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Topic of the Month - May - On the road with allergies and asthma

This Topic of the Month article should answer questions about:

  • How to minimize allergies during summer vacations
  • Precautions to take when hitting the road
  • Precautions to take when taking to the air
  • When to see an allergist/immunologist

For millions of Americans with allergies and asthma, summer travel concerns extend far beyond rising gas prices and airline security waits. The American Academy of Allergy, Asthma & Immunology (AAAAI) estimates that more than 20 million Americans have asthma and 50 million have allergies. Those traveling this summer will face unique challenges.

Vacations are a great opportunity to spend time outdoors - whether you're exploring a new city or relaxing on a beach. But more time outdoors equals increased exposure to common summer irritants, which can bring on allergy and asthma symptoms. The reactions - which can be bothersome or, at worst, life-threatening - can quickly sap the enjoyment from summer travel experiences.

If you suffer from seasonal allergies (hay fever), remember that your destination climate will affect which pollens and molds are in the air. During their vacations, allergy and asthma patients alike should take note of daily pollen and ozone levels. To avoid excess symptoms, limit time outdoors on days when the air quality is poor.

Take measures to avoid insect stings if you are allergic (and even if you aren't). Steer clear of wasp nests and other insect homes. Flying insects are attracted to the smells of outdoor cookouts and picnics, so check your food and drink frequently for unwelcomed guests.

Indoor dining experiences can pose challenges, as well. Navigating restaurant menus in search of allergy-free foods can be difficult and confusing. When possible, call restaurants in advance to inform them of allergies. Given time to prepare, many chefs are happy to accommodate special diet needs.

The AAAAI recommends allergy and asthma sufferers prepare for vacations by visiting an allergist/immunologist one month before the vacation to discuss any health concerns or treatment questions.

With the relaxed atmosphere of vacations, it's easy to lose track of time. But it is important to maintain your normal medication schedule, unless otherwise directed by your doctor. Set an alarm on your watch or cell phone to remind you it's time for the next dose.

Follow these other tips for a safe and fun summer vacation:

On the Road
Ventilate your vehicle before a lengthy trip. Roll down windows and run the air conditioner to help remove dust and other allergens from the vehicle. Avoid driving with the windows down if you or someone else in the vehicle suffers from pollen or mold allergies. Use the air conditioner instead. Travel during low traffic periods, such as early morning or late evening. You'll spend less time on the road and avoid higher levels of air pollution from idling vehicles.

In the Air
Carry all medications with you onto the aircraft. The Transportation Security Administration allows all types of medication through security checkpoints, but requires they be screened. Liquid and gel medications in 3-ounce containers or less must be inside a clear quart-size bag and separated from other carry-on items through screening. Liquid and gel medications in larger quantities should be in a separate bag and declared to the security checkpoint operator. Make sure all medications are properly labeled.

Include saline nasal spray in your carry-on bag to relieve sensitive noses from the airplane's dry air. Use once an hour to keep nasal passages moist. Beware airline food, which rarely has ingredients lists. Visit convenience stores inside the airport to stock up on safe snacks for the flight. Notify airline staff of your allergy and bring an epinephrine injector onboard in case of a severe reaction.

Be prepared
Travel delays happen. Bring all medications needed on the trip, as well as a day's worth of extra doses.

When reserving a hotel, ask if there are allergy-free accommodations, which could include special rooms, pillows and linens. If you are sensitive to molds, request a sunny, dry room away from indoor swimming pools.

Exposure to sun and water can aggravate eczema. Pack moisturizer or a medicated ointment for cruises and beach vacations to treat skin irritations. When camping, be aware of asthma and allergy triggers surrounding the campsite. Since medical help may not be readily available, prepare an emergency plan in case of an asthma attack or severe allergic reaction.

Contact an allergist/immunologist for information on diagnosing allergies and asthma or questions about treatment. An allergist/immunologist is the best qualified medical professional to manage the prevention, diagnosis and treatment of allergies and asthma. To find an allergist/immunologist near you, click here.

Additional Resources
Tips to Remember: What is an allergic reaction?
Tips to Remember: Traveling with allergies and asthma
Tips to Remember: Stinging insect allergy
Tips to Remember: Outdoor allergens
Just for Kids: Camping with allergies and asthma
Tips to Remember: Role of the Allergist/Immunologist

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