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Recent findings indicate that Asthmatic individuals allergic to cockroaches and heavily exposed to insects at home are three times more likely to be hospitalized for asthma than others. Insects bites normally cause pain and swelling. This is due to effect of the venom. The degree of reaction produced depends upon the type and quantity of venom introduced. But in some people that venom acts as an antigen and, with the antibodies already present, causes an allergic reaction. Kill these insects before they can make you suffer with severe asthmatic attacks

 
Insect allergy may occur through three modes
Insect bite
Allergic reaction to biting insects such as mosquitoes, sandfly etc. is not immediate; it is delayed one. After several hours of the bite, there appears redness and swelling around the site bitten. There may be some rise in temperature of the body. However, the reaction is never serious, never fatal.
This reaction needs no treatment, except occasionally a tablet of antihistamine to check itching. As the age advances, after many such bites, the body reacts less to them. That is also the reason why these reactions are more severe in children than adults or older people. Allergic asthma by bite of insects like mosquitoes is usually mild and may not occur immediately but after several hours of its biting. It is not a common phenomenon.

Insect sting
Stinging insects such as bee, wasp and hornet produce an immediate allergic reaction. This may vary from local redness and swelling to the redness of the whole part, or even generalized swelling, urticaria, choking,difficulty in breathing, unconsciousness and death. Those who have hay fever, eczema, asthma and drug reaction are more liable to get different grades of severe reactions to stinging insects. Establishing diagnosis is easy from the history of the patient. The best prophylaxis is to avoid situation where one can be stung by the insects and keep the body well covered while going outdoor in the fields and gardens. As soon as a person is stung, he should try to remove the sting from the site with a pin or needle without rubbing it in. Stinging insects such as Bee can precipitate severe asthma immediately. Rarely it can also produce anaphylaxis (severe allergic reaction which can cause even death).

Inhalation of insect remnants
Insects such as cockroach are present in the houses especially in humid and dark places like kitchen, bathroom, toilet and cupboards. Allergy to insect remnants is quite common, particularly in the monsoon season when different species of insects breed and multiply. Insects have very short life and when they die, their wings and bodies become part of the ground dust. After drying and disintegration such dust is inhaled and can cause allergic asthma. Asthma due to cockroach remnants is very common and present throughout the year. Other insects that can precipitate asthma are ants, butterflies, wasps, dragon fly, grass hoppers, house flies and
jassids.
 
How insect allergy is diagnosed?
History: Asthmatic attack due to stinging insects can be diagnosed by history of developing asthma after a sting. This type of reaction is found in stinging insects like yellow wasp, bee etc.

Allergy testing:
Asthmatic attacks induced by insect can be detected by allergy skin-test or by inhalation of solution consisting of insect allergen.
 
HOW A COCKROACH CAUSES ASTHMA?
Example
:
Maneka has asthma since childhood but it was exaggerated after last rains. She took a number of medicines without much relief. On the advice of a doctor she got her skin allergy tested which was positive for house dust mite and cockroach. Last night, when she got up to have glass of water from the kitchen , she saw a mob of cockroaches in the kitchen. She used to spend 5-6 hours a day in the kitchen. 

Curiosity:  

  • What should Maneka do to improve her asthma? 
  • How the problem was solved ?

Asthma of Maneka was not improving because of exposure to remnants of cockroach in the kitchen-dust. The kitchen and other places in the house were sprayed with insecticide, and made cockroach free. Within 2-3 weeks asthma of Maneka improved a lot.

Expert comments
Cockroches and kitchen dust are trigger factors of asthma.

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TRIGGER: INSECTS

ASTHMATIC STYLE

Cockroach
  • Keep cleanliness in the house and its surroundings.
  • Check breeding process of cockroach by spraying insecticides regularly.
  • Cleaning should be done by wiping with a wet cloth. With brooming allergenic particles form a mixture in the air and can enter in to the breath.
  • Putting a face mask during cleaning enhances protection further.
  
Mosquitoes, flies and rainy insects
  • Use of mosquito repellants. Use one with less fumes.
  • Use mosquito net.
  • Keep the windows closed during monsoon season.
  • Use of mask or nasal filter while dusting and brooming the floor.
  • Prefer wet cleaning rather than brooming the floor.
  • Windows and doors opening outside should be provided with wire mesh.
  • Doors or wire mesh doors opening outside should be provided with a door closer.
  • Pedestal opening of windows should be closed.
  • Remove stagnant water in vicinity of house.
   
Bee and wasp
  • Get nests of yellow wasp and bee removed from the vicinity.
  • If you have past experience of developing asthma after bee sting or yellow wasp sting you should take anti-allergic medicines and inhaler immediately after a sting.
  • Some people develop very severe allergic reaction after a bite. Such people should keep a syringe filled with adrenaline with them. It should be administered immediately after bite. You should not wait for symptoms to occur. Dose and technique of administration should be learnt from your treating doctor.
  • Immunotherapy is effective in insect allergy. You may try it to solve the problem in effective manner.
 


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