Pollinosis: General Aspects


Pollinosis is a group of diseases associated with pollen allergy to plants:

  • Allergic rhinitis (a runny nose, itching, sneezing, nasal congestion);
  • Allergic conjunctivitis (lacrimation, redness of both eyes, itching in both eyes);
  • Urticaria;
  • Bronchial asthma.

Pollinosis can be caused by pollen of trees, meadow and weeds.

Currently, trees are actively blooming, therefore, all allergic patients should start prevention and basic therapy right now.

  • For meadow grasses, these measures should be started on May 15;
  • For weeds – on June 15.

What exactly do you need to do?

  • Take antihistamines 2 of the generation;
  • Suprastin, tavegil, fenistil, dimedrol are not allowed in bronchial asthma, as they make the mucus in the bronchi thicker and exacerbate coughing;
  • Pregnancy women can use loratadine, breastfeeding women can use loratadine and cetirizine;
  • Install the air filter at home;
  • Change street clothes at home and ask your relatives and guests do the same thing, as the pollen is fixed on clothes and can be brought home;

Use protective sprays 15 minutes before going outside and then every 3-4 hours.

Why do we need a diet at is the diet at pollinosis?

Some products contain proteins that are similar to pollen proteins. When taking such foods, either manifestation of pollen infection may increase or you may have the following symptoms in the oral mucosa:

  • itching in the mouth;
  • dry throat;
  • discomfort when swallowing;
  • soreness of mucous membrane.

What are these products?

With an allergy to the pollen of trees:

  • fresh apples
  • fresh pear;
  • fresh cherry;
  • fresh plums and prunes;
  • fresh apricot and dried apricots;
  • fresh strawberry;
  • fresh celery;
  • fresh parsley;
  • fresh carrot;
  • nuts
  • honey;
  • new potatoes.

With an allergy to the pollen of meadow grasses:

  • cereals (rye, wheat, barley, oats);
  • coffee;
  • cacao;
  • honey.

With an allergy to the pollen of weeds:

  • honey;
  • melon;
  • watermelon;
  • seeds, halva, sunflower oil
  • garlic, mayonnaise
  • zucchini;
  • eggplant.

With a severe course of pollinosis, you should consider the option of leaving the city for this period, preferably to the coastal regions, where due to the coast the pollen concentration is several times smaller.

Category: Asthma School

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16 responses to “Pollinosis: General Aspects”

  1. lazybaby says:

    Good morning. A have a few questions: They say that apples and similar fruits are allowed but you only need to peel them, and heat treatment changes the structure of the protein and the listed foods will not cause allergies. How can you comment it?

    • Asthma.School says:

      All cross-allergens can be eaten if they do not cause symptoms. There are different situations with apples. Someone peels the peel and feels good, someone does not tolerate purchased apples but does tolerate apples from the garden. Thermal treatment, indeed, almost always reduces the allergenicity of vegetables and fruits.

  2. ann_sun says:

    My daughters (3-year-old) is allergic to sunflower. What kind of reaction should she has on fresh apples and carrots, sunflower oil? Itching, sneezing, tears, cough? She does not have anything like that. Does it mean she can eat the listed products? She only has red and dry cheeks for some reason, in the morning she feels better. It is an allergy?

    • Asthma.School says:

      The situation indicates that there is no reaction to food. A typical manifestation of a cross-allergy to fruit and vegetables is itching in the mouth and choking in the throat. Another option may be the symptoms of rhinitis, conjunctivitis. If she does not have such symptoms, she can eat such products.

  3. lazybaby says:

    Is Singulair used for allergic rhinitis (without cough) as an asthma prophylaxis?

    • Asthma.School says:

      Singulair is used not as an asthma prophylaxis, but as one of the stages of therapy. That is, if other types of treatment do not work (antihistamines, steroid sprays, nose wash with saline solutions), Montelukast is added to the treatment.

  4. ann_sun says:

    Cream does not change the situation.

    • Asthma.School says:

      if the cream does not change the situation, you need to change the cream – in any case, your current cream is not suitable for children with persisting dryness of the cheeks.

  5. lazybaby says:

    Which specific places can you advise for allergies to the pollen? Can anyone give advice?

  6. lazybaby says:

    How much in advance before flowering you need to start taking antihistamines and nasonex. You did not say anything about it, but it is very effective in our case.

    • Asthma.School says:

      Antihistamines should be started 2 weeks before flowering (or, if this is not possible, with the first symptoms. As for steroid sprays, they are not a universal recommendation. If antihistamine is not enough for your allergic rhinitis, then you need to use a steroid spray. In a number of cases, steroid spray can help even without antihistamines, this issue is solved individually with the doctor.

  7. lazybaby says:

    What is the likelihood of allergic rhinitis transitioning to asthma? How to prevent it? What is the effectiveness of ASIT therapy and under what circumstances it is not applied (contraindications)?

    • Asthma.School says:

      ASIT is the only disease-modifying therapy, that is, a treatment that allows you to slow down the transition of rhinitis to asthma. This is a highly effective method of treatment with evidence base, the drug is highly effective. The contraindications include: uncontrolled asthma, mental illnesses, tuberculosis, malignant tumors, immunodeficiency, autoimmune diseases in the stage of decompensation, atrial fibrillation. ASIT drops and injections cannot be used during pregnancy.

    • Asthma.School says:

      There is evidence base for a salt solution only, this is the first recommendation in all the guidelines.

  8. macDaly says:

    The effectiveness of Nazaval is not proven! I suffer from seasonal pollinosis, I hoped this drug would help me but alas, I was disappointed. What do you think? Do you have evidence that it works?

    • Asthma.School says:

      We want to emphasize that protective nasal sprays are not a) drugs that can help in treatment (cancel all drugs and just use sprays) b) drugs that can be an independent part of the treatment c) drugs that are suitable for everyone without exception. This is a drug with a level of evidence C (expert opinion), so it can be useful in individual cases, taking into account individual tolerability. For example, in our practice, Nazaval effectively protected the patient’s nose when visiting the pool (because of allergic rhinitis, the nose of the patient reacted to the sharp smell of chlorine), when visiting the library (dust), the zoo. But, of course, the drug is not universal and is not suitable for everyone. You can try. But a 100% effect is not guaranteed.

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