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Insect Allergens: Indoor Asthma Trigger

Cockroaches, Stinging Insects

By Kathleen MacNaughton, R.N., About.com

Updated: November 13, 2007

About.com Health's Disease and Condition content is reviewed by Sanja Jelic, MD

Fire Ants, Stinging Insects

Fire Ants, Stinging Insects

Source: Journal of Allergy and Clinical Immunology
Insect allergens can trigger asthma symptoms in people who have the kind of asthma known as allergic asthma. Allergens is a term for certain types of asthma triggers in people who have an allergy basis for their asthma (as opposed to exercise-induced asthma or asthma that is a response to occupational, climactic or environmental irritants).

The most common type of insect allergen that is a factor in triggering asthma symptoms is the cockroach. Most people don't like to think about cockroaches, but a protein in their droppings is one of the most common indoor asthma triggers for people who live in densely-populated, urban environments.

Cockroaches have existed for hundreds of millions of years. They thrive in warm, moist environments, and they love moving into the homes and offices of humans.

Cockroach Facts

Cockroaches get into a house through wall cracks, windows, gaps in floors or wood trim, cellars, drains, and doors that leads outdoors. They need water in order to live and they will seek wet areas in the home such as leaky pipes and faucets.

Cockroaches also tend to be found where there are open garbage containers or food left out in the open. The cleaner a home, the less welcome roaches feel.

Other Insect Allergens

Other insect droppings may also trigger asthma symptoms in certain people. An emerging problem appears to be Asian Ladybugs. These insects were purposely introduced in the United States to fight aphids, but have since become a problem on the East Coast and in the South, especially during cold weather when they seek warm indoor spaces.

There is some evidence that Asian Ladybugs may cause the same kinds of asthma problems as cockroaches.

Stinging Insect Allergens

Stinging insects include the following:
  • Fire ants
  • Honeybees
  • Hornets
  • Paper wasps
  • Yellow jackets

For most people who are stung by a stinging insect, there may be some short-term discomfort, but no serious side effects. Other people may have a mild allergic reaction and notice some symptoms such as sneezing, itching, nasal congestion, and watery red eyes.

However, other people are extremely allergic to stinging insects. These people may have more severe symptoms that combine into a condition known as anaphylaxis, or allergic shock.

Unfortunately, people who have asthma are much more likely to go into allergic shock when stung by stinging insects. If the following symptoms develop after a sting, seek emergency treatment immediately:

  • difficulty breathing
  • swelling of the throat and tongue, which is sometimes associated with nausea, vomiting, and diarrhea
  • blood pressure may drop, followed by
  • fainting or loss of consciousness
  • shock

If you are allergic to stinging insects and also have asthma, it's a good idea to carry injectable epinephrine with you at all times.

Source:

AAAAI, "Tips to remember: indoor allergens." American Academy of Allergy Asthma & Immunology. 01 January 2006. AAAAI. 29 Oct 2007 http://www.aaaai.org/patients/publicedmat/tips/indoorallergens.stm

AAAAI, "Tips to remember: stinging insect allergy." American Academy of Allergy Asthma & Immunology. 01 January 2006. AAAAI. 30 Oct 2007 http://www.aaaai.org/patients/publicedmat/tips/stinginginsect.stm

Nakazawa T, Satinover SM, Naccara L, et al. Asian Ladybugs(Harmonia axyridis): A New Seasonal Indoor Allergen. J Allergy Clin Immunol. 2007; 119: 421-7.

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