Back to School Action Plan for Allergies and Asthma

Back to School Action Plan for Allergies and Asthma

As the final days of summer break come to a close, families everywhere are preparing for children to return to school. Whether this is the first year a child is heading to school or the last, it is an exciting time for both children and parents. It can, however, also be a time of anxiety for a parent worried about a child’s asthma or allergy conditions. Below are some ways to prepare and communicate these concerns, and  back to school excitement.

Make a Plan

Schedule an appointment with your child’s healthcare provider in the weeks leading up to the first day of school. During this appointment, discuss overall heath as well as specifics regarding allergies, food allergies, or asthma. This is also a great opportunity to request that the healthcare provider refill any asthma or allergy medications. The provider can complete medication permission forms required by the school nurse during your visit. It is important the school nurse can quickly and easily confirm the medication you provide is:

  • non-expired
  • prescribed for your child
  • has clear directions on when, how, and how much to take

This is also the time to request your provider complete any additional forms required by the school. Examples are asthma action plans, anaphylaxis action plans, and food allergy alert plans with avoidance and substitution information. If your child is in their first year or is entering a new school, it is important to contact the school nurse directly. Also, if your child has complex requirements or action plans, you should visit with the school nurse yearly about their daily requirements. The nurse can discuss accommodation options available for children at the school. Other important policies to discuss include asthma inhalers, epinephrine auto injectors, classroom parties, field trips, and cafeteria rules.

Classroom Action

Back to School with Allergies and Asthma
Back to School with Allergies and Asthma

The classroom can be a source of exposure for children with allergies to dust mites, mold, and animal dander. Communicate with your child’s teacher about allergy triggers for their symptoms and what common symptoms to look out for. Don’t forget to ask if the classroom will have a resident pet. If so, what type of animal and any requirements that the pet come home with your child may be important. It is also important to understand if the school has air conditioning or if windows are typically opened on nicer days. If windows must be opened, then you can prepare your child accordingly with additional symptom control medication.

During your initial meeting with the teacher, you can begin setting appropriate expectations. Discuss things such as asthma action plans and any potential limitations for recess or physical education. Also, anaphylaxis action plans for food or stinging insects and any food avoidance requirements should be covered. You will feel confident knowing both the school nurse and teacher are fully informed of your child’s needs. The school nurse and teacher should have a consistent plan for where inhalers and epinephrine auto injectors are stored. Also confirm that there is a plan for administration of medication in a time of need. It is a good idea to ask about substitutes or classroom aides/parent volunteers confirm they are made aware of your child’s needs.

When to Stay Home

During a regular year it is often a challenge to decide when it is or is not appropriate to send a child to school with cold-like symptoms. That can be even more complex for a parent if your child has allergies or asthma. In this unique time when COVID-19 is still a major focus, another layer of complexity is added.

For children with asthma, it is safe to attend school with mild wheezing that occurs infrequently and is quickly resolving with the use of albuterol. However, it is appropriate to keep your child home from school if:

  • they experience difficulty sleeping due to respiratory symptoms
  • require albuterol every 4 hours to relieve them of things like wheezing, shortness of breath, or chest tightness
  • have respiratory symptoms that are failing to resolve with albuterol use

Make sure to always inform the school nurse and the child’s teacher of any recent asthma exacerbations and how it was treated. Communicate any continued treatment if applicable.

If your child has an allergic reaction, make sure to inform the nurse. Also update the nurse on the allergen trigger if known, how the reaction was treated, and any ongoing treatment.

Wishing all the children a safe, healthy, and prosperous new school year!

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Amanda Hofmann, MPAS, PA-C, is a graduate of Duquesne University, in Pittsburgh, PA. After spending 8 years in clinical practice, she joined United Allergy Services where she is currently the Vice President of Clinical. Amanda is also the past president of the Association of PAs in Allergy, Asthma, and Immunology. 

United Allergy Services is also on FacebookLinkedInor TwitterSee other interesting and related articles on the UAS Blog.


Summer allergy avoidance tips

Summer Allergy Travel Tips

School is out, summer is in full swing, and it is prime time for summer vacations and traveling. Summer travel with environmental allergies, asthma, or food allergies may make planning a vacation seem like a daunting task. Not to worry! We can show how to keep summer allergy issues at bay during your staycation, beach trip or wine tour of your dreams.

Summer can be an ideal time to travel. The hot summer months can actually provide relief to some, like those with tree pollen allergies. Unfortunately for others, summer comes with its own allergy triggers. While tree pollen counts tend to be lower, the summer heat pushes grass and mold pollen to be higher. Ragweed begins to appear in the late summer and early fall months to kick off fall allergies. Pollen is not the only trigger you can expect; more stinging insects and hotter temperatures in summer months can complicate matters for asthma sufferers.

Summer Allergy Location Tips

 

Summer allergy travel tips
Tips for summer allergy travel. Paspalum seed heads, filled with seeds, surrounded by grasses and other weeds.

Location is everything! One consideration is that pollen counts tend to be lower on the coast, so beaches may be a good option. The desert, or alternatively snowy mountain tops, can also be ideal for pollen, although maybe not for summer travel. Does your vacation involve hiking or mountain climbing? Dust mites do not prefer elevations above 2,500 feet, so that may be a great choice as well. Wherever you decide to go check the allergen forecasts for that area. You should also check current pollen counts each day there. If high pollen counts are in the forecast, consider planning inside activities during your trip.

Checking pollen counts may not be the only forecast to make sure to monitor. As the temperatures rise, you can expect the humidity to rise as well. Many who suffer from asthma can find their condition aggravated by the high temperatures and humid climate. When planning your time outside during the summer, check the air quality for low humidity and low ozone days. You can also avoid triggers by planning around the heat of the day when possible.

Packing for Vacation

Although your favorite swimsuit may be more fun, allergy control measures should equally be at the highest priority. Staying compliant to your recommended treatment protocol in the days before you leave is crucial. These measures will support well-maintained symptoms while traveling, and for the duration of the trip.

  • Make sure to pack allergy medication and immunotherapy in a carry-on bag if traveling by plane.
    • Try to keep medications in original packaging and pack all medication and allergen immunotherapy in a separate, clear bag.
    • Any liquid or gel medications or immunotherapy will need to individually be 3-4 ounces or smaller. Consider purchasing travel sizes if standard sizes do not meet this requirement.
  • Pack 1-2 days of additional medication or immunotherapy than what will be needed in case of delay when traveling.
  • It may be beneficial to set a reoccurring alarm on a phone before leaving. Normal routines may change with travel and vacation plans.
  • Finally, are you traveling out of the country? If you are traveling to a non-English speaking location, bring a list of your allergies in the native language. You may also learn to say or write  “I’m allergic to _____.” in the local language.

Additionally, do not forget to pack any hypoallergenic hygiene products that you regularly use. Examples might be sunscreen, after sun cream, lotions, ointments, body wash, or laundry detergent. When searching for accommodations, remember that more and more hotels offer items like mattress and pillow covers or hypoallergenic linens so you may not have to pack your own. It may also be helpful to ask about smoke free rooms, away from humid, mold friendly pool areas if possible. If pet dander is a concern, take note of whether the location is “pet friendly”.

Summer Allergy Avoidance Tips

Air in enclosed spaces such as planes and trains can sometimes be extremely dry.  Consider investing in nasal saline spray or washes, as well as portable humidifier. A humidifier will likely also be beneficial if staying in a hotel for more than a night or two. Staying well hydrated with water and non-caffeinated beverages will also greatly help you combat drying out. If traveling by car, considering utilizing the heat or air conditioning and keeping windows closed. Also, turning on the heat or air 10 minutes before departure can help clear vents of any residual allergen particles.

While enjoying your destination, remember that peak pollen times are typically early in the day (specifically 5am 10am). Scheduling desired outdoor activities for later in the day or just before dusk may help to reduce exposures. Similarly to when you are home, a daily shower is helpful for allergen avoidance. Showering before bed will help to wash away allergens that have adhered themselves to your skin or hair. This is especially important to maintain so that your pillow, sheets, and the immediate space you breathe in all night is allergen free.

Insect Allergies

Another aspect of the summer allergy concerns may be insects. If stinging insect allergies are present planning ahead can alleviate a lot of anxiety and allow for a smooth trip. Always make sure to carry a minimum of two epinephrine auto injectors if it has been prescribed to you or a loved one. Make sure the epinephrine autoinjector is carried in a way it can be accessed and administered within 60 seconds of a need arising.

If you or a loved one does have life threatening allergies, it is a good idea to check with your health insurance and ensure you know where to seek medical care should the need arise while you are out of town. You may also consider carrying an allergy identification card. It can be helpful to keep a card in your wallet listing your allergies, and also emergency contact information and your healthcare provider information. This can be especially important for children who may be summer camps or staying overnight with friends or family.

Food Allergies

If food allergies are present, packing your own meals or snacks may make traveling easier. Preparing food yourself is always the safest option. Alternatively, research the local dining hot spots you wish to visit in advance of leaving for your trip. This allows you to identify safe selections from the menu or you can call to request proper menu accommodations. You may still consider packing your own snacks if you have food allergies. While it may be possible to plan meals around food allergies, snacks often present more of a challenge. Pack allergy friendly snacks, especially if lengthy plane rides are involved.

 

Amanda Hofmann, MPAS, PA-C, is a graduate of Duquesne University, in Pittsburgh, PA. After spending 8 years in clinical practice, she joined United Allergy Services where she is currently the Vice President of Clinical. Amanda is also the past president of the Association of PAs in Allergy, Asthma, and Immunology. 

United Allergy Services is also on FacebookLinkedInor TwitterSee other interesting and related articles on the UAS Blog.


how to navigate Easter with allergies

Easter with Allergies

The Easter and Passover holidays are here! Holidays mean family centered fun, festive meals, and usually sweet treats to enjoy. For allergy suffers, however, they can sometimes be challenging to navigate. Aside from the usual pollen and food allergies, brightly dyed eggs, household pets, and sweet baby chicks and bunnies can also wreak havoc on the nose and chest. Here are some tips to navigate the upcoming holidays and ensure that you and your family celebrate safe and happy.

Easter and Food Allergy Considerations

Traditional holiday meals are at the cornerstone of Easter and Passover. Plan the meals out in advance and be mindful of any guests that may have a food allergy. Be flexible and try to switch ingredients for allergy-friendly alternatives, eliminate a recipe from the menu altogether, or take care to prepare allergy-friendly dishes separately from the other meals. If you are not sure if guests have a food allergy, consider printing recipes out for each of the dishes and allow people to determine if it’s a safe food for them to indulge in. Also consider avoiding a buffet style offering, or separating allergen safe foods from allergen containing foods in two different areas or tables.

Sweet Treats

These spring holidays typically mean chocolate and sweet treats to younger members of the family, or those young at heart. Try to again consider those guest and family members that may have allergies to things like chocolate, so they are not left sitting on the sidelines. Allergy to chocolate itself, or the cacao bean, is incredibly rare, however more commonly the offenders are milk, peanuts, tree nuts, soy, and corn. A little research will provide an array of options of dairy free or peanut/tree nut free brands of treats. Always check labels to see if the offending food in contained in the ingredients list, or mentions it was produced in a facility that also processes other allergen containing foods putting your loved one at risk of cross contamination.

Keep in mind most chocolate does contain soy in the form of soy lecithin to keep it solid at room temperature, and white chocolate commonly contains corn in the form of corn syrup. If the treats offered are of the homemade variety, it can be even more challenging for a food allergy sufferer due to lack of label to research ingredients.

If you suffer from food allergies, a good rule to follow if “If you can’t read it, don’t eat it”. Plan to bring some of your own safe snack or goodies, unless you can make sure your host prepared foods allergen free, safely away from other allergen containing food, and on a separate and thoroughly cleaned surface. In lieu of store bought or homemade edible treats, consider offering nonfood items for younger guests such as books, sporting goods, stickers, novelty items, or toys.

Easter Egg Related Allergies

Although the majority of food allergens are most offensive if ingested, it is important to consider that some people do have reactions or develop irritations from contact exposure to egg or the dyes used to make them bold and bright. If colorful dyed egg hunts are part of your spring holiday tradition, there are alternative ways to include everyone on the fun.  Instead of using traditional eggs and egg dye, consider eggs made of wood, ceramic, or plastic, and consider natural dye alternatives. Other options include making gelatin eggs, egg sugar cookies for decorating, or decorating marshmallows in place of eggs. Also, consider replacing the hard-boiled egg on the Passover Seder plate with a ceramic or plastic egg to keep guests anxiety free.

If the above-mentioned allergies are life threatening for you or a loved one, always make sure to carry a minimum of two epinephrine auto injectors if it is prescribed. Make sure the epinephrine autoinjector is carried in a way it can be accessed and administered within 60 seconds of a need arising. If you or a loved one does have life threatening allergies, it is always a good idea to check with your health insurance and ensure you know where to seek medical care should the need arise if celebrating the Spring holidays out of town.

Pollen Considerations

Food allergens typically are the easiest to keep front of mind during the holidays, however equally as difficult for allergy suffers and arguably more difficult to avoid are the tree pollens and mold spores blowing in the air. These unwanted guests can ruin any picnic or outdoor gathering with nasal, sinus, eye, and chest symptoms. If there is both indoor and outdoor venues at the celebration location, try to minimize the time spent outdoors. If you are hosting the celebration, try to offer an indoor haven if planning to spend time outdoors, as well as keep windows and doors closed at the indoor space. Also, minimize the exposure to outdoor allergens while traveling to the destination by keeping windows up in the car and instead using the air conditioning.

Celebration Times

It is a good habit to always check pollen counts for the area where you will be celebrating. If you are planning the celebration, try to have it start mid-day or later due to peak pollen times typically occurring in the first half of the day (specifically 5am 10am). Also, it would be beneficial to plan the event outside of heavily grassy areas or those densely populated with trees. This may help to decrease the concentration of allergens in the air.  If the celebration will be entirely outdoors with no indoor refuge, it is a good idea to make sure you are on top of your allergy medication or immunotherapy regimen before going. It may be wise to pack a few changes of clothing as well as wet wipes for the ability to remove pollen from your immediate environment every few hours.

Once you return home from the festivities, plan to shower or bathe before prioritizing any other activities. It is especially important to bathe before crawling into bed, to remove any allergens that have adhered themselves to your skin or hair. This is especially important before allowing them to have access to your pillow or sheets and being in the immediate space and air you breath in all night.

Easter and Passover Gifts or Decor

Many people choose to show their appreciation to their host or show their love to their family by bringing beautiful spring flowers or plants to the celebration. Unfortunately, people can have severe symptoms such as sneezing, along with nose and eye itching and watering related to the pollen, or just the smell of particular flowers. Even an asthma attack can be triggered from them. According to the American College of Allergy, Asthma and Immunology, there are many flowers you can get at a florist that produce little pollen. Look for tulipsroses, begonia, columbine, crocus, daffodil, and geraniums if you want to be safe.

Pet Allergies

We cannot forget about the cherished furry family members that may be in attendance for the spring holiday celebration. There may also be the propensity to give the give of baby chicks or bunnies this time of year. Dander, saliva, sweat, and urine from adorable dogs, cats, and even bunnies can trigger an allergic response in some people. If possible, try to keep pets confirmed to only a certain area of the celebration so that those that wish to enjoy them can, while those that are unable can find refuge elsewhere.

Make sure to thoroughly wash your hands before returning to an animal free area of the celebration, before partaking in shared food items, or before touching your face, mouth, or eyes. Also, make sure the recipient of a new spring pet is not triggered by them. Although recent literature has shown us a true allergy to bird feathers is rare, there are substantial amounts of dust mites found in feathers that can trigger unwanted allergy symptoms.

Allergy Treatment Options

If you or a loved are unsure whether tree pollen, grass pollen, mold spores, dust mites, or animal dander are potential allergy triggers and the cause of the nasal congestion, runny nose, post nasal drip, sneezing, and itchy watery eyes you have been suffering with, seeing your provider for an allergy test may provide the clarity they are looking for! Some providers may have the ability to access food concerns as well. And if you are already aware of true allergy triggers, but the spring allergy medication and avoidance measures are just not cutting it, there is still time to see your provider and discuss starting allergen immunotherapy.

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Amanda Hofmann, MPAS, PA-C, is a graduate of Duquesne University, in Pittsburgh, PA. After spending 8 years in clinical practice, she joined United Allergy Services where she is currently the Vice President of Clinical. Amanda is also the past president of the Association of PAs in Allergy, Asthma, and immunology. 

United Allergy Services is also on FacebookLinkedIn, or Twitter. See other interesting and related articles on the UAS Blog.

https://unitedallergyservices.com/blog/patients/5-ways-tame-seasonal-allergies/


Baseball season for allergy sufferers

Tips for Balancing Baseball and Allergies

Spring means longer days, warmer weather, and the beginnings of baseball! Unfortunately for some allergy suffers, the start of the long-anticipated baseball season also means the time of year when allergens such as tree pollen are at an all-time high. Sneezing, wheezing, and itchy, watery eyes can make games or practice challenging for you or your little leaguer. Even more concerning? The thought of major league games and contact with baseball’s favorite sidekick...peanuts! You can still enjoy this spring and baseball season with a little planning for your allergies.

Eliminating all outdoor sports and activities may seem like the best decision, and for many, it is. However, if skipping out on baseball or other outdoor sports due to allergies just is not an option, we can help. Here are some tips that will help allergy suffers enjoy watching America’s pastime and PLAY BALL!

Airborne Allergy Tips

Check the weather forecast before heading to the game. When checking out the weather, it is good practice to also check the pollen counts in the area. Keep in mind that peak pollen times are typically in the first half of the day, specifically 5am 10am. Attending practices or games midday or in the afternoon may help to reduce exposures.

Baseball and outdoor allergies don't have to be in competition with one another. If you have a little leaguer, packing wet wipes is good practice. Wiping down their hands, face and neck can be helpful to combat those distracting allergy symptoms when out on the diamond. Also, make sure your favorite player is not relying on allergy medication that could make them drowsy. There are non-sedating medication options, or allergen immunotherapy that are worth discussing with their provider.

After a long practice or game, it is beneficial to change your clothing as soon as possible. Also helpful is an immediate shower, especially before crawling into bed. The shower will help to wash away any allergens that have adhered themselves to your skin or hair. This is especially important so that the allergens aren't transferred to your pillow or sheets, remaining in the immediate space you breathe in all night.

Planning for Stinging Insects and Food Allergies

If your allergies include stinging insects or even food, planning ahead can alleviate a lot of anxiety. Always make sure to carry a minimum of two epinephrine auto injectors if there is a known insect or food allergy. Make sure the epinephrine auto injectors can be accessed and administered within 60 seconds if the need arises.

If food allergies are present, especially peanut, legume, or tree nut, it can make the lyrics “Buy me some peanuts and Cracker Jacks” send shivers down your spine. Fortunately, most large baseball stadiums across the country have become aware of the dangers and distress surrounding food allergies and have started to offer peanut-free games or special accommodations for food allergy families with peanut-free designated seating. The Food Allergy Research and Education (FARE) organization typically releases an annual guide outlining which major league and minor league baseball stadiums offer peanut aware sporting events. Along with utilizing their helpful guide, FARE recommends “to reach out directly to the venue to learn more about their efforts”.

Some suggested questions to have ready when you contact the venue about are:

  • Are there any [peanut] allergy friendly games, sections, or suites available?
  • Does the venue utilize power washing for seating, and traffic pathways at the stadium?
  • Can you find ingredient lists or are they available upon request at the concessions?
  • Do they allow families to bring in their own safe meals and snacks?
  • Are emergency responders available to the public at every game, and are their sections closer to these personnel?

Planning and communication are key to enjoying baseball season and balancing your outdoor allergies. Talk to family, friends, coaches, players, and venues, to create a plan that is right for your family. However, missing out on baseball season does not have to be part of that plan. If you or your loved ones are not quite sure if allergies are playing a role, or if the over-the-counter allergy medication just is not cutting it, you have options. There is still time to see your provider and discuss allergy testing and begin allergen immunotherapy.

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________

About the Author:

Amanda Hofmann, MPAS, PA-C, is a graduate of Duquesne University, in Pittsburgh, PA. After spending 8 years in clinical practice, she joined United Allergy Services where she is currently the Vice President of Clinical. Amanda is also the past president of the Association of PAs in Allergy, Asthma, and immunology. 

 

United Allergy Services is also on FacebookLinkedIn, or Twitter. See other interesting and related articles on the UAS Blog.

https://unitedallergyservices.com/blog/patients/5-ways-tame-seasonal-allergies/

https://unitedallergyservices.com/blog/patients/versus-fall-alergies-will-win-7-tips-fight-allergies/


Tree pollen allergy explanation and avoidance tips

Tree Pollen Allergy

March is finally here, and that means so is Spring. Longer days, morning walks in the garden, rain showers and rainbows are excitedly on the horizon. However, if you have spring allergies you may be less excited about the season. Spring is typically defined as starting with the vernal equinox, and this year that is March 20. Of course, our allergies don't need a calendar to tell us that tree pollen, the main culprit of the sniffles and sneezes during spring allergy season, is already here!

Trees typically start producing pollen as early as January in the Southern areas of the U.S. The Northern and Central areas follow with pollen production sometime in February. One outlier, the Ashe Juniper Tree (commonly called Mountain Cedar) wreaks havoc in Oklahoma and Texas as early as December. Many trees will continue to produce pollen through June. Also, the milder the winter season, the earlier the trees begin producing pollen. Similarly, late winter or early spring snowfall leads to more pollen. The copious amounts of moisture produced when the snow melts allows a greater volume of pollen production.

Understanding Pollen

Pollen is a powdery substance made up of small spores that come from male trees and flowers. There are two primary types of pollen. The first pollen type, “Sticky Pollen” is produced by plants and trees that have bright and attractive flowers. This kind of pollen sticks to bees and is transported during flight, fertilizing other plants. These bright flowers are commonly thought to be spring allergy offenders. However, sticky pollen doesn't release much pollen into the air, so they are likely not driving most allergy symptoms.

The other type of pollen is “Wind-Blown Pollen”. This pollen comes from larger trees like pine and oak. The pollen is released in large quantities into the air, fertilizing other trees of the same species. The pollen that causes stereotypical allergy symptoms like nasal congestion, runny nose, and itchy eyes is usually the wind-blown pollen. This pollen is very small and light, and is easily spread by the wind for miles and miles.

Allergy sufferers can benefit from checking local pollen counts to determine the density of pollen in the air on any given day. Pollen counts are determined by collecting pollen on special rods. It is then counted under a microscope and calculated in grains per cubic meter of air. Pollen counts tend to be highest early in the day, or when wind picks up just before a large rainstorm. If you like dancing in the rain, however, you are in luck. During a rainstorm and immediately following, pollen becomes still and dormant due to the rain making it damp and heavy. As the air becomes warm and dry following the storm, the pollen count will become potent again.

Managing Tree Pollen Allergies

For tree pollen allergy sufferers, it is recommended to avoid densely wooded areas, especially in early spring when pollen is the most abundant. If possible, avoid planting trees around the house that can cause allergy symptoms. Pass on major tree offenders like oak, birch, maple, cedar, juniper, and eucalyptus (unless you can guarantee they are female trees). Instead, look for friendlier species such as dogwood, pear, plum, redbud, or crape myrtle.

Pollen counts are never zero, and allergy sufferers will not truly be able to avoid tree pollen in the spring. However, some practices may help alleviate the severity of symptoms. Try utilizing the air conditioner and keeping windows and doors closed at home and in the car. Also, using the dryer instead of hang drying clothing will help decrease pollen exposures. One benefit of COVID-19 is that wearing some masks will help to minimize the amount of pollen that reaches the nasal passages, especially when worn in outdoor settings. Tree pollen allergy suffers should also make a habit of changing their clothes after coming in from being outdoors, and bathing prior to getting into bed/laying on upholstered furniture.

If you know someone that has difficulty with morning walks in the garden and they are unsure whether tree pollen is a trigger for their spring nasal congestion, runny nose, post nasal drip, sneezing, and itchy watery eyes, you can suggest they see their provider for an allergy test. It may provide the clarity they are looking for!

______________________________________________________________________________________________________________________

Amanda Hofmann, MPAS, PA-C, is a graduate of Duquesne University, in Pittsburgh, PA, and spent  8 years in clinical practice before joining United Allergy Services. Amanda is a past president of the Association of PAs in Allergy, Asthma, and Immunology and currently serves as Vice President of Clinical at UAS.

For more interesting insight from United Allergy Services, visit us on FacebookLinkedIn, or Twitter.

 


Tips to avoid

Valentine's Day Allergy Offenders

Valentine's Day can be intimidating for allergy suffers. Far too frequently sweethearts visit the emergency room instead of their favorite restaurant or fill the day with sneezes instead of smooches. Avoiding the most common Valentine’s Day allergy offenders is possible, and here are some tips to keep everyone safe.

The Nose Knows

Flowers on Valentine's Day is a classic way to show your love. Unfortunately, flower pollen can trigger severe symptoms such as sneezing, itchy nose, and itchy/watery eyes or even asthma attacks. Luckily for the lovers out there, according to the American College of Allergy, Asthma and Immunology, there are many flowers options that produce little pollen and still set the mood. Look for tulipsroses, begonia, columbine, crocus, daffodil and geraniums for your allergy suffering sweetheart.

Before we check the box for being safe in the scent department, consider other smell related concerns. It’s important to know physical symptoms such as headaches and sneezing can be triggered from just the smell of some flowers. Often, these symptoms can also be related to perfume or cologne as well. Although these reactions are not actually a true allergy, and instead are generally a reaction to odors created by volatile organic compounds, they can cause a Valentine's Day disaster.

Food Allergy Offenders

Also on the list of iconic Valentine’s Day allergy offenders is that delectable box of chocolates. Allergy to chocolate is rare, but most chocolate is made with milk, and many of the chocolate assortments contain tree nuts, peanuts, eggs, and other more common food allergens. Read all food labels to stay safe and be sure to take note of label warnings such as, “May contain” or “Processed in a facility”. If these warnings pertain to you, your Valentine’s Day may be sweeter without it.

If you or your Valentine have any food allergies, of course, be sure to carry your epinephrine autoinjector at all times. It’s always the most important accessory you can have! Here’s another helpful hint if food allergies are on the table; Protect your Valentine by calling ahead to that romantic restaurant to discuss the food allergy before you go. Make sure the kitchen and chef can be accommodating on a busy night like Valentine’s Day. Better yet, you might get extra points in the Cupid category if you roll up your sleeves and prepare all your Valentine’s favorites yourself. Added bonus? You won’t have to worry about finding the perfect facemask to match your outfit this year!

Gifts That Don't Keep Giving

If your Valentine has their heart set on jewelry, keep in mind that it can contain varying amounts of nickel. A contact allergy to nickel can lead to symptoms such as severe itching, blisters, and rash in the area where the jewelry touches the skin. Unlike allergy to flowers and foods, a reaction to a metal may take several days to develop after exposure. If baubles and jewels are the burning desire of your Valentine, however, don’t worry! Sticking to jewelry made with stainless steel, copper, platinum and 24 karat gold is usually a safe choice.

Finally, consider skipping the stuffed animals this year. The bigger the teddy bear, unfortunately, can mean the bigger the dust mite population that it ends up harboring. These mites are one of the most common causes of allergies and can be found in any fabric item. Much like pollen, they can bring on sneezing and other nasal symptoms, and even result in asthma flareups. Keep the temptation for the plush gifts away and make your Valentine your main squeeze instead!

See more news and insights from United Allergy Services on Facebook, LinkedIn, or Twitter.