[net.med] nasal allergy

reg (01/26/83)

  I am seeking info/experiences/advice re nasal allergies, chronic stuffy
nose, and recurring nasal polyps. For medical reasons, I cannot receive
desensitizing shots. Neither nose specialists nor allergists have been able
to isolate the specific cause(s) of my condition, nor have they been able to
provide more than temporary relief. Is it possible that someone has
been cured or received some degree of relief from such a problem? Hands-on
faith-healers may also apply.
                         Dick Gunderman
                         BTL WH

keaton (01/28/83)

     I have suffered a lot from severe allergies, lately compounded by
asthma.  I have been taking desensitization shots for about seven years
but they don't seem to do me much good (possibly a little bit, but it's
hard to quantify misery).  The allergy specialist I go to says that about
75% of people who take desensitization shots can be cured by them and that
I am probably in the other 25%.  Also, there are apparently a lot of
"allergy clinics" that are just frauds.  That puts me in about the same
position as Dick Gunderman, with nowhere to turn for permanent relief.

     My solution for now (and my recommendation to others with the same
problem):  Seek as much temporary relief as possible until research catches
up with our problem.  It took me quite a long time to admit to myself that
there was the possibility that I would be stuck with this problem for life,
but after seeing several doctors, this became evident.  I don't think anyone
can understand how bad this is unless they have the same problem.

     Here is a list of my weopons against severe allergies.  I am going to
go into a lot of detail here in hopes that it will help someone:
     1)    Find a good allergy specialist you can trust and stick with him
         long enough for him to learn your problem well.  Make it clear
         that if you can't be cured, then you at least want relief of the
         symptoms.  This is the most important.
     2)  Cortisone -- very effective and potentially dangerous
           It has the property that if your problem is totally allergy
         related, cortisone will completely wipe out all your symptoms
         within a week at the very most.  It also has the property that
         if it is taken constantly for many weeks it begins to cause
         neat problems like schizophrenia.  Those problems completely
         disappear once the dosages are stopped, but then the allergy
         symptoms come back.
           Therefore, cortisone is normally used just for diagnosis
         (i.e. if you take it and your problems disappear, then it was
         allergies) and to recover from an extremely severe onslaught
         when everything else fails (like when the pollen count skyrockets
         if you are allergic to pollens like I am).  Sometimes, if
         absolutely nothing else works, cortisone is given every other
         day to both avoid the side-effects and to give relief half of
         the time.  Even then, something else has to be done on the days
         in between.  I have really severe allergy problems but still have NOT
         had to be put on the every-other-day program.
     3)  Beclomethasone Dipropionate (or Beconase or Nasalide):
           This drug is new (just a few months old) to the nasal allergy
         area.  It was adopted because it worked so well for asthma patients
         and somebody decided to make it into a nasal spray and try it out
         on allergies.  It is a corticosteroid which is not as effective
         against allergies as cortisone is, but doesn't have the side-effects.
         I use it now and it helps a lot, but when things get really bad
         and my nose gets really irritated and starts to bleed a lot, this
         drug inhibits healing of that local area and I have to lay off
         for a while (that's usually when I resort to cortisone for a few
         days).
     4)  Massive doses of antihistamines
           This requires some "shopping" around.  Sometimes it's hard to
         find one that won't make you sleepy in the dose required to get
         relief.  I currently take about three Dimetapp (12mg) doses a day.
         That's enough to make many people sleepy 24 hours a day, but I just
         happened to find that this particular antihistamine provides relief
         without making me sleepy.  The different antihistamines behave
         differently in different people.
       Note: All of the above require prescriptions.
     5)  Electronic air cleaners
           Since house dust is another thing I'm allergic to, an air cleaner
         (not an ion generator but an electrostatic air cleaner -- ask your
         doctor) provides some relief for me.  They can cost a lot (hundreds
         of dollars) but if your doctor feels it would benefit you he can
         prescribe it for you and it becomes a tax write-off.

     I still haven't found complete relief, but most of the time I can
get by when I use some combination of the "weopons".  I hope my list gives
others with the same problem (Dick Gunderman, perhaps?) a new idea on how to
get relief.  I wouldn't wish this misery on anyone.

     As for faith healers, I don't know but it couldn't hurt to try.  When
your this bad off, you'll try anything if it might have a chance of helping.

                                        David Keaton
                                        nmtvax!keaton

jwb (01/31/83)

The comments by David Keaton on his relief for allergies are probably
useful and reasonable.  However-BE Careful with steroids.  The non absorbed
ones are probably best but the systemic ones (cortosone, etc) can cause
a lot of problems.  Also be careful with large doses of antihistamines as
there is a well documented rebound effect such that increasing doses are
required and the patient winds up with runny nose, etc DUE to the anti-
histamines.  This condition is hard to tell from the allergies themselves.
This is not intended as criticism but just as further caution.
Jack Buchanan (MD)
U of North Carolina-Chapel Hill
duke!mcnc!jwb  or tucc!jwb