Pinpointing Your Allergic Triggers: Allergies


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Pinpointing your allergic triggers


The first step in allergy control is pinpointing the substances that trigger your allergic response. Sometimes it’s obvious: You pet a cat, rub your eyes, and bingo — your eyes are itchy and watery. Or, you eat lobster tails at a buffet and soon your throat is itching and swollen. Often it’s much more frustrating. Some people never know for sure what is triggering their symptoms, perhaps because several different substances are at work at different times of the year. People are generally allergic to only a small handful of substances. Still, despite your deductive powers, the causes of many allergies can remain elusive, and your doctor may recommend that you see an allergist.

What are your allergy symptoms?

The same allergen can trigger different reactions in different individuals. This chart summarizes some of the common triggers and symptoms of allergies.

Type of reaction

Allergen

Type of reaction

Allergen

Allergic rhinitis — seasonal (hay fever) or year-round Symptoms: sneezing, runny nose, itchy nose, stuffy blocked nose

  • Pollens (ragweed, grasses, trees, mold spores)

  • Dust mites, animal dander

Food allergies Symptoms: hives (itchy lumps in the skin, often with a pale center surrounded with red, ranging in size from millimeters to several centimeters), angioedema (swelling of the face, lips, and tongue leading to closing of the throat), abdominal pain and vomiting, rhinitis, asthma, worsening of eczema

  • Peanuts

  • Tree nuts (e.g., walnuts, Brazil nuts)

  • Wheat

  • Shellfish

  • Soy

  • Cow’s milk

  • Eggs

  • others

Allergic conjunctivitis Symptoms: itchy, red, watery eyes

  • Same as above

Allergic asthma Symptoms: cough, wheezing, tight chest, difficulty breathing

  • Same as above

  • Cockroach feces

Medication allergies Symptoms: hives, angioedema, anaphylaxis, asthma, serum sickness

  • Penicillin

  • Sulfa drugs

  • Aspirin

(Any medication has the potential to cause an allergic reaction.)

Contact dermatitis Symptoms: similar to atopic dermatitis, but at the site of contact with the offending substance

Allergic:

  • Nickel

  • Poison ivy, oak, sumac

  • Rubber products

  • Cosmetic ingredients

Irritants:

  • Soap

  • Cleansers

  • Acids and alkalis

Systemic anaphylaxis Symptoms: due to drop in blood pressure: faintness, tunnel vision, loss of consciousness; may be accompanied by severe asthma and/or swelling of the throat; may be preceded by milder allergy symptoms such as rhinitis, mild asthma, or hives

  • Insect venom (stinging insects such as bees and wasps)

  • Food (e.g., peanuts)

  • Drugs (e.g., penicillin)

  • Latex

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Last updated: August 21, 2006
Reviewed By: Faculty of Harvard Medical School

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