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Some of the conditions you may be concerned with include: ADD/ADHD, Anaphylaxis, Asthma, Atopic Dermatitis, Candida, Chemical Sensitivity, Chronic Fatigue Syndrome, Coeliac Disease, Contact Dermatitis, Dairy Allergies, Dust Mite Allergies, Eczema, Egg Allergies, Food Allergies & Food Intolerances, Hay Fever, Sinusitis, Headache and Migraine, Hives, Insect Venom, Irritable Bowel Syndrome, Lactose Intolerance, Latex Allergies, Peanut Allergies, Pets Allergies, Pollen Allergies, Seafood Allergies, Soy Allergies, Tree Nut Allergies, Wheat Allergies.
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What is ADD/ADHD?
Common symptoms & behaviors
Treatment and medications
Complementary medicine
* Nutritional supplements
* Herbal medicine
* Aromatherapy
Dietary management of ADD/ADHD
Support
What is ADD/ADHD?
Attention Deficit Disorder (ADD) has many names - hyperactivity, minimal brain dysfunction, hyperkinetic impulse disorder. It can be divided into Attention Deficit Hyperactivity Disorder (ADHD) and Attention Deficit Disorder (ADD) without hyperactivity.
Likewise, there are many different theories as to its causes and cures.
There are multiple factors involved with ADD/ADHD. Although ADD/ADHD is not an allergy, it is believed that food allergies / sensitivities and heavy metal toxicity can be significant contributors to the disorder.
Who is affected?
ADD affects more males than females, with about 18% of males being affected. The disorder is most commonly inherited from the father's side of the family. Studies show that between 3-8% of school children have ADD. Thirty percent of sufferers have a reading disorder and 10-15% have other academic disabilities.
It may commence as early as one year of age and has normally presented by the age of seven. In 90% of cases it spontaneously improves after puberty.
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Common symptoms & behaviours
Many of the behaviours noted below are regarded as normal until they become persistent or lead to a marked lack of social skills or learning ability. Approximately half of children with ADD suffer from a specific learning disorder such as language delay or reading delay. These conditions should be assessed and remedial therapies or treatments given.
Learning problems include:
Short attention span – often moving from one incomplete task to the next
Poor short term memory – difficulty in following instructions
Speech disorders
Poor coordination
Perceptual problems.
Behavioural problems include:
Overactivity
Impulsiveness
Difficulty following rules
Low levels of frustration
Restlessness – unable to play quietly.
These symptoms can lead to emotional, social and family difficulties, often creating low self-esteem and sometimes depression. Most children with ADD have average or above average intelligence but their inability to concentrate may hold them back at school.
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Treatment and medications
The most common treatment, although still controversial, given for ADD/ADHD is psychostimulant medication. This involves taking stimulant drugs such as methylphenidate (Ritalin) which lengthens the attention span, decrease conflict with the environment and assist more effective learning.
Other treatments include behaviour modification and social skills training, which can help the child cope with their condition by making them aware of how their words and behaviours affect those around them.
Family counselling may be needed for all members of the family to help them manage with the disorder.
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Complementary medicine
Nutritional supplements
Evening Primrose Oil
is an essential fatty acid (EFA). Studies show that deficiencies in EFAs are extremely common with children who have ADD/ADHD.
Fish oils
have been successfully used in the treatment of ADD/ADHD. Fish oils are a source of essential fatty acids (EFAs).
Zinc
is believed to help with the absorption of EFAs in the body. Supplementing with zinc alongside evening primrose oil or fish oils may assist ADD/ADHD children.
Magnesium
Many hyperactive children are found to be deficient in magnesium, an essential mineral for effective neural function.
Multi Vitamin and Mineral
A children's multi-vitamin formula is recommended to ensure that the child is receiving adequate amounts of nutrients.
Herbal medicine
Herbal remedies can help to support the body in alleviating certain signs and symptoms of ADD/ADHD:
We recommend the following herbal remedies:
Valerian (Valeriana officinalis)
claimed to be a sedating herb, Valerian may have a calming effect on a child who has ADD/ADHD.
Ginkgo(Ginkgo bilboa)
may help improve circulation to the brain and improve memory of ADD/ADHD sufferers.
Brahmi (Bacopa monneria)
reputed to have an effect on mental function, this herb may assist the concentration and memory of children with ADD/ADHD.
Aromatherapy
Aromatherapy has been used for centuries for its calming and sedating properties. Essential oils can be an effective way to reduce the effects of ADD/ADHD.
We recommend the following essential oils:
Mandarin (Citrus reticulata)
is a fresh smelling oil is loved by children. It is particularly useful if there is anxiety or depression involved.
Lavender (Lavendula angustifolia)
believed to have a soothing and relaxing influence on emotions. It also may be helpful if allergies are involved.
Roman chamomile (Anthemis noblis)
is used for children who are feeling tense or impatient. It also may be helpful if allergies are involved.
Geranium (Pelargonium graveolens)
works by balancing the nervous system, traditionally a calming oil used to reduce nervousness and anxiety in children.
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DIETARY MANAGEMENT OF ADD/ADHD
The Hyperactive Children's Support Group in UK recommends that parents try a diet based on the work of Dr Ben Feingold. This includes cutting out all synthetic colours and flavours and avoiding glutamates, nitrates, nitrites, BHA, BHT and benzoic acid. Foods containing natural salicylates should also be avoided for 4 to 6 weeks and re-introduced one at a time to see if they cause a reaction. Please click here to see our Food Chemical Tables, including listings of foods containing natural salicylates.
In particular, the following additives should be avoided:
102 Tartrazine
151 Black PN
E104 Quinoline yellow
E154 Brown FK
107 Yellow 2G
155 Brown HT
110 Sunset yellow FCF
160(b) Annatto
120 Cochineal
210 Benzoic acid
122 Carmoisine
211 Sodium benzoate
123 Amaranth
220 Sulphur dioxide
124 Ponceau 4R
250 Sodium nitrite
127 Erythrosine
251 Sodium nitrate
E128 Red 2G
319 tert-Butylhydroquinone
132 Indigo carmine
320 Butylated hydroxyanisole
150 Caramel
321 Butylated hydroxytoluene
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what are headaches & migraines?
do allergies cause headaches?
common food triggers
traditional medicine
complementary medicine
* nutritional supplements
* herbal medicine
* aromatherapy
* traditional chinese medicine
managing your headaches/migraines
* dietary recommendations
* exercise
WHAT ARE HEADACHES & MIGRAINES?
There are many different forms of headaches – tension, cluster, sinus, vascular and mixed.
Tension headaches (or muscle contraction headaches) are the most common. They are characterized by a dull, constant pain which can often be relieved by sleep. They are more common in adults, particularly women, and affect up to 80% of the population.
Cluster headaches are characterized by a stabbing pain on one side of the head accompanied by a watery eye and nose and reddening of the skin over the affected area. They come on suddenly and last about one and a half hours. They mainly affect men and are found in 0.5-1% of the population.
Sinus headaches are caused by the sinuses in the head becoming blocked with mucus and not draining properly.
Vascular headaches or migraines occur most often in women and occur in about 20% of headache sufferers. They are often hereditary and although they can start in childhood they often begin at puberty. The frequency and severity of attacks tend to decrease with age, and it is rare to have an initial attack over the age of 40.
Migraines typically begin with an aura followed by neurological disturbances such as partial visual field loss, flashes of light, slight speech difficulty, partial blindness and weakness on one side of the body. It then follows with an intense throbbing, disabling headache on one side of the head. This is often accompanied by nausea and vomiting. There are several theories about the causes of each phase.
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DO ALLERGIES CAUSE HEADACHES?
Allergies, especially to foods, have been associated with headaches since about 1927. Many people with allergies suffer from headaches or Migraines although this does not mean that the allergies have caused the headaches.
Studies have shown that Type I allergies, or immediate onset allergies, are not a direct cause of headaches. However, allergies can indirectly lead to headaches through a build up of pressure in the sinuses due to congestion.
Particular foods and food chemicals such as tyramine are frequent causes of non-allergic headaches. Drugs may also cause headaches.
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COMMON FOOD TRIGGERS
Foods containing chemicals known as vasoactive amines can trigger migraine headaches. These include tyramine, dopamine, phenylethylamine, noreprinephrine, serotonin and histamine.
Foods containing stimulants like methyl xanthines, caffeine and theobromine can also cause headaches. Excessive doses of vitamins A or D can cause headaches. Diets high in synthetic foods can cause headaches.
The following foods should be avoided or consumption reduced:
High tyramine levels are found in fermented foods like aged cheeses and red wines.
Cured and processed meats
Chocolate contains phenylethylamine
Foods which cause the release of histamine include wine, egg whites, strawberries, shellfish, tomatoes, citrus fruits and alcohol
Stimulant-containing foods include coffee, tea, cola drinks, chocolate and cocoa
Yeast
Refined sugars and saturated fats
Dairy including yogurt and sour cream (you may need supplementation to maintain your calcium levels)
Monosodium glutamate (MSG) in tomatoes, cheese, chocolate, soy, grapes etc (see our Food Chemical Tables at www.allergyfree.com.au for more information on MSG in various foods)
Artificial colourings, flavourings and preservatives
If you suffer from frequent headaches or migraines, a Food Diary may help to identify triggers in your diet. A migraine may take as long as 48 hours to develop after the food has been eaten if it is food sensitivity related.
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TRADITIONAL MEDICINE
It is better to prevent attacks then cure them once they occur, so doctors will normally prescribe prevention medication. There are many drugs that may be prescribed so it may be a matter of trial and error to find the one that suits you best.
Drugs that are commonly prescribed include:
Propranolol (Inderal)
Methysergide (Deseril)
Clonidine (Dixarit)
Sodium valproate (Epilim)
Pizotifen (Sandomigran).
Migraine relieving drugs include tablets or nose sprays containing Imigran, Naramig or Zomig. Injections are rarely used. These drugs become more effective the more they are used, and work best if taken immediately before an attack begins. The tablets may be placed under the tongue or swallowed.
Normal pain killers, antihistamines, mild sedatives and anti-nausea medication may also be taken. Resting in a dark room is also helpful.
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COMPLEMENTARY MEDICINE
WARNING: Do not stop taking your normal medication except on the advice of your health care professional. Before taking any natural medicine it is strongly advised that you consult your health care professional.
Complementary medicine is successfully used to help alleviate the pain and nausea associated with headaches and migraines. If they are associated with food or chemical sensitivities they can be helped by strengthening the immune system.
The natural management for headaches and migraines focuses on: 1) reducing the acute pain and inflammation. 2) avoidance of any triggers 3) treating any underlying allergy.
Nutritional Supplements
Deficiencies of certain nutrients is often a factor with headaches and Migraines. Correcting these deficiencies can alleviate the problem, while other nutrients can assist to decrease the severity of symptoms, particularly when they are allergy related.
We recommend that these supplements form the basis of your nutritional therapy:
Magnesium
one of the best nutrients to relax muscles and reduce spasms associated with headaches/migraines.
If the body is low in magnesium, it is forced to take it from the muscles, and without sufficient magnesium muscles stiffen up or contract at liberty.
Calcium
widely used in conjunction with magnesium to reduce muscular tension.
Caution: with calcium channel blockers. May also interfere with the effectiveness of tetracycline, thyroid hormone, certain anti-convulsants and steroids.
Vitamin C
high doses of vitamin C have been used to reduce inflammation and may assist with dilation of the blood vessels. May also assist if allergy related.
Caution: aspirin and standard vitamin C (ascorbic acid) taken together may cause stomach irritation. Caution with high doses with anti-coagulant medication.
Fish Oil
versatile oil effectively used to alleviate inflammatory conditions such as headaches and migraines.
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Herbal Medicine
The herbal treatment will vary depending on the cause of the headache or Migraine. Generally treatment involves reducing the inflammation.
We recommend that these herbal extracts form the basis of your herbal therapy:
Feverfew (Tanacetum parthenium)
one of the most effective traditional herbs used in the prevention of headaches and migraines - it helps reduce the frequency and severity of symptoms.
Caution: with anticoagulant medication. Should not take if hypersensitive to compositae family. Care taken with nonsteroidal anti-inflammatory medication.
Willow Bark (Salix alba)
this herb has been noted to help headaches and migraine sufferers due to its pain relieving action.
Caution: with anticoagulant medication, methotrexate, Dilantin, potassium sparing diuretics and anti-seizure medication.
St Mary’s Thistle (Silybum marianum)
this well known traditional liver tonic helps restore poor liver function and may assist in the treatment of mild digestive disorders, often experienced with headache and migraine sufferers.
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Aromatherapy
Traditionally essential oils have a supporting role in improving overall health and wellbeing.
We recommend that these essential oils form the basis of your aromatherapy treatment:
Lavender (Lavendula angustifolia)
an ideal oil which can be rubbed onto the temples to help prevent headaches and migraines. It also has a soothing and relaxing influence. It may be helpful if allergies are involved.
Peppermint (Mentha piperita)
this versatile oil has a calming effect with nervous disorders and is used when nausea is associated with migraines.
Rosemary (Rosmarinus officinalis)
reputed to be excellent with headaches and migraines.
Sweet Marjoram (Origanum majorana)
may help to dilate the blood vessels, reducing the pain that is associated with headaches and migraines.
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Traditional Chinese Medicine
(includes treatment by Acupressure, Acupuncture and Moxibustion, Chinese Massage, and Chinese Herbal Medicine)
According to traditional Chinese medicine there are many different types of headaches and therefore many different diagnosed energy ‘Qi’ patterns. Headaches are defined by their position on the head, (what meridians are involved), the type of pain, eg; dull, heavy, sharp, shooting; whether the headaches are caused externally or internally from a function deficiency.
Acupuncture Treatment by acupuncture is well known for pain relief from headache/Migraines regardless of the cause. A course of treatment would address the particular deficient energy ‘Qi’ patterns that have weakened the immune system.
Chinese Herbs. We recommend that you see a Traditional Chinese Medicine Practitioner for a course of herbal treatment tailored to strengthen the specific area of 'Qi' energy weakness.
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MANAGING YOUR HEADACHES/MIGRAINES
The first step in minimizing the number and severity of your headaches and Migraines is to avoid or reduce exposure to your triggers.
At the first sign of a Migraine headache, drink three glasses of very cold water, then go to bed with a cold compress placed over the area that is most affected (make sure the room is dark and quiet - without a pillow).
Dietary Recommendations
An organic vegetarian diet is advised consisting mainly of fruits and vegetables with whole grains and brown rice with some plant based protein (beans, tofu, seeds and nuts). Eat 5-6 smaller meals throughout the day, rather than 3 large meals as this stabilise blood sugar levels and may prevent headaches and migraines from occurring.
Assessing if there is a food allergy or intolerance is crucial, as certain foods may exacerbate your headaches and migraines. If your trigger is dietary related, avoiding common foods that may be a problem is essential.
Foods to increase
Fruits and vegetables
Plant based protein such as tofu, beans, nuts and seeds
Oily fish such as tuna, cod, salmon and mackerel
Herbs such as fennel, garlic and ginger
Cherries and pineapples
Almonds
Increase fluid intake by drinking at least 1&1/2 litres of water a day.
Foods to reduce or avoid
It is recommended that you keep a Food & Symptom Diary while avoiding the common triggers listed above in ‘Common Food Triggers’ to determine what foods you should reduce or avoid.
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Exercise
Exercise can be valuable in your fight against headaches and migraines. The positive effects of exercise on the lymphatic and circulatory systems help your symptoms.
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what is chronic fatigue syndrome?
common symptoms
diagnosis
traditional medicine
complementary medicine
* nutritional supplements
* herbal medicine
* aromatherapy
* traditional chinese medicine
managing chronic fatigue syndrome
* dietary recommendations
* home environment
* exercise
* relaxation techniques
support
WHAT IS CHRONIC FATIGUE SYNDROME?
Chronic Fatigue Syndrome is also known as myalgic encephalomyelitis, ME, Tapanui flu, Royal Free disease and post-viral syndrome. An estimated 100,000 Australians suffer from the disorder. CFS can affect males and females of all ages and has the greatest impact on the body’s immune, nervous and endocrine systems.
It often starts as a flu-like illness that recurs often until it becomes constant. Sixty percent of sufferers begin to get symptoms after an infection such as glandular fever, Ross River fever, hepatitis or a severe flu. The patient is extremely tired all the time, to the point that everyday activities are impaired. This can continue for months or years.
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COMMON SYMPTOMS
Chronic Fatigue Syndrome can cause many symptoms. We have listed a few of the major ones here, for a more comprehensive listing please see Diagnosis below.
Ongoing fatigue that is not explained by other factors in your lifestyle
Inability to sleep or excessive sleepiness
Muscle weakness and muscle pains
Sore throat
Low grade fever.
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DIAGNOSIS
Chronic Fatigue Syndrome is very hard to diagnose, so it is important to find a doctor with some experience in this area and who takes your symptoms seriously.
Diagnosis depends on the fulfillment of certain criteria and signs. In the following lists, for a confirmed diagnosis to be made, both major criteria must be met along with 6 symptoms and 2 signs from the minor criteria.
Ø major criteria
New persistent or intermittent, debilitating fatigue severe enough to reduce or impair average daily activity below 50% of normal activity for a period of more than six months
Exclusion of all other causes by thorough clinical evaluation and blood tests.
Ø minor criteria - symptoms
Generalised fatigue lasting more than 24 hours following levels of exertion that would have been easily tolerated previously
Vague headache
Mild fever of less than 38.6 degrees C
Unexplained general muscle weakness
Muscle pains
Arthritis that moves from joint to joint without any apparent damage to the joint
Sore throat
Painful lymph nodes in the neck or armpit
One of more of the following problems (avoidance of bright lights, forgetfulness, irritability, confusion, poor concentration, depression, intermittent visual disturbances, difficulty thinking)
Inability to sleep or excessive sleepiness
Rapid onset over hours or days of major criteria
Ø minor criteria - signs
A physician must document these on at least two occasions at least a month apart:
Mild fever less than 38.6 degrees C
Sore throat with no pus present
Tender enlarged lymph nodes in neck or armpit.
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TRADITIONAL MEDICINE
With time, most cases of Chronic Fatigue Syndrome slowly improve, but some patients are left with severe long-term tiredness. Unfortunately, there are no miracle cures, but there are steps you can take to alleviate your condition.
Recent research shows that treatment with graded exercise therapy (GET) and cognitive behavioural therapy (CBT) been shown to benefit people with CFS.
To get the most from these treatment regimes it is important that you see a practitioner who has an interest in CFS and its management. Unfortunately, some doctors still do not understand the condition fully or its potential impact on quality of life.
In addition, your doctor may prescribe any of the following drugs, which may be helpful:
Antidepressants
Non-steroidal anti-inflammatory medication
Steroids
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COMPLEMENTARY MEDICINE
WARNING: Do not stop taking your normal medication except on the advice of your health care professional. Before taking any natural medicine it is strongly advised that you consult your health care professional.
The chronic fatigue phenomenon is a condition that can be treated quite successfully using complementary medicine, however the road to recovery requires perseverance and commitment from the sufferer. The causes of chronic fatigue are multi factorial but usually occur in conjunction with a chronic single or multiple viral infections.
Food allergies are commonly associated with this disorder, as is chronic candidiasis and parasites in the digestive tract. Sufferers can also suffer from multiple chemical sensitivities to substances like pesticides, household cleaning products, and other environmental toxins.
Complementary medicine achieves positive results through gently rebuilding and restoring health and vitality back into the body. With CFS, treatment generally revolves around 1) treating any underlying viral infection 2) building the immune system 3) addressing poor digestive function.
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Ø nutritional supplements
A person suffering from CFS can be deficient in nutrients. Supplementation may be needed to restore good health.
We recommend that these supplements form the basis of your nutritional therapy:
Co enzyme Q10
is involved with the production of energy in cells and reputedly works by increasing energy levels within the body.
Caution: with anti-coagulant medication.
Magnesium
CFS sufferers are usually deficient in this nutrient. Supplementation may assist with improving energy production in the cells of the body.
Vitamin A
potentially strengthens the immune system due to its antioxidant properties, therefore helping fight viruses.
Caution: with liver disease, caution if taking anti-coagulant medication, do not take more 2500iu a day in pregnancy.
Vitamin E
a powerful antioxidant, used to help with the immune function, fighting viral conditions if one is present.
Caution: with anti-coagulant medication. If you suffer from diabetes, rheumatic heart disease, overactive thyroid – do not take more than the recommended dose.
Vitamin C
an excellent nutrient for people with CFS as high doses has been noted to have antiviral properties and to enhance white cell destruction of viruses and bacteria.
Caution: aspirin and standard vitamin C (ascorbic acid) taken together may cause stomach irritation. Do not take high doses with anti-coagulant medication.
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Ø herbal medicine
Herbal Medicines generally achieve good results with CFS. A herbal preparation can help to gently support and restore the body back to good health.
We recommend that these herbal extracts form the basis of your herbal therapy:
Astragalus (Astragalus membranaceus)
this herb is widely used where there is chronic debility and immune depression. It is a tonic to help build vitality.
Caution: not advised in acute infections.
Echinacea (Echinacea purpurea)
may assist with building the immune system to naturally fight off invading organisms and viruses.
Caution: with autoimmune diseases and immunosuppressant drugs.
Siberian Ginseng (Eleutherococcus senticosis)
a well-known herb that may help to increase energy by having a restorative effect on the nervous system.
Caution: careful in hypertension.
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Ø aromatherapy
The treatment of chronic fatigue syndrome involves a long and gentle process to assist with re-building the persons vitality. Using aromatherapy oils can boost mood and assist healing.
We recommend that these essential oils form the basis of your aromatherapy treatment:
Basil (Ocimum basilicum)
this pleasant smelling oil is reputed to relieve lethargy and fatigue, a great oil to try if suffering from CFS.
Warning: do not use in pregnancy.
Sweet Orange (Citrus cinesis)
people who have CFS often need uplifting and energizing, so this pleasant oil is recommended.
Lavender (Lavendula angustifolia)
is an ideal oil as it has a soothing and relaxing influence suitable for physical and emotional fatigue.
German chamomile (Matricaria recutita)
has anti-fungal, antiseptic and immune stimulating actions, resulting in a stronger and healthier body.
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Ø traditional chinese medicine
(includes treatment by Acupressure, Acupuncture and Moxibustion, Chinese Massage, and Chinese Herbal Medicine)
Acupuncture According to the World Health Organisation (WHO) acupuncture can be used to treat Chronic Fatigue Syndrome.
According to traditional Chinese medicine Chronic Fatigue Syndrome may be caused by one of the following energy ‘Qi’ patterns, ‘Qi’ deficiency, blood deficient syndrome, Yang deficient or Yin deficient.
Treatment by acupuncture can relieve the symptoms of chronic fatigue syndrome, and will aim at harmonizing the digestive functions. A course of acupuncture treatment will address the sufferers particular ‘Qi’ deficiency pattern.
Chinese Herbs. We recommend that you see a Traditional Chinese Medicine Practitioner for a course of herbal treatment tailored to strengthen the specific area of 'Qi' energy weakness.
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MANAGING CHRONIC FATIGUE SYNDROME
Ø dietary recommendations
CFS sufferers will often have poor dietary intake, therefore a diet high in vitamins and minerals is crucial to maintain a high nutritional status. Assessing if there is a food allergy or intolerance is crucial as an offending food may exacerbate symptoms.
Foods to increase
An organic vegetarian diet is advised consisting mainly of fruits and vegetables, whole grains and brown rice.
A 50% raw food diet could also be beneficial.
Freshly pressed fruit and vegetable juices should be consumed once or twice a day.
Raw nuts (almonds, cashews and brazil nuts) along with seeds (sesame and pumpkin) are advised.
Lecithin and raw egg yolk are noted to strengthenthe immune system.
Cabbage, broccoli, watercress, garlic, ginger, and green tea have a strong immune building effect.
Drink at least 1&1/2 litres of water a day.
Foods to reduce or avoid
All refined sugars, artificial sweeteners, saturated fats such as red meat, dairy foods, alcohol, moulds, yeast breads, vegemite, salt, tea and coffee.
Reducing intake of canned, packaged and processed foods is preferred as they are generally void of good nutrition.
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Ø home environment
As Chronic Fatigue Syndrome sufferers are often sensitive to chemicals, we recommend the use of low chemical or chemical free household cleaning agents and laundry products.
The use of pure, fragrance free personal care ranges may also help reduce the chemical overload on your body.
If your indoor air quality is poor at home or work you may benefit from the use of a good quality air purifier.
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Ø exercise
Although exercise is sometimes impossible for Chronic Fatigue Syndrome sufferers, a little light exercise such as walking does wonders. The intensity of exercise will vary considerably from person to person depending on the severity of the individual condition. Graded exercise therapy is a recommended treatment for CFS that should be carried out under the guidance of a trained doctor.
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Ø relaxation techniques
Massage
A massage can be very useful to a person who is debilitated with Chronic Fatigue Syndrome. Not only will a massage be relaxing and calming, but the therapeutic benefits of massage strengthens the body, by stimulation of the immune and lymphatic systems.
Yoga
Gentle yoga movements can be therapeutic for a person who has Chronic Fatigue Syndrome, both emotionally and physically. Yoga is a subtle art form and people who are low in vitality and energy would benefit greatly from this passive style of exercise.
Meditation
This ancient technique of calming the mind is highly recommended for people who have Chronic Fatigue Syndrome who experience emotional and physical turmoil.
- what is asthma?
- what causes asthma?
- symptoms
- diagnosis
- common triggers
- traditional medicine
- complementary therapy
- five steps to controlling your asthma
- support
What is asthma?
Asthma n. a respiratory disorder, often of allergic origin, characterised by difficulty in breathing.
Asthma occurs when people have sensitive or "twitchy" airways that overreact to stimulants. When this happens the airways temporarily narrow which makes it difficult to breathe freely. This happens because:
The muscles in the walls of the airways spasm causing them to tighten (bronchoconstriction)
The inside lining of the airways become inflamed and swell
The airways may become partially blocked from excess mucous
Asthma has been recognized for over 2000 years. However, it is becoming more common and there are indications that it is becoming more severe. Allergy is a major factor associated with the cause and persistence of asthma.
In August 1999 Australian Health Ministers announced asthma as a new National Health Priority Area in recognition of the significant burden that asthma places on the Australian community in terms of health, social, economic and emotional costs.
how common is asthma?
Over 2 million people in Australia have asthma (11% of the population). Roughly 1 in 4 primary school children have asthma, 1 in 7 teenagers and 1 in 10 adults.
In 1998, 685 people in Australia died from asthma, it was the most common reason for hospital admission amongst children and it is one of the top 10 reasons for seeing a general practitioner.
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What causes asthma?
The causes of asthma are not properly understood but there are a number of factors that seem to increase the risk of contracting the condition:
A family history of allergy-related ailments such as asthma, eczema or hay fever. If you have a parent with asthma you have a 15 times greater chance of developing the condition than the average person. Up to 78% of people with asthma also have hay fever.
Being exposed to cigarette smoke before birth, particularly if the pregnant mother smokes, or being exposed to smoke in early childhood.
Contracting a major respiratory infection during the first 2 years of life.
Exposure to domestic allergens such as dust mites and cats, particularly in early life. The higher the level of exposure, the greater the risk of developing asthma.
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Symptoms
Typical symptoms of asthma include:
Wheezing, particularly on breathing out
A dry cough or frequent cough that gets worse at night, in the cold or during exercise
Shortness of breath or rapid breathing
Tightness or discomfort in the chest
Distress or feeling frightened
These symptoms may also signal a common cold or respiratory infection - see a doctor for an accurate diagnosis.
There may be an early-phase response that occurs within an hour of exposure to a trigger, often producing hay fever symptoms and a wheeze. This response generally lasts for an hour of less.
A late-phase response may emerge after 6-12 hours, leading to the wheeze worsening and the production of phlegm. Late phase reactions are more likely with high dose exposures and depending on the type of antigen.
People can develop asthma at any time in their life so it is important that symptoms such as increasing breathlessness while doing everyday tasks or a persistent cough are not just put down to "getting older" - they should be thoroughly checked to make sure they are not signs of asthma developing.
Symptoms in children
Signs of asthma in children may be subtle - symptoms such as less stamina during active play, coughing or wheezing while playing and rapid respiration should not be overlooked. Young children may have difficulty eating due to shortness of breath or may be unable to speak in full sentences.
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Diagnosis
It is essential that a doctor diagnose the condition so that appropriate treatment may be prescribed.
Your doctor will take a personal history including factors such as:
Any family history of allergies or asthma
Your symptoms and when they occur
Whether you take medications and for how long
You may be given a physical examination but this may only be useful if you have symptoms at the time.
Spirometry tests
Spirometry tests are used to assess the function of the lungs. The tests may need to be performed on several occasions at different times of the day to get a 'picture' of how your lungs are functioning. Spirometry may also be used to test your response to medications.
Spirometry is not suitable for children under 8 years of age. Young children may trial some asthma medication instead, to see if this reduces symptoms. If so, a diagnosis of asthma is likely.
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Common triggers
There are many different triggers for asthma, and some are hard to avoid. However, identifying and reducing exposure to your triggers is the first step in controlling the condition.
Common triggers are:
Infections and viral infections (colds, flu and sinus infections), particularly in children in day care centers.
Inhaled allergens such as pollens, house dust mites, moulds and animal hair (particularly cats). When tested, 98% of asthmatics will show an immediate asthma response to airborne allergens. Researchers in Melbourne noted an increase in hospital admissions for asthma the day after rain - correlating with the increased pollen in the atmosphere.
Cigarette smoke. Smoking can trigger an asthma attack, make control of asthma harder and increase the chances of permanent damage to the airways.
Irritants and odours such as wood fire smoke, perfumes and scented cosmetics, household cleansers, laundry detergents, paint, chemicals, ozone and various gasses.
Chemicals from gas heating or cooking, or wood combustion.
Other airborne particles such as coal dust, chalk dust or talcum powder.
Sudden changes in the weather such as temperature and barometric changes, humidity or even strong winds.
Some medicines, particularly aspirin and other non-steroidal anti-inflammatory drugs (NSAIDS) such as Nurofen and Ibuprofen, eye drops for glaucoma and beta-blockers (used to treat heart disease, high blood pressure and migraine headaches). These may trigger asthma attacks or make asthma worse.
Some health products and food supplements can trigger attacks so always read labels carefully for any warnings about allergies or asthma.
Some foods, additives and preservatives.
Food allergies are a trigger for asthma in approximately 6-8% of children. However, special diets should only be undertaken after careful diagnosis and under the supervision of a qualified allergist or dietician.
Common reactive foods are eggs, nuts, fish and shellfish, wheat, soy, corn, and cow's milk.
Food additives such as metabisulphite and sulphur dioxide (220-228) may cause reactions. They are found in many fast foods and may be used in salad bars to keep food looking 'fresh'.
Sulphites are used as a preservative and are found in wine, fruit drinks, processed meats, canned fish, dried fruits, vinegar and pickled vegetables.
MSG (621) and colouring agents such as Tartrazine (102) can also be associated with asthma attacks.
Food intolerance may cause asthma where reactions are delayed, dose related and the effects are prolonged. Up to 20% of perennial, persistent asthma that started in childhood may be due to food intolerance.
Exercise. If exercise worsens an attack, this may indicate that your asthma is not under control, or you may have exercise-induced asthma.
Gastroesophageal reflux disease in which stomach acid flows back up the esophagus. Up to 89% of patients with asthma suffer from this condition.
Emotions, stress and over-excitement can all make asthma worse. This does not mean asthma is psychological or "all in the mind". It is very much a physical illness, but it can be made worse by emotional upset.
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Traditional medicine
Medications
Asthma medications broadly revolve around preventing attacks and treating attacks if they do occur.
Prevention
Preventers help to prevent the development of an asthma attack - they need to be used every day. They work by reducing inflammation and swelling of the airways and making them less 'twitchy'. They may take several weeks to work which is why it is important to take it every day.
The medication containers are usually autumn coloured (brown, orange or yellow).
Preventer medications include corticosteroid sprays such as Aldecin, Becotide, Flixotide and Pulmicort, and anti-allergy sprays such as Intal and Tilade. Sometimes combinations of drugs produce the best result.
You may be prescribed a short course of Prednisone/Prednisolone tablets or syrup for a severe attack. This is a steroid used to both prevent and treat attacks. They should only be taken under the strict guidance of a doctor, as long-term use can produce significant side effects.
Symptom Controllers such as Foradile, Oxis and Serevent may be prescribed when regular preventers don't keep the asthma under control. They relax the muscles around the airways for up to 12 hours. They can take 30 minutes to work. They should not be used during an asthma attack and they should only be used in conjunction with regular corticosteroid sprays.
Relieving an attack
Relievers (also called bronchodilators) are used during an asthma attack to relieve the tightness in the airways. They normally work within minutes. You should always carry your Reliever medication with you.
Relieving drugs are best inhaled so that they are taken directly into the airways where they are needed. They include a class of drugs called sympathomimetics such as Berotec, Bricanyl, Resoplin and Ventolin. Atrovent may also be used as an adjunct to these.
The medication containers are usually blue.
Oxygen by mask and injections of adrenaline, theophylline or steroids may be needed for very severe attacks.
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Complementary therapy
nutritional supplements
It is often found that deficiencies of the following nutrients are noted in people suffering from asthma. The following vitamins and minerals may help relieve your symptoms.
Vitamin A
potentially helps to strengthen mucus membranes in the lungs, needed for tissue repair and assists in fighting infection.
Caution: with liver disease, if taking anti-coagulant medication, do not take more than 2500iu a day in pregnancy.
Vitamin E
assists the general health of the lungs by guarding against visible and invisible air pollutants. Vitamin E is also a potent anti-oxidant.
Caution: with anti-coagulant medication. Sufferers from diabetes, rheumatic heart disease, overactive thyroid must not take over recommended dose.
Vitamin C
high doses have an anti-inflammatory effect and may assist in reducing bronchial restriction by strengthening the immune system.
Caution: aspirin and standard vitamin C (ascorbic acid) taken together may cause stomach irritation. Do not take high doses with anti-coagulant medication.
Vitamin B6
many asthmatics have low B6 blood levels. Supplementation may reduce the number of asthma attacks. (Note that B6 is best taken in conjunction with a multi B complex).
Caution: with Levodopa (for Parkinson's disease).
Essential Fatty Acids
found in fish or flaxseed oil, essential fatty acids are used to reduce inflammation in the body, particularly in the lungs in this case.
herbal medicine
Herbal medicine has traditionally been used for conditions of the respiratory tract. Many herbal remedies can support the body in alleviating the signs and symptoms of asthma.
These herbal extracts may form the basis of your herbal therapy:
Liquorice (Glycyrrhiza glabra)
a great herb to enhance removal of phlegm, reduce inflammation and tonify the respiratory system.
Caution: with hypertension and diuretic medication.
Grindelia (Grindelia camporum)
may help with improved breathing by reducing spasms and tension within the lungs.
Asthma plant (Euphorbia hirta)
a bronchodilator that helps to expel excess catarrh and facilitate the removal of mucus from the lungs.
Albizzia (Albizzia lebbek)
an Ayurevedic herb that reduces the allergic response in asthma.
Mullein (Verbascum thapsus)
has been used for asthma to assist with expelling excessive mucous from the lungs and trachea.
These herbs may be prescribed by a professional herbalist or naturopath.
aromatherapy
Essential oils are an effective way to reduce the effects of asthma, by supporting the body's natural defenses. Aromatherapy has been used for centuries to maintain a healthy environment for a person's respiratory system.
These essential oils may form the basis of your aromatherapy treatment.
Eucalyptus (Eucalyptus fruticetorum)
this versatile oil can be used to fight bacteria. Its many properties can help reduce the swelling of the mucous membranes, making it easier to breath.
Lavender (Lavendula angustifolia)
a calming oil used to relax the bronchioles.
Roman Chamomile (Chamaemelum nobile)
noted to assist with emotional anxiety and tension associated with asthma.
Thyme (Thymus vulgaris)
a traditional oil prescribed for respiratory conditions. It is noted to reduce spasms and decrease excess mucus in the lungs.
Caution: with high blood pressure.
traditional chinese medicine
(includes treatment by Acupressure, Acupuncture and Moxibustion, Chinese Massage and Chinese Herbal Medicine)
Acupuncture
According to the World Health Organisation (WHO) acupuncture can be used to treat asthma.
Several types of asthma are considered in Chinese medical diagnosis, each requiring a different combination of acupuncture points
Acupuncture treatment may resolve asthmatic symptoms by clearing excessive phlegm, calming inflammation in the lungs and vessels, unblocking passageways and strengthening the lung function or lung 'Qi'. Chinese herbal preparations may be given to support the ongoing benefits of the treatment.
Chinese Herbs
You may see a Traditional Chinese Medicine Practitioner for a course of herbal treatment tailored to strengthen the specific area of 'Qi' energy weakness.
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Five steps to controlling your asthma
Although there is no cure for asthma it can normally be controlled very effectively. These steps have been adapted from those issued by the Asthma Foundation.
1. Prevention is better than cure
Identify what triggers your asthma and reduce your exposures to them.
A specialised allergist will be able to help you identify your triggers. Avoiding your triggers or reducing your exposure to them can go a long way towards controlling your asthma.
2. Take your medications as directed.
It is vital that you take your medications as directed to keep your asthma under control. You must not stop taking your medications because you are not showing symptoms - this only indicates that your treatment is working.
3. Monitor your asthma
Your can monitor your asthma by using a peak flow meter (PFM) to measure how tight your airways are. This will help you see your personal best score, how well your asthma treatment is working, and how much specific triggers affect you.
Your doctor will tell you what PFM scores to expect.
Children who are less than 5 years old will probably find a peak flow meter too hard to use - an Asthma Symptoms Diary may be recommended instead.
4. Maintain an exercise routine
The health benefits of exercise are well documented - leading to improved breathing due to positive effects on the lymphatic and circulatory systems, and stimulation of the immune system so that the body is better able to cope with allergies.
Exercise, particularly swimming, is generally good for asthmatics and can help keep the airways open.
Always warm up for 15 minutes before exercising and carry your blue reliever inhaler just in case of an asthma attack.
If you suffer from exercise-induced asthma ask your doctor for advice on maintaining fitness.
5. Develop an 'Asthma Management Plan'
It is important that you and the people around you are comfortable with your asthma and can act quickly in an emergency. Teachers and carers of children with asthma should be instructed in the management of an attack and should have a copy of the child's Asthma Management Plan.
Your Asthma Management Plan should cover:
Daily management of your asthma including medications taken daily
How to recognize an asthma attack and whether it is worsening
What to do during a 'normal' attack and during an emergency.
Your doctor should help in the preparation of your Asthma Management Plan. It should be updated regularly, particularly after a severe attack.
In addition, stress can play a large role in triggering attacks or potentially making attacks more severe. Consider undertaking regular relaxation therapies such as yoga and massage to counteract everyday stresses in your life.
what is hay fever?
symptoms
diagnosis
traditional medicine
complementary medicine
* nutritional supplements
* herbal medicine
* aromatherapy
* traditional chinese medicine
managing your hay fever
* dietary recommendations
* exercise
* relaxation techniques
WHAT IS HAY FEVER?
The 1995 Australian National Health Survey showed that 14% of people in Australia suffer from hay fever. It is a distressing condition that may occur at certain times of the year or, for some unfortunate people, all year round (perennial hay fever).
For about 50% of people - hay fever occurs when an airborne allergen comes into contact with the moist membranes in the nose or sinuses. Mast cells in the mucus membranes then release mediating chemicals including histamines which cause the tissues to swell, blocking the airway, and secreting large amounts of mucus. The symptoms may last a few hours or for days.
The cause of hay fever can be difficult to identify, although some practitioners believe food sensitivities to play a significant role.
There are 3 main types of hay fever:
Seasonal hay fever normally occurs during spring or autumn indicating an allergy to pollens.
Perennial hay fever (year round) is more likely to indicate an allergy to dust mites, moulds or pets. Cockroaches may also cause symptoms all year.
Non-allergic rhinitis may be caused by irritation from fumes, smoke, pollutants, temperature changes and other environmental factors. This condition is more likely to afflict adults and causes chronic symptoms.
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SYMPTOMS
The most common symptoms of hay fever are:
Sneezing attacks, itchy nose, runny and congested nose
Red, watery eyes or allergic conjunctivitis
Itching of the soft palate (you may notice children clicking their tongue on the roof of their mouth to try to alleviate this itch).
Complications
If left untreated, hay fever can develop into sinusitis, sleep apnoea (very heavy snoring), dark circles under the eyes and glue ear. Ongoing symptoms can affect concentration and increase tiredness.
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DIAGNOSIS
Colds, viruses and temperature changes may cause symptoms similar to hay fever. To confirm a diagnosis the doctor will perform a nasal examination and look for changes in the mucus membrane. Hay fever produces a swollen, pale membrane that is normally wet with a watery secretion.
The doctor may take a nasal smear to test for the presence of white blood cells called eosinophils. An increase in numbers of eosinophils indicates an allergic reaction. Blood tests may also show an increase in eosinophils.
Food Sensitivity
Food allergies and sensitivities should be considered when treatment for airborne allergens has been unsuccessful and symptoms are relatively constant. In this situation, allergy testing and the maintenance of a Food Diary or an elimination diet may be recommended to identify any problem foods.
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TRADITIONAL MEDICINE
Seasonal hay fever
Antihistamines are extremely effective in reducing sneezing, itching and a runny nose. They are now available in a form that does not cause drowsiness. They can also be very useful when taken just prior to exposure to a known trigger, for example before mowing the lawn or going for a picnic in the country.
Pseudoephedrine tablets may help to unblock and dry the nose, well steroid nasal sprays may be used in more persistent cases. Vasoconstrictor nasal sprays should not be used for more than a few days.
Alternatively there are nasal decongestant/antihistamine combinations that are available.
Saline nasal washes will also help clear the nasal passages.
Topical cromoglycate may be used to alleviate allergic inflammation of the eyes and nasal passages.
Application of topical corticosteroids may be used to help reduce inflammation.
Immunotherapy or allergy shots can be extremely effective - statistics from the US show that immunotherapy is ultimately successful in up to 90% of patients with seasonal hay fever.
Perennial hay fever
Antihistamines are extremely effective in reducing sneezing, itching and a runny nose. They are now available in a form that does not cause drowsiness.
Pseudoephedrine tablets may help to unblock and dry the nose, well steroid nasal sprays may be used in more persistent cases. Vasoconstrictor nasal sprays should not be used for more than a few days
Immunotherapy or allergy shots can be extremely effective - statistics from the US show that immunotherapy is ultimately successful in 70-80% of people with perennial hay fever.
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COMPLEMENTARY MEDICINE
WARNING: Do not stop taking your normal medication except on the advice of your health care practitioner. Before taking any natural medicine it is strongly advised that you consult your health care practitioner.
Hay fever can be successfully managed with complementary therapies. Treatment involves:
avoiding or reducing your exposure to the offending antigen
strengthening the immune system
reducing the inflammation and allergic response.
Hay fever is most commonly caused by allergies, which can be related to food and environmental sensitivities, poor digestive function and a low immune system.
Natural management of hay fever involves treating the underlying cause, not just the symptoms.
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Ø nutritional supplements
Vitamins, minerals and nutritional support may help relieve hay fever and its symptoms, particularly when therapeutic doses are prescribed.
We recommend that these supplements form the basis of your nutritional therapy:
Vitamin A
a powerful antioxidant essentially used for the general health of the respiratory tract.
Caution: with liver disease, caution if taking anti-coagulant medication, do not take more 2500iu a day in pregnancy.
Vitamin C
a very effective vitamin that acts as an anti-histamine and relieves the inflammation associated with mucus congestion.
Caution: aspirin and standard vitamin C (ascorbic acid) taken together may cause stomach irritation. Do not take high doses with anti-coagulant medication.
Vitamin E
may assist in depressing the release of histamine, and works on strengthening the immune system.
Caution: with anti-coagulant medication. If you suffer from diabetes, rheumatic heart disease, overactive thyroid – do not take more than the recommended dose.
Zinc
a well-known nutrient used to boost the immune system.
Caution: do not take zinc and iron together.
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Ø herbal medicine
Hay fever is a condition that responds well to herbal medicines. We recommend that these herbal extracts form the basis of your herbal therapy:
Elderflower (Sambucus nigra)
this herb has an anti- catarrhal effect.
Eyebright (Euphrasia officinalis)
this herb is an excellent remedy for toning the mucus membranes of the respiratory tract.
Echinacea (Echinacea purpurea)
assists with building the immune system’s natural mechanisms to fight off allergens associated with hay fever.
Caution: with autoimmune diseases and immunosuppressant drugs. In rare cases, echinacea may cause an anaphylactic reaction.
Mullein (Verbascum thapsus)
this herb helps dispel congestion and reduce inflammation.
Horseradish (Armoracia rusticana)
reputed to facilitate drainage of the nasal mucus membranes and sinuses, reducing hay fever symptoms.
Caution: with anticoagulant medication.
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Ø aromatherapy
Traditionally essential oils have a supporting role in improving overall health and wellbeing. In addition, aromatherapy may help to alleviate specific hay fever symptoms.
We recommend that these essential oils form the basis of your aromatherapy treatment:
German Chamomile (Matricaria recutita)
this oil is noted to have anti-allergic and anti-inflammatory action. An excellent oil to relieve hay fever.
Eucalyptus (Eucalyptus fruticetorum)
a traditional remedy, aiding easier breathing through loosening congestion in the respiratory tract.
Tea Tree (Melaleuca alternifolia)
a well-known essential oil that may reduce the symptoms of hay fever by having anti-microbial, antiseptic and antibacterial properties.
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Ø traditional chinese medicine
(includes treatment by Acupressure, Acupuncture and Moxibustion, Chinese Massage and Chinese Herbal Medicine)
Acupuncture Treatment by acupuncture is known to assist in relieving the immediate symptoms of hay fever, calming the irritation, fever and pain often found in the nose, eyes and head. Acupuncture can relieve the acute symptoms of sinusitis. Acupuncture aims at regulating the condition by calming the excessive (feverish) ‘Qi’ (energy) circulating in the facial vessels and reinforcing the deficient ’Qi’ causing the lack of the immune response.
Chinese Herbs. We recommend that you see a Traditional Chinese Medicine Practitioner for a course of herbal treatment tailored to strengthen the specific area of 'Qi' energy weakness.
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MANAGING YOUR HAY FEVER
The first step in minimizing the number and severity of your reactions is to avoid or reduce exposure to your allergens. According to Dr. R McEvoy in “Allergies and Other Environmental Illnesses” the chances of an atopic child developing seasonal hay fever is increased by 20% if the child is exposed to pollens in the first few months of life.
An allergist will help you identify your triggers through (i) allergy testing, (ii) elimination diets, or (iii) through a careful study of your environment.
Ø dietary recommendations
An organic vegetarian diet is advised consisting mainly of fruits and vegetables with whole grains and brown rice.
If your trigger is dietary related, avoiding common foods that may be a problem is essential. Eating food that is immune building and nourishing for the body is also important, while a detoxification diet will take the burden off the liver and help fight the allergens.
Foods to increase
Fruits and vegetables
Plant based protein such as tofu, beans, nuts and seeds.
Foods that are high in nutrients that have an anti-histamine effect such as apples, grapefruit, grapes, broccoli, onions, squash and fennel.
Herbs such as horseradish, garlic, onions and ginger.
Pineapple, which is high in bromelain – that helps reduce histamine levels.
Red chilli, capsicum, bee pollen, kiwi fruit, and guava, which are high in vitamin C. Note that bee pollen should be avoided if you have any history of anaphylaxis (severe allergic reactions).
Foods to reduce or avoid
Dairy has long been believed to encourage the formation of mucus, although there is some controversy over the truth of this now
Bananas (again, as they are believed to encourage mucus-formation)
Wheat
Immune-depleting foods such as: refined sugars, saturated fats (red meat), coffee, chocolate, refined foods (junk foods)
Canned, packaged and processed foods as they usually contain sugar and salt.
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Ø exercise
Exercise can be valuable in your fight against hay fever. The positive effects of exercise on the lymphatic and circulatory systems can help clear breathing conditions. Regular exercise stimulates the immune system, enabling the body to cope better with allergies.
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Ø relaxation techniques - massage
The therapeutic benefit of lymphatic massage, particularly when combined with aromatherapy, stimulates the immune and lymphatic systems in the body. Improved lymphatic drainage in the head helps remove congestion and mucus build-up.
Introduction to seafood allergies
Symptoms
Common triggers
Different terms for seafood
Foods containing seafood
Managing your seafood allergy
Support
INTRODUCTION TO SEAFOOD ALLERGIES
Seafood is the third leading cause of food allergy (after eggs and milk). This includes both fish and shellfish.
Fish allergies are more common in children, whereas shellfish allergies seem be more prevalent in adults. These allergies do not usually go away or diminish with age - they usually last a lifetime with the reactions becoming more severe with each subsequent exposure.
Severe asthmatic attacks can be triggered by the smell of fish in a sensitive person and seafood allergies can lead to anaphylactic shock which causes a potentially fatal closing of the airways and fall in blood pressure. All seafood allergies should therefore be treated seriously and should be diagnosed by a specialised allergist or immunologist.
Keep in mind, however, that fish and shell fish spoil easily. James T. Li, M.D., a specialist in allergies, asthma and immunology at Mayo Clinic, Rochester, MN says "In some cases, spoiled fish can contain histamine, a substance that causes hives and flushing. If someone eats the spoiled fish, they can have symptoms similar to an allergic reaction. But this is actually a type of food poisoning."
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SYMPTOMS
The manifestations of fish and shellfish allergies can include those of a classic food allergy. This includes nasal congestion, hives, itching, swelling, wheezing or shortness of breath, nausea, upset stomach, cramps, heartburn, gas, diarrhea, lightheadedness, or fainting.
Severe allergies may lead to respiratory problems or anaphylactic shock.
Reactions usually appear within 2 hours after ingestion, inhaling cooking vapours, or handling of seafood. However, it has been reported the reactions can be delayed as long as 24 hours.
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COMMON TRIGGERS
Fish most commonly known to cause allergic reactions include cod, salmon, trout, herring, sardines, bass, orange roughy, swordfish, halibut, and tuna.
The shellfish most commonly associated with allergic reactions include prawns, crab, crayfish, lobster, oysters, clams, scallops, mussels, squid, and snails.
Prawns is usually associated with seafood allergies. People who are allergic to prawns often suffer from respiratory symptoms and even anaphylaxis. Crab is also a potent allergen. Prawn, lobster, and craw fish contain common major allergens, making cross reactivity between prawn and crab, and lobster and craw fish possible.
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DIFFERENT TERMS FOR SEAFOODS
Food labels need to be read carefully because highly processed foods may contain hidden fish or shellfish. For example, the basis for imitation crab, lobster, and prawn is pollock. Other terms to be aware of include:
Anchovies
Clams (cherrystone, littleneck, pismo quahog)
Cockles (periwinkle, sea urchin)
Lobster (langouste, langousine, scampo, coral, tomalley)
Pollock
Shrimp (crevette)
Snails (escargot)
Squid (calamari)
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FOODS CONTAINING SEAFOOD
Seafood can also be used in beef and pork substitutes as part of hot dogs, ham, and pizza toppings. Also, fish skin is used to clarify some coffees and wines.
The following foods commonly contain fish or shellfish:
Caesar salad
Worcestershire sauce
Bouillabaisse
Fish stock
Seafood flavouring
Surimi
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MANAGING YOUR SEAFOOD ALLERGY
If you suffer from seafood allergies, educate and inform others about your allergy
Avoid eating in seafood restaurants
Be careful of cooking foods on a grill or barbecue that may have been used to cook shellfish before – wrap your food in Aluminium foil before cooking
Some restaurants use the same oil to fry fish and then other foods such as chips- check if this is the case before eating any deep-fried food
Asian restaurants are high risk for people with a shellfish allergy
Fish food may contain shrimp meal and other seafood
Avoid open air fish markets, particularly if you have a severe allergy
Anaphylactic shock has been reported after eating foods cooked in reused cooking oil, or when utensils and containers have been used earlier for cooking fish.
If you have been diagnosed as being at high risk from anaphylactic shock, be sure to wear a medic alert tag and carry an adrenaline kit at all times.
Always carry your EpiPen with you!