I'm going to start today's column with a cheap joke (and anyone who says, "So what else is new?" will have to sit in the corner for the next two hours). Here's the joke: allergies are nothing to sneeze at. I warned you, didn't I?
.....Anyway, I hope that little bit of crummy humour didn't persuade you to abandon the rest of this column because the point of that joke was that allergies are a serious problem that cause much more misery than the allergy-free might imagine.
.....This will, I'm sure, surprise lots of those people who've never suffered chronic nasal congestion, or runny eyes, or a chronic sore throat from exposure to dust or cats or some types of grass (I mean, of course, the stuff that grows on lawns, not the kind my old Free Clinic patients used to smoke) and who figure that on a scale of misery of 1 to 10, a chronic runny nose merits a score of about minus 6, but allergy symptoms can make you feel miserable. According to a study published in the American Journal of Respiratory and Critical Care Medicine, young adults who had both asthma and allergic rhinitis ("rhinitis" is inflammation of the nasal passages, a runny nose, in other words) complained that their allergies exacted as great a

toll on their quality of life as asthma did, and asthma is, of course, a disorder that has significant negative effects on quality of life.
..... Why did the allergic rhinitis sufferers complain so much? It could just be that people with allergies like to complain, but it's more likely that although allergic rhinitis did not limit the physical activities of most of these people - it's a stretch, after all,

to argue that your runny nose prevented you from playing squash - their allergy symptoms did lead to these allergy sufferers complaining of considerably more "social problems, emotional problems, and poorer mental well-being than subjects without (allergies)." To a certain extent, though, the misery of allergic rhinitis is avoidable. The best strategy, of course, is to avoid coming in contact with the precipitating agent (what doctors call the "allergen"). Thus, if you're

allergic to cats, for example, getting a kitty to keep you company at night might be good for your spirits, but it's certainly not good for your immune system.
.....Similarly, if you're allergic to dust, as so many of us are, it's important to avoid dust exposure as much as possible, which is why my wife gets me to vacuum the house much more often than I offer to do on my own, although what really bugs me about that is that she doesn't have any allergies. It isn't, however, easy to avoid certain allergens. For example, a study in the Journal of Allergy and Clinical Immunology found that clothing is an important source of exposure to dust and cat allergen, especially wool clothing. Apparently dust mites and cat dander stick to clothing, and it's not only hard to get them out of clothes, which can obviously be a real pain for the person wearing that allergen-soaked sweater, but that garment, this study found, can also produce symptoms in other allergic people who come in close contact with the wearer.
.....Another strategy to avoid the misery of certain allergies is to take medications, especially preemptively. So, given that we're moving into high allergy season here on the wet coast,

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