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Medical Forum / Diseases and Disorders / Sinusitis / February 2005allgeries / asthma
can nasal allgeries cause asthma? Jamie >can nasal allgeries cause asthma? The same underlying factors can cause both. What would the underlying factors be? jamie >What would the underlying factors be? Any combination of: - exposure to allergens or irritants and allergic reaction - individual susceptibility - history of infections or allegies or asthma - level of overall inflammation in body and inflammatory response - immune status generally (white blood cell morphology etc) There is usually more than one causes in an indivudual. Once you have asthma, it isn't really possible or necessary to trace its cause exactly. The causal chain is not completely understood. Something like 80% of people with asthma have allergies, I am one of the not so lucky 20%. I got asthma about 18 months ago from a sinus problem called eosinophilic non-allergic rhinitis. I starting having coughing fits that would last 1 to 2 1/2 hours without stopping. These would happen 1 1/2 days to 2 1/2 days apart. I would be wasted after it was over. Then I would gradually feel better until the next one. I kept seeing my regular doctor and finally told them I needed to see a specialist, I was beginning to think I was going to die from what ever was causing this. They referred me to an allergist and the next day I saw him and was diagnosed in about 2 1/2 hours. It has been a struggle with no two days quite the same. I find the weather has a big influence on how I feel. The good side is now I can function and don't feel too bad most of the time. In December I had sinus surgery and this has helped some but I feel like I am sliding backwards now. The current view is that the sinus cavity and the lungs are all one air system and each side effects the health of the other. Two years ago I was healthy, unless there is a cure, I won't see that again. My best advice, find a good allergist. Good Luck Bob >>What would the underlying factors be? > [quoted text clipped - 13 lines] > > The causal chain is not completely understood. >Something like 80% of people with asthma have allergies, I am one of the not >so lucky 20%. [quoted text clipped - 14 lines] >am sliding backwards now. The current view is that the sinus cavity and the >lungs are all one air system and each side effects the health of the other. Yes and that's not a new view either. I heard it from an allergist 25 years ago when I first had coughing problems. >Two years ago I was healthy, unless there is a cure, I won't see that again. You may still find more relief through one means or another. >My best advice, find a good allergist. I never got any help from allergists but I know some do. But I myself have not had asthma, although I do have coughing. I developed sinusitis about 10 years ago when I was 25 after moving from Seattle to Boise. About 6 months later I developed asthma (with coughing fits similar to what Bob described). Before moving I was in perfect health. I was sure I was allergic to something and was tested on several occasions (both skin and RAST). The tests revealed high IgE (antibody associated with allergy) and eosinophil count (at times as high as 50% of all circulating white blood cells). However, the tests never revealed any significant sensitivity. (At the time I had three cats and was surprised that I wasn't allergic to cats. Later I developed an allergy to cats and the cats found healthier people to live with.) As I've been retested over the years, the things that I'm sensitive to (none significant) have changed. (For example, according to allergy testing I'm no longer allergic to cats.) After finding new homes for the cats, I moved to a new house (that was newly constructed) in Boise. This resulted in a two year break from asthma and sinusitis. While reducing medications, my eosinophil count and IgE levels dropped to normal over about six month period. (In fact, things were going so well I thought I was "cured" and stopped monitoring IgE and eosinophils.) It was amazing to feel "normal" again. Gradually, sinusitus problems returned followed by worsening asthma. Before moving I was taking prednisone every other day to control the asthma. This helped but taking Lamisil (for toenail fungus) during this period seemed to help even more. My ENT says that every ENT practice has one or two patients with sinusitis accompanied with asthma and eosinophilia. He says that surgery for these patients is a temporary fix. The nasal polyps that cause the sinusitus return repeatedly. He's indicated that the only non-surgical way of controlling the polyps is corticosteroids (ideally topic and minimally absorbed), but that only slows them down. I'm very interested in the work that Mayo is doing related to Eosinophilic Fungal Rhinosinusitis (EFRS). They are investigating the hypothesis that sinusitis is caused by eosinophils "attacking" fungi. --S > Something like 80% of people with asthma have allergies, I am one of the not > so lucky 20%. [quoted text clipped - 19 lines] > Good Luck > Bob >I developed sinusitis about 10 years ago when I was 25 after moving > from Seattle to Boise. About 6 months later I developed asthma (with [quoted text clipped - 31 lines] > non-surgical way of controlling the polyps is corticosteroids (ideally > topic and minimally absorbed), but that only slows them down. I did not know this. Unfortunately that is my diagnosis and my experience even with only having this about 18 months. As I said, I had surgery in December and felt much better, briefly. Now I feel like I am slipping back. My day to day health seems to be closely associated with the weather. I don't know if this is typical. I hope that when the hot weather comes this summer I will feel better. > I'm very interested in the work that Mayo is doing related to > Eosinophilic Fungal Rhinosinusitis (EFRS). They are investigating the > hypothesis that sinusitis is caused by eosinophils "attacking" fungi. > > --S I am currently on the Mayo sinus rinse and cannot say I see much difference yet. My reference to seeing a good allergist may be jaded. Mine is particularly on top of this problem, he has the same diagnosis as well. I know that he has been to Mayo for some of there latest information on this condition. Because of current research, he believes that the treatment of this will dramatically change over the next five years. Bob >> Two years ago I was healthy, unless there is a cure, I won't see that > again. >> My best advice, find a good allergist. >> >> Good Luck >> Bob Bob: I have low IgE and low eosinophils. Also test neg to all allgegins but mold and dust. My mold reaction is delayed (i.e. they prick me and nothing happens till 24 to 48 hours later). But I've lots of problems with my nose and sinuses. I'm interested if what they are learning at the Mayo might still apply? I live in San Francisco -- Any idea of a good allergest who works near here? Thanks! >Bob: > [quoted text clipped - 6 lines] >live in San Francisco -- Any idea of a good allergest who works near >here? In my opinion the Mayo research hypthesis is just one theory. It is not a dominant one. It is not worth focusing on to the exclusion of others. It does not really lead anywhere anyway. On 2/13/05 3:58 PM, in article v9qv01pq2605ht98rpksb4u0pc94cs4fnc@4ax.com, >> Bob: >> [quoted text clipped - 11 lines] > > It does not really lead anywhere anyway. What did your doctor say about administering Gamma Globulin? Never mentioned that. What would Gamma Globulin do? I have low immunity, my white blood count is lower then most people. A lot of allergies when young, but now I have a lot of problems with my sinus plus the allergies to mold and dust, foods and Meds with penicillin. That means no beer or wine, iodine and sulphur. Onions are a source of sulphur. shirley > What would the underlying factors be? Antibiotic Use. Woody woody: no longer term antibotic use or anything like that... > woody: > > no longer term antibotic use or anything like that... All it takes is ONE single course in babies under 6 months to increase the risk of developing asthma 8.9-fold. |
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