Do Allergies Affect Your Mood or Energy Level?

Non-Nasal Symptoms Associated with Allergies

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Allergies can adversely affect your mood and energy level. Jon Feingersh/Blend Images/Getty Images

Do Allergies Affect Your Mood or Energy Level?

Many studies have shown that people with allergic rhinitis not only suffer from symptoms such as sneezing, nasal congestion and itchy eyes and nose, but from non-nasal symptoms, such as fatigue and depression as well. Allergic rhinitis can make it harder to concentrate at work or school and affect your energy level and sleeping habits.

Unfortunately, some of these "extranasal" symptoms are more difficult to treat than the allergies themselves.

Let's take a look at some of the non-nasal symptoms that have been linked in some way to allergies, why these conditions may be connected, and what you can do if your allergies are affecting more than your nose and eyes,

Allergies and Fatigue

Studies have consistently found that fatigue is common among those with seasonal allergies. In fact, daytime tiredness, while occurring less often than nasal symptoms, appears to be more common than itchy eyes or postnasal drip. While fatigue was recorded in 60 percent of people with allergies in one study, a surprising 80 percent of people claim to feel tired as a result of their allergy symptoms.

Allergies and Mood

In addition to fatigue, or perhaps because of it. more than a third of people with allergies in one study felt depressed, and over half of the respondents felt irritable or miserable as a result of their symptoms. Other studies have found that the incidence of clinical depression is twice as common among allergy sufferers.

In some ways, looking at allergies and mood can be a chicken and egg question. Is it the nasal symptoms of allergies, perhaps accompanied by the embarrassment over these symptoms be the cause of your funky mood, or is it the funky mood that makes allergies more apparent? It has been noted that chronic stress related to depression and anxiety increases the risk that someone will develop and suffer from allergies.

From yet another angle, it could be that the allergic phenomena is responsible for both the nasal allergy symptoms and mood problems. Our immune cells react with allergens in our environment and produce chemicals known as cytokines. Cytokines, in turn, are responsible for many of the allergy symptoms we experience. Cytokines don't just cause inflammation in the nasal passages, however, they appear to affect the frontal lobes in the brain, a finding that could explain some of the mood changes so commonly found in those with allergies.

Whatever the cause of depression, it is not just a nuisance. Researchers have found the risk of suicide—which peaks during spring pollen season—may be partly related to the emotional effects of allergies.

Cognitive Effects of Allergies

Many people have noted that their allergies seem to make the "slower." Whether these cognitive symptoms are related to fatigue, the side effects of allergy medications, or due to some mechanism due to the allergies themselves, research appears to back up those thoughts.

People with allergies have, overall, been found to have slower verbal reasoning, slower decision making, and reduced psychomotor speed—meaning that they reason and react slower than normal during the times they are most affected by their allergy symptoms.

Allergic Rhinitis and Attention Deficit Disorder (ADD)

The jury is still out on whether allergic rhinitis and attention deficit disorder (ADD) may sometimes go hand in hand, yet there is some evidence that the mechanisms of the two conditions that link the immune system to the nervous system are similar.

Children and Nonnasal Symptoms of Allergies

As a parent you don't necessarily need to read about studies showing an increase in moodiness in kids with allergies. You've probably lived it. Studies have found an increase in irritability and temper tantrumsamong children being treated for allergies. In addition, other changes in mood related to allergies tend to be more dramatic in children than in adults.

If your child has shown signs of these symptoms, take a moment to step into their shoes. Children, unlike adults cannot as easily see the link between their allergies and difficulty concentrating at school. Instead they may just notice the results that their decreased concentration brings. Add to this the stigma that many children with allergies suffer (which as adults we don't think of as often) and the impact of non-nasal symptoms of allergies is significant.

Why Do Allergies Affect Energy, Mood and Well Being?

Why do allergies have such dramatic effects on a person’s mood and well-being? This isn’t completely understood, although it could be due to the distraction or sleep disruption caused by allergy symptoms such as sneezing, congestion and a runny nose. In addition, changes in a person’s mood and energy level could also be due to side effects from common allergy medications, such as antihistamines. Lastly, some researchers think that these behavioral changes may be caused by certain biochemical signals released from mast cells (and other immune cells in the body) that directly affect a person’s brain.

What Can You Do?

It might leave you feeling discouraged to hear about the links between fatigue, mood, and even cognitive abilities and allergies, but there are many things that can be done that could in turn benefit you both from an allergy standpoint and a non-nasal symptom standpoint. We have come a long way in methods of treating allergic rhinitis.

That said, everyone is different and it often requires some trial and error to find out what works best for you.

A first step is to take a look at your environment. With the medications we have available it's sometimes easy to forget that there are other methods available to address your symptoms such as avoidance of the cause. Check out these tips on controlling indoor allergens. You may also want to keep an eye on outdoor pollen counts, and plan outdoor activities around these. Of course, eating a healthy diet, getting enough sleep, and practicing stress management can make a difference all the way around.

Treatment Options for Allergic Rhinitis

If avoidance isn't an option, medications can be helpful.  Find out which medications are best for the treatment of allergies. Some people find that allergy shots work best, and often bring the most relief over the long term. Some people swear by alternative treatment such as Neti Pot nasal irrigation systems. If it is your child who is suffering from allergies, take time to read through this parents allergy guide. It appears that allergies affect much more than our noses and eyes, but help is available.

Sources:

Jaruvongvanich, V., Mongkolpathumrat, P., Chantaphakul, H., and J. Klaewosongkram. Extranasal Symptoms of Allergic Rhinitis. Allergology International. 2016. 65(2):199-203.

Lin, Y., Chen, Y., and S. Gau. Associations Between Allergic Diseases and Attention Deficit Hyperactivity/Oppositional Defiant Disorders in Children. Pediatric Research. 2016. 80(4):480-5.

Melamed, I., and M. Heffron. Attention Deficit Disorder and Allergic Rhinitis: Are They Related?. Journal of Immunology Research. 2016. 2016:1596828.

Postolache, T., Komarow, H., and L. Tonelli. Allergy: A Risk Factor for Suicide?. Current Treatment Options in Neurology. 2008. 10(5):363-76.

Postolache, T., Langenberg, P., Zimmerman, S. et al. Changes in Severity of Allergy and Anxiety Symptoms Are Positively Correlated in Patients with Recurrent Mood Disorders Who Are Exposed to Seasonal Peaks of Aeroallergens. International Journal of Child Health and Human Development. 2008. 1(3):313-322.

Tomlienovic, D., Pinter, D., and L. Kalogiera. Perceived Stress and Severity of Chronic Rhinosinusitis in Allergic ad Nonallergic Patients. Allergy and Asthma Proceedings. 2014. 35(5):398-403.

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