Why is total abstinence so important in asthma and allergies?

In order to better manage your treatment, it is necessary to try prevention as much as possible because there is a direct relationship between the volume of contact with allergens and stimuli and the severity of disease symptoms.

 The main problem is not the belief in the importance of abstinence, but the complete impossibility of abstinence, and the extent of its effect on reducing clinical symptoms is difficult to assess.

Abstinence is like medicine, the faster the better, the more multi-faceted and complete the better, and the more specific a patient is tailored, the better personal and voluntary, impersonal and environmental exposures.

No primary prevention for allergies has been proposed and confirmed yet, and if we divide people into three groups (instead of bipolar today), that is, healthy people / atopic and currently sick / prone to atopy and allergies in the future / maybe it will be possible to do primary prevention for the third. designed or implemented primary prevention for healthy people

For the sick person, the condition of the disease should be controlled and the complications of the disease and drugs should not occur 

Without the initial exposure to the allergen, there is no allergy at all, and after the first exposure, it may or may not cause clinical symptoms, but the tests will be positive. 

Every exposure and every initial sensitization is not equivalent to a disease, even if the skin prick test is positive 

And subsequent exposures will definitely become symptoms of clinical disease, and for example, in milk feeding, the amount of this exposure is related to the subsequent onset of asthma.

Eliminating exposure to travel or change of residence / change of job / change of season during life / etc. is really effective in reducing symptoms and relapses.

Of the two factors of a person’s genetics and environmental exposure, it is the latter that must be done

Duration of exposure/method of entering the body/amount of allergen/type of allergen all play a role

Studies for exposure in early infancy have been conflicting for contact with cats and mites

Mites are eaten by infants from toys/peanuts in dust and attach to scarred skin

If the results of studies in two populations of two countries regarding contact with cats in infancy have different results, it is related to the genetic changes of the body or breed and their immunological dimension.

If we believe that viruses are the main cause of the onset or recurrence of asthma, then our attention and focus should be on the prevention and control of viruses and not only allergens. has been 

The reality of asthma and allergy is self-perpetuation (self-perpetuation), for example, in cases of employment, if one changes jobs too quickly, he may get rid of the disease. It does not affect the severity or the worsening course, and then we face a strange result

Although exposure will have an effect on the severity and time of symptoms, but abstinence (even complete) does not have a direct and coordinated effect on treatment and prevention.

Partial and quantitative prevention, occasionally, etc., do not make sense. Avoidance should be as complete as possible, because the stimulation of the immune system will lead to a cure, and the treatment itself will subsequently intensify.

It is more possible than occupational cases and contact with animals

To avoid the possibility of going to the heights (changing the place of residence) and migration 

Regarding the season, it is also recommended to migrate to areas with different weather conditions.

and collecting the furniture, rugs and carpets on the floor of the rooms and replacing them with Zillow

Changing clothes and wearing cotton clothes, especially underwear and shorts

Changing harmful cosmetics

Eliminate smoking and any kind of smoke and drugs

For sick children with skin eczema and sometimes also respiratory diseases (observance of dairy products, fish, eggs and nuts until one year old) according to the experience of consuming those foods and the doctor’s recommendations, better ventilation of homes 

Reducing the humidity inside the house to the extent that the air is not considered dry

Fighting cockroaches, mites, mold and mice at home

Use of gowns, hats and gloves, possible contact with infectious chemicals and even nature

Walking and bathing after encountering these things

Having short hair and shaving earlier, especially for people who are very active

Using anti-mite bedding or at least weekly washing with hot water and changing them and other sleeping items 

Do a vacuum cleaner with a HEPA filter

Air purifier in the bedroom (having laminar air)

To train our immune system, humans need the microbiome, or the population of good gut microbes, and they also want food 

And exposure to food is necessary and certain because survival depends on eating

Food tolerance is the condition of eating any food without harm

Eating foods by creating food tolerance with the complex involvement of the immune system prevents allergies, and if this is broken, a person becomes allergic to food.

But skin contact with foods, especially in infancy and especially with dry eczema skin, causes food allergies and other cases. 

And even for peanuts, starting to eat earlier will reduce the allergy to it

So skin contact with foods is bad, but eating helps tolerance and health

It is enough to strengthen pregnant women’s food in terms of antioxidants, folate, and vitamin D, and not to smoke, and the rest of the recommendations have not been confirmed to prevent the fetus from getting infected.

Exactly the same food or foods that a sick infant should avoid, his mother should also avoid, and for a healthy infant, no advice is necessary for the mother as well, provided that she herself does not have an allergic disease.