Allergic Diseases in Adolescence
व्यधिक्ष्मत्वं नाम व्याधिबलविरोधित्वं व्यध्युत्पदादक प्रतिबन्दकत्व II
Allergic Diseases in Adolescence
In Adolescence, an allergic reaction occurs when the immune system overreacts to a harmless substance known as an allergen. The immune system protects the body from infections, viruses and diseases. In some people, substances such as pollen, certain foods, latex, mould, pet dander, dust mites are allergens that trigger the production of antibodies called Immunoglobulin E (IgE). The common allergies occurring in adolescence include, Allergic rhinitis, Food allergy, Skin allergies etc. These antibodies travel to cells that release chemicals, causing symptoms most often in the nose, lungs, throat, sinuses, ears, lining of the stomach or on the skin. The first time a person with an allergy is exposed to the allergen, it may not cause a reaction. However, the person is then sensitized to the allergen can and even minor future exposures to this allergen produce an allergic reaction.
Causes ofAllergic Disease in Adolescence
Allergic diseases are mostly caused by inhalant allergens, in particular mold and pollens, climate changes, food allergies, asthma etc.
Clinical features of Allergic diseases in Adolescence
Most common allergies dealt with theAdolescence include,
Adolescent and adult patients, however, mainly acquire food allergy via primary sensitization to inhalant allergens on the basis of cross-reactivity between proteins in inhalant sources and in food. Food allergic reactions in adult patients – similar to those in children – range in severity from very mild and local symptoms, as in contact urticaria of the oral mucosa, to systemic symptoms involving distal organs, to a fatal outcome. Plant foods, such as fruits, nuts, and vegetables, are the most prevalent allergenic foods in this age group.
It has been suggested that the improvement in asthma during adolescence may result from diminished clinical and immunological responsiveness directly related to hormonal changes and that the effect of age on the prevalence of asthma in each sex may relate to differences in hormonal status, potentially influencing airway size, inflammation, and smooth muscle and vascular functions. However, few comprehensive studies are available. All wheezing is not asthma. Non-asthmatic wheezing illnesses may in part be attributable to anatomical abnormalities of the lung.
Allergic rhinitis is a common problem in childhood and adolescence. This is partly the reason why it is often under perceived by patients and families, under diagnosed and its impact underestimated. Allergic rhinitis causes chronic disturbing symptoms which have a negative effect on physical, social and psychological well-being, as well as on school performance of children and teenagers
- Patients typically present with sneezing, pruritus and nasal congestion
- Reduction of blood flow to the nose can lead to progressive nasal atrophy and clinical manifestations of atrophic rhinitis, and thinning and dryness of the mucosa make the elderly especially prone to rhinitis
AD persists from childhood through adolescence in around 40% of cases and some risk factors have been identified: female sex, sensitization to inhalant and food allergens, allergic asthma and/or rhino conjunctivitis, the practice of certain jobs. During adolescence, AD mainly appears on the face and neck, often associated with over infection by Malassezia, and on the palms and soles. AD persistence during adolescence is correlated with psychological diseases such as anxiety; moreover, adolescents affected by AD might have problems in the relationship with their peers. Stress and the psychological problems represent a serious burden for adolescents with AD and cause a significant worsening of the patients’ quality of life
Ayurvedic View on Allergic disease in Adolescence
According to Ayurveda the lifespan of an individual is divided into three parts known as Vaya. These are,
- Madhyavastha (young and middle age), which lasts from the age of 16 years to 60–70 years and this can be considered as adolescent age.
The concept of immunity in Ayurveda is explained through many factors like the vital strength Bala and the vital energy of life Ojas that are responsible for the normal functioning of body and mind. Bala or the vital strength is that which can be called as the outcome of the equilibrium of tridoshas and this is achieved through the Ojas the vital essence of all the tissues. To make it simpler the Bala depends on the Ojas for its maintenance. Or the function of Ojas is to generate Bala. From the treatment point of view both Bala and Ojas are the same. In short the immunity is the external manifestation of the Bala and this bala is responsible for the healthy functioning of mind and body of the individual. If the body is having a depleted amount of Ojas and sareera bala, it is not capable of withstanding the strength of disease. Thus immunity reduces and patient will be prone to allergic diseases.
The Vyadhikkshamatva, Bala and Ojas are not entirely different from each other. All of these directly or indirectly indicate towards body resistance. In view of prevention and recovery from disease, body resistance plays a significant role.
Ayurvedic referernce of Allergic disease in Adolescence
In adolescence, those who are not having good bala, good defense mechanism, when the tissues are not properly nourished, and people having weak satwabala (because mind and body are interdependent), the person is prone to fall sick.
Persons obese, emaciated, weak, whose muscles and blood are diminished, debilitated, overconsumption of food and under consumption of food with weak mental faculty are also prone to fall sick.
Food and activities have to followed accordingly to prevent disease and maintain good physical and mental health. These activities describe how to lead your life from to death for in healthy and peaceful way. Some of them are:
- For the welfare of pregnant women and desired offspring – follow garbhini masanumasika paricharya and pumsavana karma
- To promote health of infant- Lehana Karma, various medhya rasayana (memory enhancing drugs)
- To perform the daily activities in a healthy way -Dinacharya
- Taking care of health in different seasons-Rtucharya
- Understanding the three important aspects of our life- The three pillar of our life-Trayaupastambhas- Food, Sleep and Healthy sex life
- Adopting Sodhana (Panchakarma) according to ritu in healthy person
- Meditation for spiritual growth
- Exercises- Daily exercise of up to 50% of one’s exertion capacity enhances digestion, strengthens tissue metabolism and promotes immunity
- Wholesome Diet-Regular meals with all the six tastes help to prepare the body for a time of nourishment by increasing appetite and enhancing digestion
- The sixteen samsara’s esp. the jatakarma, karnavedana, annaprashana induce immunity
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Ayurvedic Allergy Specialist
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Pathya in Allergic Diseases in Adolescence
- Consume lukewarm water and food,
- Less spicy light food,
- Heavy Meals,
- Fermented Food,
- Cold Food,
- Cold Beverages,
- Virudha Aahar (wrong food combinations),
- White Flour (Maida),
- Daily head shower,
- Cereals – Shalishashtika (Old Rice) / Laja/ Godhuma (Wheat) / Yava (Barley)
- Fruits – Draksha (Vitis vinifera L.), Kapittha (Feronia limonia (Linn.)), Dadima (Punica granatum Linn) can be taken
- Herbal tea prepared from ½ inch ginger + 2 Black pepper + ¼ cinnamon or lemon grass, tulsi leaves in 2 cups boiled water reduce it to 1 Cup & add honey 1 teaspoon
- Condiments and spices: Cardamom/dry ginger/ black pepper/ long pepper/garlic
Yoga in Allergic Diseases in Adolescence
Yogasanas will improve breathing, fixes intestinal functioning, improves mental state, keeps fit and energetic and decrease intensity of Allergic symptoms.
Internal Medicines used in Ayurveda for enhancing Immunity and used in Allergic diseases in Adolescence
- Indukantham Kashaya
- Guluchyadi Kashaya
- Drakshadi Kashaya
- Mahasudarshan ghan vati
- Indukantam ghritam
- Dadimadi ghritham
- Guduchi satva
- Hingvadi vati
- Haridra khanda
- Taleesadi churna
- Dashamoolakatutrayadi Kashaya
- Chyavanprash Rasayana
- Chitraka Haritaki Rasayana
- Agastya Haritaki Rasayana
- Vyaghri Haritaki Rasayana
Single herbs used in Allergic Diseases in Adolescence
- Pippali (Piper longum)
- Pippalimoola (Piper longum)
- Chavya (Piper chaba)
- Chitraka (Plumbago zeylanica)
- Sunthi (Zingiber officinale)
- Amlavetasa (Garcinia pedunculata)
- Maricha (Piper nigrum)
- Haridra (Curcuma longa)
- Kutaja (Holarrhena Antidysenterica)
- Bilwa (Aegle marmelos)
- Musta (Cyperus rotundus)
- Gupta A, Upadhyaya Y. Ashtanga Hrudaya of Vagbhata. Varanasi: Chaukhambha Prakashan; 2012. pp. 765.
- Sharma H, Bhishgacharya S. Kashyap Samhita of Vruddhajivaka. Varanasi: Chaukhambha Sanskrit Sansthan; 2012. pp. 79.
- Shastri B. Yogratnakara of Lakshmipati Shastri. Uttarardha. Varanasi: Chaukhambha Prakashan; 2012. pp. 272-273.
Article Written By: Dr. Sahil Gupta (B.A.M.S., M.H.A.)