Medications for Allergy

The Complete Allergy Book
June Engel
Key Porter Books, 70 The Esplanade, Toronto, ON M5E 1R2
1997/224 pp

In the introduction, June Engel stresses that the book is intended to “help all allergy sufferers and those caring for them to understand the disorder and manage it as effectively as possible in partnership with competent healthcare providers.” I think she achieves this objective extremely well.

The book is divided into two parts. In the first few chapters the author reviews allergies and the immune system in detail. Excellent diagrams help readers follow along, and tables summarize important details. These features make it easy for readers to review items of interest. The author also reviews the various types of allergies and comments that they are not all life-threatening. In the first chapter she reviews some unconventional tests and treatments that, to date, have not been studied scientifically. In the second chapter she discusses the four basic types of hypersensitivity or allergic reactions. Again this is presented clearly and concisely.

In other chapters she discusses specific topics. When readers have read the first two chapters, the rest of the book is easy to understand. Readers can choose only the topics they are interested in without reading the entire book to understand their disorders. Others who are more interested certainly would benefit from reading all 15 chapters.

In chapter 3, the author presents anaphylaxis as one of the most severe responses. She discusses management of anaphylaxis, and again, includes excellent first aid guidelines for quick reference. Chapters on diagnosing allergies and tracking down causes and determining management are also included. She also reviews old and new antihistamines and some of their side effects.

The second part of the book deals with specific types of allergies, such as hay fever, and year-round allergies, such as food allergies and drug and vaccine allergies. Each chapter is concise and easy to follow. In several areas she is blunt in her discussion. For instance “allergy shots are not a substitute for removing the cat.” This frank, common-sense approach to allergy is very refreshing.

Individuals who suffer from allergic reactions would find this book valuable. I believe that understanding some of the basic principles that the author presents in the first two chapters improves patients’ understanding of the complexity of the disease. With further reading about their specific problems, readers will find her review of the history, new concepts, current therapies, and unproven therapies valuable.

Physicians who deal with allergies will also find this book useful. Engel’s work is well researched, and she has had input from numerous experts. A glossary at the end of the book is extremely useful for people unfamiliar with the terminology.

The key to an off-road biking joy ride? Preparation. Get yourself a lightweight, waterproof pack that attaches securely to your bike or back. Pack smart, and you’re on your way to a safe, energized ride.

1. A map of the trail
Study it before you go so you’ll know the area and where to get help if you need it.

2. A compass
This will help keep you on the trail. Learn your base camp directions so you’ll know you’re returning the right way.

3. First aid kit
This little kit could save your life. Be sure to include items such as insect repellant, bandages, moleskin for blisters, antibiotic ointment, aspirin, a pocket knife and your own prescription medication, such as nonsedating antihistamines. These antihistamines will help manage your seasonal nasal allergy symptoms.

4. Plenty of water
The American Council on Exercise recommends drinking four ounces of water every 20 minutes, whether you feel like it or not.

Dehydration can happen to anyone, and will leave you tired and confused. Even if the weather is cool, you still need plenty of water to keep you hydrated.

5. High-energy snacks
According to the American Dietetic Association, choosing snacks that combine complex carbohydrates and some fat will fill you up, burn slowly and sustain you through a long ride. Trail mix or a peanut butter and banana sandwich are good portable choices.

6. Layers of warm, lightweight clothing
Hypothermia can strike the most seasoned athlete at any time of the year. Too little water, too much exertion and too much exposure to the elements can bring it on quickly. Lightweight layers and plenty of water will help keep you comfortable and protected.

7. A bike helmet
Regardless of your riding experience, you need to be prepared for accidents – even if you’re biking on a quiet country trail.

A sturdy, padded helmet will offer you both comfort and protection. Another key point: proper fit. Make sure your helmet fits securely on your head and the strap adjusts properly to your size. A poorly-fitted helmet is uncomfortable, interferes with your vision and won’t protect you in the event of an accident.

8. A plastic whistle
This little piece of plastic could save your life if you get hurt or lost. Carry one at all times and be sure every member of your party has one as well. Blow it only if you need help.

9. Sunblock
Hours on the trail are great for your legs, but tough on your skin. Help protect yourself from sunburns with a sweat-proof sunblock, SPF 15 or higher.

10. Sunglasses
Sun gets in your eyes, interfering with your vision on the trail and exposing you to harmful UV rays. Going sans sunglasses, is also an open invitation to irritation from pollens and other airborne allergens. Protect your eyes properly by wearing sunglasses and taking your allergy medication.