If you have been suffering from asthma, atopic dermatitis, and allergic rhinitis for an extended period, you should be careful if the symptoms have still not gotten better even after taking medicine. If the symptoms keep returning, it is recommended that you go to the hospital to take an allergen test to find out the cause and start taking the right medicine.
One of two people who work hard to stay healthy and fit, but who were both suffering from asthma and atopic dermatitis, often ate whole wheat sandwiches for breakfast, while the other one regularly ate kiwi after meals. One of them was found to be allergic to peanuts and the other one kiwis, but neither of them was aware of the allergy, and was therefore unable to properly treat the symptoms for an extended period of time. They both eventually went to Greater Taichung’s Cheng Ching General Hospital, where they found out that their allergic constitution stemmed from eating foods they were allergic to.
Liu Bo-jen, director of the hospital’s ear-nose-throat department, said that one of the patients, a 27-year-old woman who loves to eat kiwi, was suffering from asthma, shortness of breath, and felt like something was stuck inside her throat, so she decided to seek medical attention. Liu noticed that she had a rash and that her skin was peeling. He assumed it was caused by allergies, so he decided to do an emergency allergen test and food intolerance test, which showed that she was allergic to kiwi. Her asthma improved immensely and her skin stopped itching after she stopped eating the fruit and began following a new diet regimen.
The other patient, a 52-year-old man who had similar symptoms, also took an allergen test, which showed he was allergic to peanuts. After he went home to look at what he had been eating, he discovered that the sandwiches he ate every morning for breakfast indeed had peanut butter in them. He stopped eating the sandwiches and his symptoms improved after treatment.
Liu said that if you experience long-term asthma, atopic dermatitis or allergic rhinitis, and the symptoms continue even after taking medicine, he recommends going to the hospital to do an allergen test, which will find the allergen 70 to 80 percent of the time, adding that a person’s allergies improve by avoiding the discovered allergen.
Liu said that for allergic diseases such as allergic asthma, atopic dermatitis, allergic rhinitis and allergic conjunctivitis, normal treatment includes the use of antihistamines, a suitable dose of steroids, and immunity-enhancing drugs, but says they do not typically cure the disease, which can be quite vexing. If children with an allergic constitution do not receive proper treatment for their allergies, they might suffer from atopic dermatitis, then allergic asthma, and finally allergic rhinitis, in that order.
The shortness of breath experienced with allergic asthma is caused by an allergen that stimulates or infects the trachea’s main bronchi and bronchioles and therefore causes the trachea to contract.
Allergic constitutions can be caused by breathing in allergens, for example, dust mites, dog hair, cat hair, mold, roaches, or pollen, while food allergies, on the other hand, can be caused by milk, egg whites, peanuts, kiwis, crabmeat, egg yolk, wheat, shrimp, almonds, or codfish. Some people are even allergic to white rice. People should do as much as possible to find out exactly which allergen is causing their allergic reaction so that it can be avoided.
(Liberty Times, Translated by Kyle Jeffcoat)
有長期氣喘、異位性皮膚炎或過敏性鼻炎的民眾要注意了，若長期吃藥治不好，又反覆發作，建議先到醫院進行過敏原檢測，找到病原，便可對症下藥。
兩位罹患氣喘合併異位性皮膚炎的民眾，特別注重養生，一位早餐常吃全麥三明治，一位餐後吃奇異果，但其中一位對花生過敏，一位對奇異果過敏，兩人卻都不知道，因長期治不好過敏，便前往台中澄清醫院就醫，一查病因就是因為吃到讓自己體質過敏的食物。
澄清醫院耳鼻喉科及營養醫學門診主任劉博仁表示，一位二十七歲、超愛吃奇異果的女性患者因氣喘呼吸困難，感覺喉嚨好像有東西塞住而求診，他發現該病患的皮膚有紅疹脫屑情形，認為有過敏體質，因而建議做急性過敏原檢測及慢性食物不耐測試，發現過敏原竟是奇異果，女病患不再吃奇異果，配合營養療法，氣喘改善許多， 皮膚也不再癢了。
另一位五十二歲的男性也有類似症狀，被檢測出過敏原為花生，該名男性回家檢查自己的飲食，才發現每天上午所吃的三明治，就塗了花生醬，他也從此不吃，經治療後，過敏狀況自然改善。
劉博仁表示，若長期氣喘，出現異位性皮膚炎、過敏性鼻炎，而且一直吃藥還反覆發作，建議最好到醫院進行過敏原檢測，通常可以找到百分之七十到八十的過敏原，避開過敏原就可改善。
劉博仁表示，氣喘、異位性皮膚炎、過敏性鼻炎、過敏性結膜炎等過敏疾病，正統治療都以抗組織胺及適量類固醇藥物、免疫調節藥物為主，因不易斷根，讓患者相當苦惱；小朋友如果沒將過敏體質調整好，可能會出現異位性皮膚炎、過敏性氣喘、過敏性鼻炎等依序上身。
而過敏性氣喘是因為主支氣管到細支氣管，受到過敏原刺激或感染，因呼吸道會緊縮，就會造成呼吸困難等症狀。
造成過敏體質的過敏原有很多，像急性吸入過敏原包括塵璊、狗毛、貓毛、黴菌、蟑螂、花粉等，食物過敏則包括牛奶、蛋白 、蛋黃、花生、奇異果、螃蟹、小麥、蝦子、杏仁、鱈魚等，甚至連對白米飯過敏的也有，要盡量找出過敏原，避免接觸。
（自由時報記者蘇金鳳）
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