesalers have begun dyeing white potatoes red.

*18\110\2*

Google Bookmarks Digg Reddit del.icio.us Ma.gnolia Technorati Slashdot Yahoo My Web

APPENDICES: EMOLLIENTS AND RELATED TREATMENTS

Posted by admin on April 20, 2009 under Allergies | Be the First to Comment

An emollient is a substance that soothes the skin and restores water to it, thus damping down the symptoms of eczema. White soft paraffin, glycerin and lanolin are commonly used. Most emollients and similar preparations contain several different ingredients. Urea is sometimes added to the cream or ointment because it helps the skin to bind water, but it may sting slightly and has a urine-like smell. Emollients may be applied directly to the skin or added to the bath, and some can be used instead of soap.

Crepe bandages soaked in calamine lotion, or bandages soaked in saline, are also used in eczema, to relieve the itching and prevent scratching.

Drugs which reduce itching (antipruritics) such as crotamiton (Eurax) or antazoline (R.B.C.) may also be used. Non-steroidal anti-inflammatory drugs (see Section 7) such as bufexamac (Parfenac) are sometimes helpful.

Soothing treatments of this type are generally tried as a first step, where the eczema is not severe. They are free of side-effects, although a small minority of patients may become sensitized to lanolin, so that lanolin-containing creams cannot be used thereafter.

Trade names of emollients and other soothing treatments used for eczema

Alcoderm

Alpha Ken

Aquadrate

Aveeno

Balneum

Calmurid

Diprobase

Eczederm

Emulsiderm

Epogam

Eurax

Humiderm

Hydromol

Keri

Lacticare Lipobase Locobase Miol

Nutraplus

Oilatum Emollient

Parfenac

R.B.C.

Siopel

Sprilon

Sudocrem

Thovaline

Uitrabase

Unguentum

*433\180\8*

Google Bookmarks Digg Reddit del.icio.us Ma.gnolia Technorati Slashdot Yahoo My Web

FOOD ALLERGY AND INTOLERANCE: APPENDIX I

Posted by admin on under Allergies | Be the First to Comment

Foods that may release sulphur dioxide

Sulphur (or sulfur) dioxide is a gas that can irritate the airways of asthmatics and provoke an asthma attack. Some preservatives give off this gas in small amounts, and it is inhaled during eating. There is no need to avoid these preservatives unless you are sure tfiey trigger off attacks.

Most dried fruits are treated with sulphur dioxide and give off the gas when chewed. This treatment does not have to be declared on the label. Dried fruit that has not been treated will usually be labelled ‘unsulphured’.

The following preservatives give off sulphur dioxide:

Sodium sulphite;

sodium hydrogen sulphite;

sodium metabisulphite;

potassium metabisulphite;

calcium sulphite.

These preservatives are widely used in wine, beer and cider, and, like other additives used in alcoholic drinks, do not have to be declared on the label. Homemade wine is no exception: Campden tablets, sold to wine-makers, contain potassium metabisulphite.

Fresh sausages may also contain these additives. Cod can be treated with sodium hydrogen sulphite to bleach and preserve it. Although sulphites are not allowed on meat, unscrupulous butchers occasionally add them to old meat to give it a ‘fresh’ red colour. In all these cases, the greater part of the sulphur dioxide will be driven off by the high temperatures used in cooking.

A fourth ‘hidden source’ of sulphur dioxide is restaurant, take-away and cafeteria food. French fries used in the catering trade have usually been dipped in a metabisulphite solution and give off significant amounts of sulphur dioxide. Prepared salads, avocado dip, shrimps, prawns and lobster are also likely to have been treated with these preservatives, and sometimes cause problems.

Fruit salad, glace cherries, fruit juices, fruit pie fillings, dried vegetables and soup, fruit squash, pickled onions, jam, fruit jellies and custard are other possible sources of sulphur dioxide in the catering trade. It is not worthwhile avoiding these foods unless you know they trigger off your asthma attacks.

Packaged foods often contain sulphites and metabisulphites, but these are easier to avoid as they are declared on the label. Look for the names given above, or for the appropriate ‘E numbers’. These are E220-E227.

*386\180\8*

Google Bookmarks Digg Reddit del.icio.us Ma.gnolia Technorati Slashdot Yahoo My Web

PREPARING FOR THE ELIMINATION DIET: SEEING YOUR DOCTOR

Posted by admin on under Allergies | Be the First to Comment

The first, and most essential step, is to see your doctor, describe your symptoms fully, and ask for a medical check-up. As explained in Chapter Seven, many of the symptoms of food intolerance can be due to other causes, and some of these may be serious – your doctor can examine you for such problems. Should there be nothing obviously wrong, then the next logical step is to try an elimination diet. Explain to the doctor you want to do, and ask for advice. He or she may well have reservations about elimination diets, and you will be better prepared if you have read all or most of the book, and understand what is involved. If the doctor feels that you should not alter your diet for medical reasons, you must take this advice.

*339\180\8*

Google Bookmarks Digg Reddit del.icio.us Ma.gnolia Technorati Slashdot Yahoo My Web

MUNCHAUSEN-BY-PROXY AND MEADOW’S SYNDROME

Posted by admin on under Allergies | Be the First to Comment

Baron von Munchausen was an eighteenth-century Hanoverian soldier who greatly exaggerated his prowess in war – and his battle-scars. ‘Munchausen’s syndrome’ is the name given to attention-seeking patients who feign illness or deliberately fabricate symptoms. There are instances, fortunately very rare, of mothers simulating illness in their children in order to get medical attention -this is known as ‘Munchausen-by-proxy’ or ‘Meadow’s syndrome’ after Professor Roy Meadows, who first described two cases in 1977. Doctors are far more aware of this possibility in children than they once were, and any parent attempting to fabricate symptoms is likely to be found out very quickly.

The question of Meadow’s syndrome in relation to food sensitivity is a difficult issue. Various doctors have described cases of children whose parents believe them to have food sensitivity, but where no consistent reaction to a food can be shown. If those parents seem over-anxious or over-protective, and have obvious emotional problems of their own, then they have often been labelled as ‘Meadow’s syndrome’.

Eleven such cases were reported in 1984, in an influential article that has coloured the outlook of many doctors, and led to the belief that Meadow’s syndrome is quite common in relation to food sensitivity. However, there were several important differences between the cases described in this article and Meadow’s syndrome proper. For one thing, the children involved all had genuine symptoms, and there was no suggestion that the parents had attempted to fabricate any symptoms. Unlike Meadow’s syndrome mothers, these women did not seem to relish their child’s hospital stay, nor were they willing to subject them to any investigation, however painful and unpleasant. Such differences are important and must raise serious doubts about the conclusions reached – was the label ‘Meadow’s syndrome’ really justified? These parents may have been disturbed or overwrought, but this does not necessarily mean that they were mistaken about their child’s illness. The elusive nature of the reactions seen in food intolerance makes it difficult to rule out this diagnosis without very thorough testing, and there seems to have been undue reliance on skin-prick tests in this study, despite the fact that these are unreliable indicators in most cases of food sensitivity. Despite the doubts over this study, the idea of ‘Meadow’s syndrome’ has become a popular one, especially among those doctors who are sceptical of food intolerance generally. This is unfortunate for parents, especially when such a diagnosis is made without proper testing for food sensitivity, and without any firm evidence of fabrication. There undoubtedly are cases of parents who exaggerate their child’s ills, and who are determined to blame them on some physical cause, when family tensions and emotional problems are actually the true source of the symptoms. But unless there is gross exaggeration or fabrication of symptoms, these should not be described as Meadow’s syndrome.

*290\180\8*

Google Bookmarks Digg Reddit del.icio.us Ma.gnolia Technorati Slashdot Yahoo My Web

FOOD ALLERGY: ALLERGEN AND ADJUVANTS

Posted by admin on under Allergies | Be the First to Comment

An allergen is essentially the same thing as an antigen, except that it happens to cause an allergic reaction in a particular person. The proteins in cow’s milk, for example, are antigens to most of us, but for the child with cow’s-milk allergy they are allergens. The main difference between an antigen and an allergen is not in the molecule itself but in the way the individual’s immune system reacts to it.

Having said that, it does seem that some foods are more ‘allergenic’ – more likely to cause allergies – than others. Certain foods turn up again and again as the culprits in food allergy, while other commonly eaten foods are rarely en-

countered. Why this is so, no-one can say at present, but there are several possible explanations.

Perhaps these apparently more allergenic foods contain compounds with very unusual and distinctive chemical features that are ‘easily recognized’. Such compounds might induce IgE antibodies more readily than others, although it is far from certain that the structure of antigens can exert such an influence over the immune system. The whole question of how the body scrutinizes incoming antigens and regulates its response to them is still very poorly understood. As yet no-one can say what role the chemical make-up of antigens plays.

An alternative explanation is that such foods contain substances which stimulate an immune response, known collectively as adjuvants. Adjuvants are used in the laboratory as a way of inducing immune responses for research purposes. These adjuvants are mostly derived from bacteria, but there are also adjuvants found in some plants. The extent to which these occur in foods, and their potential for stimulating IgE rather than other types of antibody, is unknown.

*40\180\8*

Google Bookmarks Digg Reddit del.icio.us Ma.gnolia Technorati Slashdot Yahoo My Web

ALLERGY: FIBRES

Posted by admin on March 30, 2009 under Allergies | Be the First to Comment

• Coir
• Cotton
• Horsehair
• Jute, Sisal and Hemp
• Kapok
• Linen

Ramie

Silk

Synthetics and Blends

Viscose and Rayon

Wool

Fibres often appear to be the first suspect if you react, say, to your bedding, clothing or furniture, but they are frequently not the prime cause of reactions.

The most common cause of reactions to bedding, for instance, is house dust mites rather than the material of your bedding . If you react to your clothing, the cause may be chemical treatments and finishes, such as resins or dyes, for instance, rather than the fibre itself. If you react to a piece of furniture, the cause can often be house dust mites or chemical treatments.

Your laundry agents may also be the cause of apparent reactions to fibres. Finally, tiny traces of mould spores cling invisibly to even slightly damp fabrics or bedding. If you know you are extremely allergic to moulds, these may be the cause of reactions to fibres.

*85\117\8*

Google Bookmarks Digg Reddit del.icio.us Ma.gnolia Technorati Slashdot Yahoo My Web

CHEMICAL SENSITIVITY: WHAT DOES IT MEAN?

Posted by admin on under Allergies | Be the First to Comment

Chemical sensitivity means adverse reactions to tiny or very low levels of chemicals in the environment, in which the immune system is not demonstrably involved. Susceptible individuals will react when tested with tiny doses under controlled conditions, and they will replicate their symptoms each time they are tested. Like allergy, but unlike irritant reactions, only a tiny amount of chemical is required to trigger a reaction. Reactions usually occur immediately; delayed reactions are rare. They are caused mostly by inhaling chemicals, but also by ingesting them or by absorbing them through the skin or mucosa.

The most commonly reported symptoms of chemical sensitivity are breathing and skin disorders, and mental symptoms very similar to those reported above for toxic and irritant reactions when exposed to high levels of chemicals. Muscle spasm, muscle and joint pains, and nausea and digestive symptoms, are also often reported.

The causes of chemical sensitivity are not known, although a number of factors suggest that some form of enzyme defect or defects may be at work, whereby a susceptible individual simply does not produce the enzymes necessary to detoxify or break down chemicals absorbed into the body. Whereas most individuals can effectively metabolise chemicals at the levels normally encountered in the environment, chemically sensitive people cannot cope with even low levels of chemicals, sometimes even with minute amounts.

Another factor to consider when looking at whether or not chemicals are causing you to react is the so-called ‘load effect’, also known as the ‘cocktail effect’, which comes into play when your system is ‘overloaded’ with chemicals.

Which Chemicals Cause Sensitivity?

There are no hard and fast rules about which chemicals cause sensitivity. Like allergy, almost anything has been known to cause someone somewhere to react at some time, but, like allergy, certain substances are much more troublesome than others and consistently cause problems. For more detailed information and a list of chemicals that commonly cause chemical sensitivity.

*16\117\8*

Google Bookmarks Digg Reddit del.icio.us Ma.gnolia Technorati Slashdot Yahoo My Web

CHILDCARE: WHAT CAUSES HYPERACTIVITY?

Posted by admin on under Allergies | Be the First to Comment

Research has shown that a proportion (20 per cent) of cases of hyperactivity are clearly linked to true food allergy – IgE-mediated reactions to food.

Allergy and sensitivity to other substances also play a strong role. From clinical practice, doctors estimate that between 50 per cent and 80 per cent of hyperactive children are allergic or sensitive to other things as well, including pollens, house dust mites, moulds, pets and other animals, common chemicals and food additives. Many hyperactive children have multiple sensitivity.

The role of food additives in hyperactivity has received a great deal of attention, and the Feingold Diet, excluding certain food additives, together with aspirin and naturally occurring salicylates (the active chemical in aspirin), is widely publicised. Some children do extremely well on the Feingold Diet; but only a small proportion of hyperactive children respond that well – most show some but not great improvement. Higher levels of improvement are found when all types of allergens, foods and chemicals (including food additives) causing reactions are identified and avoided.

Food additives (particularly E102, tartrazine, a colouring) do, however, play a significant role in hyperactivity, and, although not the prime cause, need to be considered seriously. Research has shown that hyperactive children seem to be deficient in a specific enzyme – PST-P – the role of which is to detoxify various chemicals produced naturally in the body during metabolism and digestion. Certain food colourings can block or limit the working of this enzyme, and hence be damaging to an individual who is already lacking in adequate levels of the enzyme. Reactions to certain food additives may thus be due to intolerance due to enzyme defects, rather than to true allergic mechanisms.

*290\117\8*

Google Bookmarks Digg Reddit del.icio.us Ma.gnolia Technorati Slashdot Yahoo My Web

ALLERGY BABYCARE: ADJUST THE MORNING FEED PATTERN

Posted by admin on under Allergies | Be the First to Comment

So where do you start? If the baby has evening colic, one of the most likely causes is thought to be a form of lactose intolerance whereby the baby is able to cope with small frequent feeds, but not the large first morning feed that most babies take. The volume of this can overwhelm the baby’s supply of the enzyme lactase which breaks down the milk sugar lactose. The morning feed reaches the intestines by evening and causes the symptoms at that time.

There are a number of ways in which you can adjust the baby’s feeding pattern to see if it helps evening colic. You can try waking the baby up early to give a very early morning feed, smaller than usual. Giving a little boiled water before the first feed also helps to quench the baby’s thirst and appetite a little, and means he or she takes less milk at the first feed. If you have plenty of milk, giving the whole feed from just one breast seems to improve things, rather than swapping to the other breast after a set interval. Giving shorter, more frequent feeds and using just one breast, thereby reducing the milk supply, also seems to help.

*222\117\8*

Google Bookmarks Digg Reddit del.icio.us Ma.gnolia Technorati Slashdot Yahoo My Web

Random Posts