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*Fend off fatigue, headaches, and possibly depression.*
People with allergies know that their sniffling and sneezing is
allergen-induced, but allergies don't always present themselves with
such typical symptoms. Sometimes allergic reactions can cause fatigue,
headaches--or even depression. While not everyone agrees there is an
allergy link to these conditions, there is evidence that strongly
suggests it. Here's what's been found, and how to control your allergies
to alleviate each problem.
*Chronic Fatigue Syndrome*
If you've been experiencing extreme exhaustion for 6 months or more and
your doctor hasn't been able to identify the cause, you might have
chronic fatigue syndrome (CFS). And if you do have CFS, allergies could
be playing an important role, says Leo Galland, MD, director of the
Foundation for Integrated Medicine in New York City and author of Power
Healing.
Though no one knows exactly what causes CFS, researchers have found that
more than half of the people with CFS they've studied also have
allergies. "I believe that being an allergic individual predisposes you
to chronic fatigue syndrome," says Galland. "Chronic fatigue syndrome
seems to be associated with an over-reactivity of certain parts of the
immune system, which is similar to what we see in people with allergies."
And when allergies are part of the cause, treating the allergies can be
a part of the cure. "I've found that close to three-fourths of my
patients will find their fatigue improves when their allergies improve,"
Galland notes. This improvement varies widely, but sometimes it can be
dramatic. "There have been some patients in whom disabling chronic
fatigue totally goes away when their food allergies were treated," he
reports Environmental allergens and irritants can also compound your
fatigue. "Mold allergy is an important cause of fatigue and muscle
aches. A significant proportion of people with chronic fatigue syndrome
and fibromyalgia have mold sensitivity," says Galland. If you have been
diagnosed with CFS, you should see an allergist to get a thorough
evaluation for allergies, he advises.
*Depression*
Scientists acknowledge that allergens can contribute to mood
alterations. In a 3-year study of 36 people with allergies, Paul S.
Marshall, PhD, a psychologist at Hennepin County Medical Center in
Minneapolis, found that 69 percent reported feeling more irritable when
their allergies flared up; 63 percent reported more fatigue; 41 percent
said that they had difficulty staying awake; and 31 percent reported
feeling "sad." So the idea that allergies might exacerbate mild
depression in a few people who have other allergic symptoms isn't that
far-fetched to some researchers.
"My guess is if there is a connection, it is not true for all people
with allergies or all people with depression," says Marianne Wamboldt,
MD, associate professor of pediatrics at the National Jewish Medical and
Research Center and associate professor of psychiatry at the University
of Colorado Health Sciences Center, both in Denver. "But for a small
subset of individuals, it does appear that these conditions do seem to
exacerbate each other."
In her analysis of the incidence of allergies and depression among more
than 7,000 Finnish twins, Wamboldt found that genetics may explain 10
percent of the connection between allergic disorders and depression.
Other studies have suggested that people who have undergone allergy
testing or received allergy shots are two to three times more likely to
be diagnosed with major depression at some point in their lives,
Marshall reports.
"Traditionally, allergists have said that depression is the result of
the allergic symptoms--you're not sleeping well or not breathing well
because your nose is stuffed up. Now we have a good deal of evidence
that suggests there is a direct biochemical process going on in at least
a few people," Marshall says."Some researchers are beginning to suspect
that some types of depression may be triggered by inflammatory reactions
in the body," Wamboldt says. But this theory is far from proven, and for
now, there is no single treatment that will relieve both allergies and
depression, Marshall notes.
"All we can really do is treat the depression with therapy and/or
antidepressant medications and treat the allergies with shots,
antihistamines, and avoidance of the allergens," Marshall says.
*Sinus and Migraine Headaches*
Some doctors believe that headaches are a common symptom of allergies.
In fact, up to 15 percent of Americans who have allergies may endure
headaches triggered by pollen, food, and other allergens, according to
Dennis Gersten, MD, who practices psychiatry and nutritional medicine in
Solana Beach, CA, and is the author of Are You Getting Enlightened or
Losing Your Mind?
"Most headaches are related to tension, hormonal fluctuations, skipped
meals, drops in blood sugar, vision difficulties, and nutritional
deficiencies. But if all of those things have been ruled out, then I
think allergies are a definite possibility," Gersten says.
Not all doctors agree about the connection between headaches--especially
migraines--and allergies. Russell Roby, MD, director of the Texan
Allergy Center in Austin and founder of the Online Allergy Center,
acknowledges allergies are rarely suspects in tension headaches. These
are almost invariably caused by stress or fatigue and often feel as if a
tight band is wrapped around your head. But sinus and migraine headaches
are a different story.
When you breathe in an allergen, such as ragweed, it can trigger
swelling and obstruction of the nasal passages. As a result of this
reaction, the sinuses are unable to drain, and this increases pressure
throughout the skull, which triggers a headache, says Harold Nelson, MD,
senior staff physician at the National Jewish Medical and Research
Center in Denver. In fact, this condition, known as sinusitis, may be
one of the most frequent causes of headaches in people with allergies.
Symptoms include pressure in the forehead, cheeks, and behind the eyes,
along with tooth pain and yellow or green nasal discharge.
The relationship between allergies and migraine is a bit more complex,
notes Nelson. But basically, researchers suspect that cells in the
immune system, which are sensitive to particular allergens, release
chemicals that encourage blood vessels in the head to swell, inciting a
migraine. Certain foods, such as chocolate and red wine, are notorious
for triggering migraines in some people.To muffle allergy-related
headaches, you'll need to outwit your immune system's natural defenses.
"I find that anytime my patients are having allergy problems, food is
often part of the problem. It is unusual for food to be the only cause
of a problem like headaches, but it does happen," Roby says. He
recommends a 5-day food elimination diet to find the culprits. "This
5-day plan does not require medical supervision in a healthy adult. If
one has health problems, advice and consent from your physician are
advised before trying these suggestions."
*For at least 5 days, eliminate the following common headache triggers.*
* Chocolate
* Citrus fruits and juices
* Dark-colored soft drinks, such as cola
* Eggs
* Grains (all except brown rice)
* Milk and milk products
* Sugar
* Tomatoes and tomato products
After 5 days, resume eating these foods one at a time and note your
body's reaction to them. In particular, keep track of your weight. "When
patients eat something they are allergic to, they swell. This swelling
is entirely due to water retention," Roby explains.
Paradoxically, the foods we are most emotionally attached to often are
the ones causing the allergy. After a round on the elimination diet,
Roby advises his patients to reintroduce whatever they miss the most. "I
do this so that the patient gets a clear signal that the headaches are
indeed related to foods."
*Yeast Infections*
"Just like people have hay fever [allergic rhinitis], you can become
allergic to particular molds and yeasts," says Elson Haas, MD, medical
director and founder of the Preventive Medical Center of Marin in San
Rafael, CA.
Believers in the candida-allergy connection theorize that once Candida
albicansstarts multiplying, the yeast changes shape into its mycelial
fungal form. In this form, candida grows long, rootlike structures that
dig into the intestinal walls and act as pipelines for candida, pumping
toxins and allergens generated by the fungus into the bloodstream.
Probably the most common form of candidiasis--and the one that all
doctors agree is legitimate--is vaginitis, more commonly known as a
yeast infection. Seventy-five percent of women will experience at least
one during their lifetime.
Candidiasis hypersensitivity usually can be treated without antibiotics.
In fact, the first thing that Richard Layton, MD, a physician in
specialized pediatrics and allergy and integrated medicine in Towson,
MD, does when he sees a potential case of candidiasis isn't fill out
prescriptions; instead, he gets that person back on a healthy diet. Here
are the three main steps to take.
Stop eating sweetsThe candida yeast thrives on sugar, so the best way to
kill it off is to avoid sweets.
Avoid yeasty foods (bread, cheese, and mushrooms) If you're sensitive to
the candida yeast, it's likely that you will be sensitive to other molds
as well. Eat more yogurt Live-culture yogurt contains Lactobacillus
acidophilus, a type of "good" bacteria in the body. Since an adequate
amount of this bacteria maintains yeast at a normal level, adding a
little more plain, unsweetened yogurt to your diet certainly will not hurt.