Pet allergy

A healthcare professional may suspect a pet allergy based on symptoms, an examination of your nose and your answers to questions. A lighted instrument may be used to look at the condition of the lining of your nose. If you have a pet allergy, the lining of the nose may be swollen or appear pale or discolored.

Allergy skin test

A healthcare professional may suggest an allergy skin test to find out exactly what you're allergic to. You may be referred to an allergy specialist for this test.

In this test, tiny amounts of purified allergen extracts, including extracts with animal proteins, are pricked into your skin's surface. This is usually carried out on the forearm, but it may be done on the upper back.

A health professional checks your skin for signs of allergic reactions after 15 minutes. If you're allergic to cats, for example, you'll develop a discolored, itchy bump where the cat extract was pricked into your skin. The most common side effects of these skin tests are itching and changes in skin color. These side effects usually go away within 30 minutes.

Blood test

In some cases, a skin test can't be done if you have a skin condition or are on certain medicines. Instead, a healthcare professional may order a blood test that screens your blood for specific allergy-causing antibodies to various common allergens, including various animals. This test also may show how sensitive you are to an allergen.

The first line of treatment for controlling pet allergy is avoiding the allergy-causing animal as much as possible. When you minimize your exposure to pet allergens, you generally should expect to have less frequent or less severe allergic reactions.

It's often difficult or impossible to completely eliminate your exposure to animal allergens. Even if you don't have a pet, you could encounter pet allergens transported on other people's clothes.

In addition to avoiding pet allergens, you may need medicines to control symptoms.

Allergy medicines

A healthcare professional may direct you to take one of the following medicines to improve nasal allergy symptoms:

• Antihistamines reduce the production of an immune system chemical that is active in an allergic reaction. They help relieve itching, sneezing and runny nose.

  Prescription antihistamines in a nasal spray include azelastine and olopatadine (Patanase). Antihistamine tablets available without a prescription include fexofenadine (Allegra Allergy), loratadine (Claritin, Alavert), cetirizine (Zyrtec Allergy) and levocetirizine (Xyzal Allergy). Antihistamine syrups without a prescription are available for children. Prescription antihistamine tablets, such as desloratadine (Clarinex), are other options.

• Corticosteroids delivered in a nasal spray can reduce swelling and control symptoms of hay fever. These medicines include fluticasone (Flonase Allergy Relief), mometasone (Nasonex 24HR Allergy) and triamcinolone (Nasacort Allergy 24HR). Ciclesonide (Omnaris) can be given with a prescription. Nasal corticosteroids provide a low dose of the medicine and have a much lower risk of side effects than oral corticosteroids.

• Decongestants can help shrink swollen tissues in your nose and make it easier to breathe through your nose. Some allergy tablets available without a prescription combine an antihistamine with a decongestant.

  Oral decongestants can increase blood pressure. They generally shouldn't be taken if you have high blood pressure, glaucoma or cardiovascular disease. Talk to a healthcare professional about whether you can safely take a decongestant.

  Nasal spray decongestants available without a prescription may briefly reduce allergy symptoms. If you use a decongestant spray for more than three days in a row, it can increase congestion.

• Leukotriene modifiers block the action of certain immune system chemicals. A health professional may prescribe montelukast (Singulair), a prescription tablet, if corticosteroid nasal sprays or antihistamines are not good options for you.

  Possible side effects of montelukast include upper respiratory infection, headache and fever. Less common side effects include behavior or mood changes, such as anxiousness or depression.

Other treatments

• Immunotherapy. You can "train" your immune system not to be sensitive to an allergen. Immunotherapy is delivered through a series of allergy shots.

  One to 2 weekly shots expose you to very small doses of the animal protein that causes an allergic reaction. The dose is gradually increased, usually during a 4- to 6-month period.

  Maintenance shots are needed every four weeks for 3 to 5 years. Immunotherapy is usually used when other simple treatments aren't satisfactory.

• Nasal irrigation. You can use a neti pot or a specially designed squeeze bottle to flush thickened mucus and irritants from your sinuses with a prepared saline rinse.

  If you're preparing the saline solution yourself, use water that's contaminant-free. This means distilled, sterile, previously boiled and cooled, or filtered. Be sure to rinse the irrigation device after each use with contaminant-free water and leave open to air-dry.

Avoiding exposure to pets is the best remedy for pet allergy. For many people that doesn't sound like a good option, because family members are often very attached to their pets. Talk to a healthcare professional about whether reducing exposure to your pet, rather than finding a new home for your pet, may be enough to manage your pet allergy.

If you keep your pet

If you keep your pet, you can help minimize the allergens in your home with these tips:

• Bathe your pet frequently. Ask a family member or friend without allergies to bathe your pet on a weekly basis.
• Establish a pet-free zone. Make certain rooms in your house, such as your bedroom, pet-free zones to reduce allergen levels in those rooms.
• Remove carpeting and dander-attracting furnishings. If possible, replace wall-to-wall carpeting with tile, wood, linoleum or vinyl flooring that won't collect pet allergens as easily. Consider replacing other allergen-attracting furnishings, such as upholstered furniture, curtains and horizontal blinds.
• Enlist help. When it comes time to clean your pet's kennel, litter box or cage, ask a family member or friend who doesn't have pet allergies to do the work.
• Use high-efficiency filters. High-efficiency particulate air (HEPA) air purifiers and vent filters may help reduce airborne pet allergens.
• Keep your pet outside. If your pet can live comfortably outside, you can reduce the amount of allergens in your home. This option isn't appropriate for many pets or in certain climates.

If you find a new home for your pet

If you do find a new home for your pet, your allergy symptoms won't disappear immediately. Even after a thorough cleaning, your house may have high levels of pet allergens for several weeks or months.

The following steps can help lower pet allergen levels in a newly pet-free home:

• Clean. Have someone without pet allergies clean the entire house, including a thorough washing of the ceilings and walls.
• Replace or move upholstered furniture. Replace upholstered furniture if possible, as cleaning won't remove all pet allergens from upholstery. Move upholstered furniture from your bedroom into another area of your home.
• Replace carpets. If possible, replace carpeting, particularly in your bedroom.
• Replace bedding. Replace sheets, blankets and other bedcovers. It is difficult to wash away pet allergens completely. Replace bed pillows. If you can't replace your mattress and box spring, encase them in allergen-blocking covers.
• Use high-efficiency filters. HEPA filters for your air ducts may trap allergens in the air. HEPA vacuum bags may reduce the amount of dander rustled up by your cleaning. HEPA air purifiers also may reduce airborne pet allergens.

If you're experiencing symptoms that may be related to an allergy, you'll most likely start by seeing someone on your primary healthcare team. Because appointments can be brief, and because there's often a lot to cover, it's a good idea to prepare for your appointment.

What you can do

• Write down any symptoms you're experiencing, including any that may seem unrelated to an allergy.
• Write down your family's history of allergy and asthma, including specific types of allergies if you know them.
• Make a list of all medicines, vitamins or supplements you're taking.
• Ask if you should stop any medicines, for example, antihistamines that would alter the results of an allergy skin test.

Preparing a list of questions will help you make the most of your time together. For symptoms that may be related to pet allergy, some basic questions to ask include:

• What is the most likely cause of my symptoms?
• Are there any other possible causes?
• Will I need any allergy tests?
• Should I see an allergy specialist?
• What is the best treatment?
• I have other health conditions. How can I best manage these conditions together?
• If I have a pet allergy, can I keep my pet?
• What changes can I make at home to reduce my symptoms?
• Is there a generic alternative to the medicine you're prescribing?
• Are there any brochures or other printed material that I can take home with me? What websites do you recommend visiting?

In addition to the questions that you've prepared, don't hesitate to ask other questions during your appointment.

What to expect from your doctor

You'll likely be asked a few questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. You may be asked:

• When did you first begin experiencing symptoms?
• Are symptoms worse at certain times of the day?
• Are the symptoms worse in the bedroom or other rooms of the house?
• Do you have pets, and do they go into bedrooms?
• What kind of self-care techniques have you used, and have they helped?
• What, if anything, appears to worsen your symptoms?

Issues if you have asthma

If you have already been diagnosed with asthma and you are having difficulty managing the disease, a healthcare professional may talk to you about the possibility of allergies. Although allergies are a major contributing factor to asthma, the influence of allergy on asthma isn't always obvious.

The impact of a pollen allergy may be noticeable because the allergy is seasonal. For example, you may have a harder time managing your asthma during the summer.

Pet allergy, on the other hand, may be due to a pet that you're exposed to throughout the year. Even if you don't have a pet, you may be exposed to pet allergens in other people's homes or that have been transported on people's clothes at work or school. You may not think of an allergy as something that makes your asthma worse, but it may be a primary cause.

What you can do in the meantime

If you think you may have a pet allergy, take steps to reduce your exposure to your pets. Keep pets out of your bedroom and off upholstered furniture, and wash your hands right after touching pets.